BLDG (0211-163) + RPL (9871) + SFD (9889)53760 Avenida Madero
0211-163
9871
9889
LICENSED CONTRACTOR DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of
Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Professionals Code, and my License is in full force and effect.
License # Lic. Class Exp. Date
Date Signature of Contractor
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's
License Law for the following reason:
( ) 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 & Professionals Code).
( ) I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project (Sec. 7044, Business & Professionals'
Code).
( )' I am exempt under Section B&P.C for this reason
'date 4 8'H 10 "t, Signature of Owner
WORKER'S COMPENSATION" DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
( ) I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
( .) I have and will maintain workers' compensation insurance, as required by
Section 3700 of the Labor Code, for the performance of the work for which this
permit is issued. My workers' compensation insurance carrier & policy no. are:
Carrier Policy No.
(This section need not be completed if the permit valuation is for $100.00 or less).
(y) I certify that in the performance of the 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, and agree that if I should become
subject to the workers' compensation provisions of tSection 3700 of the Labor
Code, I shall forthwith comply with those proviisions.'
Date: I it )+ `ice Applicant—
Warning:
. '
Warning: Failure to secure Workers Compensation coverage is unlawful and
shall subject an employer to criminal penalties and civil fines up to $100,000, in
addition to the cost of compensation, damages as provided for in Section 3706
of the Labor Code, interest and attorney's fees.
IMPORTANT Application is hereby made to the Director of Building and Safety
for a permit subject to the conditions and restrictions set forth on his
application.
1. Each person upon whose behalf this application is made & each person at
whose request and for whose benefit work is performed under or pursuant to
any permit issued as a result of this applicaton agrees to, & shall, indemnify
& hold harmless the City of La Quinta, its officers, agents and employees.
2. Any permit issued as a result of this application becomes null and void if
work is not commenced within 180 days from date of issuance of such
permit, or cessation of work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is
correct. I agree to comply with all City, and State laws relating to the building
construction, and hereby authorize?representatives of this City to enter upon
the above-mentioned property fc inspecti `n purposes. t
Signature (Owner/Agent) F Date 4f ISO
• BUILDING PERMIT PERMIT #
DATE axe VAVUATION uAe : . xii LOT TRACT
JOB SITE
ADDRESSD-%i
APN
OWNER
CONTRACTOR / DESIGNER / EN (NEER
LA QUINTA CA 92,253
USE OF PERMIT r'
561,F. 5' OARDMN WALk, M TY ST.'iia'fOAR,1a
`7C XsA [ g3 Cob -T orl m-mmucrioa"i
1,212.40
CON STRW CTI O R RX, 101-000-4-18-000 $31-00
D Q p
NOV
2 2 2002
CIN OF LA QUINT
FINANCE DEPT
A
x
iJ> -TU'}: AL C'Ok3 . ` `.f. UMION AND PLM CTWY,
$31.00
..
30,00
s
c
RECEIPT
DATE ^ { i
BY
D FINALED
INSPECTOR
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
OX to Wrap
F.A.U.
Framing
Compressor
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final
Final
BLOCKWALL APPROVALS
POOLS - SPAS
Steel
Set Backs
-U
Electric Bond
Footings
Main Drain
Bond Beam
/
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
OX for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
Encapsulation
Gas Piping
Gas Test
Appliances
Final
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
COMMENTS:
OWNER/BUILDER INFORMATION
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of the property
improvements specified.
For your protection you should be aware that as "Owner/ Builder" you are the responsible party of record on such a
permit. Building permits are not required to be signed by,property owners unless they are personally performing their
own work. If your work is being performed by someone other than yourself, you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business license
from the City or County. They are also required by law to put their license number on all permits for which they
apply.
If you plan to do your own work, with the exception of variuus trades that you plan to subcontract, you•should be
aware of the following information for your benefit and protection:
If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is $200.00 or more for, the entire project, and' such persons are not licensed as contractors or
subcontractors, then you may be an employer.
If you are an employer, you must register with the State and Federal Government as.an employer,and you are subject
_ _. to several obligations_ including_Sta[ece_and_Fe 41- ncome_tax.,withholding, federal -social ;security -taxes, worker's__- .._.
compensation insurance, disability insurance costs and "unemployment compensation,contributions...
There may. be financial risks for you if you do not carry out these obligations, and these risks are especially serious with
respect to worker's compensation insurance.
For more specific information about your obligations under Federal Law, contact the Internal Revenue Service (and, if
-you wish, the U.S. Small Business Adminstration). For more specific information about your obligations under State
Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "Owner/ Builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally.
Building permits are not required to be signed by property owners unless they are performing their own work
personally.
Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your
community or at 1020 N. Street, Sacramento, California 95814.
Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of
these matters. The building permit will not be issued until the verification is returned. ,
Very truly yours,
CITY OF LA QUINTA
DEPT. OF BUILDING AND SAFETY
78-495 Calle Tampico
La Quinta, CA 92253
QP) -7y-7012
AX (7 0) 777 11
O ER'S SY.GN9TURE/DATE
'53-
PROPERTY ADDRESS
PERMIT NUMBER(s)
IOU
Of
' P.O. BOX 1504 ((1 N O . 9871
;
Building '"'" 7&105 CALLE ESTADO , ' _
Address 53760 Madero LA QUINTA; CALIFORNIA 92253
Owner
Jean Ortiz •
Mailing BUILDING: TYPE CON ST. OCC: GRP.
Address P. O. • Box 59
A.P. Number
City Zip Tel.
..La Quinta 92253- 564•-1486 Legal Description
Contractor Project Description
Gefteral Contract Mgmt : -
Address POOL 0my
P. 04' -Box 59
' City Zip Tel.:
LaQuinta 1.92253 564-1486
State Lic. City
& Classif. •524325 Lic. # 1235 Sq. Ft. No. No. Dw.
Size Stories "Units
Arch., Engr.,' .
