04829 (SFD)Qabtm
0 S 2 9
P.O. BOX 1504
Building 53^085 Obr Ta 78-105 CALLE ESTADO
Address L-A QUINTA, CALIFORNIA 92253
Owner
Coachel.la Valley Land
Mailing BUILDING: TYPE CONST. OCC. GRP.
Address 247 E. ` ahGttA,itz W4v, .02 A.P. Number 774-044-016
City Zip Tel.
I?aIva m3pringa 92262 1 323-1020. Legal Description
Contractor Project Description S • F. D.
ItF rr clonRitrlliatidn
Address Same
City Zip Tel.
State Lic. City
& Classif. 387934 Lic. a 895 Sq. Ft. 1410 No. No. Dw.
Arch., Engr., Size Stories Units
Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Address Tel. 4261 Garage
City Zip State 1701 X 68 wood fence
Lic. #
1 LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that 11am licensed under ptovisions of Chapter 9 (commencing with Section
7000) of Division 3 �orff the Business and Professions, Code, and my license is in full force and
effect. 'p'/.,firt,o►-,. F✓'eza�l�1445
SIGNATURE R DATE
OWNER -BUILDER DECLARATION Estimated Valuation �n
I hereby affirm that I am exempt from the Contractor's License Law for the following 076 0 1OS
reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a
permit to construct, alter, Improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to file a signed statement that he is licensed pursuant to PERMIT AMOUNT
the provisions of the Contractor's License Law, Chapter 9 (commencing 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 7031.5 by any applicant for a permit
Plan Chk. Dep."w
� �'��
subjects the applicant to a civil penalty of not more than five hundred dollars (8500). - w
O 1, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk. Bal. 041 q UI.)
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Const.
+ -D
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. Mech. k1 J
provided that such 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 Electrical e
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 con- Plumbing 105. UI'
struct 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 who contracts for S. M. 1. W
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
Grading zu,i. t:,itj
❑ 1 am exempt under Sec. B. & P.C. for this reason
Driveway Enc.Z. Vu
Date _ Owner Infrastructure s Cy 75 + 83
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent3to sel�=insure or a certificate of
Worker's Compensation Insurance, ora certified copy th'ereofdfSec. 3800, Labor Code./
Policy No. Company
❑ Copy is filed with the city. O Certified copy is hereby furnished.
TOTAL Vii: F a 10 044 ci
CERTIFICATE OF EXEMPTION FROM REMARKS
WORKERS' COMPENSATION INSURANCE 0t�%ccll
(This section need not be completed if the permit Is for one hundred dollars ($100) valuation M59. .41 �3, 1*-'"�• i"fA 3. `pi'K7"'i`,'�t_,L, �; ,�,'► �(!
or less.)
I certify that in the performance of thg work for which this permit is issued, I shall not
employ any person in any manner so as to become subject to the Workers' Compensation
Laws of California.
Date Owner
NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become ZONE: BY:
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Minimum Setback Distances:
comply with such provisions or this permit shall be deemed revoked.
Front Setback from Center Line
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY Side Street Setback from. Center Line
Ihereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.) Side Setback from Property Line
Lender's Name
Lender's Address FINAL DATE INSPECT R
This is a building permit when properly filled out, signed and validated, and is subject to � �R
expiration if work thereunder is suspended for 180 days.
I certify that I have read this application and state that the above information is correct. Issued by: Date Permit
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives -of this city to enter the above-
mentioned property for inspection purposes. Validated by:
Signature of applicant Date
Mailing Address Validation:
City, State, Zip
WHITE - FINANCE, PINK - APPLICANT, GREEN - BUILDING, GOLDENROD - ASSESSOR'S OFFICE, HARD COPY - FILE
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST F.L ' SO FT rp S
UNITS
'
ROUGH PLUMB
BONDING
YARD SPKLR SYSTEM
2ND FL SO FT. qt
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR SO FT a
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
POWER OUTLET
ROOF DRAINS
GAR SO. FT. fpr
TEMP. POLE
GROUT
DRAINAGE PIPING
CAR P. SO FT. 4V
FINAL INSP.
BOND BEAM
WATER SYSTEM
DRINKING FOUNTAIN
WALL SO. FT. ra
=S
LUMBER GR.
FINAL INSP.
