SFD (08477)51910 Avenida Martinez
08477
C&t!t 4
r P.O. BOX 1504 N o .
Building 78-105 CALLE ESTADO
Address '3I ..Ql () MA01r1 j1149:q LA QUINTA, CALIFORNIA 92253
Owner
Mailing
Address471Q so ,T IC , R
City Zip _ Tel. yr V , — 91 . C.11-
Address
City lZip Tela
State Lic. City
& Classif. I Lic. #
Ivrcn., tngr.,
Designer
Address Tel.
. CityI Zip I State
#
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm (hit I am licensed under provisions of Chapter 9 (commencing with le
7000) of Division 3 of the Business and Professions Code, and my license is in f II for and
effect! \ l ` . ,' ,\•. Z E U°
SIGNATURE "'r C 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).
❑ 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.)
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con-
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
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
❑ 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. (Sec. 3800, Labor Code.)
Policy No. Company
❑ Copy is filed with the city. ❑ 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
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, alter 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
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.)
Lender's Name
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.
I 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.
BUILDING: TYPE CONST
A.P. Number
Legal Description
ject Description_
Sq. Ft.
Size
New ❑
imated
OCC: GRP.
08477
$.F&D,
No. No. Dw.
Stories Units
Add ❑ Alter ❑ Repair ❑ Demolition ❑
uatlon
PERMIT
Plan Chk. Dep.
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
PREC ISE P1 A14
TOTAL
REMARKS
005,8 A 851.4_52-44--9(i,_- , 0
AV Vt• lua1 A qit r;a ✓, 1x .Z, r
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 DATE INSPECTOR
Issued by:
Validated by:
Signature of applicant Date
Mailing Address Validation:
City, State, Zip
a
Date Permit
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
2ND FL. SQ. FT.
POR. SQ, FT, ®
GAR. SO, FT. ®
CAR P. I SQ. FT.
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
FLOOR DRAIN
MECHANICAL FEES
HEATING (ROUGH)
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
DUCT WORK
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
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.
SQ. FT. ® c
BATH TUB
BOND BEAM
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/. c
SEWAGE DISPOSAL
LUMBER GR.
SQ.FT.GAR ® 3/ac
HOUSE SEWER
FINAL INSP.
ROOFING/t3
�qY
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEECONST.
FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLU
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE ja 4
d
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
FINAL INSP. 10-1v
$
GRADING
cu. yd.
—Plus—X$—=$
LUMBER GR.
FRAMING '�/�L�'/i�/
FINAL INSP.
ROOFING/t3
�qY
At*
Irl%/ %�Jn�
/ `
�J /� 3/ _
6
e
REMARKS:
VENTILATION�l�[�/�
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHINGt 014/&/ �s �
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S
SIGNATURES/INITIALS
GARDEN WALL FINAL
r
4
P.O. BOX 1504 APPLICATION ONLY
Buildingq _ 78-105 CALLE ESTADO
Address Sl- Z LA QUINTA, CALIFORNIA 92253
Address Y % 1 1 510
City Zip
Contractor
Address
City IZip (Tel..
& Classif. I Lic. #
Designer
Address Tel.
CityI Zip ( State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I 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.
SIGNATURE iDATE
r 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 Professkrrs Code: Any city or county which requires a
permh to constructer alter, improve, demolish, or repair any structure, prior to its issuance also
requires the appficarit'Ior such pemuT to Me a signed statement that he is licensed pursuant to
the provisions of the Contractor's License taw, 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
sutnjects the applicant to a cM penalty of not more than five hundred dollars ($500). .
❑ 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
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 dM not build or improve for the purpose of sale.) -
❑ 1, as owner of the property, am exclusively contracting with licensed contractors to corF
struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law
does not apply to an owner of propertywhobuilds or improves thereon, and who contracts for
such projects with a contractors) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec. w, & 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. (Sec. 3800, Labor Code.)
Policy No Company
❑ Copy is filed with the city. ❑ 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
or less.)
I certify that in the performance of thg work for which this permit is issued, I shall not
employ anypperson 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' Conrperisation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed rem .
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.)
Lenders 'Name
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.
I certify that 1 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
BUILDING DIVISION
t
BUILDING: TYPE CONST. OCC. GRP.
Number
Legal Description
Project -Description
r,
Sq. Ft.
Size /-540 'j
1
No. No. Dw.
Stories Units
New ❑ Add ❑
Alter ❑ Repair ❑ -Demolition ❑
r
Estimated Valuation
PERMIT
AMOUNT
Plan Chk. Dep.
-2-5-0,0 o r.
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
'
S.M.I.
Grading
Driveway Enc.
j
Infrastructure
aA L
--2,570
TOTAL
7 j', a
REMARKS
00 i 2 10 6286 01-07-90 U
ie vn4 i i 1. n a ,AI-- 11 t15.'In v
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 DATE INSPECTOR
Issued by: Date Permit
Validated by:
Validation:
f.
i
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
SLAB GRADE
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL. SQ. FT.
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
GAS (ROUGH)
METER LOOP
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
GAS (FINAL)
TEMP. POLE
DRAINAGE PIPING
CAR P. I SQ. FT.
GROUT
WATER HEATER
WALL SQ. FT. @
FINAL INSP.
DRINKING FOUNTAIN
SQ. FT. ®
WATER SYSTEM
URINAL
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
FINAL INSP.
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
LAUNDRY TRAY
AIR HANDLING UNIT CFM
FIRE ZONE ROOFING
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.
SQ. FT. ® c
BATH TUB
LATHING
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 1+/. c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3/ec
HOUSE SEWER
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
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
ROCKSTORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
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
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
DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway 111
NOTICE: Indio, CA 92201
Document Cannot Be Duplicated (619) 347-8631
Date 1214/90 Type of Permit I La Quinta
No. 10<iO4 Permit #
Owner Name David Miller Log #
No. street See Below
city La Quinta zip 92253 Study Area 113
APN # I I Tract # I Lot # Square Footage 13W4
Type of Development Single Family Residence No. of units
Comments ril_9Kri T?ia ani ril_91f) Marfina
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, ® or $ 4,746.32 have been paid to 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 David Ross Miller Telephone
„ Name-on=the— check.
By Richard M. Beck-• '' ' ' '"'' ,,
Director, Facilities Planning &Developmentri
fp."t
Fee collected /exempted by Shelley D. Bennett :.,. * . ,•,
Fa-ment,Recei;ved, 5
Signature ?,, , ` Chock No. 1435
Collector: Attach a copy of County or City plan check application foruiti :D.istsict eopy.
Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt CoP '” c'10u
py -Accounting
PACIFIC CREST
aC MORTGAGE CORPORA,,,.,ON
FHA / VA / CONVENTIONAL & 2ND T.D.'s
DAVID a. TAYLOR
Underwriter
Res: (619) 322-8967 Pager: (619) 324-2599, #702049
LANDAU PLAZA. 68100 RAMON RD.. SUITE C•8. CATHEDRAL CITY. CA 92234
FAX (619) 321-6081 TEL (619) 324.-2599
ATTN: ERI HOOK
***CONSTRUCTION*'f*
1400
SPACE ABOVE THIS LINE FOR RECORDER'S USE
DEED OF TRUST WITH ASSIGNMENT OF RENTS APN NO. 773 181 007 6
(This Deed of Trust contains an acceleration clause)
This DEED OF TRUST, made JUNE 26, 1990
DAVID ROSS MILLER, a ►harried man as his separate property AND
KEVIN MARTIN, a married man-.' as his separate property
whose address is MAILING: 1719 S. Tremont,
(Number and Street)
FIRST AMERICAN TITLE INSURANCE COMPANY,
VALLEY BANK
Oceanside CA
(City)
, between
herein called TRUSTOR,
92054
(State)
a California corporation, herein called TRUSTEE, and
, herein called BENEFICIARY,
WITNESSETH: That Trustor grants to Trustee in Trust, with Power of Sale, that property in the
County of RIVERSIDE ,.State of California, described as:
LOT 18 IN BLOCK 118 OF UNIT 12, SANTA CARMELITA AT VALE LA QUINTA, AS SHOWN
BY MAP ON FILE IN BOOK 18 PAGES 79 AND 80 OF MAPS, RECORDS OF RIVERSIDE COUNTY,
CALIFORNIA.
