HomeMy WebLinkAbout2213 DAVID PL; ; CB072038; Permit08-31-2007
Job Address
Permit Type
Parcel No
Valuation
Occupancy Group
# Dwelling Units
Bedrooms
Project Title
City of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Residential Permit Permit No CB072038
Building Inspection Request Line (760) 602-2725
2213DAVIDPLCBAD
RESDNTL Sub Type
1675801900 Lot#
$17,080 00 Construction Type
Reference #
0 Structure Type
0 Bathrooms
REILLY RES CONVERT 140 SF GAR
TO OFFICE SPACE
RAD
0
VN
Applicant
REILLY THOMAS SEPARATE PROPERTY TRUST 11-03-06
Status
Applied
Entered By
Plan Approved
Issued
Inspect Area
Ong PC#
Plan Check*
ISSUED
08/01/2007
KG
08/31/2007
08/31/2007
Owner
REILLY THOMAS SEPARATE PROPERTY TRUST 11-03-06
901 HACIENDA DR
VISTA CA 92081
901 HACIENDA DR
VISTA CA 92081
Building Permit
Add'l Building Permit Fee
Plan Check
Add'l Plan Check Fee
Plan Check Discount
Strong Motion Fee
Park in Lieu Fee
Park Fee
LFM Fee
Bridge Fee
Other Bridge Fee
BTD #2 Fee
BTD #3 Fee
Renewal Fee
Add'l Renewal Fee
Other Building Fee
HMP Fee
Pot Water Con Fee
Meter Size
Add'l Pot Water Con Fee
Reel Water Con Fee
$16129 Meter Size
$0 00 Add'l Reel Water Con Fee
$10484 Meter Fee
$0 00 SDCWA Fee
$0 00 CFD Payoff Fee
$171 PFF (3105540)
$0 00 PFF (4305540)
$000 License Tax (3104193)
$0 00 License Tax (4304193)
$000 Traffic Impact Fee (3105541)
$000 Traffic Impact Fee (4305541)
$0 00 Sidewalk Fee
$0 00 PLUMBING TOTAL
$0 00 ELECTRICAL TOTAL
$0 00 MECHANICAL TOTAL
$0 00 Housing Impact Fee
$0 00 Housing InLieu Fee
$0 00 Housing Credit Fee
Master Drainage Fee
$0 00 Sewer Fee
$0 00 Additional Fees
TOTAL PERMIT FEES
$000
$000
$000
$000
$000
$000
$000
$000
$000
$000
$000
$000
$2000
$000
$000
$000
$000
$000
$000
$000
$287 84
Total Fees $287 84 Total Payments To Date $287 84 Balance Due $000
BUDDING PLANS\\J\U
IXifIN STORAGE
ATTACHED
Inspector
FINAL APPROVAL
Date Clearance
NOTICE Please take NOTICE tlldt approval of your project includes the Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions ' Y\jl have 90 days from the date this permit was issued to protest imposition of these fees/exactions If you protest them, you must
follow the protest procedures set forth in Government Code Section 66020(a) and file the protest and any other required information with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3 32 030 Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside void or annul their imposition
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity
changes nor planning zoning grading or other similar application processing or service fees in connection with this project NOR DOES IT APPLY to any
fees/exactions of which you have previously been given a NOTICE similar to this, or as to which the statute of limitations has previously otherwise expired
City of Carlsbad
1635 Faraday Ave , Carlsbad, CA 92008
760-602-2,717 / 2718 / 2719
Fax 760-602-8558
Building Permit Application
Plan Check No.
Est. Value
^Plan Ck. Deposit 3*?.
