13424 (SFD)4
P.O. BOX 1504
Building 78-565 Saguaro Drive 78-105 CALLE ESTADO
Address LA QUINTA, CALIFORNIA 92253
Michael Raymond
Mailing
Address 53-780 Ave. Carranza
CityZip Tel.
La Quinta, CA 92253
Contractor
owner/Builder
Address
City lZip I Tela
State Lic. I City
& Classif. Lic. #
Arch., Engr.,
Designer John Hacker & Associates
Ad4d91s1 Sunny Dunes Rd. S : el
C 327-4565
Cit Zi State
Balm Springa, UA 92264 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. 7031.5,8usiness 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 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) or
Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis
for the alleged exemption. Any violation or Section 7031.5 by any applicant for a permit
sub' ects
the
applicant to a civil penalty of not more than rive hundred dollars ($500).
.as owner of the property, or my employees with wages as their sole compensation, will
o 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 or sale.)
❑ 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.)
O 1 am exempt under Sec. B. & P.C. for this reason
Date Owner �"✓`�" �1! b �`"
i
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. Company
❑ Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars ($100) valuation
or less.)
I certify that in the performance of thg work for which this permit is issued, I shall not
employ any person in any manner so as to become subject to the Workers' Compensation
Laws of California.
Date Owner
NOTICE TO APPLICANT: If, 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 sof this city to enter the above-
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
No. 13424
BUILDING: TYPE CONST. nn- CC. GRP.
A.P. Number 617~383--"4
Legal Description Lot 106 Desert Club Tract
Project Description SFD
REMARKS
Sq. Ft. No.
Size 1801 Stories
No. Dw.
Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Permit includes 6' stucco
wall.
BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Estimated Valuation $109,052.00
Side Setback from Property Line
PERMIT
AMOUNT
Plan Chk. Dep. 250.00
Plan Chk. Bal.
323.80
Const.
674.50
Mech.
55.5t)
Electrical
135.1.4
Plumbing
172.50
S.M.I.
10.91
Grading
20.00
Driveway Enc.
.00
Infrastructure
2,299.28_
Plan
zb. uo
-Precise
Arts in Publfc Places
X5.00
TOTAL t 3,991.63
3, 741. 113
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 DATEINSPECTOR//-
Issued by:
l
Date i' _ _ Permit I,^?
Validated t
Validation:
It,
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. p $
UNITS
SLAB GRADE
r "
BONDING
Y
ARD SPKLR SYSTEM
2ND FL. SQ. FT. p
FORMS
9E1N2R'9W SEPTIfA
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. p
GAS (ROUGH)
METER LOOP
GAR. SO. FT. p
POWER OUTLET
ROOF DRAINS.
GAS (FINAL)
TEMP. POLE
DRAINAGE PIPING
CAR P. Q. FT. p
GROUT X22 -411
WATER HEATER
WALL SO. FT. p
FINAL INSP.
DRINKING'FOUNTAIN
BOND BEAM
WATER SYSTEM
URINAL
SQ. FT. p
_$
LUMBER GR.
ESTIMATED CONSTRUCTION VALUATION $
FRAMING �27A
-WATER PIPING
NOTE: Not to be used as property tax valuation
�v�. f5 / 7J�
P
_ 3 `01 ct
/
r
lO
`
Q
�J
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
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. p c
BATH TUB
,n
INSULATION/SOUND:-7�01(�(N
SQ. FT. p c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID p 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR p 3/4c
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE TNST.
FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBING .y/�-7
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
9E1N2R'9W SEPTIfA
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT X22 -411
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
_$
LUMBER GR.
