05264 (SFD)Building
Address 51-300 Rubio
Owner
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
Mailing
Address P. 0.Box 366
City Zip Tel.
La Quinta 42253 364,.-4832
Contractor
Tela
State Lic. I City
& Classif. 4,87584 Lic. #
Arch., Engr.,
Designer
Address Tel.
CityI Zip I State I
Lic. #
LICENJED CONTRACTOR'S DECLARATION
1 hereby affirm that 1 am licensed under pr6irisions of:Chapter 9 (commencing with Section
7000) of Division 3 of the Busih6ss and Professions Code!and my license is in full force and
effect. II t /
OWNEWBUILDER DECLARATION
1 hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,8usiness and Professions Code: Any city or county which requires a
permit to construct, after, improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such perm@ to Me 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 civilpenally of not more than five hundred dollars ($500).
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and
Professions Code: The Contractor's License Law does not apply to an owner of property who
builds or improves thereon and who does such work himself or through his own employees,
provided that such improvements are not intended or offered for sale. If, however, the building
or improvement is sold within one year of convetion, the owner -builder will have the burden
of proving that he did not build or improve for the purpose of sale.)
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con-
struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law
does not apply to an owner of property who builds of improves thereon, and who contracts for
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec R. & P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No Company
❑ Copy is filed with the city. ❑ Certified copy is hereby fumished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed If the permit is for one hundred dollars (S 100) valuation
or less.)
I certify that in the performance of thg work for which th'srp'lt�is issued, I shall not
employ any person in any manner so as to become subje o the Workers' Compensation
Laws of California
Date Owner f
NOTICE TO APPLICANT: If, after making this Certificate 101yExeihptkm you should become
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shag 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 property filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
I certity that 1 have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this city to enter the above-
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
No. 05264.
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number 773-045-005 & 006
Legal Description
Project Description S. .Ti.
Sq. Ft. 2225 No. No. Dw.
Size" Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
J,
Estimated Valuation
$i30„6S2
PERMIT
AMOUNT
Plan Chk. Dep.
a250,00
Plan Chk. Bal.
Const.
S 62.50
Mech.
Electrical
Plumbing
S.M.I.
_O
Grading
Driveway Enc.
Infrastructure
1,071.04
TOTAL
R . = �•,',.t" ; `'
REMARKS
St��1€•'#�rfi�-�� !��lri'bst':tii'"�.t.'-��4' ftl
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 1/3/89 Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
PLUMBING FEES
IST FL. SQ. FT. ® S
UNITS
COLL AREA
�l SLAB GRADE -
ROUGH PLUMB.
YARD SPKLR SYSTEM
I
2ND FL SQ. FT.
HEATING (ROUGH)
STORAGE TANK
FORMS qqfiSEWER
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
DUCT WORK
ROCK STORAGE
GAR. SQ. FT. ®
POWER OUTLET
ROOF DRAINS
METER LOOP
HEATING (FINAL)
DRAINAGE PIPING
CAR P. SQ. FT. ®
GAS (FINAL)
WALL SD. FT.
DRINKING FOUNTAIN
GROUT
WATER HEATER
URINAL
SQ. FT. ®
FINAL INSP.
ESTIMATED CONSTRUCTION VALUATION $
WATER SYSTEM
WATER PIPING
NOTE: Not to be used as property tax valuation
GRADING
cu. yd.
$ -Plus-X$-=$
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTONDISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET`
COMPRESSOR HP
POLE, TEMIPERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SQ. FT. ® c
BATH TUB
SQ. FT. ®c
WATER HEATER
MAX HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 1% c
SEWAGE DISPOSAL
SQ.FT.GAR ® 3'.c
HOUSE SEWER
M H
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 ,If -'
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL AREA
�l SLAB GRADE -
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS qqfiSEWER
OR SEjtj&Nfy
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ -Plus-X$-=$
LUMBER GR.
FINAL INSP.
FRAMING �-
FINAL INSP.
