HomeMy WebLinkAboutBRES2022-0767BUILDING PERMIT
DESIGN & DEVELOPMENT PHONE (760) 777-7125
DEPARTMENT Qa�fra
WWW.LAQUINTACA.GOV
78-495 CALLE TAMPICO APPLIED DATE: 10/26/2022
ta
LA QUINTA, CALIFORNIA 92253 ISSUED DATE: 03/20/2023
CALIFORNIA
Permit Type: Building Residential Owner: MICHAEL BRIGHT
Permit Number: BRES2022-0767 57111 MEDINAH, LA QUINTA, CA 92253
Property Address: 57111 MEDINAH Applicant: ARTHUR ZOHRABIANS
APN: 762110032 700 PALM DR. #106, GLENDALE, CA 91202
Legal Description Contractor: WRIGHTS LABOR SERVICE
Property Zoning: 6469 DOMINICA AVE, CYPRESS, CA 90630
Valuation: $125,000.00
PRIOR TO THE ISSUANCE OF THIS PERMIT FOR CONSTRUCTION, ALTERATION, IMPROVEMENT, DEMOLITION, OR REPAIR THE OWNER, APPLICANT AND/OR
CONTRACTOR UNDER PENALTY OF PERJURY HAVE AFFIRMED WHEN APPLICABLE, THROUGH THE SUBMITTAL OF FORMS OR BY OTHER ELECTRONIC MEANS, THE
FOLLOWING:
LICENSED CONTRACTOR OR OWNER -BUILDER DECLARATION (1 or 2)
1) They are licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Professions Code, and the
referenced
License is in full force and effect, or;
2) That they are exempt from the Contractors' State License Law for the
reason(s) indicated by either (2)(a) and/or (2)(b), or (2)(c) where he or
she is exempt from licensure by a valid exemption. [Section 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
Contractors' State License Law (Chapter (commencing with Section 7000)
of Division 3 of the Business and Professions
Code] 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).)
a) As owner of the property, or my employees with wages as their sole
compensation, will do all of or portions of the work, and the structure is
not intended or offered for sale (Section 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an owner of
property who, through employees' or personal effort, builds or improves
the property, 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 it was
not built or improved for the purpose of sale.).
b) As owner of the property, will be exclusively contracting with licensed
c) Are exempt from licensure under the Contractors' State License Law.
As an Owner -Builder, they acknowledge that, except for their personal
residence in which they must have resided in for at least one year prior to
completion of the improvements covered by this permit, they cannot legally
sell a structure built as an owner -builder if it has not been constructed in
its entirety by licensed contractors. It is understood that a copy of the
applicable law, Section 7044 of the Business and Professions Code, is
available upon request when this application was submitted at the
following Web site:
http://www.leginfo.ca.gov/calaw.html.
DECLARATION REGARDING CONSTRUCTION LENDING AGENCY (If
applicable)
A construction lender will be used for completion of the improvements
covered by this permit and the name and information of which is on file for
public inspection during the regular business hours of the public entity.
Failure of the applicant to indicate the construction lender on the
application does not relieve that person of the requirement to give the
construction lender preliminary notice from that duty.
WORKERS' COMPENSATION DECLARATION (1, 2 or 3)
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.
1) Has and will maintain a certificate of consent to self -insure for workers'
compensation, issued by the Director of Industrial Relations as provided for
by Section 3700 of the Labor Code, for the performance of the work for
which this permit is issued.
2) Has 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.
3) Certifies that, in the performance of the work for which this permit is
issued, shall not employ any person in any manner so as to become subject
to the workers' compensation laws of California, and agree that, if should
become subject to the workers' compensation provisions of Section 3700 of
the Labor Code, shall forthwith comply with those provisions.
NOTICE TO APPLICANT (1, 2 and 3)
1) Each person upon whose behalf this application was made, each person
at whose request and for whose benefit work is being 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 360 days from date of issuance of such
permit, or if cessation of work for 180 days will subject permit to
cancellation. On or after January 1, 2019, every permit issued shall become
invalid unless the work on the site authorized by such permit is commenced
within 12 months after its issuance, or if the work authorized on the site by
such permit is suspended or abandoned for a period of 12 months after the
time the work is commenced.
3) Certified that they read the application and state that the information
provided is correct. 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.
IMPORTANT: An Application for Permit was made to the Building Official,
subject to the conditions and restrictions set forth at the time of application,
which is now hereby an Issued Permit. If any part of the information being
supplied on this permit is inaccurate or untrue, please contact the City of La
Quinta at (760) 777-7125 immediately for correction.
Printed: 3/20/25 2:17 pm Page 1 of 4
Permit Type
Building Residential
BUILDING PERMIT
Permit Number:
Property Address
BRES2022-0767
57111 MEDINAH
BRIGHT/ ADDITION ACCESSORY GUESTHOUSE TO (E) S-F RESIDENCE .. 383SF ADDITION ACCESSORY GUEST HOUSE [VB/RES
THIS PERMIT DOES NOT INCLUDE PV SYSTEM, POOL, SPA, BLOCK WALLS, DRIVEWAY APPROACH OR SIMILAR EXTERIOR
STRUCTURES. 2019 CALIFORNIA BUILDING CODES.