Designer New ❑ Add ❑ . Alter ❑ Repair ❑- Demolition ❑
Address Tel.
City :• : Zip State
;., Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
} ._.7000) of Divislon.3 of the Business and. Professions Code, and my license is in full force and
r effect
SLGNATURE DATE F _ '
OWNER -BUILDER DECLARATION Estimated Valuation'
• T hereby affirm that I am exempt from the'Contractoes License Law.for the following . :7600. 0 0
w reason: , (Sec. 7031.5,Business' and Professions Code: Any city or county which requires a'
.=r`permlt to construct, alter—improve, demolish, or repair any.structure, prfor to its issuance alsoF
AMOUNT
':requires the applicant for such permit to file a signed statement that he is licensed pursuant to _ PERMIT `
dia provisions o/ the Contractor's License Law, Chapter.9 (commencing wlth.Section. 7000) o/
Divlslon 3 of the Business and Professions Code,- or that. he is exempt therefrom, and the basis
'tor:-the•alleged exemption. Any violation of.Section 7031.5 by.'any applicant for a permit_ - Plan Chk. Dep.• 'r subjects the applicant to'a civil penalty o/ not more than five hundreddollars.($500). -. plan Chk. Bal.
O'1, 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 'Const. 90 .,00
Professions Code: The Contractor's License Law does not apply. to an owner of property who
builds or If n
improves
thereon and who does work. -himself *or through his own employees, Mech. ' .. Q'0
provided that' such improvements are not intended or offered for sale. If, however, the building
or improvement 1ssold within one year of completion,Ahe owner-builderwill have the burden ' Electrical .`30 0
of. proving that he did not build or Improve for'the'purpose o/ sale.) - M1
,O I, asownerof the property, am exclusively contracting with licensed contractors to con- Plumbing 21. 00
•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.I.-
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.). _
.O t am exempt under Sec. - B. 8 P.C. for this reason Grading .
Driveway Enc.
Dale Owner Infrastructure
WORKERS' COMPENSATION DECLARATION
1 hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Wo rker's,Compbnsation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code:)
Pollcy No. h '`- Company
O_Copy is filed with the city. O`Certified copy is hereby furnished.
TOTAL
CERTIFICATE OF EXEMPTION FROM REMARKS
.WORKERS' COMPENSATION INSURANCE -
(This section need. not be - completed if the permit is for one hundred dollars ($100) valuation n0.ra nrr t o •+c A >, /:.•1 k.q`_.L14 • 6 +,
or less:) v „ g
I certify that in the performance of the work for which Ahis permit is issued, I -shall not 0. L.Y7 } C , ?( .
=any person in any'manner so -as to become'subject to the Workers' Compensation .4
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 1. -
comply with such provisions or this permit shall be deemed revoked. " • Minimum Setback Distances: ' •\ ,
Front Setback.from Center.Line
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line '
'I hereby affirm that there is a construction lending agency for the performance of the
work for which this permitis issued. (Sec. 3097, Civil Code.) Side Setback from Property Line
Lender's Name
Lender's Address FINAL DATE INSPECTOR
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:
I certify that 1 have read this application and state that the above information'is correct. Issued by: Date Permit'
A 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
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SO. FT. ® $
2ND FL. SO. FT. @
POR. SO. FT. ®
GAR. SO, FT. ®
CAR P. SO. FT. [cp
WALL SO. FT. ®
SO. FT. ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN.
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
ROUGH PLUMB.
FLOOR DRAIN
MECHANICAL FEES
HEATING (ROUGH)
WATER SOFTENER
VENT SYSTEM FAN EVAP.000L HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
DUCT WORK
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
GAS (ROUGH)
LAUNDRY TRAY
AIR HANDLING UNIT CFM
HEATING (FINAL)
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
BOND BEAM
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1 Vi c
SEWAGE DISPOSAL
LUMBER GR.
SO.FT.GAR ® 3Vic
HOUSE SEWER
FRAMING
FINAL INSP.
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PLCK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & 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 APPIEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING
/►
' ✓l (//
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING,/ %!
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
P.O. BOX 1504 itN u . 9882
Building 78-105 CALLE ESTADO
Address 51-760.Madero LA QUINTA, CALIFORNIA 92253
ka
Owner
Gene Ortiz
BUILDING:- TYPE CONST. OCC: GRP..
Mailing , ,
• • Address ' P. O.—Box 59 A.P. Number . 774--:143-001
City Zip Tel._. - ..
3.aQuinta " 92253 564-- 486 Legal Description fl$ .0 24. Block- 1.98 -
Contractor 1
-'- Ib>id i ` ..gact Mgmt a Project Description 8PD '
Address
P. 0. IROS:, 59,
- T
City. Zip Tel.: , ...
LaQui,z32253
State Lic. City.
& Classif. 524325 Lic. #
1235' Sq. Ft. 1641 No. No. Dw.
Size Stories Units
Arch.; Engr.;
'DesignerNew ❑ Add ❑ Alter ❑ Repair 0 Demolition.O
Address Tel. Pe=ii, does nbt iTaC,I ude - bloc wall or..
City Zip
State pool
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencingwith Section 7M"' 7000)•of Division 3 of the Business and Professions Code, and my license is in full force and
effect.. "
, SIGNATURE DATE
OWNER-BUILDER DECLARATION Estimated Valuation
I hereby affirm that L am exempt from the Contractor's License Law for the following $ 908.50 .