URINAL
SO. FT. td
ROOFING
ESTIMATED CONSTRUCTION VALUATION $
/I
/ `� '
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
VENTILATION
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
FIREPLACE
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE, TEM/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. @ c
BATH TUB
SO. FT. @ c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID @ 14: c
SEWAGE DISPOSAL
SO.FT.GAR rp >r:c
HOUSE SEWER
CERT. OCC.
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES .
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB FEE
STRUCTURE PLUMBING ELECTRICAL HEATING 8 AIR COND. SOLAR
SETBACK
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APP.IEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. y0.
$ _plus_x$
=S
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING
/I
/ `� '
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR'
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESlINITIAlS
GARDEN WALL FINAL
_.::k ..:{tyq �agy,rC.++:r;Wv,:y.�..` Ti!fi••!'•r: �:!csce'r�ivn•u:•t _
COACHELLA VALLEYWATER:DISTRICT
CASH RECEIPTpETAIL
Received From: C 0A'C. A �..:t Lr
F
Address: , Q .. ? b wA'< ✓ �' �„
Account No. -� t-- ; a- >%, C ..
Date:
Service Address
+ r Lots)
U c. ) c • C^: U/(/ Trait �) �• 4 4-1; —7
❑ Meter(s) G
Ci Service(s) $
❑ Backtlow(s)
❑ Nouse Laterals) _
❑ . Detector Check(,)
❑ Meter Surcharge
E' enitation Capacity Charge,e�
O W.S.B.F.C.
❑ Temporary Construction Meter, \
❑ Turn on Charge
❑ Uncollected Account -Name
❑ Inspection Fee - Tract -
Fee - 7 "
❑ Plan Check Fees Water / Sewer -
Tract -
U Bond Payment - A.D. - Bond--
Assmt.
❑ Customer Deposit
❑ Other
Remarks: TOTAL
Cash
Check (3t ` Water Service
Money .
Order �^
Cashier
COUNTY OF RIVERSIDE DEPARTMENT OF HEALTH Assessors Parcel No.
4r— 1
ENVIRONMENTAL HEALTH SERVICES 7 0 V+ — 0/4
PERMIT APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM
. "Olt .
rt 'Applicant: Submit this form with four copies of a scaled Plot plan (1-20 scale) drawn to County speculations as indicated on the attached check list.
A non-refundable filing fee (see below)"id required when theapplication is submitted. Check must be made payable to the County of
RECEIPT NO.
Riverside Approval of this application.'stiall remain valid foi a period not to exceed one year from date of approval.
bate ."
VERIFY ITEMS IN SECTION A FROM 13UILDINGi 4 SAFETY APPLICATION BUILDING DEPARTMENT APPLICATION LOG
0
Agent Contractor,, Contact Person
Phone
"7ddrs",& Phone.
0 Blythe'
DOH SAN 122 (Rev'.'5/88) DISTRIBUTION:'
0
U.1
owner
Phone
Mailing Address At-,, re- WAYOZ,
2- V7 n
City
1-�P_kf AV
State
Zip
Job Property Add
Legal Description Prop. (PM, Tract, L0,t),,27=S9t-,1C'
A-
2
I .30 Nee.
tot 1-3 4Ad /7 5 A) it/d'
Lot Size
_i5ip"ll
ter Age
4,22
.
of ipe,yrm P/P CU
7 , , etc. it A Ut-fl'A�IA,
Other
rUse
z.