FINAL INSP �/
FRAMING �27A
`
AL INS P/ / L (
[
ROOFING %—ZI>/n
�v�. f5 / 7J�
P
_ 3 `01 ct
/
r
lO
`
Q
�J
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWAL
LATHING
MESH
,n
INSULATION/SOUND:-7�01(�(N
FINISH GRADINGOrKN
AL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
NOTICE:
Document Cannot Be
Date 5/13/94
No. 112830
Owner Name
DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879,Highway 111
-I , • Indio;aCA 92201
Duplicated `619-775-3500
Type of Permit
La Quinta
Permit #L --::d
Log
Michael Raymond
No. 78565 Street •Saguaro Drive
City La Quinta Zip 92253 Study Area
124
APN # Tract #I Lot # 0 Square Footage 11801
Type of Development I Single Family Residence No. of units 0
Comments
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 1.65 x 1' 801 or $ 2,971:65 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 Michael T. Raymond Telephone
Name on the check
By Dolores A. Ballesteros
Superintendent
Fee collected /exempted by Vickie J. Durrett
Payment Received -
Signature Check No. 104
/ r
Collector: Attach a copy of county or city plan check application form to district copy for all waivers.
Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting
,RECORDING REQUESTED BY
COMMONWEALTH LAND TITLECOa
AND WHEN RECORDED MAIL THIS DEED AND, UNLESS OTHERWISE
SHOWN BELOW, MAIL TAX STATEMENT TO:
Name
' Street Mr. and Mrs. Don C. Wilhelm
Address' BOX 818
city& Desert Hot Springs, California
State �
Zip 92240
Tide Order No. 193187 Escrow No. 10-28643
CTC 1.101 (8.93)
SPACE ABOVE THIS LINE FOR RECORDER'S USE
Grant . Deed
THE UNDERSIGNED GRANTOR(s) DECLARE(s)
DOCUMENTARY TRANSFER TAX IS $ 46.20
❑ unincorporated area : City of La 4uinta
Parcel No. 646-313-005-2 and 646-313-006-3
EXcomputed on full value of interest or property conveyed, or
❑ computed on full value less value of liens or,encumbrances remaining at time of sale, and
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
THOMAS C. YARU and SUZANNE M. YARU, husband and wife
hereby GRANT(S) to
DON C. WILHELM and NANCY K. WILHELM, husband and wife as Joint Tenants
the following described real property in the City of La Quinta
county of Riverside , state of California:
Lots 105 and 106 Of DESERT CLUB MANOR NO. 1, as shown by Map on file in Book 22
Page 53 of Maps, records of Riverside County, California.
Dated March 3, 1994
o RE (OoN
STATE OF 13AtFF6Rt
COUNTY OF 305e-P'n, Y1 C� } S.S.
On t h e I b *ti o 1^(1fa r h 1 g g y before me,
a Notary Public in and for said County and Slate,, p-rsonally appeared
S 0. t1 t'fl Gti CA` (jL rN
Tt1t2�ln[lCA, uCk11(A _
personally known to me (or pro4d to me on the basis of satisfactory
evidence) to be the person(s) whose name(s) is/are subscribed to the
within instrument and acknowledged to me that he/she/they executed
the same in his/her/their authorized capacity(ies), and that by his/her/their
signature(s) on the instrument the person(s), or the entity upon behalf
of which the person(s) acted, executed the instrument.
WITNESS my hand and official seal _
Signature�LfiO./�/
MAO . -TAX STATEMENTS TO PARTY SHOWN ON
•.f
Tho a's`- C •:vYar.0
Sii nn M :Yaru y
�°1y •
(This area for official notoria) seal)
1.1NF' IF Nn PA`RTV cunun r wR. ■.
Name Street Address
I .-•__ - ..aau.a. a uu tfDV ♦ G
City & State
lu Y
`�
u
Cl) O
�
T.
� VJ0
p
ae
OO LLcc
0
W
t
o ` 2
> Q
Q
O ¢ CC
111
B
LL
W
Cr
SPACE ABOVE THIS LINE FOR RECORDER'S USE
Grant . Deed
THE UNDERSIGNED GRANTOR(s) DECLARE(s)
DOCUMENTARY TRANSFER TAX IS $ 46.20
❑ unincorporated area : City of La 4uinta
Parcel No. 646-313-005-2 and 646-313-006-3
EXcomputed on full value of interest or property conveyed, or
❑ computed on full value less value of liens or,encumbrances remaining at time of sale, and
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
THOMAS C. YARU and SUZANNE M. YARU, husband and wife
hereby GRANT(S) to
DON C. WILHELM and NANCY K. WILHELM, husband and wife as Joint Tenants
the following described real property in the City of La Quinta
county of Riverside , state of California:
Lots 105 and 106 Of DESERT CLUB MANOR NO. 1, as shown by Map on file in Book 22
Page 53 of Maps, records of Riverside County, California.