\*
JOB ADDRESS-. -_ __ _l£01^ C&vJvo Pl/KeCT/PROJECT* IXv* 1 LOT*PHASE ## OF UNITS # BEDROOMS
SUITE#/SPACE#/UNIT#
# BATHROOMS
APN S
TENANT BUSINESS NAME CONSTR TYPE OCC GROUP
DESCRIPTION OF WORIC
Cov\V)a-V
[Sec 70315 Business and Professions Code Any City or County which requires a permit to construct, alter improve demolish or repair any structure, pnor to its issuance also requires the applicant for such permit to file a signed statement that he is
licensed pursuant to the provisions of the Contractor s License Law {Chapter 9 commending with Section 7000 of Division 3 of the Business and Professions Code} or that he is exempt therefrom and the basis for the alleged exemption Any violation of
Section 7031S by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars {$500})
Workers' Compensation Declaration / hereby affirm under penalty of perjury one of the following declarations
d I have and will maintain a certificate of consent to self insure for workers' compensation as provided by Section 3700 of the Labor Code for the performance of tffe work for which this permit is issued
LTI I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued My workers compensation insurance carrier and policy
number are Insurance Co Policy No Expiration Date
This section need not be completed if the permit is for one hundred dollars ($ 100) or less
O Certificate of Exemption I certify that in the performance of the work for which this permit is issued I shall nol employ any person in any manner so as to become subject to the Workers Compensation Laws of
California 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 (8100,000), in
addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest and attorney's fees
^CONTRACTOR SIGNATURE DATE
/ hereby affirm that I am exempt from Contractor s License Law for the following reason
O 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 Contractor s
License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees provided that such improvements are not intended or offered for
however the building or improvement is sold within one year of completion the owner builder will have the burden of proving that he 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 Contractor s License Law does not apply to an owner of
property who builds or improves thereon and contracts for such projects with contractor(s) licensed pursuant to the Contractor s License Law)
I am exempt under Section Business and Professions Code for this reason
1 I personally plan to provide the major labor and materials for construction of the proposed property improvement G Yes CJ No
2 I (have / have not) signed an application for a building permit for the proposed work
3 I have contracted with the following person (firm) to provide the proposed construction (include name address / phone / contractors license number)
4 I plan to provide portions of the work but I have hired the following person to coordinate supervise and provide the major work (include name / address / phone / contractors license number)
5 I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated (include name / address / phone / type of work)
IPERTY OWNER SIGNATURE DATE
Is the applicant or future building occupant required to submit a business plan acutely hazardous materials registration form or risk management and prevention program under Sections 25505 25533 or 25534 of the
Presley Tanner Hazardous Substance Account Act' O Yes d No
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district9 D Yes O No
Is the facility to be constructed within 1 000 feet of the outer boundary of a school site' D Yes O No
IF ANY OF THE ANSWERS ARE YES, /
EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT
iW™!' tii^if*
..."--.I"
I hereby affirm that there is a construction lending agency for the performance of the work this permit is issued (Sec 3097 (i) Civil Code)
Lender s Name Lender's Address
j I certify that I have read the application and state that the above information is correct and that the information on the plans is accurate I agree to comply with all City ordinances and State laws relating to building construction
', I hereby authonze representative of the City of Cartsbad to enter upon the above mentioned property for inspection purposes I ALSO AGRFE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
i AGAINST ALL LIABILITIES JUDGMENTS COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
! OSHA An OSHA permit is required for excavations over Sp^flSjpp and demolition or construction of structures over 3 stones in height
I EXPIRATION Every permit issued by the Building Offiaafundeif the provisiorjsjjf this Code shall expire by limitation and become null and void if the building or work authonzed by such permit is not commenced within
180 days from the date of such permit onfJw^uilding/oVwefx authoijzetfijyjyefHWiYirt ipSuspphde^br abandoned at any time after the work is commenced for a penod of 180 days (Section 10644 Uniform Building Code)
DATE $<^APPLICANT'S SIGNATURE
City of Carlsbad Bldg Inspection Request
For 05/30/2008
Permit* CB072038
Title REILLY RES CONVERT 140 SF GAR
Description TO OFFICE SPACE
Inspector Assignment RB
Type RESDNTL Sub Type RAD
2213 DAVID PL
Phone
Job Address
Suite Lot 0
Location Inspector
