Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
SFD (11414)
52600 Avenida Martinez 11414 T I r ry • • {I!, ,4 Building Address 52-600 'tar "inez Owner Coachella Vly. House Coalition Mailing Address 45701 G Monroe St City Zip Tel. Indio 1922011 347--3157 Contractor Owner/Builder Address P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 City State Lic. & Classif. Arch., Engr., Designer , Address ill `t t City ` LICENSED I hereby affirm that I am licensed 7000) of Division 3 of the Business effect. 1 Tel.' No. 11414 BUILDING: TYPE CONST. OCC: GRP. A.P. Number 773-382"' Rf; talo r E Legal Description Unit 15, B lk 143, Lot 20 Project Description SFD City t Lic. # Sq. Ft. 1351 No. No. Dw. Size Stories Units lir'IArDNE -I 1 -" "' DATE OWNER:BUILDo DECLARATION )74 I j I hereby affirm that I am'exempt fromtheContractor's License Law,.forlythe following reason: (Sec. 7031.5,Businesstand Prolessron. Code.+Any city or county which requires a ' permit to construct, alter, improve,` demolish, or repair any stricture, pdoll to Its Issuance requires the applicant for such,, permit to rile a signed statementtthat he is licensed pursUant,fbi the provisions of the Contractor's]License- Law, Chapter 9 (commencing with Section 70661 o l - Division 3 of the Business end Professions Code, or that. he is exempt therefrom, and the basis, for the alleged exemption. Any." violation of Section 7031.5 .b'yl any applicant for perm@ l subjects the applicant to a civil -penalty of not more -than rive hundfed; dollars ($500). ❑ I, as owner of the propertyjor,my.employees with wages as their sole compensation, will do the work, and the structure; is not Interfded'or offered -for sale. (Sec. 7044, Buisness and Professions Code: The Contpctor's License. Lair i'does not/apply to an owner of property who builds or improves thereorivand who+ddesi sLkff work himselffor through his own employees, provided that such lmpriivements fare not iptended'or offered for sale. If, however, the building or improvement.is'sold within:gniO,year of cogWleflon,'the owner-builderwill have the burden of proving that he did not build or,krtprove for the purpose of sale.) t I %I + 0,1; as owner of the property, am exclusively contractingwith licensed•coptractor sito tj- struct the project. (Sec. 7044, Business and ProtessionslCode: The Contgr g l,bi's Lickn w, does not apply to an owner of property wholbgDdg',or improves thereon, and`who contracts OA such projects with a contractor(s) licensed pur suant to the,Contractor's License Law.) 1 ❑ 1 am exempt under Sec. B!8 P.C. for;this reason / 1t 4' Date ` Owner WORKERS' COMPENSATION DECLARATION- I hereby affirm that I have a certificate of consent to self -insure, of 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 I WORKERS' COMPENSATION INSURANCE 1 (This section need not be completed N the permit is for one hundred'dollars ($100) valuationl or less.) I 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. ^ Date Owner NOTICE TO APPLICANT: N, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration it 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. Signature of applicant -Date- Mailing ateMailing Address City, State, Zip ❑ Alter ❑ Repair ❑ Demolition ❑ inc jmated valuation ;a ;hERM'IT ^t t AMOUNT Tel. - Distances: State - j Lic. # i DECLARATION of Chapter 9 (commencing w{jth Code, and my license is in_fulLf 8hd lir'IArDNE -I 1 -" "' DATE OWNER:BUILDo DECLARATION )74 I j I hereby affirm that I am'exempt fromtheContractor's License Law,.forlythe following reason: (Sec. 7031.5,Businesstand Prolessron. Code.+Any city or county which requires a ' permit to construct, alter, improve,` demolish, or repair any stricture, pdoll to Its Issuance requires the applicant for such,, permit to rile a signed statementtthat he is licensed pursUant,fbi the provisions of the Contractor's]License- Law, Chapter 9 (commencing with Section 70661 o l - Division 3 of the Business end Professions Code, or that. he is exempt therefrom, and the basis, for the alleged exemption. Any." violation of Section 7031.5 .b'yl any applicant for perm@ l subjects the applicant to a civil -penalty of not more -than rive hundfed; dollars ($500). ❑ I, as owner of the propertyjor,my.employees with wages as their sole compensation, will do the work, and the structure; is not Interfded'or offered -for sale. (Sec. 7044, Buisness and Professions Code: The Contpctor's License. Lair i'does not/apply to an owner of property who builds or improves thereorivand who+ddesi sLkff work himselffor through his own employees, provided that such lmpriivements fare not iptended'or offered for sale. If, however, the building or improvement.is'sold within:gniO,year of cogWleflon,'the owner-builderwill have the burden of proving that he did not build or,krtprove for the purpose of sale.) t I %I + 0,1; as owner of the property, am exclusively contractingwith licensed•coptractor sito tj- struct the project. (Sec. 7044, Business and ProtessionslCode: The Contgr g l,bi's Lickn w, does not apply to an owner of property wholbgDdg',or improves thereon, and`who contracts OA such projects with a contractor(s) licensed pur suant to the,Contractor's License Law.) 1 ❑ 1 am exempt under Sec. B!8 P.C. for;this reason / 1t 4' Date ` Owner WORKERS' COMPENSATION DECLARATION- I hereby affirm that I have a certificate of consent to self -insure, of 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 I WORKERS' COMPENSATION INSURANCE 1 (This section need not be completed N the permit is for one hundred'dollars ($100) valuationl or less.) I 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. ^ Date Owner NOTICE TO APPLICANT: N, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration it 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. Signature of applicant -Date- Mailing ateMailing Address City, State, Zip ❑ Alter ❑ Repair ❑ Demolition ❑ inc jmated valuation ;a ;hERM'IT ^t t AMOUNT Minimum Setback Distances: Pian Clik. Bal': _ , .. , , , ', \ ' 484.33 Const. 572.00 Mech. 42.50 Electrical C, _l\ 121.03 Plumbing \ 138.00 S.M.I. 9.50 Grading 20.00 Driveway Enc. Validated by: Infrastructure 1,902.88 Precise Plan 25.00 TOTAL 3;2140'24 3,214.24 REMARKS 17, ') i 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: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SO. FT. ® $ UNITS SLAB GRADE 2ND FL. SO. FT. YARD SPKLR SYSTEM POR. SO. FT. ® MOBILEHOME SVC. BAR SINK GAR. SO. FT. ® POWER OUTLET ROOF DRAINS CAR P. SO. FT. ROCK STORAGE DRAINAGE PIPING WALL SO. FT. DRINKING FOUNTAIN. SO. FT. ® OTHER APPIEOUIP. URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER - / GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY AIR HANDLING UNIT CFM ROOFING 4—ZG1-yP W e 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 FIREPLACE SO. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/. c SEWAGE DISPOSAL SO.FT.GAR ® 3/ac 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 FORMSSEWER ROUGH WIRING. DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPIEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE vg/q GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM FINAL INSP. - / FINAL INSP.//_ 30 -93L GRADING cu. yd. $ -Plus-x$-=$ LUMBER GR. FRAMING Z6 -G13 Z V ROOFING 4—ZG1-yP W e % 1 /^ 26 'y3 rJ REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL 0.,zo3 LATHING MESH INSULATIONISOUND FINISH GRADING FINAL INSPECTIO CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITI/ItLS GARDEN WALL FINAL DESERT SANDS UNIFIED SCHOOL DISTRICT 82-879 Highway 111 NOTICE: Indio, CA 92201 Document Cannot Be Duplicated 0191347-9631 La Quinta Permit # Log Date 1/7/93 No. 111952 owner Name Coachella Valley Housing Coalition No. SEE Street BELOW Type of Permit City La Quinta Zip 92253 Study Area 112 AFN # I # I I Lot # 0 Square Footage 112,736 Type of Development Single Family Residence No. of units 10 Comments 52070 Madero: 52155,355 Navarro; 52447 Rubio; 52250 Obregon; 52865 Velasco (6 C? 1222 cf) 9?n'; l Mpndn7a.- S7E,9 95(1 R»hi .- q?#;QQ Mar+inP7 (4 Q 1.151 zf) 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 12 736 or $ 20,122.88 have been paid to D.S.U.