Dated March 3, 1994
o RE (OoN
STATE OF 13AtFF6Rt
COUNTY OF 305e-P'n, Y1 C� } S.S.
On t h e I b *ti o 1^(1fa r h 1 g g y before me,
a Notary Public in and for said County and Slate,, p-rsonally appeared
S 0. t1 t'fl Gti CA` (jL rN
Tt1t2�ln[lCA, uCk11(A _
personally known to me (or pro4d to me on the basis of satisfactory
evidence) to be the person(s) whose name(s) is/are subscribed to the
within instrument and acknowledged to me that he/she/they executed
the same in his/her/their authorized capacity(ies), and that by his/her/their
signature(s) on the instrument the person(s), or the entity upon behalf
of which the person(s) acted, executed the instrument.
WITNESS my hand and official seal _
Signature�LfiO./�/
MAO . -TAX STATEMENTS TO PARTY SHOWN ON
•.f
Tho a's`- C •:vYar.0
Sii nn M :Yaru y
�°1y •
(This area for official notoria) seal)
1.1NF' IF Nn PA`RTV cunun r wR. ■.
Name Street Address
I .-•__ - ..aau.a. a uu tfDV ♦ G
City & State
.ni��.��++,t-.�+'�,n-•i.n..•n,r7�.afv'+�':l�rv�✓«�Y"`r°�'riJ'� �i'ti�..-ti,1}p���....r.,;��.--h-+""'r*•fxu�..t.{^r.•.1.-r��:���'Z*•i�"'�''rr3.Jai:'i.4.�;,:�yi'r�A�,�n +•a�•.� �,4 ._K ��F
ASSESSOR'S PARCEL NUMBER
COUNTY OF RIVERSIDE HEALTH SERVICES AGENCY
DEPARTMENT OF ENVIRONMENTAL HEALTH
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 specifications as indicated on the attached check list.
A non-refundable filing fee is required when the application Is submitted. Check must be made payable to the County of Riverside. Approval of this applica-
tion shall remain valid for a period not to exceed one year from date of payment.
LOG # 0 ZZ G
Agent, Contr`ctor, , ntact Person
Address City State Zip Telephone
Owner
Addr 1 S to Zip
-
Z
Job Property Address�Zv-
g - 56 S U 2 o G� v
`� � - !�u //1/7�-~ ip
53
tU
Lot Sii}e
j0 Kia
,Water Agen ell
Use of Permit, PIP, SUP, PUP, etc.
l�
Legal Description
Lor /06� i �i u Avoa T qtr l
Dwelling, MH Site Prep., etc.
Signatu f App teen
Date /� +
IgtK
CHECK BOX IF REOUIRED
❑ Holding Tank Agreements Completed
❑ Detailed Contour Plot Plans Required (1 to 5 foot interval)
❑ Certification of Existing S.D. System Required
❑ Grading Handout Provided
m
❑ WOCB Clearance Required
❑ Staff Specialist Lot Inspection Required
Z
0
(Attach For DOH -SAN -007, Santa Ana Region Only
❑ Lot Inspection
U❑
Soils Percolation Report Required
W
❑ Date Lot Inspection Completed: Initials
0)
❑ Special Feasibility Boring Report Required
Remarks:
❑ Maintenance Booklet Provided
Initials Date
❑ Final Inspection by Department of Environmental Health is required.
C/42 / Soils Percolation Boring Report by Lic4Project # Date
Soils Map Paged Soil Type Approved By Date
r
No of Systems
TYA of Systems)
No. Dwelling Units
(1) Septic Tank
Soil Rate
Grease/Sand
9,0oftling Tank O Replacement
Bedrooms, fixture tends
Grese Intcp/Lint Trap
tl New O Addition
O Existing
isk . nn^nr
Gal.
