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04796 (SFD)Building ' �- ��-t Address -�4 1iO $.°uWiltr@Z Tity/ 4 4�Q" P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 owner Rhert & bora Wheat Mailing Address 75<-231 Painted Desert CityZip Tel. In.lan Wells 92214 340-w4365 1. Owner/Builder - 'State Lic. s8 Ctassif. ;Arch., Engr., ` rDesigner Zip Tel. City Lic. # Address Tel. City . <N Zip State r Lic. # LICENSED CONTRACTOR'S DECLARATION I herebyafflrm'that:l 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., - DATE OWNER -BUILDER DECLARATION Thereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,Susiness and Professions Code: Any city or county which requires a permit to construct, atter, improve, demolish, or repair any structure, prior to its issuance also requires -.the applicant for such permit to file a signed statement that he is licensed pursuant to the>provlslons 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 dollars (x500). 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 Professlons;'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,Jhat 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 prgvfng,that.he did not build or improve for the purpose of sale.) O..I;•as'ownerof the property, am exclusively contracting with licensed contractors to con- strudt 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 p)ojects.With a contractor(s) licensed pursuant to the Contractor's License Law.) ❑ 1 am ixertipt under Sec. B. & P.C. for this reason DatedOwner WORKERS' COMPENSATION DECLARATION I�hereby affirm that 1 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. _. J.: Company CL Copy Is filed wiih he 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 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 Callfornia. Date �- t Owner L NOT i,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 I hereby affirm that there is a construction lending agency for the performance of the wont for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Lenders Address This is e'building permit when properly filled out, signed and validated, and is subject to expiration If work thereunder Is suspended for 180 days. ('certify -that I have read this application and state that the above information Is correct. Iagree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives -of this city to enter the above- mentioned property for Inspection purposes. Validated by: Signatu re; of. appl scant Date Mailing Address Validation: iy,gsta-W Zip r y' WHITE FINANCE PINK APPLICANT, GREEN BUILDING, GOLDENROD,- ASSESSORS OFFICE, HARD COPY -•FILE k_ .e �.-_-+R. V.+,. J hr ... _. PC."./.. .... •+..w'.}" a. ,_i ._..-., w.-+..a�§--tea-i. - .Z.. _.-.... .. t ..'"P -u. -u. w,_..'.F. `t ..� .-M.. . ...1.,�. w-, i,r.. ,..h.. .i.- :!... _ is 11LDING: TYPE CONST. OCC. GRP. P. Number 774-281-005 Legal Description Project Description `' a ' .haiNHx�, Sq. Ft. No. No. Dw. Size 1330 Stories Units New ❑ Add O Alter ❑ Repair ❑ Demolition ❑ ZONE: BY: Minimum Setback Distances: Estimated Valuation $73,388 PERMIT AMOUNT Plan Chk. Dep. $250.00 - Plan Chk. Bal. $ 57.23 Const. Issued by: 355.00 Mech. 36.00 Electrical 72 o 65 Plumbing 105 .00,, S.M.I. 5.15 GradingQt� Driveway Enc. 20.40 Infrastructure J o 1618.71 TOTAL $2o539.74 c'-,3 4 I :Iel REMARKS , tt77 .�'.•!iiF:.e��f' a1.:ir tt [SLS.;YIL.r._"3t:.�'1i!:1 •) 7tl ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATEINSPECTOR 1111Wa Issued by: Date Permit CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL SO Fl rp S UNITS COLL. AREA //SETBACK l,g6LAB GRADE ^ Ste' ROUGH PLUMB YARD SPKLR SYSTEM 2ND FL SO FT. R HEATING (ROUGH) STORAGE TANK FORMS MOBILEHOME SVC. BAR SINK POR SO FT. a DUCT WORK ROCK STORAGE dbD. REINF.