�nstructinn Deta
Residential Work Type Addition Conditioned Square 0 Grading Required? No
Footage
Addition Area Square 383 Number of Flag or 0 New Electrical Square 383
Footage Light Pole(s)? Footage
Type Group Sq Ft Value
Invoice No. Fee
PERM IT-BRES2022-076 RESIDENTIAL ADDITION, EA ADDITIONAL 500 SF
7 RESIDENTIAL ADDITION, EA ADDITIONAL 500 SF PC
BSAS SB1473 FEE
RESIDENTIAL, FIRST 1,000SF PC
RE -INSPECTION FEE
TECHNOLOGY ENHANCEMENT FEE
RESIDENTIAL ADDITION, FIRST 100 SF PC
HOURLY CHARGE - INTERWEST STRUCTURAL PLAN REVIEW
ALTERATIONS/ADDITIONS - RESIDENTIAL
RESIDENTIAL, FIRST 1,000SF
RECORDS MANAGEMENT FEE - MAJOR
RESIDENTIAL ADDITION, FIRST 100 SF
Fee Amount
$75.28
$21.01
$5.00
$57.77
$87.53
$8.00
$206.58
$250.00
$81.00
$175.07
$22.00
$147.06
Total for Invoice PERMIT-BRES2022-0767 $1,136.30
Amount Paid
$75.28
$21.01
$5.00
$57.77
$87.53
$8.00
$206.58
$250.00
$81.00
$175.07
$22.00
$147.06
zlil ,'I sb.:SU
Grand Total for Permit $1,136.30 $1,136.30
Workflow Step / Action Name
Action Type Start Date End Date
Inspections v.1
10/26/2022 0:00
SHOWER PAN v.1
Inspection
----------------------------------------------------------------------------------------------------------------------------------------
DRYWALL NAIL v.1
Inspection
------------------------------------------------
INSULATION v.1
----------------------------------------------------------------------------------------
Inspection
------------------------------------------------
LATH v.1
Inspection
-------------------------
OKAY TO WRAP v.1
----------------------------------------------------
Inspection
------------------------- -
ROUGH PLBG v.1
-----------------------------------------------------
Inspection
------------------------------------------------
ROUGH MECH v.1
---------------------------------------------------------------------------------------
Inspection
--------------------------
ROUGH ELEC v.1
-----------------------------------------------------
Inspection
-- - - - - - - - - - - - - - - - - - - - - - - - -
FRAMING v.1
Inspection
--------------------------------------- - - - - --
ROOF NAIL v.2
Inspection
------------------------------------------ - - - - --
ROOF NAIL v.1
Inspection
Printed: 3/20/25 2:17 pm Page 2 of 4
BUILDING PERMIT
Permit Type: Building Residential
Permit Number: BRES2022-0767
Property Address: 57111 MEDINAH
PRE -ROOF v.1
Inspection
-----------------------------------------------------
SLAB v.1
---------------------------
Inspection
------------------------------------------------------------------------------------
FOOTINGS v.3
-- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- --
Inspection
------------------------------------------------------
FOOTINGS v.2
-------------------------------------------------------------------------------- -
Inspection
------------------------------------------------------------------------------------
FOOTINGS v.1
----------------------------------------------------
Inspection
------------------------------------------------------------------------------------
UNDERGROUND PLBG v.2
----------------------------------------------------
Inspection
----------------------------------------------------------------------------------------------------------------------------------------
UNDERGROUND PLBG v.1
Inspection
Application Completeness Check v.1
----------------------------------------------------------------------------------------------------------------------------------------
Confirm Fees Paid v.1
Generic Action
----------------------------------------------------------------------------------------------------------------------------------------
Submittal Document Verification v.1
Generic Action
Plan Check v.1
-------------------------------------------------------------
Building Major Review v.1
--------------------------------------------------------------------------
Receive Submittal
Permit Issuance v.1
---------------------------------------------------------------------------------------------------------------------------------------
Contractor / Owner -Builder Information v.1
Generic Action
---------------------------------------------------------------------------------------------------------------------------------------
Verify & Invoice Fees v.1
Generic Action
---------------------------------------------------------------------------------------------------------------------------------------
Ready to Issue v.1
Generic Action
---------------------------------------------------------------------------------------------------------------------------------------
Verify Fee Payment & Issue Permit v.1
Generic Action
---------------------------------------------------------------------------------------------------------------------------------------
Print, Attach, and Email Building Permit v.1
Create Report
Inspections - Do Not Pour Concrete Until Approved v.1
---------------------------------------------------------------------------------------------------------------------------------------
Setbacks v.1
Inspection
---------------------------------------------------------------------------------------------------------------------------------------
Underground Plumbing v.1
Inspection
--------------------------------------------------------------------------------
Water Line v.1
Inspection
---------------------------------------------------------------------------------------------------------------------------------------
Footing v.1
Inspection
---------------------------------------------------------------------------------------------------------------------------------------
Slab v.1
Inspection
Inspections - Cover No Work Until Approved v.1
---------------------------------------------------------------------------------------------------------------------------------------
Roof Nail v.1
Inspection
--------------------------------------------------------------------------------
Okay to Wrap v.1
Inspection
---------------------------------------------------------------
Framing v.1
----------------------------------------------------------------------- -
Inspection
---------------------------------------------------------------
Rough Electrical v.1
----------------------------------------------------------------------- -
Inspection
------------------------------------------------------------------------------------
Rough Mechanical v.1