If the trustor shall sell, convey or alienate said property, or any part thereof, or any interest therein, or shall be divested of his title or any interest
therein in any manner or way, whether voluntarily or involuntarily, without the written consent of the beneficiary being first had and obtained, bene-
ficiary shall have the right, at its option, except as prohibited by law, to declare any indebtedness or obligations secured hereby, irrespective of the
maturity date specified in any note evidencing the same, immediately due and payable.
Together with the rents, issues and profits thereof, subject, however, to the right, power and authority hereinafter given to and conferred upon Benefi-
ciary to collect and apply such rents, issues and profits.
For the Purpose of Securing 11) payment of the sum of $ 87 , 500, 00 with interest thereon according to the terms•of a promissory note or
notes of even date herewith made by Trustor, payable to order of Beneficiary, and extensions or renewals thereof, and (2) the performance of each
agreement of Trustor incorporated by reference or contained herein (3) Payment of additional sums and interest thereon which may hereafter be loaned
to Trustor, or his successors or assigns, when evidenced by a promissory note or notes reciting that they are secured by this Deed of Trust.
To protect the security of this Deed of Trust, and with respect to the property above described, Trustor expressly makes each and all of the agreements,
and adopts and agrees to perform and be bound by each and all of the terms and provisions set forth in subdivision A, and it is mutually agreed that
each and all of the terms and provisions set forth in subdivision B of the fictitious deed of trust recorded in Orange County August 17, 1964, and in all
other counties August 18, 1964, in the book and at the page of Official Records in the office of the county recorder of the county where said property
is located, noted below opposite the name of such county, namely:
COUNTY BOOK PAGE
COUNTY BOOK PAGE
COUNTY
BOOK
PAGE
COUNTY
BOOK
PAGE
Alameda 1288 556
Kings 858 713
Placer
1028
379
Sierra
38
187
Alpine 3 130-31
Lake 437 110
Plumes
166
1307
Siskiyou
506
762
Amador 133 438
Lassen 192 367
Riverside
3778
347
Solano
.1287
621
Butte 1330 513
Los Angeles T-3878 874
Sacramento
5039
124
Sonoma
2067
427
Calaveras 185 338
Madera 911 136
San Benito
300
405
Stanislaus
1970
56
Colusa 323 391
Marin 1849. 122'
San Bernardino
6213
768
Sutter
655
' 585
Contra Costa 4684 1
Mariposa 90 453
San Francisco
A-804
596
Tehama
457
183
Del Norte 101 549
Mendocino 667 99
San Joaquin
2855
283
Trinity
108
595
EI Dorado 704 635
Merced 1660 753
San Luis Obispg.-.
1311
137
Tulare
2530
108
Fresno 5052 623
Modoc 191 93
San Mateo
4778
•'Tib
Tuolumne
177
160
Glenn 469 76
Mono 69 302
Santa Barbara
2065
881
Ventura
2607
237
Humboldt 801 83
Monterey 357 239
Santa Clara
6626
664
Yolo
769
16
Imperial 1189 701
Napa 704 742
Santa Cruz
1638
607
Yuba
398
1
693
Inyo 165 672
Nevada • 363 94
Shasta
800
633
Kern 3756 690
Orange 7182 18 '
'San Diego SERIES 5 Book 1964, Page 149774
shall inure to and bind the parties hereto, with respect to the property above described. Said agreements, terms and provisions contained in said sub-
division A and B, (identical in all counties, and printed on the reverse side
hereof) are by the within reference
thereto, incorporated herein and made
a part of this Deed of Trust for all purposes as fully as if set forth at length herein, and Beneficiary may charge for a
statement regarding the obligation
secured hereby, provided the charge
therefor does not exceed the maximum
allowed by law.
The undersigned Trustor, requests that a copy of any notice of default and any notice of sale hereunder
be
mailed to
him his
hereinbefore
forth.
at address
set
STATE OF.CALIFORNIA•f Iss
COUNTY OF /' :C
before me, the unQ PP I ersigned, a Notary yt lic in and f r ai tate, per-
/d/$
sonally ap ared
personally known to me (or proved to me on the basis of satisfactory
evidence) to be the person(s) whose name(s) is/are subscribed to the
within Instrument and acknowledged to me that he/she/they execut
the same. /
WITNESS my han official
Slgnatur ✓ C..i'
Signature of Trustor
N X U
DA OSS MIL ER
KEVIN MARTIN
V
OFFICIAEMT
T, `
DAVID QR
NOTARY PUBLIuORAWEMy Comm Beg, 1991
(This area for official notarial seal) 1192 (6)82)
'•- k,t• . ' •- `moi'<c`a• - -- r•--`: '::., ..., ; • i : -
*+.whil'^r.nr!.+1.irfyCYyi ' ,' • xY' '•3r .. ;` ..-,., ..,,-,., ` !T': t'i%1, /• " yt , w. - •- n
RECEIPT NO.? Issued By + c
Date -
DISTRICT:
37 T7D
• , Jr -1-.
DISTRICT: ❑ Riverside, 91 Jndio ❑ - Hemet ❑ Perris O Rancho Calif. ❑ Blythe
DOH -SAN -122 (Rev. 3/90) DISTRIBUTION: WHITE Office fib YELLOW . Applicant PINK - Bldg. Dept GOLDENROD - Plans/Records
COUNTY OF RIVERSIDE DEPARTMENT OF HEALTH AseMeM ftfuMWo.
191
ENVIRONMENTAL SERVICES DIVISION T73 - -
PERMIT APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM
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) is required when the application is submitted. Check must be made payable to the County of
sm
a( ,R v16Sside. CK
Pr*a1,,of this application shall remain valid for a period not to exceed one year from date of approval.
00<9
eSy,ERIFY
313 Xr Lt
ITEMS IN SECTI%N A FROM BUILDING' & SAFETY APPLICATION BUILDING DEPARTMENT APPLICATION LOG # l / d/ ✓/y
i v
Z
O
t ContraV%ontad Person
M j
Phone
Address & Firm
W
Owner
Phone
Malli AAddress
City !
LI . ,rte\-V6 •
State
f~ -
Zip
R77 C'J
Job Property Address
I ^ 1 rte A 64#4 BT; wk' 2
Legal Description (PM, Tract, Lot)
1-0"r t ! + I 19
_Lot Size
W/star Agency
Use
Use of Permit P/P, CU, etc.
Other / / et1
S/\ t
` ' --
Dwelling,
``i V4 t • 62,
MH Site Prep, etc.