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 City of La Quinta Telephone 564-2246 Name on the check By lames E. Lively ; Assistant Superintendent, Business Services ; Fee collected /exe ed by rthur Signature Payment Received .. , , Check 'No. 3.434.4 Collector. A ch a copy of county or city plan check application form to district copy for allwaivers. Embossed Original- Building Dept./Applicant Copy - Applicant/Recei t Copy - Accounting A;.:. I tA*I'f e Itt 1Z . t4tril I (int of 314d uiuta luifbiu dub $dfe3tw"eiiuu This Certificate issued pursuant to the requirements of Section 306 -of the. Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: ADDRESS52-600 Avenida Martinez BUILDIN- , ,- Single Family Dwelling 111414. Use Classification Bldg. Permit No. VN Group R3 Type Construction Rre Zone Use Zone SR -Coachella Valley 45-701 Monroe Street, Suite G Owner of Building Hggsi g oalitian Address Citv Indio, CA 92201 Lonnie Day . By'. Building Official Date; December 6, 1993 POST IN AWHIMICUOUS PLACE N Certificate of Compliance: Residential (Page 1 of 2) CIF -!.R 1'r ,*IT lw Data &R tial V11(YT* rrojecn A44r.n G. Edward Arulerholt #396799 619_320-9804 paiwingpuma a LAKr AataNw AYWur Tek# tt" POINT SYSTEM IS C scdedByID.w C wnyuanc• McMud (YKlase, Kwit Systun a Carnputcr) Canute Zona Warcnwwu Agmcy Use Only GENERAL INFORMATION Total Conditioned Floor Area: 5 f ft2 Building Type: _ Single Family HoleNygw (check Ane v mare) Multi-FantUy (leu titan 4 sanies) Addition Multi -Family (, or mare sanies) Existing -Plus -Addition Froin Gory Orientation: North, t / South / West / All Orientations (cirri4 am or mme) Ntuutx:r of Dwelling Ul": L/ Floor Construction Type: 4;!Q Raised Floor Wide ats a bah) Infiltration Control: - to ixda iglu (circle tut.) B UILDING SHELL INSULATION ComNonuu Insulation Location/Comntcnts 'tytk R -Value (Attic. to ttuale typical etc.) Wall .............. R. 11 FRAME WALLS W au .............. (rolla blind, etc.) (shadesneen, etc.) Roof ............. R-38 TYPICAL Roof............. DOWLE VERTICAL SLIfIOS Floor ............. YES Front....( Fluor ............. Slab Edge..... 0 TYPICAL GLAZING Shading Devices Glazing Arca Glass Type hiterior Exterior Overhang Framing Type Orientation Of) (single, double) (rolla blind, etc.) (shadesneen, etc.) (yes/no) (muWwood) Front.... (E) I$. DOWLE VERTICAL SLIfIOS NOtiC YES Front....( ) ----- ----_ I..cft...... (5) DOUI,Lt= Y,IIIT[ VERTICAL l3LINUS YES rlorr Lt:li...... ( an 11 TE -- Rear..... lwUl3LE VERTICAL BLINDS YFS "4= Rear..... night.... ( ) ( ) DrUOLE t/H I TE night.... ( ) VERTICAL I3L INDS ND -r' YE - - Skylight ....... nC,Ul1l ['--- WHITE NOrIG SkyltgJu....... NO THERMAL MASS Typc/Covering Area Thickness (slab/caposed, tile, etc.) (Sf) (inches) Loeation/DcscriDtion (kitchcn. bath etc ) SL.AO/[XPOSED M_ KITCHEN/t3ATH/ENTRY Certificate of Compliance: Residential F (Page 2 of 2) CF -1R Date -Ii HVAC SYSTEMS ^ Name: 6- E'D A,© N nID 'Uo f Title/Firm: Minimum Duct cm 5 6 Type (furnace, air Efficiency Location Duct Output Manufacturer /Model # conditioner. heat pump) (SE, SEERMSPF) (attic, etc.) R -Value (Btuh) (or approved equal) D 5 n to -rvc _0 q3. DOD A c, &ke oi5vao-A t, N TIC g I& 00D A m i2C 310-Jco( Maximum Furnace Heating Output: q.6,000 Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # S /ystem Type (storage gas. etc.) Capacity (or approved equal) Special Feature(s) l" A'5 qD R-12 External Blanket On Storage Tank (Yes or No)_j SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24, Chapter 2-53 and Title 20, Chapter 2, Subchapter 4, Article I of the Califomia 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 cenificate of compliance is submitted for a single building plan to be built in multiple orientations, all building conservation features which vary arc indicated in the Special Features/Remarks section. Designer ^ Name: 6- E'D A,© N nID 'Uo f Title/Firm: Address: 41 cm 5 6 Telephone: 1 7 Lic. «: 9 Gv tLz ,.t rL i1 'Lit (signature) (date) Documentation Author Name: G. Edward Anderholt Titic/Firm• Address: 4725 Sunny Dune s Palm Springs, Ca. Telephone: 61 778–f-357 '3 ' q 1, (signature) (date) Revised July 1990 - Building Owner Name: Title/Firm: Coachella'V aycy Ilitous'ia x. ast tttiai5 Address: t PIV111VU Wit., 0111 . % l Telephone: ? , Enforcement Agency Name: Agency: Telephone: (signature or stamp) (date) mandatory Measures Checklist: Residential MF -111 NOrr&-: Lowrise residential buildings subject b the Standards must contain these meawu regardless of the compliance &,oproach used Itenms marked with an asterisk (•) may be superseded by moot stringent compliance rtquutments listed un U4 Cerdfic;&w of CcnplW;r—When Itis checklist is incorporated into the pc:mtt docurtwtu. the featuaes noted shall oc ccnsidrred by all pia as binding minimum component performance spectrttations for the mandatory measurts wrwAf,af they am ,mown clacwhere In the documents or on this checklist only. U SCRDTTON DESIGNER ENMRCEMENr b oilai, g ldrvela ,e IWeartrr rs ' 12.5352(11): Minimum crilin;( huulation R-19 weighted aveme. ti2.5352(b): Ifill huvlAion manufacum's labeled R -Value. ' y2 -5352(c): Minimum wall Lurulrtion in 6isrned walls R -1I weighted average (doers tat apply a c arioi mass WAU). J2.5352(k): Slab edgo insulation - water abwrpdcn raw no ipneatet titan 03%. water; vrpor vanamiision rata no greater than 2.0 perm/inch. j2-5311: Irrsclytlon .poeified or installed meets California Enemy Commisrlon (CEQ quality wLwi ams- Indicaeo type and form. 02-5352((): Vapor barriers mandatory In Climate Zones 14 and 16 only. §2-5317: InfiltratioryExfiltration Controls a- Doan and windows between eonditiorwd and unconditioned spAca dwrigned to limit air leakage. b. Doors and windows certirted. N / G Doors and windows wcadwzS ripped; all joints and penetrations caulked and sealed- §2-5352(c): Spocial infiltration barrier inuallod to comply with 02-5351 meets CEC gyaliry #2-5352(d): Installadion of Flaces 1. Masonry and factory -built utplacta have: L Tight fitting. clowAble metal or glass boor b. Outside air intake with damper and control c. Flue damper and contrd 2. No continuous burning gas pilots allowed - HVAC and Plumbing System Measures 62-5352(8) and 2-5303: Space corditiorting equipment siring: attach calculations. t2 -5352(h) and 2-5315: Sod)ack dwrnwstat on all applicable heating systems. J2 -5316(a): Duces ccneauc-ted, burWkd and insulated per Chapter 10. 1976 UMC. §2-5316(b): Exhaust systems have damper controls. §2-5314(c): Gm -rued rpacxs heating equipment has intermittent ignition devices, §2.5314: HVAC equipmwrA, water heaters. showerheads and fauces certified by the CEC. y2-5352(1): Water hearar insulation blanket (R-12 or greater) or combined Interkw/exterior "i uLtion (R-16 or grtaw); first S feet of pipes closest to tank insulated (R-3 at greater). v2-5-312(Excepdw 1): pipe iruulation on steam and steam condensate m unm alt recirculating ' 1 piping. N 14 §2.5318(d): Swimming pool Hesrtirtg 1. System has: L ONoff switch on heater, b. Weatherproof instruction plate on heater. c. Plum bodto allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional writer index. Lighting and Appliance Memare s 62-53520: Lighting .25 lumcrie/watt or greater for general lighting In kitchens and bathrooms. 92-5314(c): Oos rued appliAnc" equipped with Intermittent ignition devices. §2.5314(11): Refrigeratal, refrigerawr-froezers, frtezert and fluorescent lamp ballasts certified by wet CEC. bx4caw make and model number. Mona KovioW Dao wsdw 19V Point System Summary: Climate Zone 15 01f BUILDING DATA Conditioned Floor Area 1151. Number of Stories Slab/Raised Floor Check all applicable Unit Type condition(s): to Single Family Detached (SFD) [) Addition Alone [ ] Single Family Attached (SFA) [ ] Existing Building [ ] Multi -Family (MF) [ ] Existing -Plus -Addition P -2R V -% Date SCORE CARD Measures Point Scores 1. Ceiling Insulation 0 or 0 R-value[381 U -value [0.030] 2. Wall Insulation 11 or - R-value[191 U -value [0.066] 3. Raised Floor Insulation or 0 R-value[19] U -value [0.037] 4. Slab Edge Insulation 0 or 0— R -value [0[ F2 factor [0.77] 5. Infiltration Standard 0 6. Glass Heat Loss vu - ( } ', , 4- Type [double] U -value [0.65] % Total Glass 1161 Sum 1-6 7. Shading (Shade Open) % Glass SC Eff. % Glass a. North x = I X 0 b. East 1.3 b9 510 x (, C. South 5 6L5tfib x L1 = ,.8 0 d. West t{• HHII x . !, , p e. Skylight 0 x 8.. Shading (Shade Closed) % Glass SC Eff. % Glass a. North -Mx5k = p b. East 1-500 5b x :]6' = c. South ,5 l03 x d. West J4. J44 ll5 x 5 — e. Skylight 0 x • 55 _ 9. Interior Thermal Mass Intcrior Mess/CFA 10. Exterior Wall Mass _ Exterior Wa11 Mass Sum 7-10 11. Heating System 60 x Zonal Control? (Y SE or 11SPF Duct Efficiency 10.781 Effective SE or 10.72/6.61 /[ HSPF 10.56/5.151 12. Cooling System _ x Aff i t Zonal Control? ( Y / N y SEER 19.51 Duct Efficiency 10.741 Effective SEER 17.031 13. Water Heating / 5 C.. 1 0 Type [SG) Credit [none] Point Total. .