FING ,
OOQ./
/� /
c
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
�1
LATHING l
M H
TION/SOUND Z
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURE&INITIALS
'
GARDEN WALL FINAL
- -
STATE OF•CALIFORNIA )
COUNTY OF—
1
id
w r -, before me, the undersigned, a Notary Public in and for.. I
On–C'''
Irwin Golds and Demon;
said State, personally appeared _
i •
personally known to me (or proved to me on the basis of satis-
factory evidence.) to be the person that executed the, Within.
General partner(s),
instrument as
on behalf of BARCON DEVELOPMENT , a —
California Limited Partner-s,i>it44EJ�oartnership
therein named and acknowledged to me that partnership
executed it.
WITNESS r9g hand and officia I-
,
6ignat
OF; CIAL SQL
�(
B0NNII Gam_ B! LL
NOTAPY. PUBLIC - CALIFORNIA
LCS AP°G�L�S 'CQ'vf,Tf
1i -1!
(;, comm.ex,^fres CE`s 9, 1983 j
70�,-,`a L,, "r!3Sc='•a .nic C,
for notarial seal)
(This
area official
t
5
Sr'AGE A&SUVE THIS LINE FOR RECORDER'S USE
SHORT FORM DEED OF TRUST AND ASSIGNMENT OF RENTS
This Deed of Trust, made this :.16th day of August, 1988 between _
A &.M CONSTRUCTION, -a General Partnership, and BARCON DEVELOPMENT, a California
Limited Partnership , herein called TRUSTOR,
whose address isc/o Irwin Golds, BEST, BEST & KRIEGER, qq
a9-7.00attdBt°bt)Hope Dr., Suitrety�12, RancbonMirage, (stat
and PR EQUITIES, LTD., a California-Limited—Partnership - -
herein called BENEFICIARY, '
MANHATTAN FINANCIAL CORPORATION, a California corporation, herein called TRUSTEE,
Witnesseth: That Trustor IRREVOCABLY GRANTS, TRANSFERS AND ASSIGNS to TRUSTEE IN TRUST, WITH POWER OF SALE,
that property in Riverside
County, California, described as:
Lots 12 and 13 of Block 47, Unit No. 4 of SANTA CARMELITA,AT VALE LA QUINTA, as'per
map recorded in Book 18 page 62 of Maps, in the office of the county recorder of
said county.
TOGETHER WITH the c:, .:s, issues and profits. thereof, SUBJECT, HOWEVER, to the right, power and authority given to and conferred upon
Beneficiary by paragraph ( it)) of the provisions incorporated herein by reference to collect and apply such rents, issues and profits.
For the Purpose of Securing: I. Performance of each agreement of Trustor incorporated by reference or contained herein. 2. Payment of the indebted- /
ness evidenced by one promissory note of even date herewith, and any extension -or renewal thereof, in the principal sum of S 20, 000.00
executed by Trustor in favor of Beneficiary or order. 3. Payment of such further sums as the then record owner of said property hereafter may borrow
from Beneficiary, when evidenced by another note (or notes) reciting it is so secured.
To Protect the Security of This Deed of Trust, Trustor Agrees: By the execution and delivery of this Deed of Trust and the note secured hereby, that
provisions (1) to (14), inclusive, of the ficii6ous deed of trust recorded in Los Angeles County, Ventura County and Orange County, April 27th,
1962;Riverside County; July 18, 1968; Kern County on February 19th, 1969; Imperial County on April 22nd, 1969; San Bernardino County on
January 15th, 1970; San Diego County on January 29, 1971 and San Luis Obispo County on May 31, 1977, in the book and at the page of Official
Records in the office of the county recorder of the county where said property is located, noted below opposite the name of such county, viz:
i County Book Page 1i .County Book Page County
.T In sl No,
Los Angeles -2]54 06Or
9 ange 6091 119 Riverside 69075
Kenn 206 214J 206 ,'• i •;Irnwi.l 1277 210 Sen Diego
424Bernardino18487
117 San Beerdino ; 7772 219 Sen Luls OOls po 25804
(which provisions identical in all counties, are printed on the reverse hereof) hereby are adopted and incorporated herein and made a part hereof as
fully as though set forth herein at lenbtlt; that he will observe and perform said provisions; and that the references to property, obligations; and parties
in said provisions shall be construed to refer to the property, obligations, and parties set forth in this Deed of Trust.
