04408 (BLCK)4
04,408
P.O. BOX 1504
Building 53,;,,,265 obire . on78-105 CALLE'ESTADO
Address LA QUINTA, CALIFORNIA,92253
Owner Coat ellst Valley Landll: �: 4rjy BUILDING: TYPE CONST. OCC. GRP.
Mailin
Address 2,47 R. 111ahquit z Way 02 ' " 779-b74X�-013
• ArPrNumber�
City Zip Tel. .
alm Springs X2262 e 3212-71Q40
Contractor
Starr Construction
Address
City Izip I Tel.
State Lic-387934 City
& Classif. Lic. # 895
Arch., Engr.,
Designer
Address Tel.
CityI Zip I State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that l am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Professions Code, and my license is in full force and
effect. fr','..a,•r..-r;4w *19AV?
SIGNATURE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
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
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
subjects the applicant to a civil penalty of not more than five hundred dollars ($500).
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, Buisness 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 sale. If, however, the building
or improvement is sold within one year of completion, the owner -builder will have the burden
of proving that he did not -build or improve for the purpose of sale.)
❑ 1, as owner of the property, am exclusively contracting with licensed contractors to con-
struct they 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
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
O 1 am exempt under Sec. B. & P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION !
I hereby affirm that I have a certificate of consent to,self-insure or a certificate of
Worker's Compensation Insurance, or a certified copy thereof (S&e3806!Labor Code.)
Policy No. Company 11 _i_i" `L" ems
❑ Copy is filed with the city. O Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars ($100) valuation
Of 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
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
1 Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
1 certify that I have read this application and state that the "above Information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives -of this city to enter the above-
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
Legal Description
Project Description 714-074-'013
-'013
Sq. Ft. 100 No.
Size, Stories
New ❑ Add ❑ Alter ❑
I 1701 fi' wood fence
No. Dw.
Units
Repair ❑
IEstimated Valuation 075,505
Demolition ❑
PERMIT
AMOUNT
Plan Chk. Dep.
$250'0,00
Plan Chk. Bal.
39.14
Const.
364.00
Mech.
3.3 , 00
Electrical
74.17
Plumbing
1.05 , 00
S.M.I.
5.36
Grading
2:0 ,. 00
Driveway Enc.
; 20.00
Infrastructure
r
TOTAL
$2,609.53 1,4147 115 1
REMARKS
10
y� @ rq
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATEINSPECTOR
DIPS/68
Issued by: Date Permit
Validated by:
Validation:
WHITE - FINANCE, PINK - APPLICANT, GREEN —BUILDING, GOLDENROD -,-ASSESSOR'S OFFICE, HARD COPY FILE
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL SO FT y S
UNITS
COLL. AREA
[�6LA13 GRADED-� `j - ��
ROUGH PLUMB
YARD SPKLR SYSTEM
2ND FL SO FT. a
HEATING (ROUGH)
STORAGE TANK
MOBILEHOME SVC.
BAR SINK
POR SO FT *
DUCT WORK
ROCK STORAGE
POWER OUTLET
ROOF DRAINS
GAR SO. FT. &
METER LOOP
HEATING (FINAL)
OTHER APP.IEOUIP.
DRAINAGE PIPING
CARP. SO FT. 0
TEMP. POLE
DRINKING FOUNTAIN
WALL SO. FT. Ia
WATER HEATER
SERVICE
URINAL
SO. FT. (p1
BOND BEAM
WATER SYSTEM
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
_ $
FLOOR DRAIN
MECHANICAL FEES
FINAL INSP.
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
I ISIGN
WASH ER(AUTO)(DI SHI
APPLIANCE DRYER
7-(3 � /��/J -
C..'/
�/�
G
t')
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
AIR HANDLING UNIT CFM
VENTILATION
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE, TEMIPERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. ® c
BATH TUB
GAR. FIREWALL
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID g 1% c
SEWAGE DISPOSAL
SO.FT.GAR @ ><c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE I L.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
/Y! /ETBACK -/ � - �'
''tl
GROUND PLUMBI -/ . �
UNDERGROUND
A.C. UNIT
COLL. AREA
[�6LA13 GRADED-� `j - ��
ROUGH PLUMB
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIVA#�
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. yd.
$ plus x$
_ $
GR.
FINAL INSP.
{PLUMBER
/fRAMING0.
