Loading...
RR (05-1896)77173 Calle Mazatlan 05-1896 04866 P.O. BOX 1504- VOICE (760) 77777012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING &-SAFETY DEPARTMENT INSPECTIONS (760) 777-7153. BUILDING PERMIT Date: 5/19/05 Application Number: 0_5 -00001896` Owner: Property Address: 77173 CALLE MAZATLAN MEYER PAUL KEVIN APN: 658-230-006- - - 3020'BUCHANAN ST Application description: RE -ROOF SAN FRANCISCO, CA 94123 Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 10189 nW Contractor: Applicant: Architect or Engine iJ WESTERN -PACIFIC ROOFING CORP MAYO 2005 3462 LA CAMPANA WAY 1 PALM SPRINGS, CA 92262 (760)00 CIN Lic. No.: 235®F LAQUiNTA .: 235 717 FIPIAWCE DEPT. LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION - I. hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations:.: - section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect._ I have and will maintain a certificate of consent to self -insure for workers'' compensation, as provided License Class: B C39 LicenseNo­ 235717 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. _ rt e:have and will maintain workers' compensation insurance, as required'by Section 3700 of the Labor. . Code, for the performance of the work for which this permit is issued. My workers' compensation • OWNER -BUILDER DECLARATION - insurance carrier and policy number are: hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the - - Carrier STATE .FUND - Policy Number 0457624-2005 following reason (Sec. 7031.5; Business and. Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for which this permit.is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to theworkers' compensation laws of California, . permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subject to the workers' compensation provisions of Section ' License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the La ode, I shall forthwith comply with se provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by -Z °"B % ! - any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: .Date: ppIicant: ../ (_ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and - the structure is not intended -or offered for sale (Sec. 7044, Business and Professions Code: The WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS (5100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). APPLICANT ACKNOWLEDGEMENT 1 _ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. - property who builds br improves thereon, and who contracts for the projects with a contractor(s) licensed 1.- Each person upon whose behalf this application is made, each person at whose request and for pursuant to the Contractors' State License Law.). - whose benefit work is performed under or pursuant to.any permit issued as a result of this application, ( 1 I am exempt under Sec. , B.&P.C. for this reason - the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents and employees for any act or omission related, to the work being performed under or following issuance of this permit. - _ Date: Owner: 2. Any permit issued as a result of this application becomes null and void if work isnotcommenced - - within 180 days from date of issuance of such permit; or cessation of work for 180 days will subject CONSTRUCTION LENDING AGENCY permit to cancellation. - - I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the 1 certify that I have read this application and state that the above information is correct. I agree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.). 'city and county ordinances ;and state laws relating to building construction„and hereby authorize re rese'tat' es ofthis county to enter upon thee -mentioned property for inspection purposes. , Lender's Name: c _- Date:J Z ignature (Applicant or Agent): -Lender's Address: • /-df LQPERMIT Application Number .05-00001896 Permit . . .• . . . RE -ROOF Additional desc Permit Fee . . . . 