----------------------------------------------------
Inspection
----------------------------------------------------------------------------------------------------------------------------------------
Rough Plumbing v.1
Inspection
----------------------------------------------------------------------------------------------------------------------------------------
Rough Fire Clearance v.1
Generic Action
----------------------------------------------------------------------------------------------------------------------------------------
Shower Pan v.1
Inspection
----------------------------------------------------------------------------------------------------------------------------------------
Insulation v.1
Inspection
--------------------------------------------------------------------------------------------------------------------------------------
Drywall Nail v.1
-
Inspection
------------------------------------------------------------------------------
Exterior Lath v.1
--------------------------------------------------------
Inspection
---------------------------------------------------------------------------------------------------------------------------------------
Gas Test v.1
Inspection
---------------------------------------------------------------------------------------------------------------------------------------
Sewer Connection v.1
Inspection
Inspections - Masonry v.1
Inspections - Electrical for Meter Release v.1
---------------------------------------------------------------------------------------------------------------------------------------
Temporary Power v.1 Inspection
---------------------------------------------------------------------------------------------------------------------------------------
Temp Use of Permanent Power v.1 Inspection
Inspections - Final v.1 09/13/2023 0:00
---------------------------------------------------------------------------------------------------------------------------------------
Final Fire v.1 Inspection
Printed: 3/20/25 2:17 pm Page 3 of 4
BUILDING PERMIT
Permit Type: Building Residential
Permit Number: BRES2022-0767
Property Address: 57111 MEDINAH
Final Building M Inspection 09/13/2023 0:00 09/14/2023 16:04
Certificate of Occupancy v.1
----------------------------------------------------------------------------------------------------------------------------------------
Certificate of Occupancy v.1 Create Report
Construction or work for which a permit is required shall be subject to inspection by the building official and such construction or work
shall remain visible and able to be accessed for inspection purposes until approved. Approval as a result of an inspection shall not be
construed to be an approval of a violation of the provisions of the applicable code and other ordinances of the jurisdiction. Inspections
presuming to give authority to violate or cancel the provisions of the applicable code and other ordinances of the jurisdiction shall not be
valid. It shall be the duty of the owner or the owner's authorized agent to cause the work to remain visible and able to be accessed for
inspection purposes. Neither the building official nor the jurisdiction shall be liable for expense entailed in the removal or replacement of
any material required to allow inspection.
It shall be the duty of the holder of the building permit or their duly authorized agent to notify the building official when work is ready for
inspection. It shall be the duty of the permit holder to provide access to and means for inspections of such work that are required by this
code.
A building or structure shall not be used or occupied in whole or in part, and a change of occupancy of a building or structure or portion
thereof shall not be made, until the building official has issued a certificate of occupancy therefor as provided herein. Issuance of a
certificate of occupancy shall not be construed as an approval of a violation of the provisions of the applicable code and other ordinances
of the jurisdiction. Certificates presuming to give authority to violate or cancel the provisions of this code or other ordinances of the
iurisdiction shall not be valid.
A person shall not make connections from a utility, a source of energy, fuel, or power, or a water system or sewer system to any building
or system that is regulated by the applicable code and other ordinances of the jurisdiction for which a permit is required, until approved by
the building official.
Printed: 3/20/25 2:17 pm Page 4 of 4
Coachella Valley Unified School District
87-225 Church St., Thermal, CA 92274
Phone No. (760) 848-1034
This Box For District Use Only
DEVELOPER FEES PAID
EA AR: City of La Quinta
AMOUNT: 0.00
LEVEL ONE AMOUNT:
LEVEL.Tn7wo AMOUNT:
MrnGATLONAMOUNT:
COMMA AMOUW;
DATE.
RLICE:
CHECK r' 1MTIALS
3/17/2023
—
LA
E UWifeD0.00
�P Cy
U
CERTIFICATE OF COMPLIANCE
(California Education Code 17620)
Project Name: Michael Bright Date: March 17, 2023
Owner's Name: Michael Bright Phone No. (/(NJ )jd,R— jf�
Project Address: 57-111 Medinah
La Quinta, CA 92253
Project Description: Addition Accessory Guest house �.
APN: 762-110-032 Tract #:
Lot #'s:
Type of Development: Residential XX Commercial Industrial
Total Square Feet of Building Area: 383 Square Feet
Certification of Appiicant/Owners: The person signing certifies that the above information is correct d makes this statement under
penalty of perjury
%%and further represents that he/she is authorize to s'gn on half of the owner/develo r.
Dated: ^�" Signature: , r
SCHOOL DISTRICT'S REQUIREMENTS FOR THE ABOVE PROJECT HAVE BEEN OR WILL BE SATISFIED IN
ACCORDANCE WITH ONE OF THE FOLLOWING: (CIRCLE ONE)
Education Code Gov. Code Project Agreement Existing Not Subject to Fee
17620 65995 Approval Prior to 1/1187 Requirement
Note:
Number of Sq.Ft. 383 Pursuant to AB 181 any room additions or enclosures of 500
Amount per Sq.Ft. EXEMPT 91 or less are exempt from developer fees.
Amount Collected 0.00
Building Permit Application Completed: Yes/Non By: LiliaAguirre, Budget Analyst
Certificate issued by: Lilian Aguirre, Budget Analyst Signature:
Section 66020 of the Government Code asserted by Assembly Bill 3051, effective January 1, 1997, requires that this District provi c (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 Cerdficate of Occupancy. As in the latter, the" 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.