-;reason: '(Sec. 7031.5,Susiness and Professions Code: Any city or county which requires a
permit to construct, atter, Improve,. demolish, or repair any structure, 'prior to itsissuance also AMOUNT
requires. the applicant for such permit to file a signed statement that he is licensed pursuant "to PERMIT -
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Division 30 IF the Business and Professions Code, of that. he is exempt therefrom, and the basis
for the alleged exemption. Any violation. of Section 7039.5 by 'any applicant .for a. permit '.Plan Chk. Dep. ,..: - - - . , 250.00
_
subjects the applicant to a civil penafty of not more than live hundred dollars.($500).. • - ••_ • '••
O I, as owner of the property, or my employees with wages as their sole compensation,•willPlan Chk. Bal.. 2M.30
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and COr1St, r
Professions Code: The Contractor's License Law does-not apply to an owner.ol property who - 626..0a►0
builds or improves thereon and -who does such work himself or through his own employees, Mech.
provided that such. improvements are not intended or offered.for. sale. If, however, the building + - • sir
or improvement Is sold within one-year of completion, the owner-builder will have the burden "Electrical; '
of proving that he did not build or improve for the purpose of sale.) - . ' n . 3n
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- Plumbing Z ° o J i'
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.L' 9.,v 70
'Such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) -
' 0 I am exempt under Sea Grading. 20.;00 B. 8 P.C. for this reason - ,
Driveway Enc.
20.00
Date Owner _ _ Infrastructure 2095.03
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. (Sec. 3800, Labor Code.)
Policy No. Company '
CoIs filed with the cit . • 0 Certified
py y copy is hereby furnished..
TOTAL 3626.87 3.376+.87
` CERTIFICATE OF EXEMPTION FROM REMARKS •
WORKERS' COMPENSATION INSURANCE
(This section need not be-completed ff.the permit is forone hundred dollars ($100) valuation
or less.)
1 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 tc,become subjec,C to thes.Wor sy_Compensation f uF ; 1 t y
Laws of California. M "--' "" `y t,
Date f"9 = t Owner" — . :t r `. , qtr . •`1" 2 "+1 `7
NOTICE, TO APPLICANT: If,. after making this' Certificate of Exemption -should' become ZONE:'-'-
subject :to the Workers' Compensation•-provisloris-of the Laboi Code, yoq 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
'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.) • Side Setback from Property Line
' Lender's Name
Lender's Address
+ This is a building permit when properly filled out, signed and validated, and is subject to, FINAL DATE INSPECTOR
expiration it work thereunder is suspended for 180 days: y
I certify that .I have read this application and state that the above, informatiorris 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.
Validatedby:
Signature of applicant Date
Mailing Address Validation:
City, State, Zip
Y
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SQ. FT. ® $
2ND FL. SQ. FT.
POR. SQ. FT. ®
GAR. SO. FT. ®
CAR P. SQ. FT.
WALL SQ. FT. ®
SQ FT ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN.
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
SLAB GRADE
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
ROUGH WIRING.
LAUNDRYTRAY
AIR HANDLING UNIT CFM
FOUND. REINF.
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
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1+/. c
SEWAGE DISPOSAL
SERVICE
SQ.FT.GAR ® 3/ac
HOUSE SEWER
BOND BEAM
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 & AIR COND. SOLAR
SETBACK Vg -6
/
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
Z
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING.
DUCT WORK
ROCKSTORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
'
GRADING
cu. yd.
$ plus x$
_$
LUMBER GR.
FINAL INSP. 1 /tfl
FRAMING /Q/ 9
FINAL INSP.
ROOFING/ J
L
c.'/
t
/O//J
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATIONISOUND Q
FINISH GRADING
FINAL INSPECTION //
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
DESERT SANDS UNIFIED SCHOOL DISTRICT -
82-879 Highway.111
NOTICE: Indio, CA 92201
Document Cannot Be ,Duplicated (619) 347=8631
Date 8/13/91' Type of Permit I La Quinta
No. 10802 Permit #
Owner Name Log #
Gene Ortiz
No. 53760 street Avenida Madero
city La Quinta zip 92253 Study Area 111
APN # 774-143-001 Tract # I I Lot # Square Footage 1641
Type of Development . Single, Family Residence No. of units
Comments
At the present time, the Desert Sands Unified School District does not collect fees on
garages/carports, covered patios/walkways, residential additions under '500 square feet,
detached accessory structures or replacement mobilehomes. It has been determined
the above-named owner is exempt from paying school. fees at this time due to the
following reason:
EXEMPTION NOT APPLICABLE -
This certifies that school facility fees imposed pursuant to 'Government -Code 53080
in the amount of 1.58 X 11.6417 or$ 2,592.78 have been paidito D.S.0 S.D. for
the property listed above and that building permits and/or Certificates of Occupancy for
this.square footage in this proposed project may now be issued.
Fees Paid By Jean M. Ortiz-TTEE Telephone 564-1486
Name on the check
By James E. Lively
r
Assistant Superintendent, Business Services
Fee collected /exempted by Shelley D. Bennett
i 4
Paymert: R2ceivvd, ';
Signa
tore i k ChecL' i4 ' 109
g
Collector: Attach a copy of county or city plan check application form to distri t`^ py for ail waivers.
Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting
j ,
CALVIN C. KAMINSKAS i s A f a DAN RILEY
Sealer. Welghls & Measures
Assistant Commissloner 7
V ' (714) 275-3030
(714) 275.3000
OFFICE OF
AGRICULTURAL COMMISSIONER
JAMES O. WALLACE, commissioner
83-612 Avenue 45 Suite 7
Indio, CA 92201*
(619) 342-8291
DATE U )
J 2 3 °( q( CASE NO. PL D O% 2 9 1 M
t '
DEVELOPER'S NAME : G P✓1 t'' "u I O ' T' C I / ' A t oxye
Q-v
ADDRESS :
TELEPHONE:
/Q • 2(% /mac
Dear Developer:
After reviewing your landscaping plans, all plant material listed is not in
violation of quarantine laws governing the Coachella.Valley.. If substitutions .
do occur and they differ from plant material listed, this office must be notified
immediately:
Thank-you for protecting and preserving. the Coachella Valley's pest-free environment.