� /C� / OUTLET ROOF DRAINS GAR SO. FT. aPOWER HEATING (FINAL) OTHER APP.IEOUIP. REINF. STEEL GAS (FINAL) DRAINAGE PIPING CAR P. SO FT. Ca GROUT WATER HEATER DRINKING FOUNTAIN WALL SO. FT. Q INAL INSP li0 BOND BEAM WATER SYSTEM URINAL SO. FT. a GRADING cu. yd. E plus x$ c E ESTIMATED CONSTRUCTION VALUATION S FINAL INSP. Y dl� a WATER PIPING NOTE: Not to be used as property tax valuation _ G4ROOFING `I �- /�i �r VENTILATIO/jN(, FLOOR DRAIN MECHANICAL FEES ��G WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTONDISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRYTRAY 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. SO. FT. ® c BATH TUB MESH SO. FT. @ c WATER HEATER MAX. HEATER OUTPUT. B.T.U. SO. FT. RESID @ IA c SEWAGE DISPOSAL FINISH GRADING SO.FT.GAR Q 3/j C HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.LEE CONST. FEE ELECT. FEE SMI FEE PLUMB FEE T STRUCTURE PLUMBING ELECTRICAL HEATING 8 AIR COND. SOLAR_ !S� GR UND PLUMBING -! - UNDERGROUND A.C. UNIT COLL. AREA //SETBACK l,g6LAB GRADE ^ Ste' ROUGH PLUMB BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE dbD. REINF.� /C� / GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP.IEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE INAL INSP li0 BOND BEAM WATER SYSTEM GRADING cu. yd. E plus x$ c E LUMBER GR. FINAL INSP. Y dl� a ( (� FRAMING t! �/ "1 FIN///A���L+ IN - _ G4ROOFING `I �- /�i �r VENTILATIO/jN(, OI_ .'-64 0 ��G REMARKS: FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR - GAR. FIREWALL LATHING MESH C/ INSULATIONISOUND (` ' FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL Desert Sands Unified School District CERTIFICATION OF PAYMENT " OF HIS SCHOOL FACILITY FEES NOTICE: THBE IS DOCUMENT CANNOT DUPLICATED, ED a l PLICAT TO: City of La Quinta DATE: ��— �3'�lJ Ii�D Department of Community Development 78-105 Calle Estado La Quinta, CA 92253 This is to certify that developer of which is located at Q.11n within this District, has paid school faci aty fees imposed pursuant to the authorityg nerated by Government Code Section 53080 in the amount of 1?i( e -i covering a total of 'uare feet of ( ) residential or ( ) industrial/commercial development and that building permits for this footage,in this development may now be issued by your jurisdiction. -671 X30 0 0, 61A/x� �y )0/ for DLKSERT SANDS6JNIFIED SCHOOL DISTRICT White - Building Department • Yellow - Facilities Planning • Pink - Accounting • Gold - Developer 0 007 Z O yU w 0) M Z O U W X Z 0 U w fl) Q Z ,,tort J_V_�01 ��'��' 1. +;.., .+." 'ter' syr:• A 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 checklist. 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. VERIFY ITEMS IN SECTION A FROM BUILDING & SAFETY APPLICATION BUILDING DEPARTMENT APPLICATION LOG' # Agent, Contractor, Contact Person Phone�- 1.30 Address & Phone )�Eb Des i', i r Owner 56LO A W RaX Phone a -qt, Mail' n Address 3 a%0V e City to UIN) /A State Cb Zip , Job Property Address " AVE,�A►�e� Legal Description Prop. (PM, Tract, Lot)da` 0112, L-07 A). )K 3o(o UN) IT a 3 Lot SizeVater g dell Use of Permit P/P, CU, etc. L.4 r.