The undersigned Trustor requests that a copy of any Notice of Default and of any Notic, f Sale hereunder be mailed tv him at his address herein-
before set forth.
i A & M CO STRUCTION, a General Partnership
STATE OF CALIFORNIA )
COUNTY OF }SS• By :
On11 - Rick- _orris; Partr. r _
before me, the under.
signed,, a Notary Public in and for said State, personally appeared By
manual Abaeca,'Partner
BARCON DEVELOPMENT.
p..
-' onally known to "me (or proved .to me- on the basis of ar rshl - '
satisfactory evidence) to be the person whose name is subscribed td. • B +
= Irwin o s r Partner -
this instrument, and acknowledged that he (she or they) executed ,
B:
Dennis Freeman, General Partner,
Signature
Name (Typed or Printed)
(This area for official"notarial seal)
Title- Order -No.
_ -- Escrow or Loan No.
R �
t
L
L
RECEIPT'NO.' �l Issued BY nn �c C Date (L'.'Z-
DISTRICT:. ❑ Riverside, lilndio. ❑ Hemet ❑ Perrin'`;❑ Rancho Calif. ❑...Blythe
t ; DOH SAN 122-(Rev.`5/88) DISTRIBUTION: WHITE=Office file YELLPW*. Applicant "` PINK Bidg: Dept GOLDENROD - Plans/Records
.'�L,.:�.�_ :s.:_�.v_i..^ ....._ �.: y._ n.,. :�+. •..:-c$z.._ .-.�.. __�:.ik,u .?. .,_. c_ __1+•a...i� s_..�._...... .... .4.. .�......� .. .. ._... .u_... .,r-.. b:k. _.. ..,-.,...
'4
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COUNTY OF RIVERSIDE DEPARTMENT OF HEALTH Assessors Parcel No.
ENVIRONMENTAL HEALTH SERVICES
PERMIT,APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM
Applicant:+Submit this form with four copies of a scaled plot plan (1-20 scale) drawn to County speculations as indicated on the attached check list
A non-refundable filing fee (see below) is required when the application is submitted. Check must be made payable to the County of
Riverside. Approval of this application shall remain valid for a period not to exceed one year from date of approval.
E
r
Q
VERIFY ITEMS IN SECTION A FROM BUILDING & SAFETY APPLICATION BUILDING DEPARTMENT APPLICATION LOG' #
Z
Q
U
Agent, ContractoAW Per�'
Loo�53.1�
Phone
Sbrl-'fg32
Add & Phone
!-Sz5
W
Owner 4
P►w l
eft=nom-
Mailing Add
` 0 3 G k 6 ;
City II
h� �I NTA
pato
�-
Zip
221, T
Jo1� ,Pro_perty Ad ress
6"11-A
Legal Descriptionprop. (PM% Tract, Lot)
lar5/24-/3 �il,�c/�`l4k'.N4`(ltk 77T I ' 1
Lot Size
�A_r;,,CWMPUse
of Permit P/P, CU, etc. 4 Qc c �..
Other
r "
/
H Site Prep, etc.
Signature of Applicant
:> Date
CATEGORY;-— # - REV CODE FE
/
1 -SUBSURFACE DISPOSAL; C
t.. CATEGORY: REV CODE FEE
•
1238 $45.00
❑ SITE EVALUATION UPON REQUEST .7349 $42.00
m
❑ MULTIPLE PARCELS.WITHIN\SAME
l
(NO PLOT PLAN)
,- LAND DIVISION
El SEWER/SEPTIC VERIFICATION 7348 $11.00
pa.
1 at 4' Parcels (Each) 1238 $45.00
i (Less than 1 year) I .
U .