Agricultuy6l Conmi sioner's Office
I
cc: Indio and Riverside
4080 LEMON STREET, ROOM 19, RIVERSIDE, CALIFORNIA 92501 — FAX (714) 275.3012
TRUSS D.[V.ISION
5 TON MBER.co
-9754,
fit'• CaUbrrdg 9=li(sl 9) 347
`ft
E. LEorl St nlic,Y
tii I e t:n r b I); I Ii.E UI co•a nS;Rr..tn , - ,
s AGRICUL I URAL y OMMISSKOILIt LASTS U WAUA T ,
AND CEEMEvI I1F,'VEMSIE
t. VI:IGI i 1 S b hl - AsuIILS s uin
69-613 Ilt+y 06, 1)ulte II -12
•cuttchelltt, CA 92236
• i; r9 'sa 619-J42-0'l9l .
CASs I IU L, i2 111
UNCE:
I)CVF,WI'CIt' S IIN•ICs
n1,1,1tCss -
I.. n1 .A-
S `•(
. ISS •
53 vS
Dear Develuveri
After reviewlnq your 1010SCO111.ncl plasm, till Ill nt nylerial listedCIS su stitutliulls
violation of yuatantlne ltlws tluveinlny ll;e Cuacllella Valley.
do occur and they dlE[er [tun I;lanl n►alel:lal listed, tills o[Eice must he nuLlEled
hill>ediately.
ervlliy the Coachella Valley's pest -free envitvlrlent.
'1'Iiauilc you [or ptvtectLiy and 1►ies
. ngr ultural Cain ss oiier s UL [ ice
ccli lndio slid 111veirside U[ [ ice
NOTE$: 1. Cul ail memoen to bear.
2. Gertner an out.4 on born sloes of io%m
un lose X or Y \outlons ■re soecAmo.
3. The t V" teorCator n resoor"VDte to
pra, oe p.etlrp for runallng as reoa/we0.
See usage i uAe,
e. See Vote ]for web lateral bracing
,r \ ieouir9~111.
Y
Y,
C6 L'J
20REIN%
UXLSS r0t^D P • 6'
13;ult: a PSIL '
SPAN- L
Dayn •114 ady to we sen ".Am eonanas. TAIL trust is onyned as an rbnawl Oudtley Wroortertl.
a o to tc rC,,wala0 reo t bnWnn Q ocsyn Int soeco calm a me oeyna 01 Salo DuAQp 9.611cvy
1 N rtlnnUl Muss m0'naas qtly A0anm11 baCn0 01 the wer111 tIW%Oe mfr
toecnea o a Wen U0001l
be Imulto Fa Qerk al Quosme tK 8neno V40M Iram1. Fa soeC11K uws eaery reounernpls eomlq HYDROAIR*
awry oovw For sm-Am rWj,QrV uacnm. ar14r Cannot. 110119e. celhay. ooam"bacry to
Own mun"e..l►"Orvl we111- no IM f♦esir*eAM con a no-arl tww, EN01N0WR1NG,IIVC,
'arlluw( sae 1rus1 Y\,II TtsttNe 1111 Agg$ K000. hytntrille AUnuM. 20183. BOX 1759. ST. LOUIS. MO. 93171
TYPE 600
UPC CODE' 21- 011 O.C.
4/12 SLUPE PT PLATES
DOUG FIR L HEM FIR
20/l0,/0/10= 40 PSF 9 1,25
; Hrot"; ,r Enolnee,,nq. Inc 1V79
1 Design Information
rc(D•L)= 30.0 PSF
5
Plating Information
..,
uec
P.C(D-L)= 10,0-FSF
.
+
D►G NO. R79-3010-UP2F-
.
6G4
TL(D-L)= 40,0 PSF
JT.
MAX-SPANS(FT-IN)
HYDRO
-NAIL
LGCATION(IN)
•
SHT '00. 6• DATE 3/23/79
STRESS INC = 1.25
NO.
PF"
1.F
PLATE
SIZE
•--X-- --Y -
J
1 1E-11
1E-
8 2 1/2
X
4
PT
2
Maximum Chord Spans
(Ft. -In.)
22- 8
27.-'
5 3
X
4
PT
'
2E- 0
2F-
0 2 1/2
X
6
PT
LU48F.R GRACE TOP
CHORD SOTTOr. CHORD
=DOUGLAS FIR= 2X4
2X6
2X4 2X6
J
2 2h- 0
2e-
0 1
X
4
PT
NO 7 2e- 0
26-
0 24- 1 28- 0
•
NO 7 DENSE 29- 0
28-
0 24- 1 28- 0
SJ
2 'tH- 0
2h-
0 4 1/2
X
6
PT
b 1. 1/4
NO 1 2a- 0
29-
O 25- 5 28- 0
NO 1 DENSE 2d'- 0
28-
0 26- 9 26- 0
J
3 2B.- 0
2N-
0 3
X
4
PT•
3 2 1/2
SEL STRU 28- 0
28-
0 25- 5 7P- 0
DFN SEL STRU 2d- 0
2e-
0 26- 9 '28- 0
J
6 20- 0
2E-
0 2 1/2
X
6
PT
=HEY FIR=
NO 2 26-11
28-
0 20- 1 25-10
SJ -6
20- 0
28-
0 4 1/2
X
6
PT
1 1/4
NO 1 28- 0
28-
0 21- 5 27- 5
SEL STRU 28- 0
28-
0 21- 5 27- 5
CHORD SPLICE OPTIO14S
•REOUIRES 2X6 BEARING
vREOUIRES 2X8 BEARING
C
2 28- 0
2E-,
0 3
X
4
PT
C
6 28- 0
21-
0 3
X
4
PT
PLATES MARKED +
NVOUIPE
2X
6
CHORDS
3
Web Requirements
(FL -In.)
GROSS -PLATE
RATING(YSI)
FOM
P1=171
(UF), 1690-F) .