+✓tC >^J7p Other V 1.4 3Cte:1�riagAAbirte Prep, etc. Signature of Applicant Date CATEGORY: REV CODE FEE CATEGORY: REV CODE FEE 1001r�SUBSURFACE DISPOSAL 1238 0,,,x,1 ❑ SITE EVALUATION UPON REQUEST 7349- $42.00 ❑ MULTIPLE PARCELS WITHIN SAME (NO PLOT PLAN) LAND DIVISION ❑ SEWER/SEPTIC VERIFICATION 7348 $11.00 a. 1 st 4 Parcels (Each) 1238 $45.00, (Less than 1 year) b. Each Parcel after 4 7344 $16.00 ❑ PRELIMINARY ELECTIVE 7352 $45.00 ❑ Rereview (2nd review same parcel) 7344 $16.00 EVALUATION (Attach DOH SAN 53) ❑ Site Evaluation in Conjunction with ❑ HOLDING TANK 7351 $45.00 Critical Area 7346 $86.00 ❑ ALTERNATIVE/EXPERIMENTAL 7345 $132.00 ❑ Site Evaluation Lot Less than SYSTEM 10,000 Sq. Ft. 7347 $86.00 ,�'� (INITIAL DATE Holding Tank Agreements Completed ❑ Yes ©AN ��-•- d �' . 1 Certification of Existing S.D. System Required ❑ Yes pN WCCB Clearance required. (Attach Form ❑ Yes No DOH SAN 007, Santa Ana Region Only) Soils Percolation Report Required. ❑ Yes Special Feasibility Boring Report Required. ❑ Yes ,©�N., Detailed Contour Plot Plans Required (1 to 5 ft. interval) 11 Yes Q �I Other ❑ Yes f�]/ 6 Staff Specialist Lot Inspection Required ❑ Yes ❑ No Lot Inspection Date Soils boring report by' Rrcject#!% Date f � r, C;11 Soils Map Page / G Soil Type Approve by �,i Date f� �/ ~d i "(21C ....- r No. of Systems T Jof System(s) No. Dwelling Units f� (1) Septic Tank Rate Cease/Sand L///❑ Holding Tank ❑ Existing 11 ew ❑ Replacement Bedrooms, Fixture+dnils-` �Cii ;Soil Grease Intcp (2 Leach Line Sq. Ft Bo trench area Sidewall allowance ft rock/sq. ft Install — Line(s) ft long ft wide with ""h Leach Bed sq. ft. of'b�ttom area per running ft. min. inc bscroC bebw drainlines or �"e 'h Leachlines/bed special design for slope: (3) Pit Diameter No. Pits Pit Below Inlet (BI) Seepage Pit Tot l Depth - �i9Applicable Other N/A "' Overburden factor 6 1 i(�.1 Max. Allo Depth No. 2 System IVIG REMARKS: �' Gam. U'1 !7 �L ►, /!-Gl L+-! i(J�C)DCC.s�G.D-C 1 1 !y T/ This application is APPS/PENN -for the category checked in SECTION B above, 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 above -designed system. No construction is permitted in the required reserved 100% expansion area. _ 1 icy (1 Septic tank and sewer lines must be 50' minimum from any wellsCf / %LPA (2 Leach lines must be 100' minimum from any wells, including expansion area (3 Seepage pits must be,150' minimum from any wells, including expansion Health aptl�a Si nature of Official�•r i [f rI ate RECEIPT NO.` S Issued By Date M 00 DISTRICT: ❑ Riverside, O Indio ❑ Hemet ❑ Perris ❑ Rancho.C,alif. ❑ Blythe 1: DOH SAN 122 (Rev. 5/88) DISTRIBUTION: WHITE - Office file YELLOW - Applicant PINK - Bldg. Dept. GOLDENROD - Plans/Records Point System Summary-.Xliinate Zone 15 Project Title T .i :,, s Dal P -2R BIUDING DATA Glass Area %Glass North i Conditioned Floor AreaNumber•of Stories—� Slab/Raised Floor' -•�.� S 3 _ a µ South Z.8 Check all applicable Unit Type condiaon(s) West –' Single Family Detached (SFD) [ j Addition.Alone Skylight -� ] Single Farnily Attached (SFA) s [. ] Existing Building -,Total ' O [ ..1 Multi -Family (MF) [ _] Existing-Plus=Addition , t SCORE CARD t t , Meastires Point Scores, 1. Ceiling Insulation t ` or. R -value j3 . e , U -value [0.030] 1 �• ' 2. Wall Insulation or '— •R -value [ 191 U -value [0.066] • ' 3. Raised Floor Insulation _ of } R -value [191{ U•value [0.0371 4. Slab Edge Insulation `' or . R -value [0] F2 factor [4771 . S. Infiltration Standard r 0 6. Glass Heat Loss 71 4%-P= L)Z ,° -(p • Type [double] , 13 -value [0.65[ • % Total Glatt [ 16] F Sum 1-6 7. Shading (Shade Open) %. Glass Eff. % Glass. � 1. a.. North 2: x i b. East C. South 1p xr p. d West (p Skylight . x 8. Shading.(Shade Closed) j { Glass i SC Eff. Glass a. North 2 q3 x 7 b.