OWNER REILLY THOMAS SEPARATE PROPERTY TRUST 11-03-06
Owner REILLY THOMAS SEPARATE PROPERTY TRUST 11-03-06
Remarks
Total Time
CD Description
19 Final Structural
29 Final Plumbing
39 Final Electrical
49 Final Mechanical
Requested By MAX
Entered By JANEAN
Act Comments
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description
04/21/2008 18 Exterior Lath/Drywall
04/18/2008 18 Exterior Lath/Drywall
04/15/2008 18 Exterior Lath/Drywall
04/10/2008 16 Insulation
04/10/2008 17 Interior Lath/Drywall
04/10/2008 18 Exterior Lath/Drywall
04/10/2008 34 Rough Electric
04/08/2008 14 Frame/Steel/BoltingA/Veldmg
04/08/2008 34 Rough Electric
03/31/2008 11 Ftg/Foundation/Piers
Act Insp Comments
AP
NS
PA
AP
AP
WC
AP
AP
PA
CA
RB
RB
RB
RB
RB
RB
RB
PD
RB
RB
ROLLED TO MONDAY
window flashing ok
NOTE CHECK SUB PANEL BY FINAL
SEE NOTICE
COURTESY INSP ONLY (1106-G3)
City of Carlsbad Bldg Inspection Request
For 04/08/2008
Permit# CB072038 Inspector Assignment RB
Title REILLY RES CONVERT 140 SF GAR
Description TO OFFICE SPACE
Type RESDNTL Sub Type RAD
Phone 5303183313
Job Address 2213 DAVID PL
Suite Lot 0
Location Inspector
APPLICANT REILLY THOMAS SEPARATE PROPERTY TRUST 11 -03-06
Owner REILLY THOMAS SEPARATE PROPERTY TRUST 11 -03-06
Remarks
Total Time Requested By MAX
Entered By JANEAN
CD Description Act ^Comment
14 Frame/Steel/Bolting/Welding
Comments/Notices/Holds
Associated PCRs/CVs Original PC#
Inspection History
Date Description Act Insp Comments
03/31/2008 11 Ftg/Foundation/Piers CA RB COURTESY INSP ONLY (1106 - G3)
* s NOTICECITY OF CARLSBAD (760) 602-2700
BUILDING DEPARTMENT 1635 FARADAY AVENUE
DATE *r—0^'CSQ TIME
LOCATION
PERMIT NO
n/
*r
U
FOR INSPECTION CALL (760) 602-2725 RE-INSPECTION FEE DUE1? I .' YES
FOR FURTHER INFORMATION, CONTACT
PHONE
CODE ENFORCEMENT OFFICER
EsGil Corporation
In (Partnership untfi government for (Bui fifing Safety
DATE 08/30/O7
JURISDICTION Carlsbad 0~PLAN"REVIEWER
a FILE
PLAN CHECK NO 07-2O38 SET II
PROJECT ADDRESS 2213 David Place
PROJECT NAME Partial Garage Conversion for Re illy Residence
X) The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's building codes
The plans transmitted herewith will substantially comply with the jurisdiction's building codes
when minor deficiencies identified below are resolved and checked by building department staff
The plans transmitted herewith have significant deficiencies identified on the enclosed check list
and should be corrected and resubmitted for a complete recheck
The check list transmitted herewith is for your information The plans are being held at Esgil
Corporation until corrected plans are submitted for recheck
The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant
contact person
The applicant's copy of the check list has been sent to
XI Esgil Corporation staff did not advise the applicant that the plan check has been completed
Esgil Corporation staff did advise the applicant that the plan check has been completed
Person contacted Telephone #
Date contacted (by ) Fax #
Mail Telephone Fax In Person
REMARKS
By Ray Fuller Enclosures
Esgil Corporation
D GA D MB D EJ D PC (P) 08/27/07
9320 Chesapeake Drive, Suite 208 *• San Diego, California 92123 *• (858)560-1468 * Fax (858) 560-1576
EsGil Corporation
In Partnership with government for (BuiCcfmg Safety
DATE 08/13/07
JURISDICTION Carlsbad TTT^LAN REVIEWER
a FILE
PLAN CHECK NO O7-2038 SET I
PROJECT ADDRESS 2213 David Place
PROJECT NAME Partial Garage Conversion for Reilly Residence
The plans transmitted herewith have been corrected where necessary and substantially comply
with the jurisdiction's building codes
The plans transmitted herewith will substantially comply with the jurisdiction's building codes
when minor deficiencies identified below are resolved and checked by building department staff
The plans transmitted herewith have significant deficiencies identified on the enclosed check list
and should be corrected and resubmitted for a complete recheck
XI The check list transmitted herewith is for your information The plans are being held at Esgil
Corporation until corrected plans are submitted for recheck
The applicant's copy of the check list is enclosed for the jurisdiction to forward to the applicant
contact person
XI The applicant's copy of the check list has been sent to
Thomas Reilly III
2213 David Place Carlsbad, Ca 92008
Esgil Corporation staff did not advise the applicant that the plan check has been completed
XI Esgil Corporation staff did advise the applicant that the plan check has been completed
Person contacted /Thomas Reilly III Telephone # (760) 525-8600
Date contacted %n3 /Q7(twW3) Fax # (760)729-4141
Mail Telephone^X^ FaxK In Person
REMARKS
By Ray Fuller Enclosures
Esgil Corporation
D GA D MB D EJ D PC 08/06/07
9320 Chesapeake Drive, Suite 208 * San Diego, California 92123 «> (858)560-1468 * Fax (858) 560-1576
Carlsbad O7-2038
O8/13/O7
PLAN REVIEW CORRECTION LIST
SINGLE FAMILY DWELLINGS AND DUPLEXES
PLAN CHECK NO O7-2038
PROJECT ADDRESS 2213 David Place
FLOOR AREA
Garage Conversion 140
REMARKS
DATE PLANS RECEIVED BY
JURISDICTION 08/01/07
DATE INITIAL PLAN REVIEW
COMPLETED 08/13/07
JURISDICTION Carlsbad
STORIES 1-2 Existing
HEIGHT Existing No Change
DATE PLANS RECEIVED BY
ESGIL CORPORATION 08/06/07
PLAN REVIEWER Ray Fuller
FOREWORD (PLEASE READ).