}- Form Revised March 1988 Gl ss Area % Glass North East M3=1.3 foq 3 South West !00 .H 11 6 Skylight Total I I Lll 2— SCORE CARD Measures Point Scores 1. Ceiling Insulation 0 or 0 R-value[381 U -value [0.030] 2. Wall Insulation 11 or - R-value[191 U -value [0.066] 3. Raised Floor Insulation or 0 R-value[19] U -value [0.037] 4. Slab Edge Insulation 0 or 0— R -value [0[ F2 factor [0.77] 5. Infiltration Standard 0 6. Glass Heat Loss vu - ( } ', , 4- Type [double] U -value [0.65] % Total Glass 1161 Sum 1-6 7. Shading (Shade Open) % Glass SC Eff. % Glass a. North x = I X 0 b. East 1.3 b9 510 x (, C. South 5 6L5tfib x L1 = ,.8 0 d. West t{• HHII x . !, , p e. Skylight 0 x 8.. Shading (Shade Closed) % Glass SC Eff. % Glass a. North -Mx5k = p b. East 1-500 5b x :]6' = c. South ,5 l03 x d. West J4. J44 ll5 x 5 — e. Skylight 0 x • 55 _ 9. Interior Thermal Mass Intcrior Mess/CFA 10. Exterior Wall Mass _ Exterior Wa11 Mass Sum 7-10 11. Heating System 60 x Zonal Control? (Y SE or 11SPF Duct Efficiency 10.781 Effective SE or 10.72/6.61 /[ HSPF 10.56/5.151 12. Cooling System _ x Aff i t Zonal Control? ( Y / N y SEER 19.51 Duct Efficiency 10.741 Effective SEER 17.031 13. Water Heating / 5 C.. 1 0 Type [SG) Credit [none] Point Total. .}- Form Revised March 1988 Thermal Mass Worksheet V.V, 1, - Project Title INTERIOR THERMAL MASS Date (.1se. (-iic of the two following; options for calculating in tcri or miss is explained in Section 4.2 of the Fnrr v M,11114al (ECIV). Nlet-hod Bmust he used for mass elements that have an interior unit mass cap.ac I ty less than 1.7. I %I ethod A: Look tip the Interior Mis,,/Cl-A value from TCM Table 4-7 reprinted on the reverse side of thisTk-r, I III * i\, I ij, a snit It I I crior N-I.is,4 (':I It; ic I Iy (I I I N4Q greaser than or equal lo4.2 (see EC Ta h Ies 4-,%;t and .1-0 r( -i lr I ni- .•! (.; :Attachment). TYpe. 2 mass has an I I I MC greater I han or equal to 1.7 and less Than 4.2. Mass %is the nuis,, slirf*,-ic, :11", " dividod by conditioned floor area (CFA). For mass elements exposed on both (two) sifts to conditioncd sp.jcr. vnicr 1*11.1 of only one .tide to calculate the percentage. Mass % Type I Mass Area: 10 Typc 2 Mass Arca: Interior Mass/CFA from Table 4-7: Method 11: C:ilctikilc the Inferior value using the worksheet space below. Look up the Unit Int(,.ri(-r C;i1mcity (UI MC) for c.;wfi in it -rior mass surface. in 1-.'(':A I 'fables ,1-8,I, 4-81), and 4-') reprinic 'd on the Au:whfn-.-rt. Int -Iii I.- inwrior ,url'act.-s of exterior mass walls. For interior mass walls exposed on holh (two) sides to conditioncd space, cm.:, It. - stirfacc area of only one side. Iiicltj(lc the inside surfaces ofextcrior rnorss walls as explained in Sccdon 4.21 of the EC,•'. Unit Interior Interior Description Mass Area Mass Capacity Mass Capacity Total EXTERIOR WALL THERMAL MASS CFA Interior Mass/CF:A Calculate the Exterior Wall Kiss of all exterior walls. Look tip the Exterior Mass Factor for each op,-iqtjc will elc tT-.(,nt fro— ECA-f 'Fable 4-9 reprinted on tfic Attachment. Only exterior mass wall surfaces may be included in this calculation. Description Conventional Walls r-offn Revised March 1988 Opaque Exterior Wall Area Mass Factor 0— X 0 X X X 0 0 =0 Total Total Opaque— Exterior Wall Area Wall Mass IF 4 4 " - - P.O. BOX 1504 APPLICATION ONLY Building, / 7&105 CALLE ESTADO Address Z d e ( ( t Ne Z LA QUINTA, CALIFORNIA 92253 Owner n n _ ., /'n . A 14 Address — p ( OX4&--5t , e (' . City Zi Tel. Contractor Address City Zip Tel. State Lic. City & Classif. Lic. # Designer Address Tel. CityI Zip I 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 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-: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 did not build or improve for the purpose of sale.) l l 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.) 17 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 0 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 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. Date Owner NOTICE TO APPLICANT., U, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name 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. Signature of applicant -Date- Mailing ateMailing Address City, State, Zip i FINANCE BUILDING: TYPE 7CONST. OCC. GRP. A.P. Number f 7 3 — 3-:o z " Z U Legal Description Project Description ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Sq. Ft. Size No. Stories No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ wlc FINAL DATE INSPECTOR SQ r y-yt,.cr Date Permit Validated by: Validation: Estimated Valuation PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. Const. Mech. Electrical Plumbing S.M.I. Grading Driveway Enc. Infrastructure TOTAL REMARKS 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: VETERANS ADMINISYRATION, U.S.D.A. FARMERS HOME ADMINISTRATION, AND U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT Form Approved HOUSING FEDERAL HOUSING COMMISSIONER OMB No. 2502-0192 (Exp. 11130183) ror uccurate register or carbon copPies, form may be separated along above -.. fold. Staple conlpletcd'shoets together In original order. 0 Proposed Construction DESCRIPTION OF MATERIALS No. (Tu be Inserica by I/UD. I'A or F'mllA) C7 Under Construction Property address Various City _La_ Q u in t a, State CA. 92253 Mortgagor or Sponsor Directors Mortgage Loan Corp. P.O. Box 1489 Riverside,CA. 92502 ..... t;Vartse) IAtklress) Contractor or Builder Coachella Val -ley Housing Coalition Plaza I, 45-701 Monroe St.Suite G (Nems) Indio, Ca. 922Md die") INSTRUCTIONS 1. 1. For additional Information on how this form Is to be submitted, number required, than the minimum acceptable will be assumed. Work excaading of eoPles, ate„ sae the Instructions applicable to the HUD Application for minimum requirements cannot be considered unless Specifically deeerlbed. Murtgage Insurance, VA Request for Determination of Ressonayls Value, or A. Include no alternate$, "or equal" phrases, or contradictory Items. 'FvTHA Property Information and Appraisal Report, as the case may be. (Consideration of a request for acceptance of substitute materials of equip. 2. Describe all materials and equipment to be used, whether or not shown ment Is not thereby precluded.) on the drawings, by marking an X in each appropriate check -box and entering 5. Include signatures required at the and of this form. the Information celled for each space. If space Is Inadequate, enter "See mist•" 6. The construction shall be completed In compliance with the related and describe under Item 27 or on an attached sheat. THE USE OF PAINT drawings and specifications, as amended during processing. The specifications CONTAINING MORE THAN THE PERCENTAGE OF LEAD BY WEIGHT Include this Description of Materials and the applicable MlnlrpyM Prpperty PERMITTED BY LAW IS PROHIBITED. Standards. 3. Work not specifically described or shown will not be considered unless 1. EXCAVATION: Bearing soil, type Per soil report - Sandy Loam 2. FOUNDATION& Footings: concrete mix 5 Sack strength psi 2000 Reinforcing 2 #4 Bars Foundation wall: material Concrete Reinforcing _ Interior foundation wall: material Pany foundation wall Columns. material and sizes Piers; material and reinforcing Girders: material and sizes Sills: material Basement entrance areaway Window areaways Waterproofing Footing drains Termite protoction —Soil Poison by chemical spray with cert. Basements space; ground cover ; in-.ulation ; foundation vent Special foundations -Rebar tie at Qaraoe door opening all concrete shall haye compressive strength Additional information: of 2000 lb. in 28 days. 3. CHIMNEYS: Srtnts Tntcx.4uts WIDT/I D1.0u. Parr.