- East 3' x c: South ' 4• F�l.y x s VE; i d: West . _— x = 0.Z �� •_ _ 3; e. —Skylight. : x -e 9. Interior Thermal Mass' : Interior Maas/CFA ' -( { 10. Exterior Wall Mass 'Exterior well Mas: i Sum_7 1.0 11. heating System � x Zonal Control? ( Y % N) SE r SPF .'Duct Efficiency [a7s] ''HSP�o SE r ,Cooling System Zonal Control? ( Y / N) . <'SEER [9:5] DuetEfficieney [0.74] ;Effective SEER [7.03]i 4 13. Water` Heating t' - Tym ISGI Leda Inane] ('� r 4 Certificate of Compliance: Residential ;(Page 1 Of 2) CF -1R Pro,TRy `�,}�.,, A - Dam (� 1� 3 IMd Building Permit M Documenta on -Author Telephone , �� 11 JT' �V I + Checked By 1 Due CompUance Method (Package, Point System or Computer) Climate Zone i Fnforcemrnt Agency Use only i GENERAL INFORMATION i Total Conditioned Floor Area: 3 ft2 < Building Type:_ Single Family Hotel/Motel (check one or more). Multi -Family (less than 4 stories) Addition Multi -Family (4 or more stories) Existing-Plus=Addition Front Entry Orientation: North / East / South / West / All Orientations (circle one or more) Number of Dwelling Units: Floor Construction Type: S a Raised Floor, • (circle one or both) Infiltration Control: Stan30T/Tight (circle one)', BUILDING SHELL INSULATION, Component Insulation Location/Comments ,Type R -Value (attic, to garake, typical, etc.) Wall .............. 'o� Wall :............. Roof ............. CAL - Roof ..:.......... . Floor .:........... Floor. ........ Slab Edge ..... 7-g>: . GLAZING Shading Devices Glazing Area Glass Type Interior, Exterior Overhang Framing. Type Orientation (Sf) (single, double) (roller blind etc.) (shadescreen, etc.) * (yeskO (metal/wood) Front— (v)) Front.... Left...... (r�)�_ `- Q s 9.sO jyt�Z',4 `- Left.....: ( ) Rear..... (C) w Rear..... ( ) Right.... (S) , Right.... ( ) Skylight -t:). - kylight?:Skylight....... Skylight ....... i THERMAL MASS Type/Covering Area Thickness (slablexvosed, tile, etc.) (sf) (inches) Certificate of Compliance: Residential (Page 2 of 2) CF -1R HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency, Location Duct Output Manufacturer /Model # conditioner, heat ) (SE, SEER,HSPF) (attic, etc.) R -Value tuh or approved equal) ot \ Maximum Furnace Heating Output: LSBtuh HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage gas, etc.) Capacity (or approved equal) Special Feature(s) �AQ�4Q� 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 Features/Remarks section. Designer Name: " . _F�-� r-)2 Tide/Fum. Address: 1% A- 4Z4 4 T Telephone: Lie. #17 —X7 Documentation Author , Name: rideffium Address: Foam Revised Maw 1999 V Telephone: / — Enforcement Agency Name: Agawy: Telephone: (signature or stamp) (date) (date) 'Description,of Installation ROOF Material Brand Name ' Thickness (inches) Thermal Resistance (R -Value) EXTERIOR WALL Material Brand Name Thickness (inches) 'Thermal Resistance (R -Value) - • CEILING Batt or Blanket Type Brand Name Thickness (inches) Thermal Resistance (R -Value) Loose Fill Type . Brand Name € Contractor's miniinum installed weight/e lb Murimum thickness inches Manufacturer's instilled weight per square foot to acheive Thermal Resistance (R -Value) RAISED FLOOR i Material Thickness (inches) SLAR FLOOR Material ' Thickness (inches) Wrath (inches) FOUNDATION WALL Brand Name Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) f Material Brand Name Thickness (inches) 'Thermal Resistance (R -Value) . - Declaration x I hereby certify that the above insulation was installed in the building at the above -location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Administrative Code. L me