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Box 1504, 78-495 CAP Tampeao La Qunta, CA 92253 - (760) 777-7012 Building Permit AppOcarion and Tracking Sheer pit Project Address: 5-1t1-3 Y 2 SAOp( e./� Owner'sNw=. 777-e Sc-4 e/ A. P. Ntnnbcr. Add-- 5f3Y-7 SAnql e2 e Legal Description: a-ty. ST, q-* Z4 u 9a_A:513 Tehtphotte~ Conlraetttr �CQ I ,�tr1� Address: t l �% / City, ST, Zip., ( Z Z C i Telephoner ��{' ftolect Dc9a*t1on: AAA -e r ;r r State l.jQ d : O�'2Sa (0 City Lie Arch., Ergr.. Designer: Address: C OGMUCr n Type occupmxy: City. S . Zip: Telephone: State Lice R: Name. of Contact Person: Ptojed type (circle one). Nen, Add'n Nler t pair D�to Sq. FL: f Stiories: 14 UniL. Telephone It of Comuct Petsrn: Esfeael ed Value of CT j ' APPLICANT: DO NOT WRITE BELOW THIS LINE x Sniaalttal Req'd Reed TRACMNG PERbnTFEES Clan Sets Plan C'lmdc saemftted loam Amount Jtroetaral Colo. even. ready for eerreetioas Plan Cheek Deporit Truss Cafes. Called ContaerPerton Plan beck Balaxoe rw.24 cat.. Plans picked up Coastraetiaa Flood pin plan Plana resubmitted lltechankA Gwadleg plan "" Review, ready for currecliowissoe Electrical Saltmataetor List Called Contact Person Plans picked op Plans rcwbmkW ''" Review. weodp for corneedonarn ae Called Contact Person Dale of permit issue Plam6ing Grading Developer Impact Fee Grant Deed II.0 L Approval 1N HOUSEo- Planning Approval Pale. Wks. Appr school Fees i Total Permit Few F19 e>-e 0 PQ-11 T�/� . CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page I of 4) CF-1R ke Place~-' 34 -06, Project Title Sy3y7 S Date Project Address Building Permit # Documentation Author Compliance Method (Prescriptive) Telephone Climate Zone Plan Check / Date Field Check / Date Enforcement Agency Use Only ✓ ❑ 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 151-C Footnotes 7-14 GENERAL INFORMATION Total Conditioned Floor Area (CFA) tf Average Ceiling Height: ft Maximum Allowed West Facing Fenestration Products Per Table 151-B or 151-C -- (5% X CFA) Maximum Allowed Total Fenestration Products Per Table 151-B or 151-C -- (20°/a X CFA) ft ✓ ❑ Building Type: (check one or more) Single Family Multifamily Addition Alteration (If adding fenestration fill out WS-4R, Fenestration Maximum Allowed Area Worksheet and see Section 8.3.2 for Additions and 8.3.3 for Alterations.) Number of Stories: Number of Dwelling Units: Floor Construction Type: Slab/Raised Floor (circle one or both) Front Orientation: North / South / East / West / All Orientations (input front orientation in degrees from True North and circle one). ✓ ❑ RADIANT BARRIER (required in climate zones 2, 4, 8-15) OPAQUE SURFACES INCLUDING OPAQUE DOORS Component Type (Wall, Roof, Floor, Slab Edge, Doors) Frame Type (Wood or Metal) Cavity Insulation R Value t Continuous Insulation R-Value Assembly U- factor (for wood, metal frame and mass assemblies Joint Appendix IV Reference Roof Radiant Barrier Installed Yes or No Location/Comments (attic, garage, ical etc. 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. Residential Compliance Forms March 2005 CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 3 of 4) CF-1R Project 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 r tired. ❑ Sealed Ducts all climate zones Installer testing and certification and HERS rater field verification required.) ❑ TXVs, readily accessible (climate zones 2 and 8-15 only) nstaller 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 i uired. OR ❑ Alternative to Sealed Ducts and Refrigerant Charge fMs (See Package D Alternative Package Features for Project Climate Zone in the RM Appendix B Table 15I-C, Footnotes 7 14 OR 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 and 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. t7U A TT. b rsr. A TiTITI 9 cT­m -- 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 capacity and recirculation system 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 system 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 require d for a recirculating system pump for a system serving multiple units \ Rated Energy Water Heater Distribution Number Input' (kw or Tank Capacity Factor' or Thermal Standby' Type/Fuel Type Type in System Btu' (gallons)Efficiency Loss Tank External Insulation R-Valuc Water Heater Type Distribution Type Number in System Rated Input' (kW or Btu/hr) Tank Capacity (galions Enemy Factor or Thermal Efficiency Standby Loss % Tank External Insulation R-Value -- - b� ­­1 .1-1a k.a«u urpuar or Less man 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 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 March 2005 CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 4 of 4) CF-IR Project Date SPECIAL FEATURES NOT REQUIRING HERS VERIFICATION (add extra sheets if necessary) Indicate which special features are part of this project The list below only represents special features relevant to the ✓ Feature Required Forms if applicable) Description ❑ Metal Framed Walls CF-1R ❑ Radiant Barriers CF-1R ❑ Exterior Shades WS-4R N/A; Attach CRRC Label to ❑ Cool Roof Forms. Dedicated Hydronic Heating Performance Calculation ❑ System Required; Attach Run to Forms. Performance Calculation ❑ 1 Combined Hydronic System Required; Attach Run to Forms. Performance Calculation ❑ Gas Cooling Required. ❑ Buried Ducts N/A; Indicate on building plans. See Section 5.6.2 Distribution ❑ Kitchen Pipe Insulation Systems in Residential Manual. See Table 5-13 or use ❑ Multiple Water Heaters Per Performance Calculation and Dwelling Unit attach Run to Forms. Central Water Heating System Performance Calculation and ❑ Serving Multiple Dwellings attach Run to Forms. ❑ Non-NAECA Large Water CF-1R Heater See Table 5-13 or use ❑ Indirect Water Heater Performance Calculation and attach Run to Forms See Table 5-13 or use ❑ Instantaneous Gas Water Heater Performance Calculation and attach Run to Forms See Table 5-13 or use ❑ Solar Water Heating System Performance Calculation and attach Run to Forms Performance Calculation and ❑ Wood Stove Boiler attach Run to Forms SPECIAL FEATURES REOUHUNG HERS RATER VERIFICATION (add extra sheets if necessary) Indicate to the HERS Rater which credits are part of this project and need verification_ ✓ Feature Required Forms if applicable) Description ❑ Duct Scaling CF-6R part 4 of 12 ❑ Refrigerant Charge CF-6R part 5 of 12 ❑ Thermostatic Expansion Valve CF-6R part 6 of 12 Residential Compliance Forms March 2005