�
yS� /
I Gat.
$q. Ft.
Bb om Area
Total Linear
F
Sidewall Allowance
ft. rode/ sq. ft. running ft.
Install �. Weis) ft. long h. wide with
Leach Bed sq. ft. of
bottom Area
Inlet Tested Depth 0 NA
min. Inche odc,� low drainlines or
U
Proposed Bottom Tested Depth
"�••�
Z
Leach lines/bed special design for slope:
(3) Pit Diameter
No. Pits
Pit Below Inlet (BI)
Seepage Pit
Maximum
Other:
O
Total Depth
Allowable
I,_
Applicable
N/A .' Overburden Factor
L`J 6'
D
TD 7j
Depth
y 3
W
U
Well Review Approved: Date: Well Drilling Permit #
SIGNATURE
Grading Plan Approved: Date:
SIGNATURE
Sewer Verification 'Approved: Date:
REMARKS: /JF%iA ri AGI' / P �Ty,�C liGTi a..�u
This application I ROVED/ NIEW"for the category checked In SECTION B
FOR OFFICE USE ONLY
above, regarding the design d a subsurface disposal system as Indicated on the
acompanied plot plan, using the requirements set forth in SECTION C above. A build-
/d3 8 I �U
Ing permit is necessary for the installation of the above -designed system. No construe-
Revenue code Fee = t7D•
tion Is permitted in the required reserved 100% expansion area.
� �
nn
(1) teptic Tank must be 100' minimum from any wells./�n
Cheek # 1f1�
d t,"�" ,
s -Ir - 9 TM(2)
Leach lines must be 100' minimum from any wells, Including expansion area.
Date Initial
O
(3) Sewer lines must be 50' minimum from any wells.
�EtrEi �� �y Q 6
O
04Seepagepfts Ust ,150' minimum from any wells, Including expansion area.
v0
f
, . rY-•
o
C7 -
W
U
x r -
W
0p
Signature of Health Official
ar
Date
O 0.
&
a
LRI 6:3
DOH -SAN 122 (Rev 9/93) Uistrioutton: wHt t E: unite tie; YELLOW—App scam; Finn—oiag. wepi.; GLikucrvnvL—rlansinecurus
Contractor
CITY �O F LA CN -7I NTA
Address -53-790 C'"V-0 i4 + 1._4 Q10A
Owner /U/K- I Job Address La'- /O6 Sf}wMb
This form shall be posted on the job with the Building Inspection Card at all times in a
conspicuous place. It is the responsibility of the General Contractor or the Owner/Builder
to monitor the sub -contractors that are on this list are the same persons performing the
work. Any changes of this list must be approved by the City of La Quinta Department of
Building and Safety prior to work being performed by a changed sub -contractor. Failure to
comply will result in a stoppage of work and/or the voidance of building permit.
TRADE
SUB -CONTRACTOR NAME
CONTRACTOR'S
LICENSE NNOOJ.�
WORKMAN COMP.
NO. ON FILE
CITY BUSINESS
LICENSEE NO.
GRADE/
EXCAVATE
Ls7J/�1 '
CiC9
PIPELINES
�fj/
CEMENT/
FOUNDATIONS
CEMENT/WALKS
& DRIVES
�W4��
ASPHALT
0 -- '-
FRAMING
JWA' c0_
STRUCTURAL
OlN'Al (O
MASONRY
-
00 r5
PLUMBING
6-W &6L
LATHING
AMa
DRYWALL
PLASTERING
HVAC
.
ELECTRICAL//�
ROOFING
�(/� /VFk
SHEET METAL
OU
FLOORS
GLASS/
GLAZING
lii% VI /
INSULATION
SEWAGE DISP
PAINTING
DECORATING
!N
TILE
CABINETS/
INSTALLATION
ORNAMENTAL
METAL
�-
FENCES/
BLOCK WALLS
LANDSCAPING
e
OTHERS
3/9
TITLE 24 REPORT FOR:.