• Material Galv. Dbl. wall Prc fabricated(mokr and , r) Am vent 4" First floor Flue lining: material lfeater flue size Fireplace flue site n Vents (malaria/ and rt4e)r gas or oil heater ;water healer 3 Additional Information: Galv. 4" , " 4. FIREPLACE& Wt. ft. Type: ❑ solid fuel; ❑ gas -burning; ❑ circulator (makf and sf;r) Ash dump and cleanout Fireplace: facing lining ; hearth ; mantel Additional information: S.. EXTERIOR WALLS: Wood frame: woodrade, and cies D. F. #2 g fx' Corner bracing. Building paper or fell #15 Felt Sheathing thickness width ❑ solid; ❑ s paeeJ o. e.; ❑ diagonal: Siding grade type size ; exposure "; featening Shingles grade ;type size exposure"; faNening St o, 3 coats ; thickness_1LtL_"; Luh Mesh Wire / Paper Rack 1 2 ; weight _..t..[_._ Ib. Masonry veneer Sills Lintcls Base flashing Masonry: ❑ solid ❑ faced ❑ stuccoed; total wall thickness _ _.. "; facing thickness "; facing material Backup material ; thickness "; bonding Door sills Window sills Lintels Base flashing Interior surfaces: dampproofing, coats of furring Additional information: Exterior painting: material Ext. Latex number of coats Gable wall construction: In same as main walls; ❑ other construction 6. FLOOR FRAMING: ,Joists: wood, grade, and species ; other ; bridging ; anchors Concrete slab: M basement fluor; ❑ first floor; (I ground supportal; ❑ self-supporting; mix 5 Sack ; thicknew 4 reinforcing 6/6 Wire t1esh ; insulation ; membrane 10 Mil Poly Fill under slab: material Sand; thickness thic4ncss ". Additional information: 7. SUBFLOORINOt (Describe underflooring for special floors under item 21.) Material: grade and species ; sit ; type Laid: ❑ first floor; ❑ second lloor; ❑ attic sq. fl.; ❑ diagonal; ❑ right angles. Additional information: 8. FINISH FLOORING: (Wood only. Describte other finish flooring under item 21.) LoceTlrxv Rooves Ga%oa Srtnts Tntcx.4uts WIDT/I D1.0u. Parr.• Ft"esu First floor — Second floor Attic floor Wt. ft. Additional information: _ Previous edition may be used until supply is exhausted 1 DESCRIPTION OF MATERIALS H UD12005 18.791 VA Form 28.1869 Fens mHA 424.2 It v DESCRIPTION OF MATERIALS 9. PARTITION FRAMING: Studd: wood, grade, and species H' F. #2 rite and spacing 2" X 4'' 16" • C Other Additional information: 10, CEILING FRAMING: Joists: wood, grade, and species Trusses Other Bridging Additional Information: 11. ROOF FRAMINOt Rafters: wood, grade, and species Trusses Roof trusser (see detail): grade and species D. F. Additional information: See attached detail 12. ROOFINO: Sheathing: wood,rade, and species_ 2" CD x Ply or 7/16" 1Jaf-er Board ; IN solid; ❑ spaced " o.c. Roofing Conc-Tile grade rue 1.3 x16_; type Underlay Felt weight or thickness 30# ; size ; fastening Nail Built-up roofing number of plies ; surfacing material Flashing: material Galv -Metal _ ; gage or weight 16❑ guards Additional information: Overhang 1" CC x Plv Shee t i n8 ' ❑ gravel stops; snow 13. GUTTERS AND DOWNSPOUTS: Cutters: material gage or weight size shape Downspouts: material gage or weight size : shape ; number Downspouts connected to: ❑ Storm sewer; ❑ sanitary sewer; ❑ dr) -.well. ❑ Splash block$: material and size Additional information: 14. LATH AND PLASTER Lath ❑ walls, ❑ ceilings: material ;weight or thickness Platter: Goan ;' finish Dry -wall M walls, (N ceilings: material C'YP Brd• tlIickncsr 2 finish Text Joint treatment __ Tape, Firewalls - 5/8 Gvp [3oard - Natural Tape 15. DECORATING: (Point, wallpaper, etc.) ROOMS I WALL FINISH hI,TL111A1 Avu APPLICAr104 I CLILINO FINISH MAMIAL ANO APPLICATION Kitchen Latex tnamel l Coats Dath a sex l: n u 1 Q_ c Othrr D1111* in Latex Enamel 2 Coats Liv Bdrms Latex Fniamel 2 Coats I TacAw STAIR RusRS STRING$ Material I Thickness I Material I Thkkner I Material Basement Main Attic Disappearing: make and model numb cr Additional information: 2 I1A4t1RAll B%L►.trtxt Sirs Material I Site I Materiel I Sits Additional information: 16. INTERIOR DOORS AND TRIM: Doors: type Hollow Core ; material MaSolli to 1 3 8" S1 i_ml i ne Done trim:•type • material_ ood thickness Base: t . Slimline Wood 3= )Pe ;material 12 Finish: door 1a ex Ftlamel % Coats ;trim size Other trim (wits, opt and /oration) Additional information. 17. WINDOWS: %Vindows: type _S1 Ali r make -Phi Glass: DSB-SSB 1 i ne 7/8" —'T ; material —A1 I im ; sash thickness grade ; ❑ sash weight$; ❑ balance$, type head flashing Alum Trim: type material Wt•atherstripping: ty,,,Stripping Paint;number ewes Felt Screens: ❑ full; [C] half; type Alumnumber material Storm cath, number er Sturm cloth material Saran Basement windows: t)pe material Screens, number—;Storm sash, number Special windows Additional information: 18. ENTRANCES AND EXTERIOR DETAIL: Main entrance door: matrrial Metal ] width -36" _ ; thickness l--- 3Z411 Frame: material Wood thickness I Other entrance doors. maierialy wood'1 of tt width _ ; thickness Z L Frame: material Wood _ ; thicknestLJl4 head flashing Weatherstripping: type : saddles Screen doors: thickness "; number ; screen cloth material Sturm doors: thickness ", number Combination storm and screen doors: thickness _—"; number ; screen cloth material Shutters: ❑ hinged; ❑ fixed. Railings , Attic louvers Exterior millwork: grade and species Paint number coats Additional information: Slide a l t im Dnor—fit m l nanp 19. CABINETS AND INTERIOR DETAIL: Kitchen cabinets, wall units: material --fla-k ; lineal feet of shelves 1-31 an ; shelf width _1211_ Date units: material _flak counter top Llaetir edging=P1aeH.r Back and end splash P1 as t i r Finish of cabinets `1t$ rni ch ; number coats 2__ Medicine eablneu: malr- Grnte ; model Strllhi1 Other cabinets and built-in furniture _ Additional information: 20. STAIRS: I TacAw STAIR RusRS STRING$ Material I Thickness I Material I Thkkner I Material Basement Main Attic Disappearing: make and model numb cr Additional information: 2 I1A4t1RAll B%L►.trtxt Sirs Material I Site I Materiel I Sits Sink MFG16M Lavatory NO Water cimet Bathtu Shower over lub6 • Eby Stall showcrA .Laundry trays Curtain rod 4N El Door C] Shower pan. material' Water supply: CR public, C] community system; [] individual (private) system.* Sewage disposal: Ej public; 0 community system; 0 individual (private) system.* *Show and dejerebt individual jyjkm ix complete detail in separate drawings and ipic0cations "cording to rtquirsnurdj. . . ..... .... House drain (inside). C] cast iron; C] tile; (4 other A99 House sewer (outside): E] cast iron; [3 tile; [3 other Water piping: El galvanized steel; Cg copper tubing, 0 other Sill cocks, number Domestic water heater-. type C;1 asp 1 i nes Is t arage ; snake and model Amer AM40 heating capacity ILO gph. 100* rise. Storage tank: materisiCS.1ass/Steel capacity .,110 gallon& Gas service; ja utility company; [] liq. pct. gas; C] other Gas piping; g] caking; Q'bg%"q heating Fooling drains connected to; 0 storm sewer; [:) sanitary Rawer; [] dry well. Sump Bump; make and model - ; capacity discharges into 23. HIATMt Hot water. (3 Steam. E) Vapor. [I One-pipc system. [3 Two-pilic system. 0 Radiators. 0 Convectors. (:] Baseboard radiation. Make and model Radiant panel: 0 floor. 0 wall; 0 ceiling. Panel coil: material 0 Circulator. C) Return pump. Make and model capacity —spin Boiler: make and model Output Btuh.; net ra.t-ing.. Btuh Additional information: Warm air: C] Gravity. - E] Forced. Type of system I J f I a,., FQrr-p Ai r FUrnace Duct material: supply Ll asticreturn insulation Fibi-rcylastlikkness ri intake Furnace: make and model A! v -- L1aV6—Z')70 Input AP, 000— Bluhi output '45,500. _Btuh Additional information: AC Ej Space heater; [] Poor furnace;[] wall heater. Input Btuh.; output Btuh-', numOFr Make, model Additional information: Controls: make and types Jade JTJ R At itnrnntj r rl nrlj; information: Fuel: 0 Coal; 0 oil; ;B gas; E] liq, pct. gas; E] electric; [3 other storage.call".191Y.. Additional information: Firing equipment fumishod separately: [3 Gas burner, coavcnion type. El Stoker: hopper food [3. bin food C3 Oil burner: 0 pressure atomizing-, El vaporizing I&kc and model Control Additional information: -- Electric heating system: type Input watts; Q? —volts; output Ikul Additional information: Ventilating equipment: attic Can, make and . 