SS S
rr 190
Signature of Applicant
Date
CATEGORY: REV CODE FEE
CATEGORY: REV CODE FEE
9 SUBSURFACE DISPOSAL 1238
❑ SITE EVALUATION UPON REQUEST 734.9 $ 43.00
Co
❑ MULTIPLE PARCELS WITHIN SAME s'96151,
(NO PLOT PLAN)
LAND DMSION
❑ SEWER/SEPTIC VERIFICATION 7348 $ 17.00
Z
O
a. 1 at 4 Parcels (Each) 1238 $ 57.00
(Less than 1 year)
b. Each Parcel after 4 7344 $ 24.00
❑ PRELIMINARY ELECTIVE 7352 $ 23.00
LU
❑ Rereview (2nd review same parcel) 7344 $ 24.00
EVALUATION (Attach DOH SAN 53)
W
❑ Site Evaluation in Conjunction with
❑ HOLDING TANK - 7351 $ 47.00
Critical Area 7346 $111.00
❑ ALTERNATIVE/EXPERIMENTAL 7345 $222.00
❑ Site Evaluation lot Less than
SYSTEM
10,000 Sq. Ft. 7347 $ 87.00
INITIAL DATE
Holding Tank Agreements Completed ❑ Yes No 61R /Q // 7
Certification of Existing S.D. System Required ❑ Yes No
WQCB Clearance required. (Attach Form ❑ Yes No
DOH SAN 007, Santa Ana Region Only)
Solis Percolation Report Required. ❑ Yes No
Speclal Feasibility Boring Report Required. ❑ Yes No
Detailed Contour Plot Plans Required (1 to 5 R interval) ❑ Yes r No
Other ❑ Yes No
Staff Specialist Lot Inspection Required ❑ Yes No
Lot Inspection Date
/e
Solis boring report by f Pry g Date
U
Soils Map Page Sol Type Approved by / l Date I -71929
Z
O/
No. of Systenre
Type of Systeme)Dwelling
❑Holding Tank ❑Existing
Unna
Bed Fixture Unita
(1) Septic Tank
Soil Rafe
Qreaee
G
_ I
New ❑
_
/'!tt v oSX
,, ,
l rL_Gel
/ SSG/-
U)
(2) Leech Line
Sktewall allowance
Install Lines) It. (► wide with
Lsech Bed 9% R
Bottom area
R nock/ sq. R
per running R/
min. -inches rock dralnlines or
of bottom area
Lsachlines/bed special design for slope:
(3) Pit Diameter
No. Pits
Ph Below
Seepage P11 Total Depth
(TD)
Other:
Applicable
Inlet (BI)
yf
Max.AAl, bbwable Depth
J
N/A 1/ Overburdn factor
e
3-6- 19 6
/
L ,
LJv
No. 2 System
REMARKS:
This application is PPROVED ENIED for the category ched in SECTION B above, regarding the design of a subsurface disposal system as indicated
on the accompan n, using the requirements set forth in SECTION C above. A building permit is necessary for the installation of the
Z
above -designed system. No construction is permitted in the required reserved 100% expansion area.
(1 Septic tank and sewer lines must be 50' minimum from any wells
(2) Leach lines must be 100' minimum from any wells, including expansion area
LU
.
Seepage pits must be 150' minimum from any wells, including expansion area
L C !!%/GZ
Signature of Health Official /1/7' pie •7
RECEIPT NO.? Issued By + c
Date -
DISTRICT:
37 T7D
• , Jr -1-.
DISTRICT: ❑ Riverside, 91 Jndio ❑ - Hemet ❑ Perris O Rancho Calif. ❑ Blythe
DOH -SAN -122 (Rev. 3/90) DISTRIBUTION: WHITE Office fib YELLOW . Applicant PINK - Bldg. Dept GOLDENROD - Plans/Records
H
+►, OFFICE OF
e
AGRICULTURAL COMMISSIONER
AND
WEIGHTS & MEASURES CALVIN C. KAMINSKAS
4080 LEMON SIREEIROOM 10 nA901100 Comm11110""t
,
JAMES 0. WALLACE CLEMENT BENVENISIE
Agilem0 eon CommIOioner nIVERSIDE, CALIFORNIA 92501, s0o e,
Cheolor of (714) 787.2561
49613 Ilighway 86, Suite B12
Coachella Ca. 92236
(619) 342-8291-7q9 U
n
DA'I'S 9 /17 l CIO CASE NO. 1" C wt a 2
VEVEWPERr S 10 mixlE
ADDRESS:
7ELEFIK IEr (6 ISI.: r7 G
L Sid
Dear. Developers
After reviewing your landscaping plans,. all plant material listed in 'rot 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'`
inn ediately.
'Thank you for protecting and preserving the Coachella Valleyl.s pest -free .enviroment.
G
Aga cult al Ca ss oner s Off ce
ccs Indio and Riverside Office
Buena Engineers, Inc.
79-811 B Country Club Drive.
Bermuda Dunes, CA 92201 • (619) 345-1588
Client
Client
Client Phone
9
DATE
TEST LOCATION
JOB NO.
ELEVATION
FIELD TESTING
v
PROJECT
, DRY
DENSITY
IbsJCu. ft.
MAXIMUM
DRY
DENSITY
%
MAXIMUM
DRY
DENSITY
Ibs./cu. ft.
OPTIMUM
MOISTURE
CONTENT
%
LOCATION
CONTRACTOR
OWNER
WEATHER
TEMP.
o at AM
U at., . PM
PRESENT -AT SITE
TEST
NUMBER
TEST LOCATION
LOT
NO.
ELEVATION
FIELD TESTING
REFERENCE CURVE
MOISTURE
CONTENT
, DRY
DENSITY
IbsJCu. ft.
MAXIMUM
DRY
DENSITY
%
MAXIMUM
DRY
DENSITY
Ibs./cu. ft.
OPTIMUM
MOISTURE
CONTENT
%
13m'i T /11
t
REMARKS: ' ..S %. ' .° `•:.
FIELD REPORT
CLIENT REPRESENTATIVE SIGNATURE TECHNICIAN SIGNATURE 12437
51/
CtRTIFICATE OF COMPLIANCE. RESIDENTIAL (Page 1 of 2' CF -710.(a
Project Title: DAVE MILLER Date: 03-047-90
Project Address: L9 9UINTA
Documentation Author. Energy Consulting Group, 800-262-9966
-Compliance Method. Point System. Climate zone:. 15
-
Enforcement Agency Use Only. Building Permit #
Checked by/date.P
---------------------------------------------------
GENERAL INFORMATION 1
Total Conditioned Floor Area. 1502 SgFt.
Building Type. SINGLE FAMILY DETACHED ,
Front Entry Orientation. WEST
Number of Dwelling Units. 1
Floor Construction Type. SLAB
Infiltration Control. STANDARD
BUILDIDNG SHELL INSULATION
Component Type
Wall .
Wall
Roof
Roof
Floor
Floor
Slab Edge
GLAZING
Insulation R -Value
------------------
19
38
0
0
Location/Comments
TYPICAL, FIBERGLASS BATT",
TYPICAL, FIBERGLASS BATTS
Glazing
Area
Glass Type
Interior
Exterior
Overhang
Frame Type
Orientation
-----------
(sf)
----
Single,etc.
----------
Blinds
sh screen
yes/no
metal/wood
Front W
40
DOUBLE
--------
LIGHT
---------
NO
--------
NO
----------
METAL
Front
VENETIAN
Left N
33
DOUBLE
LIGHT,,NO
NO
METAL.
.Left
VENETIAN
Rear E
33
DOUBLE
LIGHT,
NO
NO
METAL.
Rear
VENETIAN
Right S
7q
DOUBLE
LIGHT
NO
NO
METAL
Right
VENETIAN
Skylgt
S:k-y;l g t
THERMAL MASS
Typevering
Area
Thickness
Location/Description
(s1`ab, exposed)
(St.)-
(inches)
(kitchen, bath, etc.).
TYPE 1, L. & TILE
0385
3.5
KITCHEN, ENTRY;, BATHS & LAUNDRY
TYPE 2, CARPET
1207
3.5
REST OF HOUSE
5
A
Sum 1-6: 6
7.
Shading (Shade Open)
%Glass
x,SC = Eff
%Glass
Y
;'JOINT SYSTEM SUMMARY. Climate
---------------------------------------------------------------------
Zone:
15
0.77
1.69 :
0
P-2R
-
-----------------------------------------------------------------------
Project Title: DAVE MILLER
-----------------------------------------------------------------------
b. East
: 2.20 :
0.77
1.69 :
Date:
03-0.4--90
BUILDING DATA.
C. South
: 4.66 :
Glass
Area
%Glass
Conditioned Floor Area: 1502
SgFt.
d. West
North
0.77
33
: 2.20
Number of stories: 1
q. ,Skylight
East
0.77
33
: 2.20
Slab/Raised Floor: SLAB
5.
Shading (Shade Closed)
South
x SC = Eff
70
: 4.66
Single Family Detached: X
a. North
West
: 0.29 :
40
: 2.66
Single Family Attached:
g. East
Skylight
0.29 :
0
: 0.00
Multi -Family
c. South
Totals
: 0.29 :
176
:11.72
Addition Alone
d. West
. 2.66
.*0.29 .
0.77
a
Existing Building
e. Skylight
: 0.00
:0.29 :
6.00
0
Existing Plus Addition:
------------------------------------------------------------------
9:
Interior Thermal Mass
:' 2.3
-1
SCORE CARD Measures
10.