U149HACEU BRACED
2X4 WFBS W1 W2
'41 W2
STD -DF 28- 0 28- 0
28- U 26- 0
CDN -DF 2B- 0 28- 0
28- 0 2H- 0
STU-FF 2P- 0 2H- 0
28- 0 26- 0
CCN -►'F 26- 0 2P- 0
28- 0 28- 0
2X6 WEBS
N07 -DF 2P- 0
28- 0
NO2-MF 28- 0
78- 0
4
Force Information
L=Span ( FL)
CHORn FORCES WEB FOMCES JOINT LOADS
C 1= -84.7L W'1=
-21.96 J 1= 13.3L
C 2= -63.26 W 2=
26.5L J 2= 15.1L
C 6= '80.4L
J 3= 13.6L
REACT=
-40.OL J 6= 10.1L
DESIGNED IN ACCORDANCE
WITH
TPI -78 AND NC5-77
NOTE$: 1. Cul ail memoen to bear.
2. Gertner an out.4 on born sloes of io%m
un lose X or Y \outlons ■re soecAmo.
3. The t V" teorCator n resoor"VDte to
pra, oe p.etlrp for runallng as reoa/we0.
See usage i uAe,
e. See Vote ]for web lateral bracing
,r \ ieouir9~111.
Y
Y,
C6 L'J
20REIN%
UXLSS r0t^D P • 6'
13;ult: a PSIL '
SPAN- L
Dayn •114 ady to we sen ".Am eonanas. TAIL trust is onyned as an rbnawl Oudtley Wroortertl.
a o to tc rC,,wala0 reo t bnWnn Q ocsyn Int soeco calm a me oeyna 01 Salo DuAQp 9.611cvy
1 N rtlnnUl Muss m0'naas qtly A0anm11 baCn0 01 the wer111 tIW%Oe mfr
toecnea o a Wen U0001l
be Imulto Fa Qerk al Quosme tK 8neno V40M Iram1. Fa soeC11K uws eaery reounernpls eomlq HYDROAIR*
awry oovw For sm-Am rWj,QrV uacnm. ar14r Cannot. 110119e. celhay. ooam"bacry to
Own mun"e..l►"Orvl we111- no IM f♦esir*eAM con a no-arl tww, EN01N0WR1NG,IIVC,
'arlluw( sae 1rus1 Y\,II TtsttNe 1111 Agg$ K000. hytntrille AUnuM. 20183. BOX 1759. ST. LOUIS. MO. 93171
TYPE 600
UPC CODE' 21- 011 O.C.
4/12 SLUPE PT PLATES
DOUG FIR L HEM FIR
20/l0,/0/10= 40 PSF 9 1,25
; Hrot"; ,r Enolnee,,nq. Inc 1V79
ENERGY CONSULTING GROUP
'III Indian Hills Box 34F
Lic 473969
W Mountain Center, CA 92361
The following.are some explanatory notes concerning the
enclosed forms:
C2R The compliance margin is a positive number --the
building, as described in these reports, complies
with the California Energy,Commission requirements..
CF -1R Page 2 should be signed by the building designer
and owner. Please note any remarks that may appear
in the "Special Features/Remarks" section. These
components are required standards for your build-
ing. Also, the brand name and model number of
the furnace, air conditioning and hot water systems
you plan to install should be'entered.
MF-lR Lists the mandatory items required by the California
Energy Commission and should be completed by. -the
r builder or owner.
HVAC SIZING calculations are used to indicate the basic
heating and air conditioning requirements.(Btu) for
your particular building. Please note that this is.
a guideline and the person selecting this equipment.
needs to consider all factors involved (.such as -air
flow restrict.ions-,.safety margi.,ns, etc.) when
makng'these choices.
Please contact us i.f you have any questions concerning
this compliance package.
Thank you;
W. J. Fi-nnell
Enclosures
r
Residential & Commercial Energy Consultants 1-800-262-9966
COMPUTER METHOD SUMMARY Page 1 C -2R
Project . Title.. . ..MEDERO Date........ 07/22/91
Project Address... .. 53763 MEDERO ----------------
LA QUINTA
Documentation Author...'W J FINNELL ; Building Permit #
Company ............... Energy Consulting Group
P Y•
Telephone.............. 800-26279966 i Plan Check / Date
Compliance Method..... MICROPAS3 by Enercomp', Inc. ; Field Check/ Date -
Climate Zone..... 15 ----------------:---
' MICROPAS3 v3.11 -File-MEDERO Wth-CTZ15 Program -FORM C -2R
User#-MP1325 User -Energy Consulting Group Run-MEDERO
----------------------;--------------------------------------------------
MICROPAS3 ENERGY USE SUMMARY
= Energy Use
Standard
Proposed
Compliance =
_ (kBtu/sf-yr)
Design
----------
Design
-----------
Margin -
---------- _
------------------------
- Space Heating.......... .6.86
3.95
2.91 =
= Space Cooling. ........ 49.39.
43.84
5.55 =
= Water Heating.......... 11.40
16.55
-5.15 =
_ -
Total 67.65
64.34
3.31 =
_ ***.Building
complies.with Computer Performance
GENERAL INFORMATION
-------------------
Conditioned Floor Area..... 1641 sf
Building Type.... Single Family Detached
Building Front Orientation. Front Facing 0 deg (N)
Number of Dwelling Units... 1
Number of Building,Stories. 1
Weather Data Type.......... ReducedYear
Floor Construction Type....
Slab On Grade (Package D)
Number of Building Zones.:..
1
Conditioned Volume.........
16592 cf
Footprint Area.............
1641 sf
Slab -On -Grade Area.........
1641 sf
Glazing Percentage.........
16 % of FA
Average Ceiling Height.....