DON WILHELM
LOT 105/LOT`106;SAGUARO ROAD
LA QUINTA, CALIFORNIA
PROJECT DESIGNER:
REPORT PREPARED BY:.
JOAN D. HACKER
JOHN H. HACKER '& ASSOCIATES
4501 E. Sunny Dune Rd., Suite C
PALM SPRINGS, CALIFORNIA 92264
(619) 327-4565
Job Number: E
Date: 5/11/1994
The COMPLY 24 computer Program has been -.used to perform the calculations
summarized in this compliance report., This program.has,approval and is
authorized by the Cali-f.ornia,':Energy Comm ssion.for use with both the
Residential and Nonresidential Building Energy Efficiency Standards.
Table Of Contents for Title 24 Report
CoverPage .................. 1
Table of Contents .. ... ... .. .... 2
Form CF -1R Certificate of.Compliance: ResidenAtial 3
Form'MF-1R Mandatory Measures Checklist: Residential 5
HVAC Zone & Space Loads Summary 7
Form C -2R Computer Method Summary 10
Form P -2R Point System Summary ..... 13
I
CERTIFICATE OF COMPLIANCE: Residential (part 1 of 2) CF -1R page 3 of 13
---------------------------------------------------------------------------
Project Name: DON WILHELM Date: 5/11/1994
Address: LOT 105/LOT 106 SAGUARO ROAD
LA QUINTA, CALIFORNIA Building Permit No
Designer:
Documentation: JOHN H. HACKER & ASSOCIATES
-----------------------------------------------------
GENERAL INFORMATION
INFORMATION
Compliance Method!
Climate Zone:
Conditioned Floor Area:
Building Type:.
Building Front Orientation:
Number of Dwelling Units:
Floor Construction Type:
BUILDING SHELL INSULATION
Component
-----------------------
R-13 Wall (W.'13.2x4.16)
Solid Wood Door
R-38 Roof(R.38.2x14.16).
Slab Perimeter w%R-0.0 ..
Slab Perimeter w/R-0.0
FENESTRATION
Orient. Area U -Val Type
Front
(N)
75.0
0.87
Double
Left
(E)
91.0
0.87
Double
Back
(S)
16.0
0.87
Double
Back
(S)
53.0
0.87
Double
Right
(W)
57.0
0.87
Double
Checked by / Date
COMPLY 24 User 2655.
--------------------
COMPLY 24 version 4.11
15
1801 sqft
Single Fam Att
0 deg (N)
1
Slab on Grade
U -Value Location/Comments
0.088 WHOLE HOUSE
0.387 WHOLE HOUSE -
0.028
OUSE0.028WHOLE HOUSE
0.900 WHOLE -.'HOUSE
0.720 WHOLE.HOUSE
.'Shading
Devices
Frame
Interior
Exterior
OH
SF
Type
Light
Blind
Standard
Bug
Scr Y
N
Metal
Light'Blind
Standard
Bug.Scr
Y
N
Metal
Light
Blind
none
Y
N
Metal
Light
-Blind
Standard
Bug
Scr Y
N
Metal
Light
Blind
Standard
Bug
Scr Y
N
Metal
THERMAL MASS Area Thick
Type Covering.(sf) (in) Location/Description
Concrete, Heavyweight Exposed 400 3.50 Slab -on Grade
Concrete, Heavyweight Covered 1401 3.50 Slab on Grade
CERTIFICATE OF COMPLIANCE: Residential (part 2 of 2) CF -1R page 4 of 13
----------------------------------------------- ---------------------------
Project Name: DON WILHELM Date: 5/11/1994
Documentation: JOHN H. HACKER & ASSOCIATES COMPLY 24 User 2655
---------------------------------------------------------------------------
HVAC SYSTEMS Minimum Distrib Type Duct TStat
System Type Efficiency and Location RVal Type Location/Comments
Furnace 0.800 AFUE Ducts in Attic 4.2 SetBck WHOLE HOUSE
SpltAirCond12.000 SEER,Ducts in Attie 4.2 SetBck
Water No . •, Tank Ext.