This plan review is limited to the technical requirements contained in the Uniform Building Code,
Uniform Plumbing Code, Uniform Mechanical Code, National Electrical Code and state laws
regulating energy conservation, noise attenuation and access for the disabled This plan review
is based on regulations enforced by the Building Department You may have other corrections
based on laws and ordinance by the Planning Department, Engineering Department, Fire
Department or other departments Clearance from those departments may be required prior to
the issuance of a building permit
Present California law mandates that residential construction comply with the 2001 edition of
the California Building Code (Title 24), which adopts the following model codes 1997 UBC,
2000 UPC, 2000 UMC and 2002 NEC
The above regulations apply to residential construction, regardless of the code editions adopted
by ordinance
The following items listed need clarification, modification or change All items must be satisfied
before the plans will be in conformance with the cited codes and regulations Per Sec 106 4 3,
1997 Uniform Building Code, the approval of the plans does not permit the violation of any
state, county or city law
To speed up the recheck process, please note on this hst (or a copy) where each
correction item has been addressed, i e., plan sheet number, specification section, etc
Be sure to enclose the marked up list when you submit the revised plans
Carlsbad 07-2038
08/13/07
Important Notice Regarding the 2007 CBC
If you are an architect, engineer, designer or contractor that performs work within the
State of California, please be advised that a new building code will take effect on
January 1, 2008 The new building code is based on the 2006 International Building
Code (IBC) and it is significantly different than the Uniform Building Code (UBC)
All plan review applications submitted after December 31. 2007 will be required to
comply with the new code
The 2007 CBC is currently available for purchase directly from the International Code
Council, at www iccsafe org
1 Please make all corrections on the original tracings, as requested in the correction
list
• Submit three sets of plans for commercial/industrial projects (two sets of plans for
residential projects) For expeditious processing, corrected sets can be submitted
in one of two ways
1) Deliver all corrected sets of plans and calculations/reports directly to the City of
Carlsbad Building Department, 1635 Faraday Ave , Carlsbad, CA 92009, (760)
602-2700 The City will route the plans to EsGil Corporation and the Carlsbad
Planning, Engineering and Fire Departments
2) Bring one corrected set of plans and calculations/reports to EsGil Corporation,
9320 Chesapeake Drive, Suite 208, San Diego, CA 92123, (858) 560-1468
Deliver all remaining sets of plans and calculations/reports directly to the City of
Carlsbad Building Department for routing to their Planning, Engineering and Fire
Departments
NOTE Plans that are submitted directly to EsGil Corporation only will not be
reviewed by the City Planning, Engineering and Fire Departments until review by
EsGil Corporation is complete
Show or note that battery operated smoke detectors is required at all existing
bedrooms and hallways leading to existing bedrooms
The office does not provide adequate combustion air for the water heater Is
new 26 door to be louver and if so note this9
Cover sheet to note that duct testing is required for this project (option to change
67 U value to 42 instead on energy calculations )
Ceiling should reflect R-30 insulation
Carlsbad 07-2038
08/13/07
• To speed up the review process, note on this list (or a copy) where each correction
item has been addressed, i e , plan sheet, note or detail number, calculation page,
etc
• Please indicate here if any changes have been made to the plans that are not a
result of corrections from this list If there are other changes, please briefly describe
them and where they are located in the plans
• Have changes been made to the plans not resulting from this correction list? Please
indicate
Yes Q No a
The jurisdiction has contracted with Esgil Corporation located at 9320 Chesapeake
Drive, Suite 208, San Diego, California 92123, telephone number of 858/560-1468,
to perform the plan review for your project If you have any questions regarding
these plan review items, please contact Ray Fuller at Esgil Corporation Thank
you
Carlsbad O7-2038
O8/13/O7
VALUATION AND PLAN CHECK FEE
JURISDICTION Carlsbad
PREPARED BY Ray Fuller
BUILDING ADDRESS 2213 David Place
PLAN CHECK NO 07-2038
DATE 08/13/07
BUILDING OCCUPANCY R3 TYPE OF CONSTRUCTION VN
BUILDING
PORTION
Garage Conver
-
Air Conditioning
Fire Sprinklers
TOTAL VALUE
Jurisdiction Code
AREA
(Sq Ft)
140
cb
Rlrln Pprmit FPP hv Orrlm^nrp ; V
Valuation
Multiplier
121 94
By Ordinance
Reg
Mod
VALUE ($)
17,072
»
17,072
$161 29
Plan Check Fee by Ordinance
Type of Review
] Repetitive FeeRepeats
Complete Review
D Other
|—I Hourly
Structural Only
Hour*
Esgil Plan Review Fee
$10484
$9032
Comments
Sheet 1 of 1
macvalue doc
PLANNING/ENGINEERING APPROVALS
PERMIT NUMBER CflQI- QO3& DATE 8-
RESODENTIAL ADDITION MINOR
« $10,000.00)
TENANT IMPROVEMENT
PLAZA CAMINO REAL
CARLSBAD COMPANY STORES
VILLAGE FAIRE
COMPLETE OFFICE BUILDING
OTHER cr qx> oua
PLANNER DATE <tb~ 3^-
ENGINEER DATE e/i/n
wwtna Apprm
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page l of 5)
Project Title Date
Project Address / '
Documentation Author
Compliance Method (Prescriptive)
Telephone
Climate Zone
D Alternative Component Package Method (check one)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 J51-C Footnotes 7-14
ft2
GENERAL INFORMATION
Total Conditioned Floor Area (CFA)
Average Ceiling Height o ft
Maximum Allowed West Facing Fenestration Products Per Table 151-B or 151-C — (5% X CFA) 7 ft2
Maximum Allowed Total Fenestration Products Per Table 151-B or 151-C — (20% X CFA).