Number t . Date Incense Number f. Dace Mandatory Measures Checklist: Residential MF -1R NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used Items marked with an asterisk (•) may be superseded by more stringent compliance requirements listed on the 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 Building Envelope Measures §2-5352(a): Minimum ceiling insulation R-19 weighted average:. §2-5352(b): Loose fill insulation manufacturer's labeled R -Value. §2-5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to exterior mass walls). §2-5352(k): Slab edge insulation - water absorption rate no greater than 03%, water vapor transmission rate no greater, than 2.0 perm/inch. §2-5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards. Indicate type and form. §2-5352(f): Vapor barriers mandatory in Climate Zones 14.and' 16, only. §2-5317: Infiltration/Exfiltratiori Controls . a. Doors and windows between conditioned and unconditioned spaces designed to limit air . leakage. b. Doors and windows certified.. c. Doors and windows weatherstripped; all joints and penetrations.caulked and sealed. §2-5352(e): Special infiltration barrier installed to comply with §2-5351 meets CEC quality standards. §2-5352(d): Installation of Fireplaces 1. Masonry and factory -built fireplaces have: a. Tight fitting, closeable metal�or glass door b. Outside air intake with" damper and control c. Flue damper and control: 2. No continuous burning gas pilots allowed. HVAC and Plumbing System Measures §2-5352(8) and 2-5303: Space conditioning equipment sizing: attach calculations. §2-5352(h) and 2-5315: Setback thermostat on all applicable heating systems. w §2-5316(a): Ducts constructed, installed and insulated per Chapter 10, 1976 UMC. §2-5316(b): Exhaust systems have damper controls. §2-5314(c): Gas-fired space heating equipment has intermittent ignition devices. §2-5314: HVAC equipment, water heaters, showerheads and f mcets certified by the CEC. §2-5352(1): Water heater insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater); first 5 feet of pipes closest to tank. insWated (R-3 or greater). §2-5312(Exception 1): Pipe insulation on steam and steam_ condensate rerun & recirculating piping. §2-5318(d): Swimming Pool Heating 1. System has: a. On/off switch on heater. b. Weatherproof instruction plate on heater. c. Plumbed to allow for solar. 2.75 percent thermal efficiency. 3. Pool cover. 4. Tune clock. 5. Directional water inlet Lighting and Appliance Measures §2-5352(1): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms. §2-5314(c): Gas fired appliances equipped with intermittent ignition devices. 12-5314(a): Refrigerators, refrigerator -freezers, freeness and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. Fam Revised Decemba 1987 1101*00320�f2:iie):T403iQN %I Proposed Construction Assembly:. Residential Form 3R Project Title Date Q Project Ad ,!!:]n Build; s permit M Documentation Author Telephone .�l�i A.�---C% �Z�'�� 0 �� � � � .��i � � S � • '� Che&ed By i Dam Assembly Name Enforcement Agency Use Only Sketch of Construction.Assembly Assembly,Type: Floor (check:ane) •, .y : wall Framing Material: ' ``'Ceiling/Roof FratWhg.Size• .4 x: Framing Spacing: O.C. FramingPercentage Wall ' 15% (16" o.c.). (chxk'.one) 12% (24" o.c.) Floor/Ceiling. 10% (16" o.c.) 7% (24" o.c.) J VVa1! Weight/ sf; - (Packaps may) 2 List of Construction Components R -Value Cavity(Rc) Frame(Rf) Outside Surface Air Film a` I. _�� >�vcc .Ig 2. 3. 4. 5. 6. 