WATER HEATING SYSTEMS Heater in Energy Size Insul
System Name Distribution Type Type Sys Factor (gal) R -Val
Std Gas 50 gal or Less Standard StorGas 1 0.53 50.0 12.0
WATER HEATER EQUIPMENT DETAIL
System Name System Type
----------------------- -----------
Std Gas 50 gal or Less DomesticHW
SPECIAL FEATURES/.REMARKS
AFUE
/Rec Rated Stdby Tank Pilot
Eff Input Loss R -Val Light
---- ----- ----- ----- -----
0.760 40000 0.040 0.0 0
COMPLIANCE STATEMENT
This Certificate of Compliance lists the building,features and performance
specifications needed to comply with Title 24, Parts1 & 6 of the Califor-
nia Code of Regulations, and the administrative regulations to implement
them. This certificate has been signed by the individual with overall
design responsibility. When this certificate of compliance is submitted for
a single building plan to be built in multiple orientations, any shading
feature that is varied is indicated in the Special Features/Remarks section
DESIGNER or OWNER
(Per Business & Professions Code)
Lic #:
DOCUMENTATION AUTHOR
JOAN D'. HACKER
JOHN: -:H. HACKER & AS_SOCIATES
450.1 E•. Sunny Dune Rd. Suite C
PALM SPRINGS, CALIFORNIA 92264
(619) 327-4565
(signature) (date) (si ature (date)
ENFORCEMENT AGENCY
Name:
Title:
Agency:
Telephone: (signature/stamp) (date)
MANDATORY MEASURES CHECKLIST (part 1 of 2) MF -1R page 5 of 13
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Project Name: DON WILHELM Date: 5/11/1994
Documentation: JOHN H. HACKER & ASSOCIATES COMPLY 24 User 2655
---------------------------------------------------------------------------
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.
BUILDING ENVELOPE MEASURES
Enforcement
o Sec. 150(a): Minimum R-19 ceiling insulation.
o Sec. 150(b): Loose fill insulation manufacturers
labeled R -Value.
o Sec. 150(c): Minimum R-13 wall insulation in framed walls
(does not apply to exterior mass walls).
o Sec. 150(d): Minimum R-13 raised floor insulation in framed
floors; Minimum R-8 in concrete raised floors.
o Sec. 150(1): Slab edge insulation - water absorption rate
no greater than 0.3%, water vapor transmission rate no
greater than 2.0 perm/inch.
o Sec. 118: Insulation specified or installed meets California
Energy Commission quality standards. Indicate Type & form.
o Sec. 116-117:.Fenestration Products, Ext Doors & Infil./Exfil Controls
a. Doors and windows between conditioned and unconditioned
spaces designed to limit air leakage.
b. Manufactured fenestration products have label w/certified U -Value
c. Exterior doors and windows weatherstripped; all joints
and penetrations caulked and sealed.
o Sec. 150(8): Vapor barriers mandatory in Climate Zones 14
and 16 only.
o Sec. 150(f): Special infiltration barrier installed to
comply with Sec. 151 meets Commission quality standards.
o Sec. 150(e): Installation of Fireplaces, Decorative Gas
Appliances and Gas Logs,
1. Masonry and factory -built fireplaces have:
a. 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.
MANDATORY MEASURES CHECKLIST (part 2 of 2) MF -1R page 6 of 13
------------------------------------------------------- --------------------
Project Name: DON WILHELM Date: 5/11/1994 .
Documentation: JOHN H. HACKER & ASSOCIATES ICOMPLY 24 User 2655
---------------------------------------------------------------------------
SPACE CONDITIONING, WATER HEATING AND PLUMBING SYSTEM MEASURES Enforcement
o Sec. 110-13: HVAC equipment, water heaters, showerheads
and faucets certified by the Commission.
o Sec. 150(i): Setback thermostat on all applicable
heating systems.
o Sec. 150(j): Pipe and Tank Insulation
1. Indirect hot water tanks (eg unfired'storage tanks or
backup solar hot water tanks) have insulation blanket
(R-12 or greater) or combined interior/exterior insulation
(R-16 or greater).