Ic:aL._ ., 11/2010
COMMUNITY DEVELOPMENT DEPARTMENT
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
(760) 777-7012 FAX (760) 777-7011
CERTIFICATION OF BUILDING AREA
STREET ADDRESS OF JOB: 57-111 MEDINAH
APN: 762-110-032
DESCRIPTION OF WORK: ADDITION ACCESSORY GUESTHOUSE
SQUARE FOOTAGE: 383
OWNER'S NAME: MICHAEL BRIGHT
57-111 MEDINAH
LA-QUINTA, CA 92253
For questions regarding this letter, please call:
City of La Quinta Permit Center
(760) 777-7012
Coachella Valley Unified School District
83-733 Avenue 55
P0Box 847
Thermal, CA 92274
(760) 398-5909
Desert Sands Unified School District
47-950 Dune Palms Road
La Quinta, CA 92253
(760) 771-8515
Please note: This letter verifies conditioned square footage. Please call
your School District to verify school fees, requirement for cashier's check
or money order and hours of operation.
Building Permit Number: BRES2022-0767
Project Description: SFR
Exempt:
(Materials may contain hazardous was
are not subject to recycling provisions)
Construction Debris Management Plan
Plan Submittal Date
Job Site Address
Owner's Name
Number, Street. or PO Box
City, State. Postal Code
Owner's Phone Number
Owner's E-Mail Address
Project Manager's Name
Project Manager's Phone Number
Project Manager's E-mail Address
Builder / Contractor
Number, Street or PO Box
City, State, Postal Codel
Project Square Footage
City Approval By
Date of City Approval
2/16/2023
57111 Medinah. La Quinta, CA 92253
Michael Bright
57111 Medinah
La Quinta, CA 92253
(714) 713-8545
pgacpolf68CED mail.com
Arthur Zohrabians
BRES2022-0767
CITY OF LA QUINTA
BUILDING DIVISION
REVIEWED FOR
CODE COM PLIANCE
BY:Deisy Mendez DATE 0311312023
(818) 434-3246
383SF ADDITION
infoa-zartofdesign.com
ACCESSORY GUEST
HOUSE [VB/RES-3] THIS
Wright's Labor Service
PERMIT DOES NOT
6469 Dominica Ave.
Cypress, CA 90630
INCLUDE PV SYSTEM,
POOL, SPA, BLOCK
383 Gross Sq. Ft.
WALLS, DRIVEWAY
PPROACH OR SIMILAR
V,,,?�,�-_�EXTERIOR
STRUCTURES.
CALIFORNIA
BUILDING CODES.
Materials To Be Discarded:
Product
Tons
Trash
1.25 Not recyclable
Asphalt
0.00 Recyclable
Brick/Block
0.00 Recyclable
Cardboard
0.10 Recyclable
Commingled
0.00 Recyclable
Concrete
2.00 Recyclable
Drywall
0.20 Recyclable
Donated / Reuse*
0.00 Recyclable
*Describe Items
Product
Tons
Masonry (broken)
0.00
Plaster
0.50
Scrap Metal
0.00
Tile (floor)
0.05
Tile (roof)
0.05
Wood
0.70
Landscape Debris
0.00
Totals: Recycle Trash Projected Diversion:
3.61 1 1.3 F74.230/6
I understand it is the property owner's responsibility to submit copies of weight tickets or receipts to the I
Environmental Coordinator as these hauls occur. I hereby certify that completion, implementation and adherer
Debris Management Plan (DMP) for the above named project shall guarantee that at least 65% of the jobsite wast
diverted from landfilling. The remaining material will be recycled or reused. 1 will divert, for recycling or re -use, rem
materials generated from the first day of the project through the completion of the project in accordance with this P
DMP is issued in the name of the property owner(s) and shall remain their property throughout the construction an
demolition project. A contractor serving as agent of the owner may obtain a DMP for the owner. However, the DMI
issued in the name of the property owner(s) and the owner retains legal responsibility for ensuring that the provisic
DMP are adhered to. The property owner(s) and general contractor shall be kept informed of the diversion progre:
bi-monthly repgrtq. If self -hauling, all refuse�tj naterial from this project site must be taken to an approved recycler c
Owner / Developer / Project
Superintendant
.0
z
lscaw."LATM
O F T�
2 -/ I e? -3
Date
Construction Debris Management Plan
Summary of Requirements
As of January 1, 2017, The Green Building Standards Code (CALGreen) requires that the con
of most new structures in the State of California comply with sections 4.408 and 5.408 of the c
accordance with Assembly Bill 939 requiring that no more than 35% of jobsite waste be dispoE
trash at local land fill sites and transfer stations. Exceptions may be made for certain projects i
certain conditions.