' D Building Type (check one or more) Single Family Multifamily_V_ Addition Alteration
(If adding fenestration fill out WS-4R, Fenestration Maximum Allowed Area Worksheet and see Section 832
for Additions and 8 3 3 for Alterations)
Number of Stones
Floor Construction Type
Front Orientation
and circle one)
Number ofJDwelhng Units
Slalj/Raised Floor (circle one or both)
North / Soutb/niasj/ West / AH Orientations (input front orientation m degrees from True North
RADIANT BARRIER (required m climate zones 2.4. 8-15)
OPAQUE SURFACES INCLUDING OPAQUE DOORS
Component
Type (Wai),
Roof, Floor,
Slab Edge,
Doors)
VV/U4
Z&pf
Frame
Type
(Wood or
Metal)
W*>«»^
vw2>
Cavity
Insulation
R-Value
X-t3
/?-?&
Continuous
Insulation
R-Value
Assembly U-
factor (for wood,
metal frame and
mass
assemblies) '
Joint
Appendix
IV
Reference
/i-3-
,4-7
RoofRadiant
Barrier
Installed
Yes or No
>J£>
Location
Comments
(attic, garage,
typical, etc )
TV?.
7T//?/
1) See Joint Appendix IV m Section IV 2, IV 3 and IV 4, 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
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 2 of 5) CF-1R
Project Title
rf?£/£JL.y tfJ^>^ / 7~ / £> **S
Date
/. </• 0*1
FENESTRATION PRODUCTS - U-FACTOR AND SHGC
S D FENESTRATION MAXIMUM ALLOWED AREA WORKSHEET WS-4R -must be included for New
Construction, Additions and Alterations
Fenestration
#/Type/Pos
(Front, Left,
Rear, Right,
Skylight)
££F7-
Onen-
tation,
N, S, E,
W1
5
Area
(ft2)
?o
U-factor2
^^
U-factor
Source3
AtFKC
SHGC4
0.*t~O
SHGC
Source5
fJfKC.
Exterior
Shading/Overhangs6' 7
• boxifWS-3Ris
included
Dnnnn
nn
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 m Section 323 of the Residential Manual
2) Enter values m this column are either NFRC Rated value or from Standards default Table 116A
3) Indicate source either from NFRC or Table 116A,
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 or Table 116B
6) Shading Devices are defined m 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 )
^X/STVA/dS—
Minimum
Efficiency
(AFUEorHSPF)
«•»
Distribution
Type and Location
(ducts, attic, etc )
Duct or Piping
R-Value
Thermostat
Type
Configuration
(split or package)
Cooling Equipment
Type and Capacity
(A/C, heat pump, evap
cooling)
Minimum
Efficiency
(SEER or HER)
Duct Location
(attic, etc )
Duct
R-Value
Thermostat
Type
Configuration
(split or package)
Residential Compliance Forms April 2005
CERTIFICATE OF COMPLIANCE: RESIDENTIAL (Page 3 of 5) CF-1R
Project Title f/^f / 1. i. y A ^7> / T/ei? AS
'
Date / - <V • C> *J
SEALED DUCTS and TXVs for Alternative Measures)
A signed CF-4R Form must be provided to the building department for each home for which the following are
required
Sealed Ducts (all climate zones) (Installer testing and certification and HERS rater field verification required)
D , readily accessible (climate zones 2 and 8-15 only)
(InstaHej testing and certification and HERS Rater field verification required )
RefngeraflSCharge (climate zones 2 and 8-15 only) (Installer testing and certification and HERS Rater field
verification rechvred )
OR
Alternative to Sealed DTfetsand Refrigerant Charge /TXVs (See Package D Alternative Package Features for
Project Climate Zone in theRM Appendix B Table 151-C, Footnotes 7-14
OR
D
For additions and alterations, duct sysi&issthat are not documented to have been previously
sealed as confirmed through field venficati<5rHand diagnostic testing in accordance with procedures in the
Residential ACM Manual and duct systems wimSs^re than 40 linear feet in unconditioned
spaces shall meet the requirements of Section 150(1^11(1 duct insulation requirements of Package D
WATER HEATING SYSTEMS
D
Check box if system meets criteria of a "Standard" system StandarErs^stem is one gas-fired water heater per
dwelling unit If the water heater is a storage type, 50 gallons is the maxJtsujn capacity and recirculation system is
not allowed
Check box when using Preapproved Alternative Water Heating table, Table 5-4 inSljapter 5 in the Residential
Manual No water heating calculations are required, and the system complies automaticallyD
D
Check box if system does not meet criteria of "Standard" system, and does not comply witffthePreapproved
Alternative Water Heating table In this case, the Performance Method must be used and must Bemjcluded in the
submittal ^s^
Check box to verify that a time control is required for a recirculating system pump for a system serving m
units
iuhigle
Water Heater
Type/Fuel Type
jg'xs ST— XA^ —
Distribution
Tyoe
Number
in System
Rated
Input1
(kWor
Btu/hr)
Tank
Capacity
(gallons)
Energy
Factor or
Thermal
Efficiency
Standby1
Loss (%)
Tank
External
Insulation
R-Value
Water Heater
Type
Distribution
Type
Number
in System
Rated
Input1
(kWor
Btu/hr)
Tank
Capacity
(gallons)
Energy
Factor or
Thermal
Efficiency
Standby1
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 3A 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 April 2005
CERTIFICATE OF COMPLIANCE:RESIDENTIAL (Page
Project Title /^g/£.i.y tf'~J")'7)/7'/& S*-S/• -Date
4
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of 5)
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CF-1R
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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
Tescnptive method
XL6s
G
D
D
D
D
D
D
D
a
a
a
a
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D
Feature
Metal Framed Walls
"^Radiant Earners
Exrsnor Shades
CoolRoW
Dedicated I-fydronic Heating
System \
\Combined Hydromc^Svstem
Gas Cooling X.