Point
Score
----
1. Ceiling Insulation R:
38
or
U:
O
2. Wall Insulation R:
19
or
U:
O
HSPF x
Duct Eff =
3. Raised Floor Insulation R:
0
or
U:
0
0.72 x
0.78 =
4. Slab Edge Insulation R:
0
or
U:
0
5. Infiltration: Standard
O
12.
0
(SEER x
Duct Eff =
6. Glass Heat Loss. Type
U -Value
%Glass
9.0 x
0 =
DOUBLE
0.65
-5
11.72
6
Sum 1-6: 6
7.
Shading (Shade Open)
%Glass
x,SC = Eff
%Glass
a. North
: 2.20 :
0.77
1.69 :
0
b. East
: 2.20 :
0.77
1.69 :
0
C. South
: 4.66 :
0.77
3.59 :
0
d. West
: 2.66 :
0.77
2.05
O
q. ,Skylight
: 0.00 :
0.77
0.00
0
5.
Shading (Shade Closed)
%Glass
x SC = Eff
%Glass
a. North
: 2.20
: 0.29 :
0.64
0
g. East
: 2.20 :
0.29 :
0.64
1
c. South
: 4.66
: 0.29 :
1.35
2
d. West
. 2.66
.*0.29 .
0.77
a
e. Skylight
: 0.00
:0.29 :
6.00
0
9:
Interior Thermal Mass
:' 2.3
-1
10.
Exterior Wall Mass
0
0
Sum 7-10: 4
11.
,iHeating System. (SE or
HSPF x
Duct Eff =
Eff SE)
0.72 x
0.78 =
0.5616
0
Zonal Control: NO
O
12.
Cooling System.
(SEER x
Duct Eff =
Eff SEER)
9.0 x
0 =
0
-5
Zonal Control: NO
0
13.
Water Heating. Type
: SE
Credit:
0
0
POINT TOTAL : 5
HOT WATER SYSTEMS.
Tank Manufacturer/Model#
System Type Capacity (or approved equal) Special Feature(s)
----------------------------------------------------
STORAGE ELEC 40 R12 MINIMUM
------------------------------------------------------------------ --- '
SPECIAL FEATURES/REMARKS: NAT GAS NOT AVBL FOR HOT WATER. LIGHT VENETIAN
BLINDS IN ALL WINDOWS. 385 SQ FT TYPE 1 FLOOR COVERING. ;
------------7----------------------7------------7----------------------
COMPLIANCE STATEMENT.
This certificate of compliance lists the building features and perform-
ance specifications needed to comply with Title 24, Chapter 2-53 and
Title.20, Chapter 2, Subchapter 4, Article 1 of,the California Admin-
istrative 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 ;o -r a single building plan to be built in multiple orienta-
tions, a;l;,ybuilding conservation features which vary are indicated in
the Special Features/Remarks section.
;p:ES I G N E R.
I
igna to re ) (date)
DOCUMENTATION AUTHOR.
W. J. FINNELL #473969
Energy Consulting Group
Indian Hills Box 34F
Mountain Center, CA 92361
800-262-9966
(sig ature)' 03-04-90
BUILDING OWNER.
(sign ture) (d te)
ENFORCEMENT AGENCY.
Name
Title
Agency
Telephone
(signature/stamp) (date)
t
CERTIFICATE OF
COMPLIANCE. RESIDENTIAL
(Page 2 of
2 ) CF,=.1Rc
1'
m
'
--------------
Project Title: -DAVE
--------------------------------------------=
MILLER
Date:, 03-04-90 „ y
-------------------------------------------------------------
------- ...
HVAC SYSTEMS.
Minimum Duct
Type(furnace,
Efficiency Location
Duct
Input
Mfgr/Model#
a/c, hp, etc.)
(SE,SEER,HSPF)(attic,etc)
R-Value-(Btuh)
(or'apvd-.equal)'
FURNACE
0.72 ATTIC,
2.1
75000
,.
AIR CONDITIONER
9.0 ATTIC
2,1
•r
.
Maximum Furnace
Heating Output: 53290 Btuh.
HOT WATER SYSTEMS.
Tank Manufacturer/Model#
System Type Capacity (or approved equal) Special Feature(s)
----------------------------------------------------
STORAGE ELEC 40 R12 MINIMUM
------------------------------------------------------------------ --- '
SPECIAL FEATURES/REMARKS: NAT GAS NOT AVBL FOR HOT WATER. LIGHT VENETIAN
BLINDS IN ALL WINDOWS. 385 SQ FT TYPE 1 FLOOR COVERING. ;
------------7----------------------7------------7----------------------
COMPLIANCE STATEMENT.
This certificate of compliance lists the building features and perform-
ance specifications needed to comply with Title 24, Chapter 2-53 and
Title.20, Chapter 2, Subchapter 4, Article 1 of,the California Admin-
istrative 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 ;o -r a single building plan to be built in multiple orienta-
tions, a;l;,ybuilding conservation features which vary are indicated in
the Special Features/Remarks section.
;p:ES I G N E R.
I
igna to re ) (date)
DOCUMENTATION AUTHOR.
W. J. FINNELL #473969
Energy Consulting Group
Indian Hills Box 34F
Mountain Center, CA 92361
800-262-9966
(sig ature)' 03-04-90
BUILDING OWNER.
(sign ture) (d te)
ENFORCEMENT AGENCY.
Name
Title
Agency
Telephone
(signature/stamp) (date)
t
Q
a
THERMAL MASS WORKSHEET ti
WS -1R 1
Project Title: DAVE MILLER Date: -03-04-90'
-----------------------------------------------------------------------------------
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 8 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: 385.0 = 26
Type 2 Mass 4-rea: 1117.0 = 74
Interior Mass/CFA from Table 4.7 = 4.2
Method B: =Calculate the Interior Mass/CFA value using the worksheet space below.
Look up'the>Uo t 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
Description Mass Area x Mass Capacity = Mass Capacity
-------------
(Int'ntionally left blank)
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 x Mass Factor =
(Intentionally left blank)
Total + Total Opaque = Exterior
Wall Area Wall Mass
11
SHADING COEFFICIENT (SC) WORKSHEET FORM S
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 Shadsng,in
the ECH Glcvsarrv. For overhand SC values (#14 and #15), see Sections 4.2 in the ECM
------------------------------------------------------------------------------------------
GENERAL INFORMATION
1. Glazing Type: DOUBLE 6. Interior Shade Type: LIGHT VENITIAN
2. SCglazing alone: .88 7. SCshade open: 1.00
3. Framing type (metal/wood): METAL 8. SCshade closed: .30
4. Mullions (yes/no): NO (SC of shade w/clear single glass)
5. Framing/Mullion Factor: NA
(from Table G-10)
------------------------------------------------------------------------------------
GLAZING, INTERIOR SHADE & FRAMING
9A. [(1.0 X .25)+.75]X .88 X NA = .88
SCnax SCmin FMF(#5) SCshade open
or 9b. .77 _(from Table G-9)
SCshade open
10a.[(1.0 X .25)+,75]X .88 X NA = .88
SCnax SCmin FMF(#5) SCshade closed
or 10b. .29 (from Table G-9)
SCshade closed
EXTERIOR SHADE
(Intentionally, left blank)
-7 ---------------------------------------
OVERHANG
(Intentionally left blank)
Where:
SCmax' =larger of #2 and #7
SCmin=smaller of #2 and #7
Where:
SCoax=larger of #2 ,and #8
SCmin=smaller of #2 and #8
compiled by Energy Consulting Group for: DAVE MILLER 03/02/90
HEATING, VENTILATING & AIR CONDITIONING
DESIGN DATA
1.
LOCATION
2.
DATE
3.
COMPILED FOR
4.
WINTER DESIGN TEMP
5.
SUMMER DESIGN TEMP
6.
CONDITIONED S8 FT
7.
WINDOW S8 FT
8.
WALL S8 FT
9.
SLAB FLOOR LIN FT
10.
RAISED FLOOR S8 FT
11.
CEILING SQ FT
1.2.
CONDITIONED CU FT
13,.