The City of La Quinta is committed to the highest level of environmental respect, to conservinc
precious natural resources and setting an example to provide for a better world for generation:
come. Recycling helps keep reusable resources out of landfills and will also reduce disposal a
CERTIFICATE OF COMPLIANCE
Project Name: Residential Building
Calculation Description: Title 24 Analysis
Calculation Date/Time: 2023-02-07T18:13:39
Input File Name: 57111 Medinah.ribdl9x
BRES2022-0767
ITY OF LA Q6gN A
BUILDING DIVISION
QQ11EMErl Can
GENERAL INFORMATION
((1f1C C—QA4pl !!Ar !C—C�
01
Project Name
Residential Building
I
02
Run Title
Title 24 Analysis
BYDeISy MendeZ DATE:
03
Project Location
57111 Medinah
04
City
La Quinta
05
Standards Version
2019
06
Zip code
92253
07
Software Version
EnergyPro 8.3
08
Climate Zone
15
09
Front Orientation (deg/ Cardinal)
270
10
Building Type
Single family
11
Number of Dwelling Units
1
12
Project Scope
AdditionOnly
13
Number of Bedrooms
4
14
Addition Cond. Floor Area (ft2)
383
15
Number of Stories
1
16
Existing Cond. Floor Area (ft)
3253
17
Fenestration Average U-factor
0.3
18
Total Cond. Floor Area (ft)
3636
19
Glazing Percentage (%)
20.4714
20
ADU Bedroom Count
n/a
21
ADU Conditioned Floor Area
n/a
22
Is Natural Gas Available?
Yes
Addition Alone Project Analysis Parameters
01
02
03
04
05
06
Existing Area (excl. new addition) (ft2)
Addition Area (excl. existing) (ft2)
Total Area (ft2)
Existing Bedrooms
Addition Bedrooms
Total Bedrooms
3253
353
3636
3
1
4
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
Registration Number:
222-P010207948 F-000-000-0000000-0000
CA Building Energy Efficiency Standards - 2019 Residential Compliance
Registration Date/Time:
2023-02-07 18:43:34
Report Version: 2019.2.000
Schema Version: rev 20200901
HERS Provider:
CaICERTS inc.
Report Generated: 2023-02-07 18:14:53
CERTIFICATE OF COMPLIANCE CF1R-PRF-01E
Project Name: Residential Building Calculation Date/Time: 2023-02-07T18:13:39-08:00 (Page 2 of 10)
Calculation Description: Title 24 Analysis Input File Name: 57111 Medinah.ribdl9x
ENERGY USE SUMMARY
Energy Use (kTDV/ftz-yr)
Standard Design
Proposed Design
Compliance Margin
Percent Improvement
Space Heating
1.24
1.72
-0.48
-38.7
Space Cooling
138.49
140.15
-1.66
-1.2
IAQ Ventilation
0
0
0
Water Heating
37.61
34.06
3.55
9.4
Self Utilization/Flexibility Credit
n/a
0
0
n/a
Compliance Energy Total
177.34
175.93
1.41
0.8
REQUIRED SPECIAL FEATURES
The following are features that must be installed as condition for meeting the modeled energy performance for this computer analysis.
• Insulation below roof deck
• Window overhangs and/or fins
• Non-standard duct location (any location other than attic)
HERS FEATURE SUMMARY
The following is a summary of the features that must be field -verified by a certified HERS Rater as a condition for meeting the modeled energy performance for this computer analysis. Additional
detail is provided in the buildng tables below. Registered CF2Rs and CF3Rs are required to be completed in the HERS Registry
Building -level Verifications:
• Quality insulation installation (QII)
Cooling System Verifications:
• Minimum Airflow
• Verified EER
• Verified SEER
• Verified Refrigerant Charge
• Fan Efficacy Watts/CFM
Heating System Verifications:
• Verified HSPF
• Verified heat pump rated heating capacity
HVAC Distribution System Verifications:
• Duct leakage testing
• Ducts located within the conditioned space (except < 12 lineal ft)
Domestic Hot Water System Verifications:
• -- None --
Registration Number: Registration Date/Time: HERS Provider:
222-P010207948F-000-000-0000000-0000 2023-02-07 18:43:34 CaICERTS inc.
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.2.000 Report Generated: 2023-02-07 18:14:53
Schema Version: rev 20200901
144.41Is[dreAlAlrelx4re]LTA »Ik1§r01;
Project Name: Residential Building
Calculation Description: Title 24 Analysis
Calculation Date/Time: 2023-02-07T18:13:39-08:00
Input File Name: 57111 Medinah.ribdl9x
I401:a:1003lq
(Page 3 of 10)
ZONE INFORMATION
01
02
03
04
05
06
07
Zone Name
Zone Type
HVAC System Name
Zone Floor Area (ft2)
Avg. Ceiling Height
Water Heating System 1
Water Heating System 2
Zone 1
Conditioned
Mini Splitl
383
8.6
DHW Sys 1
N/A
OPAQUE SURFACES
O1
02
03
04
05
06
07
08
09
10
Name
Zone
Construction
Azimuth
Orientation
Gross Area (ft2)
Window and Door
Area (ft2)
Tilt (deg)
Wall Exceptions
Status
Front Wall
Zone 1
R-21 Wall
270
Front
110
57.9964
90
none
New
Left Wall
Zone 1
R-21 Wall
0
Left
310
25.9944
90
none
New
Rear Wall
Zone 1
R-21 Wall
90
Back
70
0
90
none
New
Right Wall
Zone 1
R-21 Wall
180
Right
315
14.3942
90
none
New
Roof 2
Zone 1
R-38 Roof Attic
n/a
n/a
79
n/a
n/a
New
OPAQUE SURFACES - CATHEDRAL CEILINGS
O1
02
03
04
05
06
07
08
09
10
11
Name
Zone
Construction
Azimuth
Orientation
2
Area (ft)
Skylight Area
Roof Rise (x in
12)
Roof(ft)
Reflectance
Roof Emittance
Cool Roof
Roof
Zone 1
R-21 No Attic
0
Left
304
0
3
0.1
0.85
No
ATTIC
01
02
03
04
05
06
07
08
Name
Construction
Type
Roof Rise (x in 12)
Roof Reflectance
Roof Emittance
Radiant Barrier
Cool Roof
Attic Zone 1
Attic RoofZone 1
Ventilated
3
0.1
0.85
Yes
No
Registration Number:
222-P0l 0207948 F-000-000-0000000-0000
CA Building Energy Efficiency Standards - 2019 Residential Compliance
Registration Date/Time:
2023-02-07 18:43:34
Report Version: 2019.2.000
Schema Version: rev 20200901
HERS Provider:
CaICERTS inc.