Buned Ducts N.
Kitchen Pipe Insulation
Multiple Water Heaters Per
Dwelling Unit
Central Water Heating System
Serving Multiple Dwellings
Non-NAECA Large Water
Heater
Indirect Water Heater
Instantaneous Gas Water Heater
Solar Water Heating System
Wood Stove Boiler
Required Forms (if applicable)
CF-1R
CF-1R
WS-4R
N/A, Attach CRRC Label to
Forms
Performance Calculation
Required, Attach Run to Forms
Performance Calculation
Required, Attach Run to Forms
Performance Calculation
Required
N/Aj Indicate on building plans
^See Section 562 Distribution
Systems in Residential Manual
See table 5-13 or use
Perfornwuce Calculation and
attach RunreForms
Performance Cakulation and
attach Run to Forms.
CF-1R N.
See Table 5-13 or use "V
Performance Calculation and X.
attach Run to Forms
See Table 5-13 or use
Performance Calculation and
attach Run to Forms
See Table 5- 13 or use
Performance Calculation and
attach Run to Forms
Performance Calculation and
attach Run to Forms
Description
\
\
SPECIAL FEATURES REQUIRING HERS RATER VERIFICATION X
(add extra sheets if necessary) Indicate to the HERS Rater which credits are part of this project and need venficahi
S Feature
D Duct Sealing
D Refrigerant Charge
P Thermostatic Expansion Valve
Required Forms (if applicable)
CF-6Rpart4ofl2
CF-6Rpart5ofl2
CF-6Rpart6ofl2
Description
anxx\\\
Residential Compliance Forms April 2005
CERTIFICATE OF COMPOANnr.: PT7.STF>T?.NTTAT. (Page 5 of 5) CF-1RProject Title —— i—s> 1 .Date
This certificate of compliance lists the budding features and specifications needed to comply with Title
...' ^! and .' of the Calif°mia Code of Regulations, and the administrative regulations to implement
uem iftis certificate has been signed by the individual with overaiJ design responsibility. The
^Tvf?C • «eogmzes ^ compliance using duet daeign, duet aoaling, varifioatioa of rafi-tgewat eharge
Urtifi i?' 1DSU.JaJ10n jnsta"ation quaacy, and building envelope sealing require installer testing andcertification and field verification by an approved HERS rater.
Designer or Owner (per Business andi »t._-Do<mutation Author
Name
Title/Firm.
rejj!
Telephone.
klura)
Enforcement Agency
Residential Compliance Forms April 200$
MANDATORY MEASURES SUMMARY: RESIDENTIAL (Page 1 of 2) MF-1R
Project Title ^-^t\c/£j-> i/ // ty^ / TV^ A-^Date
Note Low-rise residential building^ subject to the Standards must contain these measures regardless of the compliance approach used
More stringent compliance requirements from the Certificate of Compliance supersede the items marked with an asterisk (*) below
When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as minimum
component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this
checklist only
Instructions- Check or initial applicable boxes when completed or check NA if not applicable.