2. First 5 feet of pipes closest to water heater tank,
non -recirculation systems, insulated (R-4 or greater.
3. All buried or exposed piping insulated in recirculation
sections of hot water systema
4. Cooling system piping below 55 F insulated.
5. Piping insulated between heating source and indirect hot
water tank.
o Sec. 150(m) Ducts and.Fans *
1. Ducts constructed, installed and sealed to comply with
UMC Sections 1002 and 1004; ducts insulated to a minimum
R-4.2 or ducts enclosed entirely within conditioned space.
2. Exhaust systems.have backdraft or automatic dampers.
3. Gravity ventilating systems serving conditioned space have
either automatic or readily accessible manually operated
dampers. _
o Sec. 114:Pool and Spa Heating Systems and Equipment
1. System'is certified with 78% thermal efficiency, on-off
switch, weatherproof operating instructions, no electric
resistance heating and no pilot light.
2. System is installed with:
a. At least 36" pipe between filter and heater for future
solar heating.
b. Cover for outdoor pools or outdoor spas.
3. Pool system has directional inlets and a circulation
pump time switch.
o Sec. 115: Gas-fired central furnace, pool heater, spa heater
or household cooking appliance have no continuously
burning pilot light. (Exception: Non -electrical cooking
appliance with pilot < 150 Btuh).
LIGHTING MEASURES
o Sec. 150(k): Lighting - 40 lumens/watt or greater for
general lighting in kitchens and rooms with water closets;
and recessed ceiling fixtures IC (insulation cover) approved.
HVAC ZONE HEATING & COOLING LOAD SUMMARY page 7 of 13
Project Name: DON WILHELM 'Date: 5/11/1994
Documentation: JOHN H. HACKER &.ASSOCIATES COMPLY 24 User 2655
HVAC ZONE DESCRIPTION
HVAC Zone Name:
Heating System Name:
Cooling System Name:
System Multiplier:
Fan Schedule:
Peak Load Method:
Relative Humidity:
WHOLE HOUSE
Day&Night 398BAZO60100
Day&Night 59SAN048-A
1
All On Load Calcs
COINCIDENT
50
0
COOLING
SPACES IN THIS ZONE PEAK HEATING PEAK SENSIBLE LATENT
WHOLE HOUSE (Jan 12am) 43827 (Aug 2pm) 34639 -995
TOTAL SPACE LOAD 43827 34639 -995
Duct Gains & Losses: 4383 3464
Ventilation: ( 0 CFM) 0 0 0
Return Air Lighting Gain 0
TOTAL SYSTEM LOAD 48210 38103 -995
SYSTEM OUTPUT AT -DESIGN CONDITIONS. 99000 34608 12674
NOTE: The TOTAL SYSTEM LOAD shown represents the minimum size equipment
which will heat or cool this zone duringthe design conditions indicated.
These numbers include no safety factor,and the'HVAC contractor should
oversize by a reasonable margin to,account for variations in weather
conditions and the pick-up capacity required to bring the zone to temper-
ature as a result`of a setback thermostat. Those responsible for final
equipment'selection should note that Sensible and Latent Cooling Loads are
indicated to allow for accurate comparison with.manufacturer's output data.
RESIDENTIAL SPACE HEATING LOAD SUMMARY page 8 of 13
Project Name: DON WILHELMDate: 5/11/1994
J
Documentation: JOHN H. HACKER & ASSOCIATES COMPLY 24 User 2655
Space Name: WHOLE HOUSE
Design Indoor Dry Bulb Temperature: 70 F
Design Outdoor Winter Dry Bulb Temperature: 32 F
Design Temperature Difference 38 F
Conduction
Area
..
U -Value
TD
Btu/hr
R-13 Wall (W.13.2x4.16)
1731.0
x
0.0885
x
38.0
= 5820
Solid Wood Door
60.0
x
0.3872
x
38.0
= 883
Double Clear Default(R)
75.0
x
0.8700
x
38.0
= 2480
Double Clear Default(R).