7. Inside Surface Air Film • Total Unadjusted R -Values: A l b Rc Rf Framing Adjustment Calculation (if applicable): 1/Ro 1-(Fr%/100) i/Rf f Fr%/100 Total U -Value IITOMl U -Value Total R -Value Proposed Construction Assembly:. Residential Form 3R Project Tltle Date `6 Q LA Prndress Zs. Badding Permit N s!, � Documentation Author Telepbooe . � ,Checked By / Date Assembly Name Enforcement Agency Use Only y i Assembly Type: Floor (check one) Wall' �. Ceiling/Roof Framing'Materiak W Lkj�;;p 1 `SSS Framing Size: Z - x Framing Spacing:: �-� " O.C. Framing Percentage: Wall: 15% (16" o.c.) (check one) 12% (24" O.C.) Floor/Ceiling:.. 10% (16" o.c.) 7% (24" o.c.) Wall Weight / sf: `(Packages onl > Sketch of Construction Assembly Y List of Construction Components: R -Value . . 11 Cavity(RJ Frame(Rd Outside Surface Air Film 2. 3.5� 4 4. 5. 6. 7. Inside_ Surface Air Film 6 Total'UnacUpstedR-Values:. Rc Rf Framing Adjustment.Calculation (if applicable): 1 _ 1/Rc 1-(Fr%/100)• 1/Rf Fr%/100; Total U -Value . r • Vrotal U -Value Total R -Value W Owner 1 • project - y checked by ptem type date documentation author date. VUv SITE INFORMATION: Heating Degree. Day (from Appendix C) ._ ...............r : _ ... .. .....:.:. HDD 1 OF -day Outside Design Temperature (from Appendix C or Appendix GF___..:__.___ Tow 2 °F PROPOSED BUILDING -ENVELOPE INFORMATION t 2 ' J� D Gloss Floor Area if Low -Rise (from Calculations) ................... ............ At 3 ft2 Gross. Wall Area if High -Rise (from Calculations) ...............:w ` 2 Designed, Glazing Area (from Calculations(.... ................._ ............. Ag ' 5 ' Zi �' h2 Basic Glazing. Area 06kof Line.3 it low-rise or 40%of Line4. if high-rise(....... Aby 6 . ft2 r '0escrigL n of Assembly 0" Glazing' Ug1 7 + Btu/ (hr •ft; •OF) Ug2 8 Btu/ (hr•h2•OF) Wall S �C \ — U93 Uwt 9 + 10 `0 Btu/1hr•ft2•°F) Btu/ (hr •ft2 .OF) ' Uw2 11 Btu/ (hr• h2 • °F) Uw3 12 Btu/ (hr • ft2 • °F) Uw4 13] Btu/(hr•ft2•°F) Ceiling/Roof Uct 14 �<' Btu/ (hr .ft2•OF) \A� Uc2 15 Btu/ (hr •ft2 •OF) Floor Ufl 16 Btu/ (hr•ft2•OF) ~ K ' Uf2 17 Btu/ (hr •ft2 •OF) PROPOSED SPACE HEATING SYSTEM (Chapter 7) Gas Furnace - � 7-6 Building Design Hourly Heat Lou (from Form 2) ............ _.................... . ' qh 18 Btu/hr . . Maximum Allowed Bonnet Capacity, 1.5 x Line 18....... _................................... 19 Btu/hr Proposed `F urnece + Make Model Description Rated Bonnet Capacity r Electric Resistance Alone Electric Resistance Life Cycle Cost (from Form 5)........... ...................... "SLCCe 20 $ Lowest Life Cycle Cost of the Other Systems:Ifr6m Form5)................. .SLCCb,,,,,21 � $ Non-Depletable Energy w/Electric Resistance Beds -Up - + Percentage of Annual Heat Loss Met by Non-Depletable.Energy Source (from Calculations) ......................................... _:... ..........y..................... 22 % Heft Pump Percentage of'Annual Heat Lou Met by Electric Resistance (from Calculations) .................................... .... ...._...... _.__:....................... ....... 23 % PROPOSED WATER HEATING SYSTEM INFORMATION (Chapter 8) ElwtHc Resistance Abrw i Electric Resistance Life Cycle Cost (from Form 6) ......... ....................... :,,,LCC, 24 $ Lowest Life Cycle Cost of the Other Systems (from "Form 6).................MLCCb,,W25 $ PROPOSED SWIMMING POOL HEATING SYSTEM INF(1RMATION (Chapter 9), + Sola Life Cycle Cost (from Form 7) ..................................... _.:...................... pLCCs 26 $ Natural Gn.Life elii Cost (from Form 71 •. ...... Cy .............:............ _. pLCCng 27 $ • f - 'G - r HOURLY AND ANNUAL BUILDING HEAT LOSS RATE Cheek One: Proposed Desimr- Standard Design ' { (owner (WOO@= pro ect IO LiLion byaxem type vk ocumenc on aucnordate c (� Form 2R Enforcement Agency Vac Only our arng permit number cnackso by to SITE INFORMATION Heating Degree ay (from Appendix) . . . . . . . .... . . .. .. ..... . IHDO 23 °F• day . Outside Design Tempenrwre (from Appendix) . ....... .... ..... Tow °F Outside January Moo Temprawre (from Appendix) ............. Tjan °F PROPOSED BUILDING ENVELOPE INFORMATION . Gross Floor Area (from plans) ........................... . Af ft2 Gros Wail Arae (from plans) ........................... Aw ft2 Oaign ed Glazing Arae (from plans) ..... :................. Ag ft? Basic Glazing Arm (16% of Af if low-rise or 40% of Aw if high -riot .......Abel ft2 HOURLY HEAT LOSS DESIGN TEMPERATURE DIFFERENCE For All Assemblies Other Than The Three Below ...AfF - °F •0Th 1 °F To.r from above For Insulated Floor Over Vented Unheated Spec .......... Lure 1 =2 •&TM 2 °F For Uninsulated Floor Over Vented Unheated Spam........ Ura 2 - 5°F •&Tt.3 °F For Sla"n Ground Floors ........... 7d'F - �4 °F -ATB 4 Tian from above CONDUCTIVE HEAT LOSS Ave" u of Assembly. A,011'tn2 or or FZ from GT hourly nest �j�oescription.of Assembly LAngttnr. ft G�:m 4.1 from above j Glazing `/ �� l- �A�I 1 x s \Y� x s SU7 to/hr Wall Z—J C'S.�J��2� ^vim <, X.,o X X- x Ceiling/Roof �1 T \ UJ `�1� X•� ` x s 2Z Floor x xs - Other X_ vol me Subtotal Stu/hr um O e above 4 INFILTRATION ....... ft2 x ft X2 1 xis F, e $Q 3� NINE Af from above woigntea from Th f om Average Table 3.7 Vac 1 Calling oteight SuttLOtat 7 tine 3• aloe U tu/hr DUCT HEAT LOSS (Enter o if them are no duets) . • • 0.15 Is Ulna 7 TOTAL HOURLY HEAT LOSS. CIL 9 gy tWhr me 7 Pne ANNUAL -HEAT LOSS, CL ` 1 Z3Z OF.dey/yr x Stu/hr x �� x24hr/dev + a • 10Z11ogS Stu/yl' MOO Hourly hWt I.Os C from Th from from about from Line 9. Table 34 Una 1 - . % u s� , r-.: t ,' 1•' s� �/�Jr�/J '[/`.� V ;4l',. (\`... '//� .� � � �r . ` 1 �I t \�• j� � ". ro it � r . , - .t , ' ^ ' ,.. • n e ,,��e..-F �•�J � �'i:./ ��. � �� fir'. _l �- 1�, �/�T 7 .�' �•w♦ ` .A. - 1L. ,• �.t` _ ,y 1, ,�. :. r _ I ''• S U iV��EVt'AR Y C 2 . i C 2 . page 2 of 2 _ 7 project title .climate zone . �A ��� il�A . Com' .. • • � - S , rojam adores HEATING, VENTILATING, AIR'CONDITIONING SYSTEM Points 10. Heating (fill in information `on proposed system) Central Gas Furnace ea orand and moom numD•r :SE Stulhr .; neating capacity>" _ \ i Q 1 l Z•� Heat Pump.r,b�Ok brand ani model numo•r ACOP L\(b V: V Q'' Btulhr • - Heating capacity at Active Solar, 'type (Rouia or air) collector brana ani moaei numoer solar fraction collector area ,• collector Orientation- collector tut ratea f - ratea Slope • - y •Intercept , Other "- a dascrlb• , 11. Cooiu (fill in information on proposed system) Electric Air Conditioner wane dna maces number seasonal'EER Stu/hr ' Cooun ca a at 9 �1 O Electric Heat Pump" ``— 1'` J EER• L—A® 1 ' $tti/hr ' cooling capacity at 95 - Other - 4 - asariD• - { , Mechanical Ventilation . ' ACH .12. a«rio• , DOMESTIC WATER -SYSTEM, 13. Heating"(fill in.inf&matiomon.proposed system) Gas -Only Gallons Duna ana moats nurnbertank Oza L`_- r • .•HeatPutnp w/Electric Backup C� Gallons� .. brana ani moats )lumber ' tank size , ' Active Solar h e. J collector Drand and model numaw - tea Y • �tercapt ratta f1pD•. solar tractlon ` ,ft" backup, neater typej orano and moats numoar:- . collector area ..Collector .. s -orientation i Other' -Point Totai from Page 1 ,Total Point Scwe » • 421i" Cat • `r ,