10.1 ft
BUILDING ZONE
INFORMATION
-------------------------
Floor
# of
Vent
Special
Cond- Area Volume
Dwell Thermostat
Height
Vent Area
Zone Type itioned ( sf ) ( cf )
Units Type
(ft)
(sf)
HOUSE
Residence Yes 1641 16592
.1.00 Setback
2.0
n/a
COMPUTER METHOD SUMMARY Page
2
C -2R
Project Title ............ -MEDERO---------------------- -_--- Dat e-----
......... ---07/22/91
MICROPAS3 v3.11 File-MEDERO Wth-CTZ15 Program -FORM
C -2R
User#-MP1325 User -Energy Consulting Group Run-MEDERO
OPAQUE SURFACES
Area
---------------
U- Insul Act Solar Location/
Form 3
Surface,
(sf)
value R-val Azmth'Tilt Gains Comments
Reference
HOUSE
1 Wall
409
0.065 R-19 .0 90 Yes OUTSIDE
None
2 Wall
307
0.065 R-19 90 90 Yes OUTSIDE
None
3 Wall
257
0:065 R-19. 180 90 Yes OUTSIDE
None
4 Wall.
197
0.065 R-19 180 90 No GARAGE
None
5 Wall
112
0.065 R-19 270 90 Yes OUTSIDE
None
6 Wall
217
0.065 R-19 270 90, No GARAGE,
None
7 Roof
1632
0.029 R-38 0. 0 Yes ATTIC
None
8 -Door.
20
0.330 R-0 0 90 Yes OUTSIDE
None
9 Door
18
0.330 R-0 270 '90 No GARAGE
None
PERIMETER LOSSES,
-.---------------
Length F2 Insul
Surface
(ft) Factor R-val Location/Comments
HOUSE
10
S1abEdge
31 0.900 •R-0 OUTSIDE
11
S1abEdge
9 0.550 R-0 GARAGE
12
S1abEdge
114 0.720 R -O- OUTSIDE
13
SlabEdge
33 0.500 R -O GARAGE
GLAZING SURFACES .
SC
Interior
SC
Area #
of Frame Open U- Act Glass
Shade
Gls+
Surface
-----------
(sf) Panes Type Type value Azmth Tilt Only
----- ------------- ------ -----
Type
Shade
HOUSE
----- ---- -----
----------
-----
1 Window
91.0
2 Metal Slider. 0.65 .0 90 0.77
'LGT VENETI.
0.29
2 Window
55.0.
2 Metal. Slider 0.65 90 90 0.77
LGT VENETI
0.29
3 Window
75.0
2 Metal Slider 0.65. 180 90 0.77
LGT VENETI
0.29
4 Window
33.0
2 Metal Slider 0.65 270 90 0.77
LGT VENETI
0.29
5 Skylight
9.0
2 Metal Slider' 0.64 0 0 0.77
none
0.77
EXTERIOR SHADING
--------------
Area ; Shading SC of
Surface (sf) Type Ext Shade
HOUSE
1
Window- 91.0 50% bug scrn 0.84
2
Window 55.0 50% bug scr.n 0.84
3
Window 75.0 50% bug scrn 0.84
4
Window 33 .0 . 50% bug scrn 0.84'
COMPUTER METHOD SUMMARY Page 3 C -2R
--------------------------------
Project Title.......... MEDERO Date........ 07/22/91
MICROPAS3 v3.11 File-MEDERO Wth-CTZ15 Program -FORM C -2R
User#-MP1325 User -Energy Consulting Group Run-MEDERO
THERMAL MASS
WATER HEATING SYSTEMS
Area
Thick Heat Conduct -'Surface
Pilot
Mass Type
---------------
(sf)
------
(in)
-----
Cap ivity R -value
---------------------
Location/Comments
--------------------------
H.OUSE
Blanket iency . Loss Rating
(.Btuh ) Credits
Storage
1 S1abOnGrade
.292
3.5
28.0 0.98 R-0.0
KITCHEN/ENTRY/BATHS
2 S1abOnGrade
1349
3.5
28.0 0.98 R-2.0
REST OF HOUSE
3 InteriorHorz
66
1.,0
24.0 0.67 R-0.0
tile: kitchen & baths
4 InteriorVert
100
4.0
21.0 0.59 R-0.0
LIVING ROOM
HVAC SYSTEMS
.Minimum Duct
Duct Duct
System
Type
Efficiency Location.
R -value Efficiency
HOUSE
Gas
0.800 SE Attic
R-5 0.828
AirCond'
9.50 SEER Attic
R-5 0.818
WATER HEATING SYSTEMS
Capa-
R-12 or
Pilot
System
# of city
Greater Effic- Standby Input
Size
Type
Heat ( gal )
Blanket iency . Loss Rating
(.Btuh ) Credits
Storage
Electric
1 36
Yes 0.99 RE .93% 5.5 kW
n/a Recovery
SPECIAL FEATURES/REMARKS
-------------------------
CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 1 CF -1R
Project Title.......... MEDERO Date.......... 07/22/91
Project Address.. ... 53763 MEDERO
LA QUINTA
Documentation Author... W J FINNELL ; Building Permit #
Company ................ Energy Consulting Group
Telephone .............. 800-262-9966 ; Plan Check / Date
Compliance Me.thod...... MICROPAS3 by Enercomp, Inc. ; Field Check/ Date
Climate Zone........... 15 --------- ------- -
----------------------------------------------
MICROPAS3 v3.11 File-MEDERO Wth-CTZ15 Program -FORM CF -1R
User#-MP1325 User -Energy Consulting Group Run-MEDERO
-------------------------------------------------------------------------------
GENERAL INFORMATION
Conditioned Floor Area...... .1641 sf .
Building Type .............. Single Family Detached
Building Front Orientation. Front Facing 0 deg (N)
Number of Dwelling Units... 1
Number of Stories.. 1
Floor ConstructionType...:. Slab On Grade (Package D)
Infiltration Control...... Standard
BUILDING SHELL INSULATION
Component Insul
Type R -value Location/Comments
Wall
R-19
OUTSIDE, GARAGE
Roof
R-38
ATTIC
Door
R-0
OUTSIDE, GARAGE
S1abEdge
R-0
OUTSIDE, GARAGE
GLAZING
Glazing
Area
Thickness
Area
# of
Interior
Exterior
(in)
---------
Framing
Orientation
S1abOnGrade
(sf)
Panes
Shading
Shading
Overhang
Type
Window.