�
-b: Each Parcel after 4 7344 $16.000
❑ Rereview (2nd review same parcel) 7344 $16.00
PRELIMINARY ELECTIVE 7352 ' $45.00
EVALUATION (Attach DOH SAN 53)
❑ Site Evaluation in Conjunction with '
",f,
S ❑ HOLDING TANK 7351 `;$45.00
Critic Area 7346_ '$86.00
❑ ALTERNATIVE/EXPERIMENTAL 7345 $132.00
--
❑ Site Evaluation Lot Less than
SYSTEM
'�
—A .10,000 Sq. Ft. 7347 $86.00
• f DATE
AN7ML
00
Tank Agreements Completed Yes 6 -No /� �% 6 d 0
Certification
Certification of Existing S.D. System Required ❑ Yes e,NN�o
WQCB Clearance required. (Attach Form ❑Yes IT No
DOH SAN 007, Santa Ana Region Only) 3
/
Soils Report Required.^ ❑ Yes
YPercolation
,�,rl
Spedal Feasibility Boring g sport Required.D Yes! � No
Detailed Contour Plaflans Required (1 to 5 ft interval)%(o{; M e 1,4es ❑ No'
Other ❑ Yes li No
Staff Specialist Lot Inspection Required D Yes b"No
Lot Inspection Date
Sills boring report by Project # Date 4
Soils Map Page Son Type Approved by Date '}
U
Z
0
No. of systems
o1;System(s)
❑ Uding Tank ❑ Existing
9`New ❑ Replaoertrent
No. Dwelling Unita /
Bedrooms, �
(1) Septic T!
` Soil Rate. Grease/Sand
/ I�
Of- or►1 1 \QA.
1092Gal""!
-iie ,
2) Leach Line Sq. Ft
Sidewali allowance
Install a Une(s) R long H wide with
Bed sq. R
trench area
ft rock/ sq. R
per running ft �
IftIft—
min. orches drefilines or
of bottom
j
MO NA
Leachlines/bed special design for slope:
(3) Pit Diameter
No. Pits
Pit Below
Seepage Pit Total Depth
Other.
Applicable �_
t
Inlet (BI)'
Max. Allowable Depth
N/A Overburden factor
Bares 1- l'6
t`
211` F
No. 2 System
i...x1�
REMARKS: 740O eQ^^�AY— ri/i ra
of
-0
This application is APPROVED/DENIED for the category checked in SECTION B abo , regarding the design of a subsurface disposal system as indicated
on the accompanied plot plan, using the requirements set forth in SECTION C above. A building permit .is necessary for the installation of the
0
above designed system, No construction Is permitted In the required reserved 100W expansion, area.
1) Septic tank and sewer lines. must be, 50' minimum'from a�wells -
U
W
(2J Leach lines must be 100' minimum from any wells, including. expansion res �S
(3) . „Seepage pits must be 50=minimany wellsk,nclurjin9' expansion area c:'/V
U
Signature 'of HeaRh Official Date u
L
RECEIPT'NO.' �l Issued BY nn �c C Date (L'.'Z-
DISTRICT:. ❑ Riverside, lilndio. ❑ Hemet ❑ Perrin'`;❑ Rancho Calif. ❑...Blythe
t ; DOH SAN 122-(Rev.`5/88) DISTRIBUTION: WHITE=Office file YELLPW*. Applicant "` PINK Bidg: Dept GOLDENROD - Plans/Records
.'�L,.:�.�_ :s.:_�.v_i..^ ....._ �.: y._ n.,. :�+. •..:-c$z.._ .-.�.. __�:.ik,u .?. .,_. c_ __1+•a...i� s_..�._...... .... .4.. .�......� .. .. ._... .u_... .,r-.. b:k. _.. ..,-.,...
'4
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of
AGRICUL'I WAL CU-%INII5Slorlcit
AND
%Yj:1611IS b.. MLASUIiL•S
49-613 Ilwy 1160 0111te 11-12
•Co(►chelln, CA 922JG
619-342-0•l91
Mf E Q �c
13 , 1RL--.--
cAsE it).