DESCRIPTION NA Designer
Building Envelope Measures;
* §150(a) Minimum R-19 in wood frame ceiling insulation or equivalent U-factor in metal frame ceiling D
§ 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 fiame walls (does not apply
^ to exterior mass walls)D
§ I S0(d) Minimum R-13 raised floor insulation in framed floors or equivalent U-factor
§ 150(e) Installation of Fireplaces, Decorative Gas Appliances and Gas Logs
1 Masonry and factory-built fireplaces have
a closeable metal or glass door covering the entire opening of the firebox D
b outside air intake with damper and control, flue damper and control
2 No continuous burning gas pilot lights allowed.n
§ 150(f) Air retarding wrap installed to comply with § 151 meets requirements specified in the ACM Residential Manual n
§ 150(g) Vapor barriers mandatory in Climate Zones 14 and 16 only n
§ 150(1) Slab edge insulation - water absorption rate for the insulation matenal alone without facings no greater than
0 Wo, water vapor permeance rate no greater than 2 0 perm/inch n
§ 118 Insulation specified or installed meets insulation installation quality standards Indicate type and include CF-6RForm
§116-17 Fenestration Products, Exterior Doors, and Infiltration/Exfiltration Controls
1 Doors and windows between conditioned and unconditioned spaces designed to limit air leakage n GET
2 Fenestration products (except field-fabricated) have label with certified U-factor, certified Solar Heat Gam
Coefficient (SHOC), and infiltration certification
3 Exterior doors and windows weatherstnpped, all joints and penetrations caulked and sealed D
Space Conditioning, Water Heating and Plumbing System Measures:
§110-§ 113 HVAC equipment, water heaters, showerheads and faucets certified by the Energy Commission D
§ 150(h) Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA or ACCA
§ 1 S0(i) Setback thermostat on all applicable heating and/or cooling systems n
§ 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
1 Back-up tanks for solar system, unfired storage tanks, or other indirect hot water tanks have R-l 2 external insulation or
R-16 internal insulation and indicated on the exterior of the tank showing the R-value n
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 150B L-nr
2 Cooling system piping (suction, chilled water, or brine lines), piping insulated between heating source and
indirect hot water tank shall be insulated to Table 150-B and Equation 150-A
4 Steam hydromc heating systems or hot water systems >15 psi, meet requirements of Table 123-A
Residential Compliance Forms April 2005
MANDATORY MEASURES SUMMARY: RESIDENTIAL (Page 2 of 2) MF-1R
Space Conditioning, Water Heating and Plumbing System Measures: (continued)
5 Insulation must be protected from damage, including that due to sunlight, moisture, equipment maintenance, and wind
6 Insulation for chilled water piping and refrigerant suction piping includes a vapor retardant or is enclosed entirely in
conditioned space
7 Solar water-heating systems/collectors are certified by the Solar Rating and Certification Corporation
* §150(m) Ducts and Fans
1 All ducts and plenums installed, sealed and insulated to meet the requirement of the CMC Sections 601 , €02, 603, 604, 605
and Standard 6-5, 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 shall be sealed with mastic, tape or other duct-closure system that meets the applicable
requirements of UL 1 8 1 , UL 1 8 1 A, or UL 1 8 1 B or aerosol sealant that meets the requirements of UL 723 If mastic or tape is
used to seal openings greater than 1/4 inch, the combination of mastic and either mesh or tape shall be used
2 Building cavities, support platforms for air handlers, and plenums defined or constructed with materials other than
sealed sheet metal, duct board or flexible duct shall not be used for conveying conditioned air Building cavities and
support platforms may contain ducts Ducts installed m 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 tape is used in combination with mastic and draw bands
4 Exhaust fan systems have back draft or automatic dampers
5 Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated
dampers
6 Protection of Insulation Insulation shall be protected from damage, including that due to sunlight, moisture, equipment
maintenance, and wind Cellular foam insulation shall be protected as above or painted with a coating that a water
retardant and provides shielding from solar radiation that can cause degradation of the material
7 Flexible ducts cannot have porous inner cores
§1 14 Pool and Spa Heating Systems and Equipment.