30.00 Plain Check Fee .00 Issue Date 'Valuation Expiration Date 11/15/05 t Qty Unit Charge Per Extension BASE FEE 30.00 ------------------------------------------ Special Notes and Comments ---------------------------------- RE -ROOF WITH POLYURETHANE FOAM COATING SYSTEM Fee summary Charged - - - - - - - - - - - - - - - - - - - - - - - - - - - - •Paid Credited - - - - - - - - - - - - - - - --- Due - - - - - - - - Permit Fee Total 30.00 .00, ..00 30.00 Plan Check Total .00 00 .00 .00. Grand Total 30.00 .00 .00 30.00 LQPERMIT Building 77-173 Mazatlan P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 Owner Mailing Address City Zip Tel. La Q1;Rinta 92253 Contractor F. 0. Box 1540 City Zip Tel. . .< ,, Quinta 9226 _56 62,44 State Lic. City & Classif. 378318 Lic. # Designer Address Tel. CityI Zip I State Lic. # LICENSED CONTRACTOR'S DECLARATIONi I hereby affirm that I am licensed under provisions of Chapter 9:(66mmencing witt(Seclion 7000) of Divisionr3 of the Business and Professions Code, and my license isfiinnffull''force and effect. 7Z; SIGNATURE `Y 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, atter, 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 thathe 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 dollais ($500). O I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, provided that such improvements are not intended or offered for sale. If, however, the building -or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale.) O 1, 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.) 0 1 am exempt under Sec. B. ti 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 t/•"" p0°Copy is filed with the city. O Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred dollars ($100) valuation or less.) 1 certify that in the performance of thg work for which this permit Is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT.. If, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY 1 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 Address City, State, Zip JILDING: TYPE CONST. OCC. GRP. P. Number Santa Rosa ctyL, Legal Description Project Description SPA 04866 Sq. Ft. No. No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ aimated Valuation PERMIT AMOUNT Plan Chk. Dep. $36.72 Plan Chk. Bal. Const. 56.50 Mech. 20.00 Electrical 16 . 00 Plumbing 14.00 S.M.I. • Grading Driveway Enc. Infrastructure TOTAL REMARKS fh)tiia2,, . 0 309 I7,^-7ah^,.41, __10 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 i Permit Validated by: Validation: WHITE - FINANCE, PINK - APPLICANT, GREEN - BUILDING, GOLDENROD - ASSESSOR'S OFFICE, HARD COPY - FILE CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL SO FT rp $ UNITS t SLAB GRADE ROUGH PLUMB BONDING YARD SPKLR SYSTEM 2ND FL SO FT. C FORMS SEWER OR SEPTIC TANK ROUGH WIRING • MOBILEHOME SVC. BAR SINK POR SO FT a GAS (ROUGH) METER LOOP GAR SO. FT. of POWER OUTLET, ROOF DRAINS GAS (FINAL) TEMP. POLE DRAINAGE PIPING CAR P. SO FT. (a GROUT WATER HEATER WALL SO. FT. al FINAL INSP. DRINKING FOUNTAIN SO. FT. fd WATER SYSTEM URINAL ESTIMATED CONSTRUCTION VALUATION $ _$ WATER PIPING NOTE: Not to be used as ProPeNy tax valuation FINAL INSP. FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTONDISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED VENTILATION LAUNDRYTRAY AIR HANDLING UNIT CFM FIRE ZONE ROOFING 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 ISHOWER BOILER B.T.U. SO. FT. ® c BATH TUB LATHING SO. FT. @ c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID a IV, C SEWAGE DISPOSAL SO.FT.GAR @ 3.c 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 ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) - OTHER APP./EOUIP- 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 P.O. BOX 1504 No: aJ Building ??-173 Mazatlan78-105 CALLE ESTADO Address LA QUINTA, CALIFORNIA:92253 Owner . ...: I .... • .." _ __ .•_ , . .. ,. .:1 . -- La .. La [,3aini4a Joint Venture ' I. BUILDING:'TYPE'CONST.'"` -OCC,---GRP., Mailing _ Address P. O. Sax 780 " A.P. Number Santa Rosa " Cove - City . Zip . Tel. 'aL to 92253 ..564-116315 .. Legal Descnption Contractor. Project Description G-3 a 0 !-nta =r a Construction '' ' .- City Zip Tel. r T> iintA 9 351 56 -6244 State Lia City & Classi f.,.378318 Lic. # Sq.. Ft. No. No. Dw. <.. .».. Size. - Stories.