Report Generated: 2023-02-07 18:14:53
CERTIFICATE OF COMPLIANCE
Project Name: Residential Building
Calculation Description: Title 24 Analysis
Calculation Date/Time: 2023-02-07T18:13:39-08:00
Input File Name: 57111 Medinah.ribdl9x
CF1R-PRF-01E
(Page 4 of 10)
FENESTRATION / GLAZING
01
02
03
04
05
06
07
08
09
10
11
12
13
14
Name
Type
Surface
Orientation
Azimuth
Width
(ft)
Height
(ft)
Mult.
Area
(ft)
U-factor
U-factor
Source
SHGC
SHGC
Sourc
e
Exterior
Shading
Window
Window
Front Wall
Front
270
1.75
4.75
0
8
0.3
NFRC
0.23
NFRC
Bug Screen
Window 2
Window
Front Wall
Front
270
1.7S
4.75
0
8
0.3
NFRC.
0.23
NFRC
Bug Screen
Window 3
Window
Front Wall
Front
270
1.75
4.75
2
22
0.3
NFRC.
0.23
NFRC
Bug Screen
Window 4
Window
Left Wall
Left
0
2.75
4.75
0
13
0.3
NFRC
0.23
NFRC
Bug Screen
Window 5
Window
Left Wall
Left
0
2.75
4.75
0
13
0.3
NFRC
0.23
NFRC
Bug Screen
Window 6
Window
Right Wall
Right
180
2.75
1.75
0
4.8
0.3
NFRC.
0.23
NFRC
Bug Screen
Window 7
Window
Right Wall
Right
180
2.75
1.75
0
4.8
0.3
NFRC
0.23
NFRC
Bug Screen
Window 8
Window
Right Wall
Right
180
2.75
1.75
0
4.8
0.3
NFRC.
0.23
NFRC
Bug Screen
OPAQUE DOORS
01
02
03
04
Name
Side of Building
Area (ft2)
U-factor
Door
Front Wall
20
0.5
OVERHANGS AND FINS
01
02
03
04
05
06
07
08
09
10
11
12
13
14
Window
Overhang
Left Fin
Right Fin
Depth
Dist Up
Left Extent
Right
Extent
Flap Ht.
Depth
Top Up
Dist L
Bot Up
Depth
Top Up
Dist R
Bot Up
Window
1
0.4
3
3
0
0
0
0
0
0
0
0
0
Window 2
1
0.4
3
3
0
0
0
0
0
0
0
0
Window 3
1
0.4
3
3
0
0
0
0
0
0
0
0
Window 4
1
0.4
3
3
0
0
0
0
0
0
0
0
0
Registration Number:
222-P O 10207948 F-000-000-0000000-0000
CA Building Energy Efficiency Standards - 2019 Residential Compliance
Registration Date/Time:
2023-02-07 18:43:34
Report Version: 2019.2.000
Schema Version: rev 20200901
HERS Provider:
CaICERTS inc.
Report Generated: 2023-02-07 18:14:53
CERTIFICATE OF COMPLIANCE
Project Name: Residential Building
Calculation Description: Title 24 Analysis
Calculation Date/Time: 2023-02-07T18:13:39-08:00
Input File Name: 57111 Medinah.ribdl9x
CF1R-PRF-01E
(Page 5 of 10)
OVERHANGS AND FINS
01
02
03
04
05
06
07
08
09
10
11
12
13
14
Window
Overhang
Left Fin
Right Fin
Depth
Dist Up
Left Extent
Right
Extent
Flap Ht.
Depth
Top Up
Dist L
Bot Up
Depth
Top Up
Dist R
Bot Up
Window 5
1
0.4
3
3
0
0
0
0
0
0
0
0
0
Window 6
1
0.4
3
0
n
0
0
n
0
0
0
0
0
Window 7
1
DA
3
0
0
0
"�
0
"
0
0
Window 8
1
0A
a
� i
U
0
U
0
0
0
SLAB FLOORS
01
02
03
04
05
06
07
08
Name
Zone
Area (ft)
Perimeter (ft)
Edge Insul. R-value
and Depth
Edge Insul. R-value
and Depth
Carpeted Fraction
Heated
Slab
Zone 1
339
0.1
none
0
80%
N'.'
OPAQUE SURFACE CONSTRUCTIONS
01
02
03
04
05
06
07
08
Interior / Exterior
Construction Name
Surface Type
Construction Type
Framing
Total Cavity R-value
Continuous
U-factor
Assembly Layers
R-value
Inside Finish: Gypsum Board
R-21 Wall
Exterior Walls
Wood Framed Wall
2x6 @ 16 in. O. C.