-VENTILATION CFM
14.
RS MULTIPLIER
15.
_GRAINS DIFF
16.
40. OCCUPANTS
LA QUINTA
03-04-90
DAVE MILLER
29
112
1502
176 U—VALUE
0.65
1355 U—VALUE
0.05
192 U—VALUE
0.81
0 U—VALUE
0.00
1502 U—VALUE
0.03
13930
0.00
1.15
0
6
HEAT GAIN CALCULATION k
Proposed Residence: LA QUINTA Date: 03-04-90
Summer Design.Temperature: 112
- -
I. Transmission Gain.
A. Windows.
176 SgFt x
B. Walls.
1355 SgFt x
C. Floor (slab).
192 LnFt x
Floor (raised).
0 SgFt x
D. Ceiling.
1502 SgFt x
0.65
x
34
x
1
Hr. =
0.05
x
34
x
1
Hr. =
0.81
x
34
x
1
Hr. =
0.00
x
34
x
1
Hr. =
0.03
x
34
x
1
Hr. =
3889.60 Btuh '
2303.50 Btuh
5287.68 Btuh
0,00 Btuh
1532.04 Btuh
E. Total Transmission Gain. 13012.82 Btuh
--------------------------------------------------------------------------------
II. Infiltration Gain.
13930 Cubic Ft. @ one Air Change/Hr.
13930 CuFt x 0,018 x 34 x 1 Hr.,= 8525.16 Btuh
--------------------------------------------------------------------------------
III. Total Gain (I + II) 21537.98 Btuh
HEAT LOSS CALCULATION
Proposed Residence:
LA QUINTA
Date: 03-04-90
--------------
Winter Design Temperature:
29
I. Transmission
7-----------------------------------------------------------------
Loss. -
oss.;A.
,,!,A .
Windows.
176 SgFt x 0.65
x 41
x
1
Hr. =
4690.40
Stuh
..
Walls.
1355 SgFt x 0.05
x 41,
x
1
Hr, =
2777.75
Btuh
C.
Floor (slab).
192 LnFt x 0.81
x 41
x
1
Hr. =
6376.32
Btuh
Floor (raised).
1 0 SgFt x 0.00
x 41
x
1
Hr. =
0.00
Btuh
D.
Ceiling.
1502 SgFt x 0.03
x 41
x
1
Hr. =
1847.46
Btuh
E.
Total Transmission
Loss
15691.93
Btuh
II,
----------------------------------------------------
In *iltration Loss.
13930 Cubic Ft. @
One Air
Change/Hr,
---------------------------------------------------------------------------------
13930 CuFt x 0.018
x 41
x
1
Hr. =
10280.34
Btuh
III. Total
Loss (I + II)
25972.27
Btuh
Compiled for: DAVE MILLER
DESIGN CONDITIONS
LINTER
Outside db 29 F Inside db 70 F Winter Design Temperature Difference 41 F
SUMMER
Outside db 112 F Inside db 78 F Summer Design Temperature Difference 34 F
i---------------------------------------- ---------------------------------------
EQUIPMENT
------ ----------------------------------------------------------
EQUIPMENT SIZING LOAD
A. Sensible Ventilation Load
1.1 x 0.00 Vent. CFM x 34 Summer TD = 0.00 Stuh
Sensible Load for Structure + 21537.98 Btuh
Sum of'Ventilation and Structure Loads + 21537.98 Btuh
Rating & Temperature Swing Multiplier x 1.15 Btuh
Equipment Sizing Load - Sensible = 24768.68 B-tuh
B. Latent Sizing Load
0.68 x 0.0 Vent. CFM x 0' gr. diff. = 0.00 Stuh
Internal Loads = 230 x 6 number of people + 1380.00 Btuh
Infiltration Load + 8525.16 Btuh
Equipment Sizing Load - Latent = 9905.16 Btuh
COOLING,SUMMARY
Total
Sensible Gain:
24769
Btuh Design Temperature Swings
Total
Latent Gain +
9905
Btuh' Normal 3F (X) 4.5F ( )
Total
-----------------------------------------------=---------------------------------
= Se,ns. + Lat.=
34674
Btuh*
HEATING SUMMARY
Total Heat Loss for Entire House 25972 Btuh
Ven.t;ltion CFM = 0.0 Winter Design TD = 41 F
Heat"Rge'qu'red for Ventilation Air 1.1 x 0.0 CFM x 41 F= 0 Btuh
Design Heating Load Requirement= 25972 (house)+ 0 (vent) = 25972 Btuh*
MAXIMUM GAS FURNACE OUTPUT
CA Energy Commission Stds Sec 2-5352(g)
1..3 [Design heat loss + (10 Btuh)(Area Sq.Ft.)j
1.3 [ 25972 + 15020 3 = 53290 Btuh
*(Note):; Throe:°loads shown are only one of the criteria affecting the selection
of HVAC;_.equipment. Other relevant design factors must also be considered. It
is the designers responsibility to consider all factors when selecting the HVAC
equipment.
•
til
IIANDATORT NEASIRIES CHECKLIST: RESIDENTIAL DAVE MILLER 03-04-90
-
------•----------------------------------------------------------------------------------------
- --------• - --- --
.
Note: lowrise residential buildings subject to the Standards must contain these measures regardless of
the compliance approach„
d
used. Items marked with an asterisk (x) may be superseded by more stringent compliance requirements listed on the Certifi-._
cate 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.
R38
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).
R19
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,
YES
2-5311: Insulation specified or installed meets California Energy Commission (CEC) quality
standards. Indicate type and form. FIBERGLASS --BANS
YES
2-5352(f): Vapor barriers mandatory in Climate Zones 14 and 16 only..
YES
2-5317: Infiltration/Exfiltration Controls
a. Doors and windows between conditioned and unconditioned spaces designed to limit air
leakage.
YES
b. Doors and windows certified.
YES
c. Doors and windows weatherstripped; all joints and penetrations caulked and sealed.
YES
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.
NVAC and Plumbing System Measures
2-5352(g) and 2-5303s:,ftSpace conditioning equipment sizing: attach calculations.
YES
2-5352(h) and 2-5313_€tback thermostat on all applicable heating systems.
YES
$2-5316(a): Ducts constructed, installed and insulated per Chapter 10, 1976 UMC.
YES
2-5316(b): Exhaust systems have damper controls.
YES
275314(c): Gas-fired space heating equipment has intermittent ignition devices.
YES
.-,i.,2-5314: HVAC equipment, water heaters, showerheads and faucets certified by the CEC.
YES
2;5352(i):,W0er heater insulation blanket°(R-12 or greater) or'combined interior/exterior
insu,-aji_dn (R-16) or greater); first 5 feet of pipes closest to tank insulated (R-3 or greater).
YES
' 2=53, eption I): Pipe insulation on steam and steam condensate return & recirculating
piping. p
2-5318(d): Swimming Pool Heating.
1. System has:
a. On/off swi-tch on heater.
b. Weatherproof 'Instruction plate on heater.
c. Plumbed t6illow for solar.
2. 75 percent thermal efficiency.
3. Pool cover,
4• Time clock.
5. Directional water inlet.
i
Lighting and Appliance Measures
2-5352(j): Lighting-25,lumens/watt or greater for general lighting in kitchens and bathrooms.
YES
2-5314(c): Gas fired appliances equipped with intermittent ignition devices.
YES
2-5314(a): Refrigerators, refrigerator -freezers, freezers and fluorescent lamp ballasts certified
r
.. i kza
INSULATION CERTIFICATE.;
DAVE MILLER, LA QUINTA Date; 03-04-90',,,
DESCRIPTION OF
ROOF
Material
Thickness (inches)
EXTERIOR WALL
Material
Thickness (inches)
CEILING
INSTALLATION'y'
Brand Name
Thermal Resistance (R -Value) .
i
r
Brand Name
Batt or Blanket Type Brand Name
Thickness (inches) Thermal Resistance (R -Value)
Loose Fill -Type Brand Name
Contractor's min instld wt/ft2 lb Minimum thickness inches ;
RAISED FLOOR
Material
Thickness (inches)
SLAB FLOOR
-- Material
Thickness (inches)
Width -(inches)
FQUNDATION;WALL
:
Mate..r a;l
T'hNckness '(inches)
El
I
Brand Name'
Thermal Resistance (R -Value)
Brand Name
Thermal Resistance (R -Value)
Brand Name
Thermal Resistance (R -Value)
DECLARATION
I hereby certify that the above insulation was installed in the building at the above
location in conformance with the current building Energy Efficiency Standards for new
residential buildings contained in Title 24 of the California Administrative Code.