E. LE014 SPAUGY
�o•a.n�;u►�.tn
JAMES U WALLACE
A55�S�A�1 r!►tr.nSSiu�tr
CLE>IE:41 M.NVEMSIE
SUNIM
UEVEI PUR'S Id11F1Et A A Cis PS
ADDRESS, P (i yak 3%b
TELL111o1JE' (� Lq 1 S-
1a-13 21OC4� (4-2t �i SP�NiA �w1����n 'V�gee� t6��6Z
Dear Developer'
After reviewing your landscoll1-I KI plans, till plant w3terial listed is 'lot iat
violation of quarantine lows govetl'Iny the Coachella Valley. IE substitutiot's
do occur and they differ [tun plait 1'►v:'terlal listed, thls office must be nvtiFied
i�tu�diately .
'19'attk you for ptotectit'g al'd pteservDig the Coachella Valley's lest -free envirotrnent.
Agr uitural Ca'n' i5"IZ4e—r" s UL 11 c e
cct Indio mid Riverside V[[ice
' Certificate of Compliance: Residential
(Page 1 of 2) CF -1R
Protect Title
O7 '19- f"/3; Ci.Qf1.-5 72. 6r C�asyo-A
Project Addrew
JOHN 'H. HACKER 327-4565 Building Permit#
Documentation Author Telephone
POINT SYSTEM 15 Checked By Date
Compliance Method (Package, Point System or Computer) Climate Zone Enforcement Agency Use Only
GENERAL INFORMATION
Total Conditioned Floor Area:
Building Type:
(check ane or more)
Front Entry Orientation:
Number of Dwelling Units:
Floor Construction Type:
Infiltration Control:
1,'&2,& R2
Single Family Hotel/Motel
Multi -Family (less than 4 stories) Addition
Multi -Family (4 or more stories) Existing -Plus -Addition
North / East'/ South est All Orientations (circle one or more)
1-91b Raised Floor (circle one or both)
[arida ight (circle one)
BUILDING SHELL INSULATION
Component Insulation Location/Comments
Type R -Value (attic, to garage, typical, etc.)
Wall .............. R- 1,9 FRAME WALLS
Wall ..............
Roof ............. R- 38 TYPICAL
Roof .............
Floor .............
Floor .............
Slab Edge ..... 0 TYPICAL
GLAZING
Glazing Area Glass Type
Orientation (sf) (sinele. doubt
Front....
(%Iiif
(0�
DOUBLE
Front....
( )
VERTICAL
BLINDS
Left......
( {'V)
DOUBLE=
Left......
( )
NONE=
WHITE
Rear.....
( 1�—:)
VERTICAL
DOUBLE
Rear.....
( )
Right....
(�)
DOUBLE
Right....
( )
_
Skylight.......
�L
DOUBLE
Skylight.......
THERMAL MASS
Shading Devices
Interior Exterior
(roller blind, etc.) (shadescreen, etc.)
VERTICAL
BLINDS
NONE
WHITE
VERTICAL
BLINDS
NONE
WHITE
VERTICAL
BLINDS
NONE=
WHITE
VERTICAL
BLINDS
NONE
WHITE
NONE
0
Overhang Framing Type
YES WOOD
YES WOOD
YES wnnD
YES WOOD
Type/Covering Area Thickness
(slab/exposed, tile, etc.) (SO (inches) Location/Description (kitchen, bath etc.)
SLAB/EXPOSED 50 3 112" KITCHEN/BATH/ENTRY
--d
Certificate of Compliance: Residential (Page 2 of 2) CF -IR
_A _ 4, n / o Al s-rRU C �(0n1 >�.t.
Hraject TIW .