1 A thermal efficiency that complies with the Appliance Efficiency Regulations, on-off switch mounted outside of the
heater, weatherproof operating instructions, no electric resistance heating and no pilot light
2 System is installed with
a at least 36" of pipe between filter and heater for future solar heating
b cover for outdoor pools or outdoor spas
3 Pool system has directional inlets and a circulation pump time switch
§ 1 1 5 Gas fired fan-type central furnaces, pool heaters, spa heaters or household cooking appliances have no continuously
burning pilot light (Exception Non-electrical cooking appliances with pilot < 150 Btu/hr)
§ 1 1 8(1) Cool Roof material meets specified criteria
Residential Lighting Measures:
§150(k)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 (E24/E26) Ballast for lamps 13 watts or greater
are electronic and have an output frequency no less than 20 kHz
§ 1 50(k) 1 HIGH EFFICACY LUMINAIRES - OUTDOOR HID contain only high efficacy lamps as outlined in Table
150-C, lummaire has factory installed HID ballast
§ 150(k)2 .Permanently installed lummaires in kitchens shall be high efficacy lummaires Up to 50 percent of the wattage, as
determined m § 130 (c), of permanently installed lummaires in kitchens may be in lummaires that are not high efficacy
lummaires, provided that these lummaires are controlled by switches separate from those controlling the high efficacy
lummaires
§ 150(k)3 Permanently installed lummaires m bathrooms, garages, laundry rooms utility rooms shall be high efficacy
lummaires OR are controlled by an occupant sensor(s) certified to comply with Section 1 19(d) that does not turn on
automatically or have an always on option
§ 1 50(k)4 Permanently installed lummaires located other than in kitchens, bathrooms, garages, laundty rooms, and utility
rooms shall be high efficacy lummaires (except closets less than 70ftJ) OR are controlled by a dimmer switch OR are
controlled by an occupant sensor that complies with Section 1 1 9(d) that does not turn on automatically or have an always
on option
§ 1 50(k)5 Lummaires that are recessed into insulated ceilings are approved for zero clearance insulation cover (1C) and are
certified airtight to ASTM E283 and labeled as air tight (AT) to less than 2 0 CFM at 75 Pascals
§ 1 50(k)6 Lummaires providing outdoor lighting and permanently mounted to a residential building or to other buildings on
the same lot shall be high efficacy lummaires (not including lighting around swimming pools/water features or other
Article 680 locations) OR are controlled by occupant sensors with integral photo control certified to comply with Section
119(d)
§ 1 50(k)7 Lighting for parking lots for 8 or more vehicles shall have lighting that complies with Sec 1 30, 1 32, and 1 47
Lighting for parking garages for 8 or more vehicles shall have lighting that complies with Sec 1 30, 1 3 1 , and 146
§ 150(k)8 Permanently installed lighting in the enclosed, non-dwelling spaces of low-rise residential buildings with four or
more dwelling units shall be high efficacy lummaires OR are controlled by occupant sensor(s) certified to comply with
Section 119(d)
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Residential Compliance Forms April 2005
FENESTRATION - MAXIMUM ALLOWED AREA WORKSHEET WS-4R
Project Title ^ .Date
FENESTRATION PRODUCTS - NEW CONSTRUCTION- NEW BUILDINGS
A
#/Type/Pos
(Front, Left,
Rear, Right,
Skyhght)
B
Orientation
North
South
East
West
Totals
C
Total
Fenestration,
West Facing
Area (ft*)
D
Total Fenestration
forN.S.E
Orientations Area
(ft2")
E
CFA
(ft2)
F
Total Percent of
West Facing
Fenestration1
(C/E) x 100%
G
Total % of
Fenestration2
Including West
(D/E)xlOO%+ F
1) If west facing area exceeds 5% of CFA in climate zones 2,4, and 7-15, the performance approach must be used
2) If total percent of fenestration exceeds 20% including West facing orientations then performance approach must be used West
facing area includes skylights tilted to the west or tilted m any direction when the pitch is less than 1 12 for Package D only
FENESTRATION PRODUCTS - NEW CONSTRUCTION- ADDITIONS
S Dless than 100 ft2. B"Less than or Equal to 1000 ft2, D Greater 1000 ft2
A
#/Type/Pos
(Front, Left,
Rear, Right,
Skylight)
Lef-r
B
Orientation
N, S, E, W
North
South
East
West4
C
Addition's
CFA1'2
S*0
D
Addition's
New
Fenestration
Area (ft2)
20
E
Fenestration
Area Removed to
make way for
Addition (ft2)
^
F
Total Area
Fenestration2
(D + E)
20
Total
G
Total % of
West Facing
Fenestration
(F/C)xlOO%
<25
H
Total % of
Fenestratio
n2
(F/C)xlOO
%
S*>3>
M-3*
1) Additions that add less than 50fr of fenestration area are exempt from the maximum total area limits See Table 8-2 in RM
2) If the addition has a floor area equal to or less than 1,000 ft2, the maximum allowed fenestration % may be increased to by the
amount of glazing removed m the wall that separates the addition from the existing house See Table 8-2 m RM
3) If the addition has a floor area greater than to 1,000 ft2, must meet Package D requirements See Table 8-2 m RM
4) West facing area includes skylights tilted to the west or tilted m any direction when the pitch is less than 1 12 for Package D
FENESTRATION PRODUCTS: ALTERATIONS
Use this table for alterations to an existing building where fenestrations products (windows) are being removed and/or added
A
CFA
B
Existing
Orientation
North
South
East
West
Total
C
Existing
Area
(ft2)
D
Removed
Orientation
North
South
East
West
Total
E
Removed
Area
(ft2)
F
Proposed
Installed
Orientation
North
South
East
West
Total
G
Proposed
Installed
New Area
(ft2)
H
Total Net
Fenestration
(A2)
(C-E+G)
I
Total % of
Fenestration1'2
H/A
Max of 20%
1) When 50 ft2 or more of fenestration area is added to an existing building, then the fenestration must meet the requirements of
Package D The area requirement for the total fenestration area for the whole building, including the added fenestration, must not
exceed 20% otherwise the Performance Approach must be used Note The 5% west facing limit is exempt See Section 833m
the RM for further details
Residential Compliance Forms
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