- Units ? ::.. Arch.,^Ehgr., ... _ •Designer_ New ❑ Add ❑ • Alter ❑ ' Repair ❑.. • Demolition ❑ ..: ,.• Address Tel. ..City ]Zip State .: Lic.#.. It LICENSED CONTRACTOR'S DECLARATION ,✓ ; herofI affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of bivision.3 of the Business and Professions Code, and my licens/e is:in full foicee-+and . effect .dg 'f',', ' - ' -„✓.f :s,Y' rl''r; . .. ..-:E ,'/,tfs'{r3 .. SIGNATURE' l' :J' -.. .€0 DATE - ... .. .. .. ` OWNER -BUILDER DECLARATION Estimated Valuation I hereby affirm that I am exempt from the Contractor's License Law for the following ,S1 1.994 y ” reason: (Sec. 7031.S,Business and Professions Code:.Ang.'city. or• county -which requires' a I . - ' permit to construct, alter, improve; demolish, or repair any structure; prior to its. issuance -also - f AMOUNT requires. the applicant for such permit to file a signed statement that he is licensed pursuant to _ .:PERMIT - • - the provisions of the Contractor's License' Law; Chapter 9 (commencing with Section 7000f• of - - - . Division'3:'ol the Business and Professioris Code, or that. h'e is exempt therelrom, and the basis' for The alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit 'Plan,.Chk. Dep. - .. "subjects the applicant to'a civil penalty of not more than live hundred dollars($500). ' ' - ' ` Plan Chk. BBI. rrp,C ❑ I; as owner of the property, or my employees with wages astheir sole compensation, will. do the work, and the structure is not intended or offered for sale: (Seca 7044, Buisness'and COr1St.' .. Professions Code: The Contractor's License Law does not; apply to an owner ofproperty - who • 03 builds or. improves Thereon and who does such work himself or through his own employees, Mech.' ST t4 provided. that' such improvements .are not intended or. offered for sale.. If,._ however, the' building - . .i1 3 s 'O . . ,or improvement is sold within one year -of completion; the owner -builder will have the burden • 5 - o/ proving that.he did not build or improve /or the purpose of sale.) Electrical 98 ❑ I; as owner of the property, am exclusively contracting with.licensed contractors to con- •Plumbingm (, - struct the project. (Sec. 7044, Business and.. Professions Code: The- Contractor's License Law - does not apply -to an owner of property who builds or improves thereon, and who -contracts for S,M,I, 11.73 - - such projects with a contractors) licensed pursuant to the Contractor's License Law.) - - D. I am exempt under Sec.. B.•& P.C. for this reason Grading _ Driveway Enc. Date Owner Infrastructure 779 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.. 'aTOTA0 f, t]r CERTIFICATE of EXEMPTION FROM REMARKS , < " WORKERS' COMPENSATION INSURANCE (This section need not be completed it the permit is /or one hundred dollars'($100) valuation - - - .. or less.)... ._ .. .><i - .. .• -...: , ,_-, '? . . I certify that in the performance of the work for which this permit is issued, I shall not -' '3•& X "I' .y 3 8 ' ' employ anyperson in any manner sous to -become subject to the Workers' Compensation - - ,, Yt+ i': . >ti ti• Laws of California. Date Owner NOTICE TO APPLICANT: If, after making this, Certificate o/ Exemption' you should become , ZONE; ' 'BY: - 'subject to" the Workers' Compensation provisions .of the Labor code; you' must 'iorthwitn' .Minimum Setback Distances: ' comply with such provisions or this permit shall be deemed revoked. -- _ - Front Setback from Center -Line Rear. Setback •from.Rear Prop. Line CONSTRUCTION, LENDING AGENCY - Side Street Setback from Center Line ' hereby affirm that there is a construction lending a agency for the performance of the ' work for which this permit is issued. (Sec: 3097, Civil.Code.) -Side Setback from Property: Line Lender's Name Lender's Address This is a buildingpermit when properly filled out, signed and validated,. and is subject to - FINAL DATE INSPECTOR' ,. expiration if work thereunder is suspended for 180 days. ^; I certify that.I have read this application and state that the above information is correct. -Issued b Date Permit