'model'— ---chi kitchen exhaust fan, make and model Range Fair Hond+2 spppd fan Other heating, ventilating. or.cooling Cquipment. LJO 'V2 C4 174-4 $-,X1a7V-4= 24. HIMC WIRINGi' Service: 0 overhead; 13 underground. Panel: C1 (use box; Gicircuit-breaker; make Br)ZAnl7 AMP's 12 5 No. cimuita Wiring: C) conduit: [3 armored cable; E) nonmetallic cable; 0 knob and tube; 0 other Special outlets: C] range; 0 water heater; 0 other A.1rand __ Doorbell. El Chimes. Push-button locationsFront door Additional itiformaiion. 25..UGHTING FIXTURES. Tou . I number of fixtures 16 Total allowance for fixtures, &YpicAl installation, s 400 Nontypical installation Additional information: DESCRIPTION Of MATERIAL '21. SPECIAL FLOORS AND WAINSCOT:, (Describe Carpet as listed in Certified Products Directoro LocAnom W'mRIAL, COLOR. Bowits. 3tz%#,'GAog. Em Totall'"OLD MATMAL WALL BAY MATI[At,&L' Umoaaru)oa ....MArUIAL Kitchen — VillYl Vega Arnistronp, Metal Wood concreL' P. Bath _ Vinyl Vega Arms Lyon MP 1-'A I Wnnrl Uoncrete \11 nthpr Areaq Phil dp ph-lp T- C''n WQ'143496 Cal -Metal Wood Uretban - Pad Pad 2 uteLhane Carpet:Cushion-CH880 LOCATION MATILIMM,'COLOR, BORDER, CAP. 811U, GAOL, ETC. HEIGHT HL10H'r Ovix Tux Hunter IN Sw)wLu (FROM FLOUR) Bath • Bathroom accessories: ❑ Recessed; material number— Attached; material Chrome numbs 4 Additional Information: 22. PLUMBING: FIXTURIL Nuumait Loc.&Tiom MAILS MVR'* FIXTUAR 1D1,NT1F1C^Tiom No. Slag " Cera Sink MFG16M Lavatory NO Water cimet Bathtu Shower over lub6 • Eby Stall showcrA .Laundry trays Curtain rod 4N El Door C] Shower pan. material' Water supply: CR public, C] community system; [] individual (private) system.* Sewage disposal: Ej public; 0 community system; 0 individual (private) system.* *Show and dejerebt individual jyjkm ix complete detail in separate drawings and ipic0cations "cording to rtquirsnurdj. . . ..... .... House drain (inside). C] cast iron; C] tile; (4 other A99 House sewer (outside): E] cast iron; [3 tile; [3 other Water piping: El galvanized steel; Cg copper tubing, 0 other Sill cocks, number Domestic water heater-. type C;1 asp 1 i nes Is t arage ; snake and model Amer AM40 heating capacity ILO gph. 100* rise. Storage tank: materisiCS.1ass/Steel capacity .,110 gallon& Gas service; ja utility company; [] liq. pct. gas; C] other Gas piping; g] caking; Q'bg%"q heating Fooling drains connected to; 0 storm sewer; [:) sanitary Rawer; [] dry well. Sump Bump; make and model - ; capacity discharges into 23. HIATMt Hot water. (3 Steam. E) Vapor. [I One-pipc system. [3 Two-pilic system. 0 Radiators. 0 Convectors. (:] Baseboard radiation. Make and model Radiant panel: 0 floor. 0 wall; 0 ceiling. Panel coil: material 0 Circulator. C) Return pump. Make and model capacity —spin Boiler: make and model Output Btuh.; net ra.t-ing.. Btuh Additional information: Warm air: C] Gravity. - E] Forced. Type of system I J f I a,., FQrr-p Ai r FUrnace Duct material: supply Ll asticreturn insulation Fibi-rcylastlikkness ri intake Furnace: make and model A! v -- L1aV6—Z')70 Input AP, 000— Bluhi output '45,500. _Btuh Additional information: AC Ej Space heater; [] Poor furnace;[] wall heater. Input Btuh.; output Btuh-', numOFr Make, model Additional information: Controls: make and types Jade JTJ R At itnrnntj r rl nrlj; information: Fuel: 0 Coal; 0 oil; ;B gas; E] liq, pct. gas; E] electric; [3 other storage.call".191Y.. Additional information: Firing equipment fumishod separately: [3 Gas burner, coavcnion type. El Stoker: hopper food [3. bin food C3 Oil burner: 0 pressure atomizing-, El vaporizing I&kc and model Control Additional information: -- Electric heating system: type Input watts; Q? —volts; output Ikul Additional information: Ventilating equipment: attic Can, make and . 'model'— ---chi kitchen exhaust fan, make and model Range Fair Hond+2 spppd fan Other heating, ventilating. or.cooling Cquipment. LJO 'V2 C4 174-4 $-,X1a7V-4= 24. HIMC WIRINGi' Service: 0 overhead; 13 underground. Panel: C1 (use box; Gicircuit-breaker; make Br)ZAnl7 AMP's 12 5 No. cimuita Wiring: C) conduit: [3 armored cable; E) nonmetallic cable; 0 knob and tube; 0 other Special outlets: C] range; 0 water heater; 0 other A.1rand __ Doorbell. El Chimes. Push-button locationsFront door Additional itiformaiion. 25..UGHTING FIXTURES. Tou . I number of fixtures 16 Total allowance for fixtures, &YpicAl installation, s 400 Nontypical installation Additional information: DESCRIPTION Of MATERIAL DESCRIPTION OF MATERIALS 26. INSULATION: I.ocwrro" TNM■"ua MATa■rnt, Tyra. A"o Kfamuo „r 1".r,uwrwr. Veto■ BA■■Il■ Roof Ceiling It – t ..s Wan %" - s BaLLs Floor 27, MISCELLANEOUS: (Describe any main dwelling materials, equipment, or construction items not shown elsewhere/ or use to provide additional information where the space provided was inadequate. Always reference by item number to correspond to numbering used on this form.) HARDWARE: (make, material, and nnish.) K%yikseL B lair Brass SPECIAL EQUIPMENT: (State material or make, model and quantity. Include only equipment and appliances which are accept- able by local low, custom and applicable FHA standards. Do not include items which, by established custom, are supplied by occupant and removed when he vacates premises or chattles prohibited by law from becoming realty.) _ _Ki 1-rhen ranop •( 'l nr; enr -N an disposal Badger 1 PORCHES: - TURA GARAOK: _SPP Plan WALKS AND DRIVEWAYS: r Driveway:'wldth 161 bare materialConcrete Orr thic pcss "; surfacing material ; ahlekneu Front walk: width 3 material Concrete thickness 4 Service walk: width ; materia ; thickness Steps: material treads -11; risen . Check walls OTHER ONSITE IMPROVEMENTS: (SOenfy all exterior rutile trnproewmrrnq not described thrwAere, including items such or unwual (rodrni, drainage structures, retaining umrlh, fraty, nrltkp, and attrssiry shutlures.) 6' Wood Fence Front yard automatic sprinklers LANDSCAPING, PLANTING, AND FINISH GRADING:Per 4145.1, Rev 1, Appd ix 8 Topwil " thick: ❑ front. aid; ❑ ride yards; ❑ rear yard to feet behind main building. Lawns (senAd, sodArd, or spriurd): front yard C C TJ ; sidt yards _ C3rear yard Planting:as sprcifir•d and shown on drawings; ❑ as fullows: Slade trees, deciduous._" caliper. Evergreen trees, ' to ', B etc B: Low flowering trees, deciduous,' to Everjreen shrubs, ' to ' B Et B. High -growing shrubs, deciduous, ' to Vines, 2 -year Medium -Vowing shrubs, deciduous, ' to I At ff/,- Low-growing ,-Low growing shrubs, deciduous, ' to _ IDawnrtaATION.—This exhibit shall be identified by the signature of the builder, or spoowr, and/othe e ro known at the eeJtime of application. P P mortgagor if tiro latter u Date / l A I Signature Signature 4 HUD -92006 16.79) VA Form 28.1862 Form FmH A 424.2 BEFORE PURCHASING THIS APPLIANCE, READ IMPORTANT ENERGY COST AND EFFICIENCY INFORMATION AVAILABLE FROM YOUR RETAILER. PHYSICAL DATA AND SPECIFICATIONS -U.S. MODELS (UPFLOW) MODEL NUMBERS UGOG-050AUER UGDG-075AUER UGDG-075AMGR UGDG-100AUER UGDG-05MAUER UGDG-07MAUER UGDG-07MAMGR UGDG-10MAUER UGDG-05EAUER UGDG-07EAUER UGDG-07EAMGR UGDG-10EAUER UGDG=05NAUER U1311313-07 ER UGDG-07NAMGR UGDG-10NAUER UGDG-100BRJR UGDG-10MBRJR UGDG-10EBRJR UGDG-10NBRJR UGDG-125ARJR UGOG-12MARJR UGDG-12EARJR UGOG-12NARJR UGDG-150ARJR UGDG-15MARJR UGDG-15EARJR UGDG-15NARJR INPUT-BTU/HR OO 50,000 75,000 75,000 100,000 100,000 125,000 150,000 HEATING CAPACITY BTU/HR 41,000 500 60,500 80,000 81,000 99,000 119,500 HEAT EXT. STATIC PRESSURE .10 .12 .12 .15 .15 .20 .20 SLOWER (DxW) 11x6 11x6 11x7 11x6 11x10 11x10 11x10 MOTOR H.P.