R-21
None / None
0.069
Cavity / Frame: R-21 / 2x6
Exterior Finish: 3 Coat Stucco
Registration Number: Registration Date/Time:
222-P010207948F-000-000-0000000-0000 2023-02-07 18:43:34
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.2.000
Schema Version: rev 20200901
HERS Provider:
CaICERTS inc.
Report Generated: 2023-02-07 18:14:53
CERTIFICATE OF COMPLIANCE
Project Name: Residential Building
Calculation Description: Title 24 Analysis
Calculation Date/Time: 2023-02-07T18:13:39-08:00
Input File Name: 57111 Medinah.ribdl9x
CF1R-PRF-01E
(Page 6 of 10)
OPAQUE SURFACE CONSTRUCTIONS
01
02
03
04
05
06
07
08
Interior / Exterior
Construction Name
Surface Type
Construction Type
Framing
Total Cavity
R-value
Continuous
U-factor
Assembly Layers
R-value
Roofing: Light Roof (Asphalt Shingle)
Roof Deck: Wood
Siding/sheathing/decking
R-21 No Attic
Cathedral Ceilings
Wood Framed
2x6 @ 16 in. O. C.
R-0
R-21 / None
0.039
Radiant Barrier
Ceiling
Cavity / Frame: no insul. / 2x6
Sheathing/ Insulation: R-21 Sheathing
Inside Finish: Gypsum Board
Roofing: Light Roof (Asphalt Shingle)
Wood Framed
Roof Deck: Wood
Attic RoofZone 1
Attic Roofs
Ceiling
2x4 @ 24 in. O. C.
R-30
None / None
0.033
Siding/sheathing/decking
Cavity / Frame: R-13.0 / 2x4
Under Roof Joists: R-17.0 insul.
Over Ceiling Joists: R-23.7 insul.
R-38 Roof Attic
Ceilings (below
Wood Framed
2x6 @ 16 in. O. C.
R-38
None / None
0.026
Cavity / Frame: R-14.3 / 2x6
attic)
Ceiling
Inside Finish: Gypsum Board
BUILDING ENVELOPE - HERS VERIFICATION
01
02
03
04
Quality Insulation Installation (QII)
High R-value Spray Foam Insulation
Building Envelope Air Leakage
CFM50
Required
Not Required
Not Required
n/a
WATER HEATING SYSTEMS
01
02
03
04
05
06
07
Name
System Type
Distribution Type
Water Heater Name (#)
Solar Heating System
Compact Distribution
HERS Verification
DHW Sys 1
Domestic Hot Water
(DHW)
Standard Distribution
System
DHW Heater 1(1)
n/a
None
n/a
Registration Number:
222-P O 10207MF-000-000-0000000-0000
CA Building Energy Efficiency Standards - 2019 Residential Compliance
Registration Date/Time:
2023-02-07 18:43:34
Report Version: 2019.2.000
Schema Version: rev 20200901
HERS Provider:
CaICERTS inc.
Report Generated: 2023-02-07 18:14:53
[�1 � :� 11 y [�L\ l �i] ��L�] ►�i I I � IeL [�l q
Project Name: Residential Building
Calculation Description: Title 24 Analysis
Calculation Date/Time: 2023-02-07T18:13:39-08:00
Input File Name: 57111 Medinah.ribdl9x
CF1R-PRF-01E
(Page 7 of 10)
WATER HEATERS
01
02
03
04
05
06
07
08
09
10
11
12
13
14
Tank
Heating
Tank
Energy
Standby
1st Hr.
Tank Location
Verified
# of
Input Rating
Insulation
NEEA Heat Pump
Name
Element
Tank Type
Vol.
Factor or
Loss or
Rating or
or Ambient
Status
Existing
Type
Units
(gal)
Efficiency
or Pilot
v
R-value
(Inalue
Recovery Eff
Flow Rate
grand or Model
Condition
Condition
DHW%
Consumer
Gas
1
u
0.9E-11EF
0
n/.d
n/a
n/a
n/a
Neva
n/a
Heater 1
Instantaneous
Btuihr
WATER HEATING - HERS VERIFICATION
01
02
03
04
05
06
07
08
Name
Pipe Insulation
Parallel Piping
Compact Distribution
Type Compact Distribution
Recirculation Control
Central DHW
Distribution
Shower Drain Water
Heat Recovery
DHW Sys 1 - 1/1
Not Required
Not Required
Not Required
None
Not Required
Not Required
Not Required
SPACE CONDITIONING SYSTEMS
01
02
03
04
05
06
07
08
09
10
11
Required
Verified
Heating
Cooling
Heating Unit
Cooling Unit
Distribution
Name
System Type
Fan Name
Thermostat
Status
Existing
Equipment
Equipment
Name
Name
Name
Type
Condition
Count
Count
Air
Mini Splitl
Heat pump heating cooling
Heat F'ump
Heat Pump
HVAC Fan 1
Distribution
Setback
New
NA
1
1
Ey'tem 1
System 1
System 1
01
02
03
04
05
06
07
08
09
10
11
HVAC - HEAT PUMPS
Name
System Type
Number of Units
Heating
Cooling
Zonally
Controlled
Compressor
Type
HERS Verification
HSPF/COP
Cap 47
Cap 17
SEER
EER/CEER
Heat Pump System 1
Central split HP
1
10
16000
12200
19.1
13.1
Not Zonal
Single
Speed
Heat Pump System
1-hers-htpump
Registration Number:
222-PO10207948F-000-000-0000000-0000
CA Building Energy Efficiency Standards - 2019 Residential Compliance