HVAC SYSTEMS
Maximum Furnace Heating Output: .5 9 , o oo Btuh
HOT WATER SYSTEMS Tank Manufacturer/Modelti
System Type (storage gas, etc.) Capacity (or approved equal) Special Feature(s)
STD � GAS 50 GAL OR LESS APPROVED MODEL
SPECIAL FEATURES/REMARKS (Add extra sheets if necessary)
COMPLIANCE STATEMENT
This certificate of compliance lists the building features and performance specifications needed to comply with
Title 24, Chapter 2-53 and Title 20, Chapter 2, Subchapter 4, Article 1 of the California Administrative code. This
certificate has been signed by the individual with overall design responsibility and the building owner, who shall
retain a copy of it and transmit the certificate to any subsequent purchaser of the building. When this certificate of
compliance is submitted for a single building plan to be built in multiple orientations, all building conservation
features which vary are indicated in the Special Feawres/Remarks section.
Designer Building Owner
Name: Nam:
Title/Firm: Title/Firm:
Addreca: Addreac:
Telephone:
Lic. #1:
(nignsWuo) (date)
Docutnentation Author
Nwne: JOHN H. HACKER
Title/Firm: JOHN H. HACKER AND ASSOCIATES
Address: 4501 E. SUNNY DUNES RD., STE.D
PALM SPRINGS, CA 92264
Tel, ( 619 327-4565
w
(sig e) (date)
Fares Revised Much 19U
Telephone:
(rtgnawre) (date)
Enforcement Agency
Name:
Agency:
Telephone:
(signature or Stamp) (date)
Minimum
Duct
Type (furriwe..0
Efficiency
Location
Duct
Output Manufacturer / Model #
conditio ner_ heat pump)
(SE, SEER HSPF)
(attic, etc.)
R -Value
(Btuh) (or approved equal)
FURNANCE
-7a
ATTIC
2.5
7,5, oo 13p P 5'P -5HJ (3 40 / O 0_
AIR—COND.
9 j
ATTIC
2.5
[g0') D04 AQP "i -f? q' U_ 1 Q(DQ Q O
Maximum Furnace Heating Output: .5 9 , o oo Btuh
HOT WATER SYSTEMS Tank Manufacturer/Modelti
System Type (storage gas, etc.) Capacity (or approved equal) Special Feature(s)
STD � GAS 50 GAL OR LESS APPROVED MODEL
SPECIAL FEATURES/REMARKS (Add extra sheets if necessary)
COMPLIANCE STATEMENT
This certificate of compliance lists the building features and performance specifications needed to comply with
Title 24, Chapter 2-53 and Title 20, Chapter 2, Subchapter 4, Article 1 of the California Administrative code. This
certificate has been signed by the individual with overall design responsibility and the building owner, who shall
retain a copy of it and transmit the certificate to any subsequent purchaser of the building. When this certificate of
compliance is submitted for a single building plan to be built in multiple orientations, all building conservation
features which vary are indicated in the Special Feawres/Remarks section.
Designer Building Owner
Name: Nam:
Title/Firm: Title/Firm:
Addreca: Addreac:
Telephone:
Lic. #1:
(nignsWuo) (date)
Docutnentation Author
Nwne: JOHN H. HACKER
Title/Firm: JOHN H. HACKER AND ASSOCIATES
Address: 4501 E. SUNNY DUNES RD., STE.D
PALM SPRINGS, CA 92264
Tel, ( 619 327-4565
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(sig e) (date)
Fares Revised Much 19U
Telephone:
(rtgnawre) (date)
Enforcement Agency
Name:
Agency:
Telephone:
(signature or Stamp) (date)
Mandatury Measures Checklist: Residential MF -IR
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NOTE: Lowrise residential buildings subject to the Standards must conuun these measures regardless of the compliance
approac h used Renu marked with an tn,teruX (•) may be supefarded by more stringent compLance requtretrueruts listed
on the Cenitrcxta of CompWuace. When this checklist is incorporated into the permit documents rho textures noted shall.
be conECJ by all parties es binding minimum component pufornaatace sls� for the mandatory aaaAsures
wbcthct they aro stwwa etsowbono w tbo docwucuts or on thus dWclist only.