agree to' comply with all city' and county ordinances and state laws relating to building - y construction, and hereby authorize representatives -of, this city toenter the -.above-. mentioned property for inspection purposes. "Validated by: Signature of applicant Date Mailing Address Validation: City, State, ZiP - HARD COPY • - }, u CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL. SQ. FT. @ $ 2ND FL. SQ. FT. POR. SO. FT. @ GAR. SO. FT. @ CAR P. SQ. FT. WALL SQ. FT. @ SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET YARD SPKLR SYSTEM BAR SINK I ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING NOTE: Not to be used as property tax valuation BONDING FLOOR DRAIN MECHANICAL FEES FORMS WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER / (ROUGH) _ 3 GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED OTHER APP./EQUIP. LAUNDRY TRAY AIR HANDLING UNIT CFM TEMP. POLE 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 SQ. FT. @ c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID @ 11/4 c SEWAGE DISPOSAL SQ.FT.GAR @ 3/ac HOUSE SEWER REMARKS: VENTILATION 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 ROCK STORAGE FOUND. REINF. / (ROUGH) _ 3 METER LOOP HEATING (FINAL) OTHER APP./EQUIP. REINF. STEEL AS (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 FINI GRADING NAL INSPECTION72-3 -gj CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL +KJ ti !ygG5cP4 Cavq^'gat{ S,!.'>• d' . "Attach documentation ft -r. efficien PREPARED BY: cies and FIS;, Joseph N. Cicchini, Civil Engineer, Inc.' 44267 Monterey Avenue, Suite B. Palm Desert, California 92260 (619)-341-2273 AtLechment D PREPARED FOR: Glenn Bradley Enger,, A.I.A. Form 2 (P.ev;sc:a 3/34? 73-960 E1 Paseo, Suite 5 'CI i-51 d t e Zones 2, 4, G', and 9-15 Palm Desert, California 92260 COMPLIANCE CHECKLIST TYPICAL GUESTHOUSE by LaQuinta Joint Venture • Fc.r Low-Rise Residential Buildings - (except hotels and motels) Step 1: Enter on the form the values for each treasure'from your building plan and specifications sheet. Step 2: Enter points on this page"while working through-the point system Bu.i•ldind Shell Meesire Points Total-Floor Area34 3 ft2 1. Slab-on-Ground; Perimeterh ft., Deo i.n. 2.' Raised Floor R-Vaiue, . , . R- R_ N . - Q 3: Ceiling Insulation or Construction Assembly . o Attic, Percent of Roof Over Conditioned Space IUD A 343 ft- _g_ 4, Wall Insulation or Construction Assembly, R- Iq D Glazing; Total % Floor Area Single Double Triple 5. .forth-Facing., Z (P s . ft2f t 2 2 c: East -Facing 3.3 A ft2_ft2. 7. South ftz 0 -Facing. 1,R.." ft5y, ft 8. 'West-Facing 2 2 ft2. ;.!_i ft2' ft.2 9. Skylight. _. ft2. p—p ft O" ft ft p 10. .Shading,Coefficient (ex I'd' rhang) \\". a. East YEI2T14A l_lN?SJ 0.30 SC ... -2 " . b_ South. V&PkT0 -" 64fNQ¢). 0,30 SC =O C. West (VB TC a. ,. QL.N05i . '0.3DSC. - S d. North... D;bS SC e. Skylight . . . . / H SC O 11. Horizontal South Overhang Length.',. 2 ft" . . ` . • D O - 12. Movable Insulation, q Floor urea. To O 13. Infiltration (indicate Standard, Mee dium urlig;it) NYlEprwm -1 14, Thermal Mass Exterior Wall Thermal Mass . 'Area; Heat Capacity; R-Value . . . , , ft2, HC, R- Interior Thermal ilass Area, Heat Capacity, R-Value IS/ ft ij,g hC, R-0,_3 'h 20 HVAC Svstema' $ >C'!,3 34 15. Gas Furnace without' Refrigeration•Cool.ing3 (Seasonal Efficiency) . 1. . . . . II& Sf. O 16, Neat Pump (Energy Efficiency Ratio) N A E ER' 0 11. Gas Furnace with Refrigeration Cooling, Seasunal Efficiency and Seasonal Energy Efficiency Ratio SE 2$ t1 2 13. Active Solar (Net Solar" Fraction, ;) _Sr"R _F 19. Zonally Controlled Electric — — Resistance Space Heating , . , (Yes/No. DomeStic Water Heatinq** 20. Shcar`With Gas Backup (,let Solar Fraction, '1 , , • 'Water • 'NSF 0 21. Other Heating (Describe'type) _ A 5 Point System Ccmoliance Total. . . . . . - 2 `Check.l tst lte;-.:;; not a. point syste^; measure.... ., . "Attach documentation ft -r. efficien PREPARED BY: cies and FIS;, Joseph N. Cicchini, Civil Engineer, Inc.' 44267 Monterey Avenue, Suite B. Palm Desert, California 92260 (619)-341-2273