--I
4 , 1. Prep'
�in
-2> / S 7-A/d,7--
I
Sig4lure of Applicant
Dift
REV 00011�' CATEGORY:-
CATEGORY: REV CODE FEE
90"SUBSURFACE DISPOSAL 1238 00-$45.00_,4
0 SITE EVALUATION UPON REQUEST 7349 ', $42.00
0 MULTIPLE PARCELS WITHIN SAME
(NO PLOT PLAN)
z
LAND DIVISION
11 SEWER/SEPTIC VERIFICATION 7348 $11.00
0
a. at 4 Parcels (Each) 1238 $45.00,
(Less than 1 year)
_,11
b. Each Parcel after 4 7344 $16.00
0 PRELIMINARY ELECTIVE 7352 $45.00
Uj
0 Rereview (2nd review same parcel) 7344 $16.00
EVALUATION .(Attach DOH SAN 53)
U)
0 Site Evaluation In Conjunction with
0 HOLDING TANK 7351 $45.00
Critical Area 7346 $86.00
0 ALTERNATIVE/EXPERIMENTAL 7345 $132.00
0 Site Evaluation Lot Less than
SYSTEM
10,006 Sq. Ft. 7347 $86.00
INITIAt DATE
Holding Tank Agreements Completed 0 Yes No
Certification of Existing S.D. System Requited 0 Yes E2 0,
Attach
WOCB CAearanoe required. C3 Yes P-PNo
DOH SAN 007, Santa Ana (Reglori=nly)
Solis Percolation Report Required. 0 Yes
Special Feasibility Boring Report Required. 0 Yes
Detailed Contour Plot Plans Required (1 to 5 fl. interval) 0 YesrN��
�
O#W_ 0 Yes N
'Staff Specialist Lot Inspection Required 0 Yes N0
Lot Inspection Date
Soils boring report by Date
Soils Map Page 1/0�1 I Son Type _-�Approved by Date
717 --- r---
Z
Na of Systems
Of "TI(s)
ng Tank 0 Existing
No. Dwelling Unb(l)
Bedrooms,+.bftUr9s1MW
(1) Septic Tank
Soil Rate
Intop,
IZ�!
0
0 Replacerrient
3AN-st.
1
V;�IkW4
I
IkWX
—Gal
7 ty r
LLi
C0Brea
Line Sq. Ft
Sidewall at lonce
I
Instalune(s) ft IoL__,fwIde with
sq.
ft rock/— sq. fL
min. I
of om
per running tL
a NA
Le6chlines/bed special design for slope: (3) Pit Diameter No. Pits Pit Below Seepage P, ij Depth
'Applicable Inlet (BI)
_5� - 9=51, Efi/6 Max. Allgvy> ilerDepth
Overburden factor
AJIAI+-
No. 2 System
REMARKS:
jl
This applications r� lap �tE ry
ALP�RO -9*r the category checked in SECTION B above, regarding the design of a subsurface disposal system as indicated
on,the accompanied plot plan, using the requirements set ibrth in SECTION C above. A building permit is necessary for the installation of the
Z
ab6ve-designed system. No construction is permitted in the required reserved 100% expansion area.
Septic, tank and sewer lines must be 50' minimum fromany.wells 4 to
h expansion must be 100' minimum from any wells, including rea
(3 'Seepage pits be') minimum in di u ir)9 expansion ar C
s must fromyany. wells i cl * .4-
--D'
-�-L_Signature
o Hearth IffAta
. ........
. "Olt .
'
RECEIPT NO.
'0,��
Issued By
bate ."
DISTRICT:.. Riverside,Indio ,
0 Hemet 0 Perris 0 Rancho Calif..
0 Blythe'
DOH SAN 122 (Rev'.'5/88) DISTRIBUTION:'
WHITE - Office file YELLOW --Applicant PINK - Bldg. Dept GOLDENROD- Plans/Recbrds
"•y
i R a E LEON SPAUGY
�� Y. of I ICE OF. r
1 o.� •, ., tO�nnS io`Ea
AGRICULI .URAL.-CON.,
a
V. s. ZANIES O V�Ali�CE
0 �� b 2` ni �U t;v,roa�r r. ASSsSi��t rhW��i551o�Ea
t ^ "WLIGI (�
'S`&-'+IEASUIZES ,. CLE�tE`1T 6EtiVE!vIST.E
SEALEq
49-613 ,11ky,: B6; 661 0 B=12
� aoV��g7 Coacliella,. CA 92236,r
Mq r v, a 619 34i -8L91"
Certificate of Compliance: Residential
Project Title
LpQ
Project Address
Documentation Author Telephone
�o S 6S n /s
Compllance Method (Package, Point System or Computer) Climate Zone
GENERAL INFORMATION
Total Conditioned Floor Area: 1$1 o ft2
%1A c,/ -sly,
(Page 1 of 2) CF -1R
Date
Building Permit #
Checked By / Date
Enforcement Agency Use Only
Building Type: Single Family Hotel/Motel
(check one or more) Multi -Family (less than 4 stories) Addition
Multi -Family (4 or more stories) Existing -Plus -Addition
Front Entry Orientation: 1114)
tt East / South / West / All Orientations (circle one or more)
Number of Dwelling Units:
Floor Construction Type: lab aised Floor (circle one or both)
Infiltration Control: andard ght (circle one)
BUILDING SHELL INSULATION
Component 'Insulation Location/Comments
Type R -Value (attic, to garage, typical, etc.)