Front
(N)
91.0
2
LGT VENETi
-------------
50% bug scrn
-----------------
None
Metal
Window
Left
(E)
55.0
2
LGT VENETI50%
bug scrn
None
Metal
Window
Back
(S)
75.0
2
LGT VENETI
50% bug scrn
None
Metal
Window
Right
(W)
33.0
2
LGT VENETI
50% bug scrn
None
Metal
Skylight
Horz
9.0
2
none
None
None
Metal
THERMAL MASS
Area
Thickness
Hard Surfaced/
Type
------------
.(sf)
------
(in)
---------
Exposed
Location/Comments
S1abOnGrade
292
3.5
--------------
Yes
------------------------
KITCHEN/ENTRY/BATHS
S1abOnGrade
1349
3.5
No
REST OF HOUSE.
InteriorHorz
66
1.0
Yes
tile: kitchen & baths
InteriorVert
100
4.0
Yes
LIVING ROOM
CERTIFICATE
OF COMPLIANCE: RESIDENTIAL
---------------
Page 2
CF -1R
Project Title....
--=----------------------------------------------------------------------------
.... MEDERO
Date....... 07/22/91
MICROPAS3
v3.11 file-MEDERO Wth-CTZ15 Program
-FORM CF -1R
-.-------------------------------------------------------------------------;-----
User#-MP1325 User -Energy Consulting Group
Run-MEDERO
ASSUMED HVAC SYSTEMS,
-----------------
Assumed. Duct
Duct
Assumed System Efficiency Location
R -value
Gas 0.800 SE Attic
R-5
AirCond 9.50 SEER Attic
R-5
ACTUAL HVAC SYSTEMS
-------------------
°Actual. Output Manufacturer
and Model #
Actual
System Efficiency ( Btuh ) (,or approved
equal)
Heating
Cooling
z. . .
Cooling
Coil
f.
CEC
Maximum output for Gas Central Furnaces:
108000 Btuh
WATER HEATING SYSTEMS
---------------------
Tank R-12 or
# of Vol Greater Manufacturer
and Model #
Energy
System Type
Heat ( gal) Blanket (or approved
equal)
Credits
Storage, Electric
1 36 Yes' SEARS POWER MISER
Recovery
SPECIAL FEATURE'S/REMARKS
CERTIFICATE OF COMPLIANCE= RESIDENTIAL 'Page" -3 CF -1R
---------------
Project Title.......... MEDERO Date... 07/22/91
' MICROPAS3 v3.11 File-MEDERO Wth-CTZ15 Program -FORM CF-iR
User#-MP1325 User -Energy Consulting Group Run-MEDERO
1
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 r+WNFQ
Name....
Company.
Address.
Phone..
License.
Signed
(date)
DOCUMENTATION AUTHOR
Name.... W J FINNELL
Company.. Energy Consulting Group
Address. 34F .Indian- Hills
Mtn Center, CA 92361
Phone... 800-262-9966
Signed , 7)z 7-
191
(d to
Name....
Company.
Address.
Phone..
Signed
( date )
'ENFORCEMENT AGENCY
Name..: .
Title. .
Agency..
R
Phone...
MANDATORY MEASURES'CHECKLIST: RESIDENTIAL Page 1 MF -1R
Project Title... MEDERO Date........ 07/22/91
Project Address:. .. 53763 MEDERO ---------------------
LA QUINTA
Documentation Author... W J FINNELL ; Building Permit #
Company... Energy Consulting Group
Telephone......... ..... 800-262-9966 ; Plan Check / Date
Compliance Method...... MICROPAS3 by Enercomp, Inc. ; Field Check/ Date
Climate Zone...... .... 15 ------------ --------
MICROPAS3 v3.11 File-MEDERO Wth-CTZ15 Program -FORM MF -1R ,
User#-MP1325 User -Energy Consulting Group Run-MEDERO
------------- ----------------- ----------------------------------------- ---------
Lowr,ise' 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 compl.iance 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.
BUILDING ENVELOPE MEASURES
Design- Enf:orce-
er. m:ent
* 2-5352(a): Minimum ceiling insulation R-19 weighted average.
2-5352(b): Loose fill insulation manufacturers 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 - wa-ter 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 CEC quality
standards.' Indicate type and form.
2-5352(f): Vapor barriers mandatory in Climate Zones 14 and 16.
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 weatherstri-pped; all joints and
penetrations caulked and sealed.
2-5352(e): Special infiltration barrier installed to
comply with Sec. 2-5351 meets CEC quality standards.
2-5352(d): Installation of Fir.eplaces
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 ht it n i nn nac
MANDATORY MEASURES,.CHECKLIST: RESIDENTIAL Page 2 MF -1R
Project Title.......... MEDERO Date........ 07/22/91
MICROPAS3 v3.11 File-MEDERO Wth-CTZ15 Program -FORM MF71R
User#-MP1325 User -Energy Consulting.Group Run-MEDERO
-------------------------------------------------------------------------------
HVAC AND PLUMBING SYSTEM MEASURES
---------------------------------
Design- Enforce-
er ment
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 havedamper, controls.
2-5314(0: Gas-fired space heating equipment has
intermittent ignition devices.
2-5314: HVAC equipment', water heaters, showe'rheads and
faucets certified by the CEC.
2-5352(i): Water heater insulation blanket (R-12 or greater ), for
storage and backup tanks for solar water heating systems (first
5 feet of pipes closest to tank insulated to R73 or greater).
2-5312(Exception I): Pipe'insulation on.steam and steam
condensate return and recirculating piping.