DESCKLMON I DP.SLGNU I ENFORCEMFNI' i
Iluikumig F.ovdups Measures
• §2.5352(m). Minimum ceiliryt iUmd&9ioo R-19 weigtuod AvnraYa
$2-5352(b): LooW fill uasulation mwmdWAUror's labeled R -Valeo.
• §2-5352(c): Minimum waU insulation in framed walls R -I 1 we4bwd average (dost not apply m
extcricar mass walls).
$2-5352(X): Slab edge insulation - water absorption tato no &MAI" than 03`b. WOW vapor
umswnur"m rata no grrco r than 2.0 perm mWL
§2-5311: Insulation specified or utstallW amen Califorwia Energy Qmmissioa (CEO quality
auuulards. Wit;" type aW form.
02-5352([): Vapor barriers mwdatory is Climate Zones 14 end 16 only.
§2-5317: InfiltrationdExfiltradon Controls
a. Doors and windows bawoca coadWotnod and wnca ,ioned spaces doW wed to limit air
leakage.
b. lkKn and windows certified.
c. Duors and windows weans "ripped; all joints and peracautiom caulked and sealed.
§2-5352(e): Special inWtrxtioa barrier iustdled to comply with 12.5351 mmu CEC gyabW
staaulauds.
§2-5352(d): Irutallation of Fireplaces
1. Masonry amd factory -built fireplaces have:
a Tight luting, closeable metal or glass door
b. Outside air WWW with damper and Coned
c. Flue damper and control
2. No continuous burning Sits pilots alowcd.
HVAC and Plwabing System Meamm
§2-53520 and 2-5303: Space conditioning equipment sizing: attach calculations.
02-5352(b) Arad 2-5315: Setback dwAaostat oa sU applicable bcatin systems.
• §2-5316(x): Ducts cowructed. installW and ins dwA per Chapter 10, 1976 UMC.
§2-5316(b): Exbaust systems have damper controls.
Q2.5314(c): Gas-fired space beating equtpaaeot has intermittent ignitioa dew -c s.
§2-5314: HVAC equipment, water bcater>a, "wcnccads wad faucctt cariW by 00 CF.C.
§2-5352(i): Water bwser imula4m blanket (R-12 or grcAtrr) or combined intetior/euterior
uwulauon (R-16 or Sraamr); fust 5 feet of pipes closest to w* Wmnlwed (R-3 or groAter).
J2-5312(Exceptkm 1): pipe imulatioa on steam and steam o:aadetnsate route dt ncitculatitng
92-5318(d): Swiraaoai% pool Healing
1. systun has:
a. Chu/Ulf switch on heater.
b. WeaU►crpnwf irasuucum plate on baa,
e. Plumbed W allow for solar.
2. 75 perc:eru thermal ctftckbcy.
3. Puul cover.
4. Tune clock.
S. Udactional water Yllet.
Lighting wad Appliwe Measures[
12-53520: Lighting - 25 lumaWwau or gzrater for gemul lighting in kiwbm and beWdrooatt.
§2-5314(c): Gas Grad appliances equipped witb intermiucnt ignition devices.
q2 -5314(a): Rafrigetamrs, refrigerdtor-freems. ficezers and tluotiscetU lamp ballasts catWod
by the CEC. indicate maM sued modol nwuW.
Nur" Kovwa Dwambrr 1947
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^ JOHN H. HACKER, CIVIL ENGINEER, PALM SPRINGS 327-4565
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'NAME ------- A & M CONSTRUCTION
ADDRESS ---- LOTS' 12 &13.CLUB TR 5~LAQUINTA ~
,DATE ------- 12/27/88
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MANUAL J FOR HEATING -AND COOLING LOSSES
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AREA BLDG 2226 SQ. FT. '
PERIMETER 247.3333 SQ. FT. ' ^
INSULATION R VALUES .FLOOR 0 . ..CEILING38 ..WALL 19 '
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AREA NORTHWINDOWS 24 SQ.FT. PERCENT OF AREA 1.078167 '
AREA EAST WINDOWS 189SQ.FT. PERCENT OF AREA 8.490566
AREA SOUTH WINDOWS V SQ.FT. PERCENT OF AREA'0 .