Wall ..............
Wall ..............
Roof ............. fL-35Z
Roof .............
Floor .............
Floor .............
Slab Edge..... 0,41�
a
GLAZING Shading Devices
Glazing
Orientation
Area
(sf)
Glass Type
(single, double)
Interior
(roller blind etc.)
Exterior
(shadescreen etc)
Overhang
(yes/no)
Framing Type
(metal/wood)
Front....
(N)
3 2
—';bQgr-C
�t t �8�.•
IJdt��
c
)'LI c�B�
Front....
( )
Left......
Left......
(>_)
( )
Rear.....
(i)
��
�o.i(3ti�
✓e ��-
►Jo>
q :
Rear.....
( )
Right....
(w)
43 4
b
Right....
( )
rr `
Skylight.......
o
Skylight.......
THERMAL MASS
Type/Covering
Area
Thickness
(stab/exposed, tile, etc.)
(SO
(inches)
Locadon/Description (kitchen, bath etc.)
�1LrSr.
� x � osc� G� ,�� �.
i 4 L
3 . r'
K`� t✓ a_ra., � r���
0
Certificate of Compliance: Residential (Page 2 of 2) CF -1R
Project Title Date
HVAC SYSTEMS
Minimum Duct
Type (furnace, air Efficiency Location Duct Output Manufacturer /Model #
conditioner, heat pump) (SE, SEER,HSPF) (attic, etc.) R -Value (Btuh) (or approved equal)
A-P'T {�� 1, o Fi s�fr �� 3S, x J J ynl S is o3b S �•P
9 . bS�jy
Maximum Furnace Heating Output: 3t3, our Btuh
HOT WATER SYSTEMS Tank Manufacturer/Model #
System Type (storage gas, etc.) Capacity (or approved equal) Special Feature(s)
SPECIAL FEATURES/REMARKS (Add extra sheets if necessary)
COMPLIANCE STATEMENT
This certificate of compliance lists the building features and performance specifications needed to comply with
Title 24, Chapter 2-53 and Title 20, Chapter 2, Subchapter 4, Article 1 of the California Administrative code. This
certificate has been signed by the individual with overall design responsibility and the building owner, who shall
retain a copy of it and transmit the certificate to any subsequent purchaser of the building. When this certificate of
compliance is submitted for a single building plan to be built in multiple orientations, all building conservation
features which vary are indicated in the Special Features/Remarks section.
Designer
Name:
Title/Firm:
Address:
Telephone:
Lic. #:
(signature)
Documentation Author
Name: U k -z
Title/Firm: t
Address:
(signature)
Forth Revised March 1988
(date)
U'
(date)
Building Owner
Name:
Title/Firm:
Address:
Telephone:
(signature) (date)
Enforcement Agency
Name:
Agency:
Telephone:
(signature or stamp) (date)
Point System Summary: Climate Zone 15
BUILDING DATA
`5 tB—
Conditioned Floor Area
Number of Stories /
Slab/Raised Floor Slla�3
Check all applicable Unit Type condidon(s):
[ ] Single Family Detached (SFD)
[ ] Addition Alone
[mingle Family Attached (SFA)
[ J Existing Building
[ ] Multi -Family (MF)
[ ] Existing -Plus -Addition
SCORE CARD
Measures
1. Ceiling Insulation
`5 tB—
or
R -value [38]
U -value [0.0301
2. Wall Insulation
I'I
or
R -value [191
U -value [0.066]
3. Raised Floor Insulation
Nl. M
or
R-value[19)
U-value[0.037)
4. Slab Edge Insulation
1J1(N
or
R -value [0]
F2 factor (0.771
5. Infiltration
Standard
6. Glass Heat Loss
%�, �t31%
(�, r
[ 3."