General Contractor (Builder)
Signature and Title
Sub -Contractor (Insulation Installer)
Signature and.Title
License Number
Date
License Number
Date
POINT SYSTEM SUMMARY. Climate
-----------------------------------------------------------------------
Zone:
15
x SC =
Eff %Glass
P -2R
-----------------------------------------------------------------------
Pro.ject Title: DAVE MILLER
------------------------------------=----------------------------------
: 2.20
0.77
1.69 :
0
Date-
10/12/90
BUILDING:DATA.
0.77
: 1.69 :
Glass
Area
%Glass
Conditioned Floor Area: 1502
SgFt.
: 3.59 :
North
-
33
: 2.20
Number of stories: 1
- 2.05 -
0
East
e. Skylight
33
: 2.20
Slab/Raised Floor: SLAB
0
8.
South
%Glass
70
: 4.66
Single Family Detached: X
a.. North
West
0.66
40
: 2.66
Single Family Attached:
b. East :
2.20
Skylight
1.45 :
0
: 0.00
Multi -Family
: 4.66
0.29
Totals
1
176
:11.72
Addition Alone
0.66
- 1.76 •
-1
e. Skylight
: 0.00
Existing Building
0.00 :
0
9.
Interior Thermal Mass :
2.30
Existing Plus Addition:
-----------------------------------------------------------------------
0
10.
Exterior Wall Mass
: 0.00
SCORE CARD Measures
Point
Score
Sum .7-10: 0
1. Ceiling Insulation R:
38
or
U:
0,
2. Wall Insulation R.
19
or
U:
0
3. Raised Floor Insulation R:
0
or
U:
0
4. Slab Edge Insulation R:
0
or
U:
0
S. Infiltration. Standard
0
6. Glass Heat Loss. Type
U -Value
%Glass
DOUBLE
11.72
5
.
Sum 1-6: 5
7.
Shading ( Shade Open)
%Glass
x SC =
Eff %Glass
a. North
: 2.20
0.77
1.69 :
0
b . , East :
2.20
0.77
: 1.69 :
0
C. South
: 4.66
: 0.77
: 3.59 :
0
d. West .
2.66
O.77
- 2.05 -
0
e. Skylight
: 0.00
: 0.00
: 0.00 :
0
8.
Shading ( Shade Closed)
%Glass
x SC =
Eff %Glass
a.. North
: 2.20
0.66
: 1.45 :
0
b. East :
2.20
0.66
1.45 :
0
C. South
: 4.66
0.29
: 1.35 :
1
d. West
2.66
0.66
- 1.76 •
-1
e. Skylight
: 0.00
0.00
0.00 :
0
9.
Interior Thermal Mass :
2.30
0
10.
Exterior Wall Mass
: 0.00
0
Sum .7-10: 0
11. Heating System. (SE or HSPF x Duct Eff = Eff SE)
0.72 x 0.84 = 0.6048
Zonal Control: NO
12. Cooling System.
Zonal Control: NO
13. Water Heating. Type
- 1
0
(SEER x Duct Eff = Eff SEER)
9.00 x 0.83 = 7.47 6
0
SE . Credit: 12 - -11
POINT TOTAL 1
CERTIFICATE OF COMPLIANCE. RESIDENTIAL (Page 1 of 2) CF -1R
----------------- -----------------------------------------------------
Project Title: DAVE MILLER Date: 10/12/90
Project Address: LA QUINTA
Documentation Author. Energy Consulting Group, 1-800-262-9966
Compliance Method. Point System. Climate zone: 15
----------------------------------------------------------------------
Enforcement Agency Use Only. Building Permit #
Checked by/date.
----------------------------------------------------------------------
GENERAL INFORMATION
Total Conditioned Floor Area. 1502 SgFt.
Building Type. SINGLE FAMILY DETACHED
Front Entry Orientation. WEST
Number of Dwelling Units. 1
Floor Construction Type. SLAB
Infiltration Control. STANDARD
BUILDING SHELL INSULATION
Component Type
Wall
Wall
Roof
Roof
Floor
Floor
Slab Edge
GLAZING
Insulation R -Value
------------------
19
38
0
0
Location/Comments
-----------------
TYPICAL, FIBERGLASS BATTS
TYPICAL, FIBERGLASS BATTS
Glazing
Area
Glass Type
Interior
Exterior
Overhang
Frame Type
Orientation
-----------
(sf)
----
Single,etc.
----------
Blinds
sh screen
yes/no
metal/wood
Front W
40
DOUBLE
--------
NONE
---------
NO
--------
NO
----------
METAL
Front
Left N
33
DOUBLE
NONE
NO
NO
METAL
Left
Rear E
33
DOUBLE
NONE
NO
NO
METAL
Rear
Right S
70
DOUBLE
LIGHT
NO
NO
METAL
Right
VENETIAN
Skylgt
0
Skylgt
---------------------------------------------------
------------------
THERMAL MASS
Type/Covering
Area
Thickness
Location/Description
( slab, exposed)
---------------
( sf )
----
(inches)
---------
( kitchen, bath, etc.)
---------------------
TYPE 1 TILE
0385
3.5
KITCHEN, ENTRY;, BATHS & LAUNDRY
TYPE 2 CARPET
1207
3.5
REST OF HOUSE
CERTIFICATE OF
- ---------------------------------------------------------------------
COMPLIANCE. RESIDENTIAL
(Page 2 of 2)
CF -1R
Project Title:
-----------------------------------------------------------------------
DAVE MILLER
Date:
10/12/90
HVAC SYSTEMS.
Minimum Duct
Type(furnace, Efficiency Location Duct Output Mfgr/Model#
a/c, hp, etc.) (SE , SEER ,HSPF )( attic , etc) R -Value (Btuh ) (or aped equal)
----------------------------------------- ---- -------------
HEAT PUMP -HEATING 0.72 ATTIC 6.3
HEAT PUMP -COOLING 9.00 ATTIC 6.3
Maximum Furnace Heating Output: 53290 Btuh.'
HOT WATER SYSTEMS.
Tank Manufacturer/Model#
System Type Capacity (or approved equal) Special Feature(s)
----------------------------------------------------
STORAGE ELECTRIC 40 HWS REQUIRED
R-12 External Blanket on Storage Tank (Yes or No) NO
-----------------------------------------------------------------------
SPECIAL FEATURES/REMARKS: HEAT RECOVERY UNIT (HWS) TO BE INSTALLED WITH
WATER HEATING ELECTRIC STORAGE TANK PER CITY OF LA QUINTA.
LIGHT VENETIAN BLINDS REQUIRED IN SOUTH FACING WINDOWS.
-----------------------------------------------------------------------
COMPLIANCE STATEMENT.
This certificate of compliance lists the building features and perform-
ance specifications needed to comply with Title 24, Chapter 2-53 and
Title -20, Chapter 2, Subchapter 4, Article 1 of 'the California Admin-
istrative 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 orienta-
tions, all building conservation features which vary are indicated in
the Special Features/Remarks'section.
DESIGNER. BUILDING OWNER.
(signature)
(date) (signature)
DOCUMENTATION AUTHOR.
W. J. FINNELL #473969
ENERGY CONSULTING GROUP
Indian Hills Box 34F
Mountain Center, CA 92361
1-800-262-9966
(signature) 10/12/90
ENFORCEMENT
Name
Title
Agency
Telephone—
(signature/stamp)
elephone_
AGENCY.