FINAL INSP.
i /i! � �
/ R
v ROOFING �
(Ell
O /
CJ
7-(3 � /��/J -
C..'/
�/�
G
t')
/2_ &��
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR,
GAR. FIREWALL
THING 12—F 6
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
_
GARDEN WALL FINAL
0—
z z
O
I—
U
W
U)
c
z
O
U
LU
U)
U)
Y
cr
Q
W
lr
U
z
O
i=
CU
W
U)
t•�s 1, �iirx''�'>�2T�i-.iii �.�+1f�Ti'ili�+w'1 �,n r".':;�tiw+'�er�''r•`'h,:i'fss'4-,f `}'f,.,r.�,�'��•�..�.. �rga�...r�'�. i•"'T�..i'r�7st•+'�+^rr-�-.�'�^'a:�",,....dv:F�F"M'w�'�.TYiI�`Hry�,
COUNTY OF RIVERSIDE, DEPARTMENT OF HEALTH
"1 co v
ENVIRONMENTAL HEALTH SERVICES DIVISION - -
PERMIT APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM f
r
Applicant: Submit this form with four copies of a scaled plot plan (1.20 scale) drawn to County specifications required on the attached check list.
A non-refundable filing fee of $40 is required when the application is submitted. Check must be made payable to the County of Riverside.
Building Department Application Log #
Name (Owner. Agent. Contractor. Etc.) -)
o, &4)s �� �i/
Mailing Addresses A �/
BCr �/ '6
__5—,,%41)e
City
State
Zip Code
Telephone
F/4 L M Spw fA,;G S
Ga.4
.Z Z 4� a_-
3 z —/Q 20
-Job Property Address
'City or Community
'Legal Description of Property (Lot. PM. TR)
u GAJ 7".4
7" / Aese' 9'l. AA., k
-Assessors Parcel No Water Agency or Well
. d ,) , � A A.�A
Use of Permit Planning Case M
Lot Size
O7� 6'
MH Site Preparation Etc
STS r'sFD.
Signature of Applicant Date e
'The above information must be verified from Building Application
STAFF USE — DO NOT WRITE BELOW THIS LINE
f
f j! Initial Daye
4
Certification of Existing S.D. System required. C1 Yes No
WOCB Clearance required. ❑ •Yes No
Soils feasibility report required. El Yes No
Special feasibility boring Report required. ❑ Yes No
Detailed contour plot plans required. ❑ Yes No
Staff Specialist approval required. ❑ Yes No Lot Inspection Date
Soils/boring report by O Y1 ` Project # Date
Soils Map Page Soil Type Approved by Date
Type of System:
No. of Bedrooms
(1) Septic Tank
Soil Rate Required
1
❑ Existing VJ NeW ❑ Additional ❑ Replacement
71n Y Q M ox
Gals.
�� °� G
(2) Leach line sq. ft. i
Sidewall allowance/
InstallLine(s)' Ft. Long,
Leach bed Sq.
Ft.
(Bottom trench area)
ft. rock// Sq. Ft.
Ft. wide vith min. inches
of/bottom
I
per running ft. ❑ N/A
rock below drain lies
area
Leach lines/tied special design for slope:
(3) Pit Diameter
No. Pits
Pit B\
Seepage Pit total depth
Applicable /
�❑ 5' C6'
`
(�
Max. allowable depth
N/A Overburden tactor
tv�Ct V G C K(� � � S � 0-0
This application is ap�ove /denied for the design of a subsurface disposal system as indicated on the accompanied plot plan using the requirements
set forth in Section B above. A building permit is necessary for the installation of the above -designed system.
G? Septic tank and sewer lines must be 50' from any wells •
(2) Leach lines must be 100' min. from any wells including expansion area
�(3) 11550'•min. from any wells including ex ansion area � �� � t O,
tteepage'''plets�m�u�st`bfe
Signature of Health Official Date '
RECEIPT NO. � 115 y
District: ❑ Riverside L� Indio
Distribution: WHITE—Office file
DOH -SAN -122 (Rev. 4/88)
Issued by NIA \-11
Date �_'
❑ Hemet ❑ Perris ❑ Rancho Calif. ❑ Blythe
YELLOW—Applicant PINK—Bldg. Dept. GOLDENROD—Pending File
2.
F' R /4E.
vM G OQcICE OF.
Qs Q�0an AGZICUL UL�C CN
LEON SPAUGY
1nME5O, WALLACE
V
ASSISiANI f0�1N11cc1U%ER
r�.
WE10 4 '':'F� Mb%SURE5
CLE�IEVT 6EhVE!�ISTE
SUIEA
. 49-613 Ilwy 86 Sulte d-12
,•� Coael�e°lla, :' (.'A .92236.
��\�
q' 619 34.2=.8191.
pvp�a.a
DATE �. ^ O: Q C11SE NO,.