AREA WEST WINDOWS 68 SQ.FT. PERCENT OF AREA 3.054807 ^
AREA SKYLIGHTS 0 SQ.FT. PERCENT OF AREA 0
TOTAL WINDOW AREA 281 SQ.FT. PERCENT OF AREA 12.62354 `
THE VALUE OF THE WINDOWS IS .65 DUAL PANE
THIS BLDG USES DRAPES & FLAT SHADING DEVICES* ON WINDOWS
(*mini -blinds, rollar shades, venetian blinds or vertical blinds)
THE TOTAL S.C.-OF THE WINDOWS IS 0.30
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SOUTH OVERHANG LENGTH 2
INTERIOR THERMAL MASS AREA = 450 SQ FT,
INFILTRATION (STD 0.018, MED 0.014, TIGHT 0.012) = .018
`
HEATING LOSSES
,FOOTING LOSSES".. 8587.413 BTU
CEILING LOSSES... 1746.987 BTU
WINDOW LOSSES.. 5662.15 BTU ^ '
WALL LOSSES.... 2567.203 BTU . ~
INFILTRATION LOSSES... 9936.863'BTU `
TOTAL HEAT LOSSES BTU/HR.. 28500.62
GAS FURNANCE SIZE 59310~8 BTU OR 45,000 BTU
COOLING LOSSES
FOOTING LOSSES... 3693.511 BTU
CEILING L'OSSES... 2254.177 BTU
WINDOW LOSSES.. 19105 BTU
WALL LOSSES..... 3308.618 -BTU
INFILTRATION LOSSES... 4273.92 BTU
NO. OF PEOPLE..'. 5 COOLING LOSSES... 2000
KITCHEN... 1500 BTU
DUCT LOSSES -INCLUDED IN TOTAL
TOTAL COOLING LOSSES 44683.07 BTU ^
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POINT SYSTEM SUMMARY:CLIMATE ZONE 15 P—'R
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PROJECT TITLE=A & M CONSTRUCTION DATE=12/27/88 ,
JOB SITE=LOTS 12 ?< 10 CLUB'TR 5 LA QUINTA
BUILDING DATA
CONDITIONED FLOOR AREA= 2226 NUMBER OF STORIES='1
SLAB/RAISED FLOOR SLAB` '
TOTAL GLASS AREA 28VSOFT %GLASS 12.62354
354
CHECK ALL APPLICABLE UNIT TYPE.CONDITION(S
(X) SINGLE FAMILY DETACHED (SFD)' ADDITION ALONE
(`) SINGLE FAMILY ATTACHED (SFA) EXISTING BUILDING-`
MULTI-.FAMILY (MF) C) EXISTING—PLUS—ADDITION
SCORE CARD '
MEASURES POINT SCORES
1.CEILING INSU. I 38 0
2.WALL INSU.' 19 0
3o RAISED FLOOR INSU 0 0
4a SLAB EDGE INSU 0 0 `
5.QINFILTRATION STANDARD0 +
.6.GLASS HEAT LOSS DOUBLE PANE U=.65 3
SUM 1-6= ( 3 )
7o SHADING (SHADE OPEN) GLASS AREA
SC= .6776
A. NORTH 0 24
B. EAST 2 189
D. SOUTH —1 0
E. WEST '^` 1 68
H. SKYLIGHT 0 C)
S. SHADING (SHADE;CLOSED) X GLASS`
SC= .55.E
A. NORTH 0 1. 078 167
B. EAST y 8.4'30566
C. SOUTH 0 0
E
D. WEST 3 3.054807
E. SKYLIGHT SC= 0.77 0 0
9. INTERIOR THERMAL MASS 2.021563 �0
10.EXTERIOR WALL MASS 0 0
SUM 7-10 =(-1
11.HEATING SYSTEM 72 S.E. 0 r
1'2. COOLING SYSTEM 9.5 SEER ' 0
13 WATER HEATING S.G. 0
TOTAL POINTS
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