-SPEEDS-TYPE 1/2 -4 -PSC 1/2 -3 -PSC 3/4 -4 -PSC 1/2 -3 -PSC 3/4 -4 -PSC 3/4 -4 -PSC 3/4 -4 -PSC MOTOR FULL LOAD AMPS 6.8 6.8 9.5 6.8 9.5 9.5 9.5 HEATING SPEED LOW LOW LOW LOW LOW LOW LOW COOLING SPEED HIGH HIGH HIGH HIGH HIGH HIGH HIGH COOLING CFM @.5- E.S.P 1200 1200 1600 1200 2000 2000 2000 MAX. EXT. STATIC PRESSURE (IN.) .50 .50 .50 .50 .50 .50 .50 TEMPERATURE RISE RANGE OF 25-55 40-70 25-55 55-85 40-70 40-70 50-80 STANDARD FILTER 153/4 x 25 153/4 x 25 153/4 x 25 153/4 x 25 191/4 x 25 223/4 x 25 223/4 x 25 APPROX. SHIPPING WEIGHT (LBS.) 85 105 105 115 120 140 150 RETURN AIR CABINETS (OPT.) RXGR- FILTER SIZE C14B (2) 12 x 16 C17B (2) 12 x 16 C178 (2) 12 x 16 C17B (2) 12 x 16 C21 (2) 20 x 16 C24B (2) 24 x 16 C24B (2) 24 x 16 FILTER FRAME (OPT.) RXGF- FILTER SIZE Z16B (1) 16 x 25 Z16B (1) 16 x 25 Z33B (2) 16 x 25 Z16B (1) 16 x 25 Z33B (2) 16 x 25 Z33B (2) 16 x 25 Z33B (2) 16 x 25 AFUE-STANDING PILOT MODELS (D 78% 78% 78% 78% 78% 78% 78% AFUE-H.S.I. MODELS( 1 80% 80% 1 80% 1 80% 80% 80% 1 80% NOTES: All models are 115V, 60HZ, 10. Gas connection size for all models is 1/2" N.PT. O In accordance with D.O.E. test procedures. O See Conversion Kit Index Form No. 92-21519-30 for high altitude Berate. PHYSICAL DATA AND SPECIFICATIONS -CANADIAN MODELS (UPFLOW) MODEL NUMBERS UGDG-050AUEA UGOG-05EAUEA UGDG-075AUEA UGDG-07EAUEA UGDG-075AMGA UGDG-07EAMGA UGDG-100AUEA UGDG-10EAUEA UGDG-100BRJA UGDG-10EBRJA UGDG-125ARJA UGDG-12EARJA UGDG-150ARJA UGDG-15EARJA INPUT-BTU/HR O 50,000 75,000 75,000 100,000 100,000 125,000 150,000 HEATING CAPACITY BTU/HR 41,000 59,500 60,500 80,000 81,000 99,000 119,500 HIGH ALTITUDE INPUT 45,000 67,500 67,500 90,000 90,000 112,500 135,000 HIGH ALTITUDE OUTPUT CAPACITY 36,500 1 53,500 54,000 72,000 72,500 89,000 87,000 HEAT EXT. STATIC PRESSURE .10 .12 .12 .15 .15 .20 .20 BLOWER (DxW) 11x6 11x6 11x7 11x6 11x10 11x10 11x10 MOTOR H.P.-SPEEDS-TYPE 1/2 -4 -PSC 1/2 -3 -PSC 3/4 -4 -PSC 1/2 -3 -PSC 3/4 -4 -PSC 3/4 -4 -PSC 3/4 -4 -PSC MOTOR FULL LOAD AMPS 6.8 6.8 9.5 6.8 9.5 9.5 9.5 HEATING SPEED LOW LOW LOIN LOW LOW LOW LOW COOLING SPEED HIGH HIGH HIGH HIGH HIGH HIGH HIGH COOLING CFM Q .5" E.S.P. 1200 1200 1600 1200 2000 2000 2000 MAX. EXT. ST. PRESSURE (IN.) .50 .50 .50 .50 .50 .50 .50 TEMPERATURE RISE RANGE OF 25-55 40-70 25-55 55-85 40-70 40-70 50-80 STANDARD FILTER 153/4 x 25 153/4 x 25 153/4 x 25 153/4 x 25 191/4 x 25 223/4 x 25 223/4 x 25 APPROX. SHIPPING WEIGHT (LBS.) 85 105 105 115 120 140. 150 RETURN AIR CABINETS (OPT.) RXGR- FILTER SIZE C14B (2) 12 x 16 C17B (2) 12 x 16 C17B (2) 12 x 16 C17B (2) 12 x 16 C21 (2) 20 x 16 C24B (2) 24 x 16 C24B (2) 24 x 16 FILTER FRAME (OPT.) RXGF- FILTER SIZE Z16B (1) 16 x 25 Z16B (1) 16 x 25 Z33B (2) 16 x 25 Z16B (1) 16 x 25 Z33B (2) 16 x 25 Z338 (2) 16 x 25 Z338 (2) 16 x 25 AFUE-STANDING PILOT MODELS O 1 78% 78% 78% 78% 78% 78% 1 78% AFUE-H.S.I. MODELS( 80% 80% 80%80% 80% 80% 80o/a NOTES: All models are 115V, 60HZ, 10. Gas connection size for all models is 1/2" N.PT. O In accordance with D.O.E. test procedures. O See Conversion Kit Index Form No. 92-21519-31 for high altitude Berate. 07z08z92 16:16 $ 17146828363 D P.02 Residential Energy Saver Gas -Upright These water heaters rneel or exceed the porformance slandardo e3lablished undur ASHRAE Standard 9OA-1980 when tested according to D.D.E.166t procedures. Natural Oas heaters equipped with specially designed aluminized -steel L P Gas heaters equipped with high burner for use with energy saver performance cast Iron burner. The 4ost L r models. burner available. NEW LOW CONSUMPTIONPILOT Energy Saver Models Foam Insulation (R value 16.87) meets California Energy t:ontml•slon requirements. Title 24 and S.C.AA.M.D. Natural Gas OPH LP Gas GPH A 0 C 0 E Rea R•C. R. to Fl. to FI. to Approx. Model Gal. Input 90°F Model Gal. Input 90°F Flue Jacket Vent TAP Goo 8hpg, Number Cep. 9TU Rlse Number Cap. OTU Rlse Conn, plum. $110 Conn, Conn. Wt. (Ibo.) M-4.30T5LN" 30 32,000 32.7 M4-3015cX• 3D 32,000 32,7 69 SA 18' 3" 561/4" 14' 102 _W4.40T6LN_! 40 34.000 34.8 M•4.4oT6CX 40 34,000 34.8 _MAO 2D' 3" 14' _ 116 M-4.403TOLN 38 40,000 40.1) M-4-403TSOX 38 40,000 40.9 5946' 2D` 3" 687/4" 14• 120 W4.6035LN" 50 38,000 36,8 M-4-50S5CX 50 38,000 36.8 807/4" 22' 3" 66/4" 14" _ _ 148 M•4.504SUN" 50 $0,000 51,2 M-4.5D4S5CX 50 50,000 51.2 SO?/&' 22' 4" 06% 14" 150 M-4-76t36CN 75 76,100 76.0 M.4.75S5CX 75 75.1 DO 76.0 68N41 26' 4" 58" 21" 264 'Not equipped with Slider Combustion Chamber Ooor, •'For S.C.A.Q.M.O. roquirementa ehanae "L" to "a" on natural gas models. 6uitabl• for Water (Potable) Hosting and $poo• Heating Toxic ohomfoal•, such as those used for boiler treatment, shell NPVLH be Introduced Into this system. This unit may NEVER be connected to any existing heeling system or componont(s) previously used with a non -potable water heating appnenco. General All gas water heaters are certified at 300 PSI lest pressure and 150 PSI working pressure. All water connections cite 1144" NPT on 8" centere (11" centers on 76 gallon models). All gas connections aro Varr. All models design certified by A.G.A. and peak performance rated. Change suffix number 5 to 10 for warranty Identification, R000very on Energy Saver Models based on 764 efficiency and 909F. rico. Hand hole cleanout available a6 Optional Item on 40 gallon site. Dimenslone and epeollioallone subfeot to change wlthoat nolive /n accordance with our polloy of continuous product Inrprovemem. 2 -Year Limited Warranty on b or 10 -Year Limited Tank CompOnent Parte Warranties BRADFORD -WHITE BRADFORD -W H ITF CORPORATION has a 2 -year CORPORATION LIMITED warranty on replaceable parts— WARRANTY: protects your Invest - thermostat, burner, magnesium ment In a quality glass -lined anode rod, dip tube, draln valve. heater. If the tank leaks for These quality components are reasons of faulty materials, work - manufactured for us by Industry manship, or corrosion within the leaders and will be replaced In the warranty period, the heater will be event of failure during the parts replaced with a comparable heater warranty period (exclusive of of our manufacture (exclusive of shipping and re -Installation oost.)t shipping and re -Installation cost).t tSome states do not allow limitations on warranties. Soo complete copy of the warranty Included with the heater. Corporate Offices 24th & Ellsworth Streets Philadelphia, PA 19146 216-546.3800 Service Centers Atlanta, GA 800-4304061 In Georgia 800.822.9706 Dallas, Tx x00.243.1768 to Texas WD -4414062 M14101110. MI 800.172.2638 In Michigan Ph0■d elphta, PA 800.638-2020 In Pemaylvanla 000.632-1020 Rano. Nv goo -882.3222 Banta Fs 6pdnga, CA (Las Angeles) 11DOdl82.9006 wastvorough, MA 800.837.6269 04-EHraw.891}89,.0 Quality Products Since 1381 pr"„oel,,,u.6A. 31-- FORM NO. A22-132 REV. 4- Supersedes Form No. A22.132 Rev. 3- Cooling Capacities 17,200 to 58,500 BTU/HR RUUD° ACHIEVER 100 SUPER HI -EFFICIENCY CONDENSING UNITS UAHE- SERIES The Ruud Achiever 10 Super High Efficiency UAHE- Con- densing Unit was designed with performance in mind. These units offer comfort, energy conservation and dependability for single, multi -family and light commer- cial applications. The Ruud Achiever 10 UAHE- Condensing Units are the result of an ongoing development program for improved efficiencies. With SEER's ranging to 11.0, these units continue a tradition of high efficiency. • Attractive, wrap-around jacket protects the coil. Top grille is steel reinforced for extra strength. Cabinet is powder painted for all-weather protection. • Air is discharged upward away from bushes and shrubs. The discharge pattern of the top grille pro- vides minimum air restriction, resulting in quiet fan operation. • Exclusive Combination Grille/Motor Mount secures the motor to the underside of the discharge grille. The grille protects the motor windings and bearings from rain and snow. • All controls are accessible by removing one service panel. Removable top grille provides access to the con- denser fan motor, compressor and condenser coil. • Single speed motor designed for low speed, quiet, energy-saving operation. ti RUUD pWAYOF!FF W` 1 ,, PPriormance Data @ ARI Standard Conditions -Cooling Outdoor Unit UAHE- Madel Numbers Indoor Coil and/or Air Handler Total Capacity BTU/HR Net Sensible BTU/HR 80°F DB/ 95°F Net Latent BTU/HR 67°F WB Indoor Air DB Outdoor Air Single Phase Total Watts SEER Three Total Watts Phase SEER Sound Rating 0 Indoor CFM RCAB-A021 0 18,100 13,400 4,700 1,915 10.20 7.8 600 RCAB-A021/UHQA-08 18,300 13,700 4,600 1,830 10.20 7.8 600 RCAB-A025 17,900 14,400 3,500 1,965 