DEVELOPER'S NAME: J Jr -A=
ADDRESS:7'Z `i�4
P/4 ua
TELERIONE: ('L;./ l.1 3,2. Z.
��- 0 7 y-- 0/3 f
Dear Developer:
' After reviewing your plans, all .plant material listed is not in.
,lau>dscapu>g
violation of: quararrt:ine `laws goveri�lg t'tie Coachella Valley.'
if .substitutions ':
do occur. and:: they differ 'f: -n plant material'.listed, tins office must be notified
imnedi.ately.'' .
Thank you for,protectu g and pieservi ig ttie Coachella .Valley's
pest -free environment.
' Agricultural .Cahn ss of r s Office".
ec: Indio and Riverside Office
7/z 61 3Y
Certificate of Compliance: Residential (Page 1 of 2) CF -1R
S -n dt f' `ice L'S�
Project Title Date
Project Address,..
•X11. Building Permit#
Documentation Author Telephone
/I Checked By / Date'
Compliance Method (Package, Point System or Computer) Climate Zone Enforcement Agency Use Only
GENERAL INFORMATION
Total Conditioned Floor Area:14ka 1 ft2
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: North/ East/ Southfest All Orientations (circle one or more)
Number of Dwelling Units: I
Floor Construction Type: lab aised Floor (circle one or both)
Infiltration Control: tan�ar � right (circle one)
BUILDING SHELL INSULATION
Component Insulation Location/Comments
Type R -Value (attic, to garaze, tvvical. etc.)
K=1'::1
--;:z �4�:-
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....
(ti./)_
I I L
I a
LIP -
_12L1
2 -1-7
:...
Front....
( )
Left......
(r%)
u< b
11 !. �?
4.,�- t t: , i..
tit v w t Cz-
Left......
(_ )
Rear.....
(�)
�
�, ..� s� `:c
114.�:F�- � �:, '•�
r�i.� � � -
A
°�1 �
Yti e'-�:,� ��
Rear.....
( )
Right....
( S)
•a, I
��� Y>
4- t<}�. tom+.
t- ,) r .1
^ l v
ins! r :5 ..� .
Right....
( )
Skylight.......
o
Skylight.......
THERMAL MASS
Type/Covering
Area
Thickness
(slab/exposed, tile, etc.)
(sf)
(inches)
Location/Description (kitchen, bath, etc.)
�J esu S
I I L
I a
LIP -
_12L1
2 -1-7
i
r•
Certificate of Compliance: Residential
HVAC SYSTEMS
Minimum Duct
Type (furnace, air Efficiency Location Duct Output
conditioner, heat pump) (SE, SEER,HSPF) (attic, etc.) R -Value (Btuh)
ftcV
<;
Maximum Furnace Heating Output: Btuh
(Page 2 of 2) CF -1R
Manufacturer/ Model #
v
HOT WATER SYSTEMS Tank Manufacturer/Model #
System Type (storage gas, etc.) Capacity (or approved equal) Special Feature(s)
�L�z�'n� �.. ST"J�s►4� 3'? F -+-e �-1— `�y �s �Cc��i' �^-�a./� rte.
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 Building Owner
Name: Name:
Title/Firm: Title/Firm:
Address: Address:
Telephone: Telephone:
Lic. #:
(signature) (date) (signature) (date)
Documentation Author Enforcement Agency
Name: V-� _ 4' �\ Name:
Title/Firm: W -, x -x UST` ,n , ra 0, (. „r , -4 Agency:
Address: "L't --'7 -t 7 Telephone:
Teleph e: Ca ,.Fa - -7- Z�
��. Ccs
(signature) +' (dale) (signature or stamp) (date)
Form Revised March 1988
v
Point System Summary: Climate Zone 15
• �T�`�.,2 �'.�ts�.rT�..a �T•�.J L�s R
Project Title
BUILDING DATA
Glass Area
Conditioned Floor Area 1
Number of Stories
Slab/Raised Floor S
5.83
Check all applicable Unit Type condition(s):
[ ] Single Family Detached (SFD)
[ J Addition Alone
['Single Family Attached (SFA)
[ ] Existing Building
[ ] Multi -Family (MF)
[ ] Existing -Plus -Addition
P -2R
0
SCORE CARD
Glass Area
% Glass
North
5.83
East
3 , Sb
South
21
I • +4
West
-
Skylight
or
Total
o
SCORE CARD
Measures
Point Scores
1. Ceiling Insulation
T�- -'3g
or
o
R -value [38]
U -value [0.030]
2. Wall Insulation
TZ ---)9
or
O
R -value 1191
U -value 10.066]
3. Raised Floor Insulation
or
O
R -value 119]
U -value [0.037]
4. Slab Edge Insulation
u
or
1C)
R -value (01
F2 factor [0.771
5. Infiltration
Standard
p
6. Glass Heat Loss
1)" jJJ I`
Type [double]
U -value 10.651
% Total Glass [ 16]
Sum 1-6
7. Shading (Shade Open)
% Glass
SC
Eff. % Glass
a. North
-8 3
x
, -7 =
7 , ci r
b. East
3 • SIm
x
> > =
2-14
�—
c. South
1 -4 -A
x
'7 =
t. to
0
d. West
t`, _ v L
x
-� _
_
I
e. Skylight
u
x
=
rn
8. Shading (Shade Closed)
% Glass
SC
Eff. % Glass
a. North
'3 .8 3
x
Li =
Sq
0
b. East
'3 .