( date )
(signature/stamp) (date)
THERMAL MASS WORKSHEET
WS -1R
Project Title: DAVE MILLER Date: 10/12/90
-----------------------------------------------------------------------------------
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: 0385.0 = 26
Type.2 Mass Area: 1117.0 = 74
Interior Mass/CFA from Table 4.7 = 2.3
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
Description Mass Area x Mass Capacity = Mass Capacity
---------------------------------------------------
(Intentionally left blank)
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 x Mass Factor =
---------------- --------- -----------
(Intentionally left blank)
Total / Total Opaque = Exterior
Wall Area Wall Mass
HVAC EQUIPMENT SIZING
--------------------------------------------------------------------------------
Design Location: LA QUINTA Date: 10/12/90
Compiled for: DAVE MILLER
-------------------------------------------------- =-------------------------- ---
DESIGN CONDITIONS
WINTER
Outside db 29 F Inside db 70 F Winter Design Temperature Difference 41 F
SUMMER
Outside db 112 F Inside db 78 F Summer Design Temperature Difference 34 F
--------------------------------------------------------------------------------
EQUIPMENT SIZING LOAD
A. Sensible Ventilation Load
1.1 x 0.00 Vent. CFM x 34 Summer TD = 0.00 Btuh
Sensible Load for Structure + 21537.98 Btuh
Sum of Ventilation and Structure Loads = 21537.98 Btuh
Rating & Temperature Swing Multiplier x 1.15 Btuh'
Equipment Sizing Load - Sensible = 24768.68 Btuh
B. Latent Sizing Load
0.68 x 0.0 Vent. CFM x 0 gr. diff. = 0.00 Btuh
Internal Loads = 230 x 6 number of people + 1380.00 Btuh
Infiltration Load + 8525.16 Btuh
Equipment Sizing Load - Latent = 9905.16 Btuh
--------------------------------------------------------------------------------
COOLING SUMMARY
Total Sensible Gain: 24769 Btuh Design Temperature Swings
Total Latent Gain + 9905 Btuh Normal 3F (X) 4.5F ( )
Total = Sens. + Lat.= 34674 Btuh*
------------------------- 7------------------------------------------------------
HEATINCP SUMMARY
Total Heat Loss for Entire House = 25972 Btuh
Ventilation CFM = 0.0 Winter Design TD = 41 F
Heat Required for Ventilation Air = 1.1 x 0.0 CFM x 41 F= 0 Btuh
Design Heating Load Requirement= 25972 (house)+ 0 (vent)= 25972 Btuh*
--------------------------------------------------------------------------------
MAXIMUM GAS FURNACE OUTPUT
CA Energy Commission Stds Sec 2-5352(g)
1.3 [Design heat loss + (10 Btuh)(Area Sq .Ft . )]
1.3 [ 25972 + 15020 ] = 53290 Btuh
*(Note) The loads shown are only one of the criteria affecting the selection
of HVAC equipment. Other relevant design factors must also be considered. It
is the designers responsibility to consider all factors when selecting the HVAC
equipment.
compiled by Energy Consultina G'rnuo
MANDATORY MEASURES CHECKLIST: RESIDENTIAL DAVE MILLER 10/12/90
MF -1R
-----------------------------7--------------------------------------
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 Certifi-
cate 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
22-5352(a): Minimum ceiling insulation R-19 weighted average. R38
2-5352(b): Loose fill insulation manufacturer's labeled R -Value.
22-5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to
exterior mass walls). R19
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. FIBERGLASS --BAITS
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 2-5313: Setback thermostat on all applicable heating systems.
x2 -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.
1-5352(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 (R-3 or
2-5312(Exception I): Pipe insulation on steam and steam condensate return & 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.
S. Directional water inlet.
Lighting and Appliance Measures
2-5352(j): Lighting -25 lumens/watt or greater for general
2-5314(c): Gas fired appliances equipped with intermittent
2-5314(a): Refrigerators, refrigerator -freezers, freezers
by the CEC. Indicate make and model number.
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
YES
greater). YES
lighting in kitchens and bathrooms.
ignition devices.
and fluorescent lamp ballasts certified
YES
YES
YES
r
POINT SYSTEM SUMMARY. Climate
-----------------------------------------------------------=-----------
Zone:
15
x SC = Eff
%Glass
P -2R
-----------------------------------------------------------------------
Project Title: DAVE MILLER
------------------------7----------------------------------------------
a. North
: 2.20
:'0.77
1.69 :
0
Date:
10/12/90
BUILDING DATA.
: 2.20
: 0.77
1.69 :
Glass
Area
%Glass
C'onditioned-Floor Area: 1502
: 4.66
SgFt..
3.59 :
North
33
: 2.20
Number of stories: 1
: 0.77
2.05 :
0
East
33
: 2.20
Slab/Raised Floor: SLAB
0.00 :
0
South
Shading (Shade Closed)
70
: 4.66
Single Family Detached: X
West
: 2.20
40
: 2.66
Single Family Attached:
b. East
Skylight
0.66
0 -
: 0.00
Multi -Family
C. South
: 4.66
Totals
1.35
176
:11.72
Addition Alone
d. West
: 2.66
: 0.66
1.76 :
-1
Existing Building
: 0.00
0.00
0.00
0
9.
Interior Thermal Mass
Existing Plus Addition:
-----------------------------------------------------------------------
0
10.
Exterior Wall Mass
: 0.00
SCORE CARD
Measures
0
Point
Score
1. Ceiling Insulation
R:
38
or
U:'
0
HSPF x
Duct Eff =
2. Wall Insulation
R:
19
or
U:
0
0.84 =
0.6048
3. Raised Floor Insulation
R:
0
or
U:
0
4. Slab Edge Insulation
R:
0
or
U:
0
S. Infiltration. Standard
9.00 x
0.83 =
7.47
0
Zonal Control; NO
6. Glass Heat Loss.' .Type
U -Value
%Glass
0
13.
Water Heating. Type
: DOUBLE
Credit: 12
11.72
5
Sum 1-6: 5
7.
Shading (Shade Open)
%Glass
x SC = Eff
%Glass
a. North
: 2.20
:'0.77
1.69 :
0
b. East
: 2.20
: 0.77
1.69 :
0
c. South
: 4.66
: 0.77
3.59 :
0
d. West
: 2.66
: 0.77
2.05 :
0
e. Skylight
: 0.00
: 0.00
0.00 :
0
8.
Shading (Shade Closed)
%Glass
x SC = Eff
%Glass
a.. North
: 2.20
0.66 :
1.45 :
0
b. East
: 2.20
0.66
1.45
0
C. South
: 4.66
: 0.29
1.35
1
d. West
: 2.66
: 0.66
1.76 :
-1
e. Skylight
: 0.00
0.00
0.00
0
9.
Interior Thermal Mass
: 2.30
0
10.
Exterior Wall Mass
: 0.00
0
Sum .7-10:
0
11.
Heating System. (SE or
HSPF x
Duct Eff =
Eff SE)
0.72 x
0.84 =
0.6048
1
Zonal Control: NO
0
12.
Cooling System.
(SEER x
Duct Eff =
Eff SEER)
9.00 x
0.83 =
7.47
6
Zonal Control; NO
0
13.
Water Heating. Type
: SE
Credit: 12
-11
POINT TOTAL
1
CERTIFI=-----
CATE OF COMPLIANCE. RESIDENTIAL (Page 1 of 2) CF -1R
----------------------------------------------------------------
Project Title= DAVE MILLER Date= 10/12/90
Project Address= LA QUINTA
Documentation Author. Energy Consulting Group, 1-800-262-9966
Compliance Method. Point System. Climate zone= 15
----------------------------------------------------------------------
Enforcement Agency Use Only. Building Permit #
Checked by/date.
----------------------------------------------------------------------
GENERAL INFORMATION
Total Conditioned Floor Area. 1502 SgFt.
Building Type. SINGLE FAMILY DETACHED
Front Entry Orientation. WEST
Number of Dwelling Units. 1
Floor Construction Type. SLAB
Infiltration Control. STANDARD
BUILDING SHELL INSULATION
Component Type Insulation R -Value Location/Comments
Wall 19 TYPICAL, FIBERGLASS BATTS
Wall
Roof 38 TYPICAL, FIBERGLASS BATTS
Roof
Floor 0
Floor
Slab Edge 0
GLAZING
Glazing
Area
Glass Type
Interior
Exterior
Overhang
Frame Type
Orientation
-----------
(sf)
----
Single,etc.