Type [double]
U -value [0.65]
% Total Glass [ 16]
7. Shading (Shade Open)
J
% Glass
SC
Eff. % Glass
a. North
2. 3
x
b. East
%o
x
c. South
�} . [ ,
x
= t
d. West
(, . o
x
_ `L
e. Skylight
x
= _
8. Shading (Shade Closed)
% Glass
SC
Eff. % Glass
a. North
2. 3
x
Z1 =
SI
b. East
x
1ti =
I Q1
c. South
a } • 1 t
x
at I
d. West
to .
x
%
e. Skylight
o
x
=
9. Interior Thermal Mass
2.11
Interior Mass/CFA
10. Exterior Wall Mass
o
Exterior Wall Mass
11. Heating System
i _ o
x
, 8 L =
S. '] 4
Zonal Control? ( Y /4,
SE or HSPF
Duct Efficiency [0.781
Effective SE or
[0.72!6.61
HSPF [0.56/5.15]
12. Cooling System
�F, t.S
x
, 9 ) _
-7.2-)_
Zonal Control? ( YN
SEER [9.5]
Duff Efficiency [0.74]
Effective SEER[7.03]
13. Water Heating
S E
Type [SG]
Credit (none]
Forth Revised March 1988
P -2R
I
Point Scores
O
0
c7
O
0
a -� 3
Sum 1-6
Z)
Sum 7-10
+S
Point Total.
-+-
Shading Coefficient (SC) Worksheet Form S
Items 1 - 9a and 10a must be completed for glazing/shading combinations not found in Table G-9 of the ECM by using
documented manufacturers' data for the specific conditions indicated (#2, #8 and #11). For instructions on filling out the
worksheet, see Shading in the ECM Glossary. For overhang SC values (#14 and #15), see Section 4.2 in the ECM.
General Information
1. Glazing Type: Dt,,)w
2. SCglazing alone: . $29
3. Framing Type (metal/woo ft K., of j -o -L,
4. Mullions (yes/no): %Z
5. Framing/Mullion Factor.
FT -
(from Table G-10)
6. Interior Shade Type: W44a� Vim- -< L ear L
7. SCshade open: 1.00
8. SCshade closed: - -Ls-
(SC of shade w/ clear single glass)
Glazing, Interior Shade & Framing
9a. [( l . J x 0.25) + 0.75] x 12 2 x
Where:
SCmax SCmin
FMF (#5) SC Shade Open
SCmax = larger of #2 and #7
or 9b. , '71 (from Table G-9)
SCmin = smaller of #2 and #7
SC Shade Open
10a. [(_ x 0.25) + 0.75] x - x
-„;n-
Where:
SCmax TC
FMF (#5) SC Shade Closed
SCmax = larger of #2 and #8
or IOb. , Zi.. (from Table G-9)
SCmin = smaller of #2 and #8
SC Shade Closed
Exterior Shade
Exterior Shade Type:
S.4 aSvu�.
11. SCexterior shade: 6 •3`f
(from Table G-11 or manufacturer's data w/ clear single glass)
12. ((. x 0.25) + 0.751 x 3 _
Where:
3 y SCmax = larger
of #9a or #9b and #11
SCmax SCmin
SC Shade Open SCmin = smaller of #9a or #9b and #11
13. [( x 0.25) + 0.751 x . to _
Where:
, 1..� SCmax = larger of #10a or #10b and #11
SCS SCmin
SC Shade Closed SCmin = smaller of #l0a or #1 Ob and #11
Overhang (Point System Only)
Projection Ratio:
14. x L =
Overhang Factor SC Shade Open
SC Shade Open
(Shade Open) (#12)
(with Overhang)
Overhang Factor SC Shade Closed
SC Shade Closed
�, j
(Shade Closed) (#13)
(with Overhang)
,o
Form Revised Mamh 1988
Thermal Mass Worksheet WS4R
Title
INTERIOR THERMAL MASS
Use one of the two following options for calculating interior mass as explained in Section 4.2 of the Energy Conservation
Manual (ECM). Method B must be used for mass elements that have an interior unit mass capacity less than 1.7.
Method A: Look up the Interior Mass/CFA value from ECM Table 4-7 reprinted on the reverse side of this page. Type 1
mass has a Unit Interior Mass Capacity (UIMC) greater than or equal to 4.2 (see ECM Tables 4-8a and 4-8b reprinted on
Attachment). Type 2 mass has an UIMC greater than or equal to 1.7 and less than 4.2. Mass % is the mass surface area
divided by conditioned floor area (CFA). For mass elements exposed on both (two) sides to conditioned space, enter the area
of only one side to calculate the percentage.
i Type 1 Mass Area: Mass %
Type 2 Mass Area:
Interior Mass/CFA from Table 4-7:
Method B: Calculate the Interior Mass/CFA value using the worksheet space below. Look up the Unit Interior Mass
Capacity (UIMC) for each interior mass surface in ECM Tables 4-8a, 4-8b and 4-9 reprinted on the Attachment. Include the
interior surfaces of exterior mass walls. For interior mass walls exposed on both (two) sides to conditioned space, enter the
surface area of only one side. Include the inside surfaces of exterior mass walls as explained in Section 4.2 of the ECM.