x
L>. _
. 71
t Z
c. South
. .4
x
3
d. West
x
e. Skylight
U
x
9. Interior Thermal Mass
Interior Mass/CFA
10. Exterior Wall Mass
o
d
Exterior Wall Mass
Sum 7-15'-
11. Heating System
-1 , o
x
Zonal Control? ( Y/(N �/
SE or HSPF
Duct Efficiency 10.78)
Effective SE or
10.72/6.61
HSPF [0.56/5.15]
12. Cooling System
, l� ��
x
. 8 1 =
-7• 8 L
Zonal Control? ( Y
SEER 19.51
Duct Efficiency [0.741
Effective SEER [7.03]
13. Water Heating
iV -.� N Q
Type [SG]
Credit [none]
Point Total:
t 4
Form Revised March 1988
Thermal Mass Worksheet WS -111
Project Tltle Date
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.
Mass %
Type 1 Mass Area:
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 TI
Description Mass Area Mass Capacity Mass Capacity
21 7 x —"7 'T8- --,-
-7
X
X
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 =
Q01r%"
Form Revised March 1988
1
Total Opaque Exterior
Wall Area Wall Mass
4
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:
2. SCglazing alone:
3. Framing Type (metal/wood):
4. Mullions (yes/no):
5. Framing/Mullion Factor. 8
(from Table G-10)
6. Interior Shade Type: Wta-�: VGt�} zea,
7. SCshade open: 1.00
8. SCshade closed' • 'Z`f-
(SC of shade w/ clear single glass)
Glazing, Interior Shade & Framing
9a. I t o x 0.25) + 0.75] x , i i x
Where:
SCmax SC„dn
FMF (#5) SC Shade Open
SCmax = larger of #2 and #7
or 9b. , -1!! (from Table G-9)
SCmin = smaller of #2 and #7
SC Shade Open
10a. [('3 x 0.25) + 0.75] x x
. Y _ 7
Where:
SCmax §C—min
FMF (#5) SC Shade Closed
SCmax = larger of #2 and #8
or 10b. , tiL (from Table G-9)
SCmin = smaller of #2 and #8
SC Shade Closed
Exterior Shade
Exterior Shade T yPe �-
11. SCexterior shade: Q , 1 14
(from Table G-11 or manufacturer's data w/ clear single glass)
12. [( l`i` x 0.25) + 0.75] x t _
Where:
. -3 ), SCmax = larger of #9a or #9b and #11
SCmax SCmin
SC Shade Open SCmin = smaller of #9a or #9b and #11
. r
13. [( . '�`Cx 0.25) + 0.751 x . I-) =
Where:
< < SCmax = larger of #10a or #10b and #11
SCrnax SCmin
SC Shade Closed SCmin = smaller of #l0a or #10b and #11
Overhang (Point System Only)
Projection Ratio: 1-4
14. x
Overhang Factor SC Shade Open
SC Shade Open
1
(Shade Open) (#12)
(with Overhang)
Vt,s/ L4
t.
15. i- X 1
=7:1
l 1
Overhang Factor SC Shade Closed
SC Shade Closed
rw t
`~'
Shade Closed
( ) ( #13 )
(with Overhang)
,�
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 (*) may be 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 mandatgry measures
whether they are shown elsewhere -in the documents oron this checklist only.
DESCRIPTION I I DESIGNER I 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 2.0 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
1. 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 UMC.
§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(i): Water heater insulation blanket (R-12 or greater) or combined interior/exterior.
insulation (R-16 or greater); first 5 feet of pipes closest to tank insulated (R-3 or greater).
62-5312(Exception I): Pipe insulation on steam and steam condensate return & recirculating
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§2-5318(d): Swimming Pool Heating
1. System has:
a. On/off switch on heater.
b. Weatherproof instruction plate on heater.
c. Plumbed to allow for solar. �\
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
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