10.10 7.8 670 RCAH-Z025 18,000 14,200 3,800 1,955 10.25 1 7.8 675 RCAS-A018 17,300 12.700 4,600 1,890 9.80 7.8 600 RCEH-Z021 17,600 13,400 4,200 1,935 9.80 7.8 660 019JA RCLB-A024 18,200 13,600 4,600 1,905 10.60 7.8 550 RCPB-0018 18,200 13,800 4,400 1,915 10.30 7.8 630 RCTB-A018 OO 17,200 13,400 3,800 1,860 10.40 7.8 600 RCTB-A018/UHQA-08 OO 17,400 13,700 3,700 1,775 11.00 7.8 600 RCTH-A024 OO 17,300 13,600 3,700 1,850 10.80 7.8 550 RECC-9XXXXC OO OO 18,000 13,400 4,600 2,000 9.15 7.8 600 REOC-9000AC (D 18,000 13,400 4,600 2,000 9.15 7.8 600 RCAB-A025 22,800 17,200 5,600 2,530 9.55 7.8 800 RCAH-Z025 22,800 17,400 5,400 2,540 9.70 7.8 800 RCEH-Z025 22,600 16,900 5,700 2,530 9.55 7.8 800 RCLB-A024 O 24,000 18,800 5,200 2,580 10.10 7.8 800 RCLB-A024/UHQA-08 24,200 18,900 5,300 2,530 10.40 7.8 800 025JA RCPB-0O24 22,800 17,200 5,600 2 530 9.65 7.8 800 RCTB-A024 O 23,600 18,400 5,200 2,580 10.20 7.8 800 RCTB-A024/UHQA-080 24,800 18,600 5,200 2,416 10.50 7.8 800 RCTH-A0240 23,400 18,300 5,100 2,560 10.15 7.8 800 RECC-9XXXXA 0 O 22,200 16,000 6,200 2,280 9.70 7.8 650 REOC-9000AA0 22,200 16,000 6,200 2,280 9.70 7.8 650 RCAB-A031 29,600 23,300 6,300 3,300 9.75 7.8 1,100 RCAH-Z037 29,200 22,500 6,700 3,280 9.60 7.8 1,075 RCEH-Z031 29,600 23,300 6,300 3,280 8.85 7.8 1,100 RCLB-A030 O 30,600 23,400 7,200 3,300 10.00 7.8 1,050 030JA RCLB-A030/UHQA-13 30,800 23,600 7,200 3,240 10.30 7.8 1,050 RCPB-0036 29,800 22,900 6,900 3,265 9.80 7.8 1,050 RCTB-A036 O 30,600 23,300 7,300 3,220 10.70 7.8 1,050 RCTB-A036/ UHQA-1 3 Q 30,800 23,500 7,300 3,160 11.00 7.8 1,050 RCTH-A036 Q 30,600 24,000 6,600 3,220 10.70 7.8 1,050 RCAB-A037 34,000 26,300 7,700 3,700 9.80 7.8 1,275 RCAH-Z037 33,000 24,500 8,500 3,630 9.70 7.8 1,200 RCEH-Z037 33,800 26,400 7,400 3,690 9.80 7.8 1,250 RCLB-A036 35,000 26,500 8,500 3,700 10.20 7.8 1.200 036CA RCLB-A036/UHQA-13 35,000 26,500 8,500 3,675 10.30 7.8 1,200 RCPB-0036 33,800 25,500 8,300 3,650 9.90 7.8 1,200 RCTB-A036 35,000 26,500 8,500 3,735 10.35 7.8 1,200 RCTB-A036/UHQA-13 35,000 26,500 8,500 3,710 10.45 7.8 1,200 RCTB-A037 35,400 27,000 8,400 3,760 10.50 7.8 1,200 RCTH-A036 35,400 27,100 8,300 3,740 10.45 7.8 1,200 RCAB-A037 34,000 26,300 7,700 3,700 9.80 7.8 1,275 RCAH-Z037 33,000 24,500 8,500 3,630 9.70 7.8 1,200 RCEH-Z037 33,800 26,400 7,400 3,690 9.80 7.8 1,250 RCLB-A036 O 35,000 26,500 8,500 3,700 10.20 7.8 1,200 036JA RCLB-A036/UHOA-13 35,000 26,500 8,500 3,675 10.30 7.8 1,200 RCPB-0036 33,800 25,500 8,300 3,650 9.90 1 7.8 1,200 RCTB-A036 0 35,000 26,500 8,500 3,735 10.35 7.8 1,200 RCTB-A036/UHOA-13 Q 35,000 26,500 8,500 3,710 10.45 7.8 1,200 RCTB-A037 Q 35,400 27,000 8,400 3,760 10.50 7.8 1,200 RCTH-A036 Q 35,400 27,100 8,300 3,740 10.45 7.8 1,200 RCAB-A049 40,000 31,200 8 800 4,430 9.70 8.2 1,500 RCAH-Z049 40,500 31,400 9 100 4,460 9.75 8.2 1,500 RCEH-Z049 40,000 _30,600 9,400 4,400 10.00 8.2 1,500 RCLB-A048 41,500 31,300 10,200 4,440 10.10 8.2 1,450 042CA RCLB-A048/UHQA-16 42,000 31,800 10,200 4,325 10.45 8.2 1,450 RC M B -A048 41,500 31,300 10,200 4,440 10.10 8.2 1,450 RCMB-A048/UHQA-16 42,000 31,800 10,200 4,325 10.45 8.2 1,450 RCPB-0042 - 40,500 31,000 9,500 4,400 9.85 8.2 1,450 RCOB-0048 42,000 32,000 10,000 4,490 10.50 8.2 1,450 RCTB-A048 41,000 31,000 10,000 4,420 10.30 8.2 1,450 RCTB-A048/UHQA-16 41.500 31,500 10,000 4,305 10.65 8.2 1,450 RCTH-A048 41,000 31,800 9,200 4 430 10.40 8.2 1,450 042JA RCAB-A049 40,000 31,200 8,800 1 4,430 9.70 8.2 1,500 RCAH-Z049 40,500 31,400 9,100 4,460 9.75 8.2 1,500 RCEH-Z049 40,000 30,600 9,400 4,400 10.00 8.2 1,500 Q Highest sales volume tested combination required by D.O.E. test procedures. 0 Blower Coil 0 Requires hard -start components. O Digits "XXXV represent optional electric heat and control type; "A" and "C" represent coil type. Q Sound ratings in accordance with ARI Standard 270. 3 n FORM NO. G22.442 Y F a. ;cam ,,.r•„ a; t e; UGDG- SERIES Models with Input Rates from 50,000 to 150,000 BTU/HR (U.S. & Canadian Models) pESIGN 1 ,,,ERIC, EFFICIENCY EFFICIENCY I RATING i ` ►, G(tS CERTIFIED ` 9s ? ama ^RPFROVEO OCIAA CERTIT%ED RUUD° SILHOUETTETM 78%-80% A.F.U.E.t UPFLOW GAS FURNACES The Ruud Silhouette' line of upflow gas furnaces are designed for utility rooms, closets, or alcoves. Because of the Silhouette's low -profile 34 inch height, the upflow model can also be used to satisfy most applications that traditionally call for a horizontal furnace. The design is certified by the American Gas Association. Canadian models are certified by the Canadian Gas Association. Features • Patented Turbulex' Heat Exchanger, constructed of both stainless and aluminized steel for the maximum in corrosion resistance. • Low profile "34 inch" design is lighter and easier to han- dle, and leaves room for optional equipment. • Both standing pilot and hot surface ignition models available. • Left or right side gas and electric inlet connections with quick, simple change. • Hot surface ignition models feature an integrated board with humidifier and electronic air cleaner hookups. An accessory kit is available for standing pilot models. • Insulated blower compartment, a slow -open gas valve and a specially designed draft inducer motor make it one of the quietest furnaces on the market today. • Integrated solid state control board. • Pre -paint galvanized steel cabinet. • Molded permanent filter. • Grab -holes in doors to aid in easy door removal and replacement. pE A variety of cooling coils and 9F°R"'A" E_. plenums designed to use with Ruud Silhouette gas furnaces are RVVpavailable as optional accessories for air conditioning models. .,,, tculat Annual Fuel Utilization Efficiency) cal- cu al- culated in accordance with Department of Energy test procedures. Certificate of Compliance: Residential (Page 1 of 2) CF -1R Yruj t TW*, pey !'reJar Aaare,. ' G, Edward Ailerholt #396799 619-320-9804 YYiWiry Perttoit U"vfte&WkM Ao&bw •yyep e POINT SYSTEM IS taa*adByIDom ( W-pu ocs alsbaud (pa'"Sc, Paull Synun or Caaopulcr) cvo jd Zam t7r1 ft"o-a Away Use ONy GENERAL INFORMATION Total Conditioned Floor Arca: U2 Building Type: Single Family Holcumow (chock arw ar mare) Mulu•Fsmily (less Uutn 4 stories) Addition Multi -Family (4 ur am= &torics) F.xistin -Pitts-Addition Froin ruitry Orientation: NorUi / East / South's' All Orientations (ode ass or awe) Nututx;r of Dwelling Units: I / Floor Construction Type: lab Raised Floor (evd. ase at bods) lnliltrrliun Control: _tattda iglu (circle am) IiUILD1NG SHELL INSULATION Componctu hisulation Locauon/Comnteuts Type R-Valuc (Attic. to ruse. typical e1c.) Wall .............. R- 13 FRAME WALLS wall .............. BLINDS NOW WHITE Roof............. R-38 TYPICAL Roof ............. NON[ Floor ............. Fluor ............. Slab Edge..... O TYPICAL GLAZING Glazing Orientation Front.... (w) Front.... ( ) Lc ft...... ( ) L -Ii...... ( ) Rear..... ( ) Right.... (5 ) Right.... Skylight....... Skyl,gJu....... Arca Glias TYIc 00 (bindle, double) 18 • DOUBLE r DOU13LE THERMAL MASS DOUBLE DOUBLE DOUBLE Shading Devices Ulterior Exterior (rover bluul• etc.) (shaduacen, etc.) VERTICAL BLINDS NONE _WH I TF VERTICAL 6LIND5 NONE WHITE VERTICAL BLINDS NOW WHITE VERTICAL 8t I NDS NC, -.E WHITE NON[ Ovefiang Framing Type YES YC— S YF YE_ S _ _NQ TypaCovering Arca Thickness (slab/ciLposed, tile, etc.) (SO (itiches) Loeatlon/Mseription (kitchen. bath etc.) SLAB/EXPOSED 3 112 " KITCHEN/BATH/ENTRY Certificate of Compliance: Residential Project Title HVAC SYSTEMS (Page 2 of 2) CF -1R Date Maximum Furnace Heating Output: 1%_ Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage gas. etc.) Capacity (or approved equal) Special Feature(s) co A5 40 R-12 External Blanket On Storage Tank (Yes or NO) L SPECIAL FEATLiRES'RENI ARKS (Add extra sheets if necessary) COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24, Chapter 2-53 and Title 20, Chapter 2, Subchapter 4, Article 1 of the California Administrative code. This certificate has been signed by the individual with overall design responsibility and the building owner, who shall retain a copy of it and transmit the certificate to any subsequent purchaser of the building. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, all building conservation features which vary arc indicated in the Special Features/Remarks section. Designer Name: l . i ,( 1t 1 .=? ► ` Title/Firm: Address: q Lk Nr(q 77tir6 ti-'A0-tr t,5, (714. 41:k1#4 Telephone 1,1,1719-1 'J Lie. of: III (signature) (date) Documentation Author Name: G. Edward Anderholt Titie/Firm• Address: 4725 Sunny Dunes Palm Springs, Ca. Telephone: ( 619) 778-1357 (signature) (date) Revised July 1990 Building Owner Name: Title/Firm: Address: Telephone: (signature) Enforcement Agency Name: Agency: Telephone: (signature or stamp) (date) (date i Minimum Duct Type (furnace, air Efficiency Location Duct Output Manufacturer/ Model # conditioner, heat um) (SE. SEER.HSPF) (attic, etc.) R -Value (Btuh) (ora roved equal) 1 r t?,, 0 .. , A ii. .06 Gug0g5h30A- t J Ly-'sf M ITIilf81 t'a 1069 TTIC _ .Gei, kll Af) 60F.31,1kolD Maximum Furnace Heating Output: 1%_ Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage gas. etc.) Capacity (or approved equal) Special Feature(s) co A5 40 R-12 External Blanket On Storage Tank (Yes or NO) L SPECIAL FEATLiRES'RENI ARKS (Add extra sheets if necessary) COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24, Chapter 2-53 and Title 20, Chapter 2, Subchapter 4, Article 1 of the California Administrative code. This certificate has been signed by the individual with overall design responsibility and the building owner, who shall retain a copy of it and transmit the certificate to any subsequent purchaser of the building. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, all building conservation features which vary arc indicated in the Special Features/Remarks section. Designer Name: l . i ,( 1t 1 .=? ► ` Title/Firm: Address: q Lk Nr(q 77tir6 ti-'A0-tr t,5, (714. 41:k1#4 Telephone 1,1,1719-1 'J Lie. of: III (signature) (date) Documentation Author Name: G. Edward Anderholt Titie/Firm• Address: 4725 Sunny Dunes Palm Springs, Ca. Telephone: ( 619) 778-1357 (signature) (date) Revised July 1990 Building Owner Name: Title/Firm: Address: Telephone: (signature) Enforcement Agency Name: Agency: Telephone: (signature or stamp) (date) (date i Mandatory Measures Checklist: Residential MF -111 NOTE: L.owrise residential buildings subject b the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (•) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCREMON I DESIGNER I Emits J wr I Badding Envelope Measures • 12.5352(a): 1Wnimtrn ceiling insulation R-19 weighted average. 12.5352 ft Loose fill insulation manufacturer's labeled R -Value. • 12.5352(c): Minimwn wall inwlafm its famed walls R-11 weighted average (does not apply to exterior mass walls). 12.5352ft Slab edge Insulation - water absorption rate no greater than 0.3%. wow vapour transmission rate no greater than 2.0 perriVinch. 42.5311: Insulation spedfied or installed meets California Energy Commission (CEC) Quality standards. Indicate type and form. ¢2-5352(* Vapor barriers mandatory in Climate ?.ones 14 and 16 only. 12-5317: Inrdtratio%Mxrdtmtion Controls L Doors and windows between conditioned and unconditioned spocrs designed to limit air leakage. b. Doors and windows certified. c. Doors and windows weatheraoripped; all joints and penetrations caulked and seakd. 12-5352(e): Special inrdorstim barrier installed to comply with 02-5351 meets CEC 99ality 12.5352(d): Installation of Fweplaces 1. Marsonry and factory -built fireplaces have: L Tight fatting. closable metal or glass door b. Outside au intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. HVAC sad Plumbing System Measures 12-5352(8) and 2-5303: Space conditioning equipment dying: attach calculations. 42-5352(h) and 2-5315: Setback dhernostat on all applicable heating systema. • 12-5316(m): Ducts constructed, installed and insulated per Chapter 10.1976 UMC. J2 -5316(b): Exhaust systems have damper controls. 12-5314(c): Gas-fired space heating equipment has intermittent ignition devices. 12-5314: HVAC equipmerut. water heaters. stowaheeds and fauces certified by the CEC. 12.5352(0: Water heater insulation blanket (R-12 or greater) or combined Interior/exterior insulation (R-16 yr Veasey); first 5 feet of pipes Joust to tank insulated (R-3 or greater). 12.5312(Exception 1): Ape insulation on steam and steam condensate return A recirculating piping. 12-5318(4): Swimming Ptaol Heating 1. System has. L On/off rnitch on hater. b. Weatherproof instruction place on heater. C. Plumbed to allow for solar. 2.75 patent die mal efficiency. 3. Pool cover. 4. Time clock. 5. Directional wooer iNet Lighting and Appliance Measures 52.53520: Lighting .25 lunwxWwatt or greater for general lighting In kitchens and bathnwma. 12-5314(e): On rued appliances equipped with intermittent ignition devices. 42-5314(a): Refrigerators. refrigerator -freezers, freezm and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. Pae R@%UW DoomAw 1917 Allfi ®r I Alk I I I/ Point System Summary: Climate Zone 15 i flf-k tie BUILDING DATA Conditioned Floor Area Number of Stories Slab/Raised Floor Check all applicable Unit Type condition(s): [)d Single Family Detached (SFD) [ J Addition Alone [ ] Single Family Attached (SFA) [ J Existing Building [) Multi-Family(MF) [ ] Existing -Plus -Addition SCORE CARD 1. Ceiling Insulation 2. Wall Insulation 3. Raised Floor Insulation 4. Slab Edge Insulation S. Infiltration 6. Glass Heat Loss 7. Shading (Shade Open) Measures Glass Area J5 or North R-value[381 U -value [0.030] or — R-value[191 U -value 10.0661 i or Q-71-11 R-value[19) U -value (0.0371 0 or Skylight Total R -value 101 F2 factor (0.771 Standard Type (double] U -value 10.651 P -2R Date Point Scores u 0 13 -r3 9a Total Glass 1161 % Glass SC Eff. % Glass a. Noah x 4, 0„ b. East D x 4. VD— c. D — I c. South D x =j 5 — p d. West D x e. Skylight 0 x . _ _0 0 8. Shading (Shade Closed) % Glass SC Eff. % Glass a. North 0 to x Q ►. ► - 0 b. East p x , 'j — _ 11— *1 c. South 0 ` x - 5 +1 d. West 01 x TO _ e. Skylight 0 x 9. Interior Thermal Mass Interior Mass/CFA 10. Exterior Wall Mass 0— Q Exterior Wall Mass 11. Heating System 80 x Zonal Control? (Y SE or HSPF Duct Efficiency 10.781 Effective SE or [0.72/6.6] HSPF [0.5615.151 12. Cooling System 10 x Afll= Zonal Control? (Y / ) SEER (9.5) Duct Efficiency [0.74] Effective SEER [7.03] 13. Water Heating S G Type [SG1 Credit [none] Point Total. Forrn Revised Manch 1988 Sum 7-10 k Glass Area % Glass North q (o & East — 00, South Q-71-11 West I of Skylight Total 0 ---- Point Scores u 0 13 -r3 9a Total Glass 1161 % Glass SC Eff. % Glass a. Noah x 4, 0„ b. East D x 4. VD— c. D — I c. South D x =j 5 — p d. West D x e. Skylight 0 x . _ _0 0 8. Shading (Shade Closed) % Glass SC Eff. % Glass a. North 0 to x Q ►. ► - 0 b. East p x , 'j — _ 11— *1 c. South 0 ` x - 5 +1 d. West 01 x TO _ e. Skylight 0 x 9. Interior Thermal Mass Interior Mass/CFA 10. Exterior Wall Mass 0— Q Exterior Wall Mass 11. Heating System 80 x Zonal Control? (Y SE or HSPF Duct Efficiency 10.781 Effective SE or [0.72/6.6] HSPF [0.5615.151 12. Cooling System 10 x Afll= Zonal Control? (Y / ) SEER (9.5) Duct Efficiency [0.74] Effective SEER [7.03] 13. Water Heating S G Type [SG1 Credit [none] Point Total. Forrn Revised Manch 1988 Sum 7-10 k Thermal Mass Worksheet I INTERIOR THERMAL MASS 1.311ilt N Date WS -1R 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. Ntrthod A: Look up the Interior Mass/CFA value from ECM Table 4-7 reprinted on the reverse side of this page. Type 1 r,wss has a Unit Interior Mass Capacity (UIMC) greater than or equal to 4.2 (see ECM Tables 4-8a and 4-8b reprinted on :ktu,; imem). Type 2 mass has an UIMC greater than or equal to 1.7 and less than 4.2. Mass % is the mass surface area L ivid,A 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. oaSS % Type I Mass Area: Type 2 Mass Area: I 10 Interior Mass/CFA from Table 4-7: 6 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. Description Unit Interior Maas Area Mass Capacity X = X = X = X = X = EXTERIOR WALL THERMAL MASS Interior Mass Capacity Total CFA - Interior Mass/CFA CalculalC 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 De;s ription Wall Area Mass Factor _ O U x X = X = Conventional Walls x 0 = + Total Total Opaque Exterior Wall Area Wall Mass Form Revised Manch 1988