Registration Date/Time:
2023-02-07 18:43:34
Report Version: 2019.2.000
Schema Version: rev 20200901
HERS Provider:
CaICERTS inc
Report Generated: 2023-02-07 18:14:53
[41:11:tlld[I1e1941919101IViI:a4 re1011114
Project Name: Residential Building
Calculation Description: Title 24 Analysis
Calculation Date/Time: 2023-02-07T18:13:39-08:00
Input File Name: 57111 Medinah.ribdl9x
CF1R-PRF-01E
(Page 8 of 10)
HVAC HEAT PUMPS - HERS VERIFICATION
O1
02
03
04
05
06
07
08
09
Name
Verified Airflow
Airflow Target
Verified EER
Verified SEER
Verified Refrigerant
Verified HSPF
Verified Heating
Verified Heating
Charge
Cap 47
Cap 17
Heat Pump System
Required
350
Required
Required
Yes
Yes
Yes
Yes
1-hers-htpump
HVAC - DISTRIBUTION SYSTEMS
O1
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
Duct Ins. R-value
Dud Location
Surface Area
Verified
Existing
Name
Type
Design
Supply
Return
Supply
Return
Supply
Return
Bypass
Duct
HERS
Status
Existing
Distribution
New Duds
Type
Dud
Leakage
Verification
ft
Condition
system
Air
Air
Conditioned
Condit
Condit
No
Sealed
Distributi
Distributi
space -except
Non
R-8
R-8
Toned
Toned
n/a
n/a
Bypass
and
on System
New
n/a
n/a
n/a
on
12ft
Verified
Zone
Zone
Duct
Tested
1-hers-
System 1
dist
HVAC DISTRIBUTION - HERS VERIFICATION
O1
02
03
04
05
06
07
08
09
Low Leakage
Name
Dud Leakage
Dud Leakage
Verified Duct
Verified Dud
Buried Duds
Deeply Buried
Low -leakage Air
Duds Entirely in
Verification
Target (%)
Location
Design
Duds
Handler
Conditioned
Space
Air Distribution
Yes
5.0
Required
Not Required
Not Required
Credit not taken
Not Required
No
System 1-hers-dist
Registration Number: Registration Date/Time:
222-P010207948F-000-000-0000000-0000 2023-02-07 18*43:34
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.2.000
Schema Version: rev 20200901
HERS Provider:
CaICERTS inc.
Report Generated: 2023-02-07 18:14:53
CERTIFICATE OF COMPLIANCE
Project Name: Residential Building
Calculation Description: Title 24 Analysis
Calculation Date/Time: 2023-02-07T18:13:39-08:00
Input File Name: 57111 Medinah.ribdl9x
CF1R-PRF-01E
(Page 9 of 10)
HVAC - FAN SYSTEMS
01
02
03
04
Name
Type
Fan Power (Watts/CFM)
Name
HVAC Fan 1
HVAC Fan
0.58
HVAC Fan 1-hers-fan
HVAC FAN SYSTEMS - HERS VERIFICATION
01
02
03
Name
Verified Fan Watt Draw
Required Fan Efficacy (Watts/CFM)
HVAC Fan 1-hers-fan
Required
ClSS
� CaICERTS, Inc.
Registration Number: Registration Date/Time:
222-P010207948F-000-000-0000000-0000 2023-02-07 18:43:34
CA Building Energy Efficiency Standards - 2019 Residential Compliance Report Version: 2019.2.000
Schema Version: rev 20200901
HERS Provider:
CaICERTS inc.
Report Generated: 2023-02-07 18:14:53
CERTIFICATE OF COMPLIANCE
Project Name: Residential Building
Calculation Description: Title 24 Analysis
Calculation Date/Time: 2023-02-07T18:13:39-08:00
Input File Name: 57111 Medinah.ribdl9x
CF1R-PRF-01E
(Page 10 of 10)
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature:
Patric Novshadian
Company:
Signature Date:
Pat's Mechanical Engineering Group
2023-02-07 18:16:25
Address:
CEA/ HERS Certification Identification (If applicable):
9154 Tujunga Canyon Blvd
City/State/Zip:
Phone:
Tujunga, CA 91042
818-281-0470
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certify the following under penalty of perjury, under the laws of the State of California:
1. 1 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:
Arthur Zohrabians
QVz:r-WT-d"""&
Company:
Date Signed:
Zohrabians Art of Design Inc.
2023-02-07 18:43:34
Address:
License:
700 Palm Drive Suite 106
C-37490
City/State/Zip:
Phone:
Glendale, CA 91202
818-434-3246
Digitally signed by CaICERTS. 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.
Registration Number:
222-P010207948F-000-000-0000000-0000
CA Building Energy Efficiency Standards - 2019 Residential Compliance
Registration Date/Time:
2023-02-07 18*43*34
Report Version: 2019.2.000
Schema Version: rev 20200901
HERS Provider:
E•
Easy to Verify
at CaICERTS.com
CaICERTS Inc.
Report Generated: 2023-02-07 18:14:53