Unit Interior Interior �i-►� / i 3 ,e
D scription Mass Area Mass Ca acity Mass Capacity
VF1 __9 +JC )l
Zlo X 1 . = ZJttc, g �1�� L ��•� �f.
,c oS�o tet_I Cl - X y • L,
T IE FKVviCZy X12. X 1 1 = )Sb `q
X =
X =
3o\"b 14 J L. V% = Z. J 7
Total CFA Interior Mass/CFA
EXTERIOR WALL THERMAL MASS
Calculate the Exterior Wall Mass of all exterior walls. Look up the Exterior Mass Factor for each opaque wall element from
ECM Table 4-9 reprinted on the Attachment. Only exterior mass wall surfaces may be included in this calculation.
Opaque Exterior
Description Wall Area Mass Factor
X =
X =
X =
Conventional Walls X 0 =
i
Total Total Opaque Exterior
Wall Area Wall Mass
Form Revised March 1988
Mandatory Measures Checklist: Residential MF -111
NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance
approach used. Items marked with an asterisk(*) maybe superseded by more stringent compliance requirements listed
on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall
be considered by all parties as binding minimum component performance specifications for the mandatory measures
whether they are shown elsewhere in the documents or on this checklist only.
DESCRIPTION
DESIGNER ENFORCEMENT
Building Envelope Measures
* §2-5352(a): Minimum ceiling insulation R-19 weighted average.
§2-5352(b): Loose fill insulation manufacturer's labeled R -Value.
* §2-5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to
exterior mass walls).
§2-5352(k): Slab edge insulation -water absorption rate no greater than 0.3%, water vapor
transmission rate no greater than 20 perm/inch.
§2-5311: Insulation specified or installed meets California Energy Commission (CEC) quality
standards. Indicate type and form.
§2-5352(f): Vapor barriers mandatory in Climate Zones 14 and 16 only.
§2-5317: Infiltration/Exfiltration Controls
a. Doors and windows between conditioned and unconditioned spaces designed to limit air
leakage.
b. Doors and windows certified.
c. Doors and windows weatherstripped; all joints and penetrations caulked and sealed.
§2-5352(e): Special infiltration barrier installed to comply with §2-5351 meets CEC quality
standards.
§2-5352(d): Installation of Fireplaces
I. Masonry and factory -built fireplaces have:
a. Tight fitting, closeable metal or glass door
b. Outside air intake with damper and control
c. Flue damper and control
-" 2. No continuous burning gas.pilots allowed.
HVAC and Plumbing System Measures
§2-5352(8) and 2-5303: Space conditioning equipment sizing: attach calculations.
§2-5352(h) and 2-5315: Setback thermostat on all applicable heating systems.
* §2-5316(a): Ducts constructed, installed and insulated per Chapter 10, 1976 LLMC.
§2-5316(b): Exhaust systems have damper controls.
§2-5314(c): Gas-fired space heating equipment has intermittent ignition devices.
§2-5314: HVAC equipment, water heaters, showerheads and faucets certified by the CEC.
§2-5352(1): Water heater insulation blanket (R-12 or greater) or combined interior/exterior
insulation (R -l6 or greater); first 5 feet of pipes closest to tank insulated (R-3 or greater).
§2-5312(Exception I): Pipe insulation on steam and steam condensate return & recirculating
piping.
S
JCE!S
S
A
` S
N
§2-5318(d): Swimming Pool Nearing
I. System has:
a. On/off switch on heater.
b. Weatherproof instruction plate on heater.
C. Plumbed to allow for solar. N\�
2. 75 percent thermal efficiency.
3. Pool cover.'
4. Time clock.
5. Directional water inlet.
Lighting and Appliance Measures
§2-53520): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms.
§2-5314(c): Gas fired appliances equipped with intermittent ignition devices.
§2-5314(a): Refrigerators, refrigerator -freezers, freezers and fluorescent lamp ballasts certified
by the CEC. Indicate make and model number.
Form Revised December 1987