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
Design- Enforce-
er ment
2-5352(j): 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.
WATER HEATING Page 1 ' ' '. | DHW
=========-====
Projeot Title.''''..... MEQERO Date.....,.' 07/22/91
Project Addreoo'''''''' 53763 MEQERO ----------------
LA QUINfA
QUIN A / /
.
DVoumentation Author... W J FINNELL ' Building Permit # /
Company. Energy Consulting Group
Telephone.''''''''''''' 800-262-9966 / Plan Check / Date /
Compliance Method''''.' MICROPA53 by Eneroomp, Inc. / Field Check/ Date /
Climate Zone'''''.''''' 15 ---------------------
===============================================================================
| MICROPA53 w3'11 File-MEDERO Wth-CTZ15 Program -WATER HEATING /
' Uoer#-MP1325 User -Energy Consulting Group Run-MEQERO /
-_____-___--_-_________--___-___---___-_---________-----____-__-___-__-_-___--__
WDRKSHEET ONE: STORAGE GAS OR STORAGE ELECTRIC
A. EQUIPMENT DATA
1' Water heater type''''''' Storage, Electric
2. Manufaoturer''''''''.''' SEARS POWER MISER
3' Model numbar'''''''.''''
4' Ignition devloe..'''-',. n/a
5' Tank volume.''''''''''`' 36 gal
6. Recovery efficienoy~.''' .99 percent xO'01
7. Standby loss'''''',',''' '0093 percent/hour x 0.01
8' Rated Input'..''''''.''' 18771'5 Btu/hr
9.'Number of Heatero''''''- 1
1O'Inoulation Jaoket''''''' Yes
B. OPERATING DATA
1. Climate Zone'''''''''''' 16
2. Water heating budget'''' 18700 kBtu/yr/unit '
3. Tank set temp.'''''.'''. . 140 F
4' Water main temp''''''''' 70 F
5' Daily hot water load'''' 50 gal
6. Ambient air temp '..'..^' 72.6 F
7' Adj. Standby Loosee',''' '00744
8' No. dwelling unito..''.' 1
9. Pump power'...','''''.'' O Watts (O Watts controller)
1O'Pumping energy'''''-'''' O Watt-hr/yr (24 hr per day)
C. WATER HEATING ENERGY CREDITS
1' Credit Name'.'''.''''''- Recovery
2. Annual saVlngs'' ''''''` 2805 kBtu/yr/unit
'
D. ANNUAL WATER HEATING ENERGY
1'
Recovery load'''''''''''
10539
kBtu/yr
2'
Recovery enerQy''''''...
7813
kBtu/yr
3.
Standby loss energy'''''
`
kBtu/yr
4'
Pumping anergy''''.'',''
.1243
O
KBtu/yr source
S'
Total energy''''''''''''
27166
kBtu/yr/unit source
6'
Comparioon'''.,'.''.'',''
_8485
kBtu/yr/.nit source
7.
Pointo''.''','''''','''''
-10
8'
Water Heating Energy -Use
16.55
kBtu/yr/of
(Q5 x B8) / 1641 of
HVAC SIZING Page 1
Project Title.'.''''''' MEDERO Date'''''.'' 07/22/91
Project Addr000'.'.''.' 53763 MEDERD ---------------------
LA OUINTA
/ . .
Documentation Author'.'' W J FINNELL' Building Permit # /
Company.''''......'-... Energy Consulting Group
Telephone,_,____',__''800-'262-9966' Plan Check / Date
. .
Compliance Method.'.... MICROPAS3 by Enerco0p, Inc. ' Field Check/ Date /
Climate Zona'.'''''..'' 15 ---------------------
===============================================================================
. MICROPAS3 w3''11 File-MEDERD Wth-CTZ15 Progr m.-HVAC SIZING /
| Usmr#-MP1326 User -Energy Consulting Group' Run-MEDERO i
----------- ----------------------- ---------------------------------- ___-___-__-_
'
GENERAL INFORMATION
/
Floor Area'''''''''.'''''''
1641 of
Volume`'''''''''''' -',''''''165g2
cf
' Front Oriantation.''''''.''
Front Facing
0 deg /Nl
Sizing Looation''''.''''''''
INDIO
Latitude .''''','''''''^''-'
33'7 degrees
Winter Outside Deoign''''''
29 F
` Winter Inside Deoign.'''''''
70 F
' Summer Outside Deoign''''..
112 F
'
Summer'Inside Design'''''''
78 F
Summer Ranga''...'''...'''.
30 F
_Shadlng Used.''''''''''.'',
No
Latent Load Fraction'.'',''
0'20 -
HEATING AND C,OOLING
__-_____--_---_-__-___--___----_
LOAD.SUMMARY
. `
'
.
Heating
Cooling
Description .
----------------------------- -__
/8tuh1
( Btuh)
Opaque Conduction and Solar..'.',
-,-_________
11838
-__________
5811
,Glazing Conduotlon''.`''.''.'^.''
7005
.
5809
Glazing 6mlar''''.,-'...'''.'''''''
n/a
8899
Infiltrati on''''''''''''''''''.,'
9784 '
5798
.Internal Gain.''''',''''''''' '''
n/a
5
2550
Ducts'..'_''..''.~''..''''''''.''
863
2887
'
Sensible Load ''''.`'.''''''''.''
314 0
31754
Latent Load.'''''''''''',''.-'''-
n/a
.
351
Total Load
------------
31490
________--_
Note: The loads shown are only one of the criteria affecting the selection
of HVAC equipment' Other relevant design factors such as air flow
.requirements, outdoor design temperatures," coil sizing, availability of
equipment, oversizing safety margin, etc., must also be cons'idered. It is
the HVAC designer's responsibility to consider all factors when selecting
the HVAC equipment.
.
CE,C Maximum 'Output for gas central furnaces only area weighted SE):
45000 + (100.0 w (0-800— 0.71).x 7000)= 108000Btuh