----------
Blinds
--------
sh-screen
yes/no
metal/wood
Front W
40
DOUBLE
NONE
---------
NO
--------
NO
----------
METAL
Front
Left N
33
DOUBLE
NONE
NO
NO
METAL
Left
Rear E
33
DOUBLE
NONE
NO
NO
METAL
Rear
Right S
70
DOUBLE
LIGHT
NO
NO
METAL
Right
VENETIAN
Skylgt
0
Skylgt
---------------------------------------------------------------------=
THERMAL MASS
Type/Covering
Area
Thickness
Location/Description
(slab, exposed )
( sf )
(inches)
(kitchen, bath, etc.)
TYPE 1 TILE
0385
3.5
KITCHEN, ENTRY;, BATHS & LAUNDRY
TYPE 2 CARPET
1207
3.5
REST OF HOUSE
CERTIFICATE OF
-----------------------------------------------------------------------
COMPLIANCE. RESIDENTIAL
(Page 2 of 2).
CF -1R
Project Title:
.-----------------------------------------------------------------------
DAVE.MILLER
Date:
10/12/90
HVAC SYSTEMS.
Minimum Duct
Type(furnace, Efficiency Location Duct Output Mfgr/Model#
a/c, hp, etc.) (SE , SEER , HSPF )( attic , etc) R -Value (Btuh) (or apvd equal)
-------------
HEAT PUMP -HEATING .0.72 ATTIC 6.3
HEAT PUMP -COOLING 9.00 ATTIC 6.3 .
Maximum Furnace Heating Output: 53290 Btuh.
HOT WATER SYSTEMS.
Tank Manufacturer/Model#
System Type Capacity (or approved equal) Special Feature(s)
------------------------------------ ----------------
STORAGE ELECTRIC 40 HWS REQUIRED -
R -12 External Blanket on Storage Tank (Yes or No) NO
------------------------------------ -----------------------------------
SPECIAL FEATURES/REMARKS: HEAT RECOVERY UNIT (HWS) TO BE INSTALLED WITH
WATER HEATING ELECTRIC STORAGE TANK PER CITY OF LA QUINTA.
LIGHT VENETIAN BLINDS REQUIRED IN SOUTH FACING WINDOWS.
-----------------------------------------------------------------------
COMPLIANCE STATEMENT.
This certificate of compliance lists the building features and perform-
ance specifications needed to comply with Title 24, Chapter 2-53 and
Title 20, Chapter 2, Subchapter 4, Article 1 of the California Admin-
istrative 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 orienta-
tions, all building conservation features which vary are indicated in
the Special Features/Remarks section.
DESIGNER.
(signature)
( date )
DOCUMENTATION AUTHOR.
W. J. FINNELL #473969
ENERGY CONSULTING GROUP
Indian Hills Box 34F
Mountain Center, CA 92361
1-800-262-9966
(signature) 10/12/90
BUILDING OWNER.
(signature)
ENFORCEMENT
Name
Title
Agency
Telephone
AGENCY.
( date )
(sig-nature/stamp) .(date)
THERMAL MASS WORKSHEET
WS -1R
Project Title: DAVE MILLER Date: 10/12/90
---------------------------------- ---------------------------------------------------
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 unif.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 k 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: 0385.0 = 26
Type 2 Mass Area: 1117.0 = 74
N
Interior Mass/CFA from Table 4.7 = 2.3
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
Description Mass Area x Mass Capacity = Mass Capacity
---------------------------------------------------
(Intentionally left blank)
Total / CFA = Interior
Mass/CFA
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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.
r
Opaque Exterior
Description Wall Area x Mass Factor =
---------------- --------- -----------
(Intentionally left blank)
Total / Total Opaque = Exterior
Wall Area Wall Mass
HVAC EQUIPMENT SIZING
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Design Location: LA QUINTA Date: 10/12/90
Compiled for: DAVE MILLER
---------------------------7----------------------------------------------------
DESIGN CONDITIONS
WINTER
Outside db' 29 F Inside db 70 F Winter Design Temperature Difference 41 F
SUMMER
Outside db 112 F Inside db 78 F Summer Design Temperature Difference 34 F
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EQUIPMENT SIZING LOAD
A. Sensible Ventilation Load
1.1 x 0.00 Vent. CFM x 34 Summer TD = 0.00 Btuh
Sensible Load for Structure + 21537.98 Btuh
Sum of Ventilation and Structure Loads = 21537.98 Btuh
Rating & Temperature Swing Multiplier x 1.15 Btuh
Equipment Sizing Load - Sensible = 24768.68 Btuh
B. Latent Sizing Load
0.68 x 0.0 Vent. CFM x 0 gr. diff. = 0.00 Btuh
Internal Loads = 230 x 6 number of people + 1380.00 Btuh
Infiltration Load + 8525.16 Btuh
Equipment Sizing Load - Latent = 9905.16 Btuh
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COOLING SUMMARY
Total Sensible Gain: 24769 Btuh Design Temperature Swings
Total Latent Gain + 9905 Stuh Normal 3F (X) 4.5F ( )
Total = Sens. + Lat.= 34674 Btuh*
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HEATING SUMMARY
Total Heat Loss for Entire House = 25972 Btuh
Ventilation CFM = 0.0 Winter Design TD = 41 F
Heat Required for Ventilation Air = 1.1 x 0.0 CFM x 41 F= 0 Btuh
Design Heating Load Requirement= 25972 (house)+ 0 (vent)= 25972 Btuh*
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MAXIMUM GAS FURNACE OUTPUT
CA Energy Commission Stds Sec 2-5352(g)
1.3 [Design heat loss + ( 10 Btuh)(Area Sq .Ft . )]
1.3 [ 25972 + 15020 1 = 53290 Btuh
*(Note) The loads shown are only one of the criteria affecting the selection
of HVAC equipment. Other relevant design factors must also be considered. It
is the designers responsibility to consider all factors when selecting the HVAC
equipment.
compiled by Enerav rnn til t i nn f'rniin
MANDATORY MEASURES CHECKLIST: RESIDENTIAL DAVE MILLER 10/12/90
MF -1R
-----------------------------------7--------------------------------
Note: lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach
used. Items marked with an asterisk (t) may be superseded by more stringent compliance requirements listed on the Certifi-
cate 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.
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DESCRIPTION DESIGNER ENFORCEMENT
------------------------------------------------------------------------------------------------------------
Building Envelope Measures
s2 -5352(a): Minimum ceiling insulation R-19 weighted average. R38
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). R19
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. YES
2-5311: Insulation specified or installed meets California Energy Commission (CEC) quality
standards. Indicate type and form. FIBERGLASS--BATTS YES
2-5352(f): Vapor barriers mandatory in Climate Zones 14 and 16 only. YES
2-5317: Infiltration/Exfiltration Controls
a. Doors and windows between conditioned and unconditioned spaces designed to limit air
leakage. YES
b. Doors and windows certified. YES
c. Doors and windows weatherstripped; all joints and penetrations caulked and sealed. YES
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. YES
2-5352(h) and 2-5313: Setback thermostat on all applicable heating systems. YES
=2-5316(a): Ducts constructed, installed and insulated per Chapter 10, 1976 UMC. YES
2-5316(b): Exhaust systems have damper controls. YES
2-5314(c): Gas-fired space heating equipment has intermittent ignition devices. YES
2-5314: HVAC equipment, water heaters, showerheads and faucets certified by the CEC. YES
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 (R-3 or greater). YES
2-5312(Exception I): Pipe insulation on steam and steam condensate return 6 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
2-5352(j): Lighting -25 lumens/watt or greater for general lighting in kitchens and bathrooms. YES
2-5314(c): Gas fired appliances equipped with intermittent ignition devices. YES
2-5314(a): Refrigerators, refrigerator -freezers, freezers and fluorescent lamp ballasts certified
by the CEC. Indicate make and model number. YES