.91.0
x
0.8700
x
38.0
= 3008
Double Clear Default'(R)
16.0
x
0.8700
x
38.0
= 529
Double Clear Default(R)
53.0
x
0.8700
x
38.0
= 1752
Double Clear Default(R)
57.0
x
0.8700
x
38.0
= 1884
R-38 Roof(R.38.2xl4.16)
1801.0
x
0.0284
x
38.0
= 1940
Slab on Grade
Perim =
50.0
x
42
= 2075
Slab on Grade
Perim =
300.0
x
42
= 12450
Infiltration: 1.00 x 0.018 x
1801 sf
x 9.0
ft
x 1.00 AC
x
38.0
= 11006
TOTAL
-HOURLY
HEAT LOSS FOR
SPACE
43827
Heating AirFlow: 43827
Btu/hr /
[1.07 x
357
DeltaT)]
= 1168
cfm
RESIDENTIAL SPACE COOLING LOAD SUMMARY page 9 of 13
---------------------------------------------------------------------------
Project Name: DON WILHELMDate: 5/11/1994
Documentation: JOHN H. HACKER & ASSOCIATES COMPLY 24 User 2655
------------------------------------------------------ --------------------
Space Name: WHOLE HOUSE
Design Indoor Dry Bulb Temperature:
78 F
Design Outdoor Summer Dry Bulb Temperature:
112 F
Design Temperature Difference:
34 F
Conduction
Area
U -Value
-------
DETD
----
Btu/hr
-----------------------
R-13 Wall (W.13.2x4.16)
------
1731.0
x
0.0885 x
27.6 =
------
4227
Solid Wood Door
60.0
x
0.3872 x
27.6 =
641
Double Clear Default(R)
75.0
x
0.8700 x
34.0 =
2219
Double Clear Default(R)
91.0
x
0.8700 x
34.0 =
2692
Double Clear Default(R)
16.0
x
0.8700 x
34.0 =
473
Double Clear Default(R)
53.0
x
0.8700 x
34.0 =
1568
Double Clear Default(R)
57.0
x
0.8700 x
34.0 =
1686
R-38 Roof(R.38.2x14.16)
1801.0
x
0.0284 x
48.0 =
2451
Infiltration: 1.00 x 0.018 x 1801
sf x 9.0 ft
x 1.00. AC x
34.0 =
9847
Shaded
Unshaded
Solar Gain Orient.
Area SGF
Area SGF
SC
Double Clear Default(R) South [
53.0 x 15
+
0.0 x .32]
x 0.49
= 389
Double Clear Default(R) South [
16.0 x 15.+
0:0 x 32]
x 0.47
= 112
Double Clear Default(R) West [
21.4 x 15
+
35.6 x 73]
x 0.49
= 1431
Double Clear Default(R) North [
0.0•x 15-+
75.0 x 15]
x 0.49
= 551
Double Clear Default(R) East [
22.-8 x 15
+
68.3 x 73]
x 0.49
= 2608
Internal Gain Op Frac.
Area
Heat Gain
Conv.
Lighting 1.00
x 1801.0
x
0.200 x
3.413 =
1229
Equipment 1.00
x 1801.0
x
0.'100 x
3.413 =
615
Occupants 1.00
x 1801.0
x
225 /
333 =
1217
TOTAL HOURLY
SENSIBLE HEAT
GAIN FOR SPACE
34639
Latent Gain Op Frac.
--------
Area
------
Heat Gain
---------
Conv.
-----
Btu/hr
------
-----------------------
Equipment 1.00
x 1801.0
x
0.000 x
3.413 =
0
Occupants 1.00
x 1801.0
x
225 /
333 =
1217
Infiltration: 1.00 x 0.018 x 1801
sf x 9.0 ft
x 1.00.AC x -7.0 =
-2029
TOTAL HOURLY LATENT HEAT
GAIN FOR..SPACE
-995
Cooling. AirFlow: 34639 Btu/hr
/ _[1.07 x
23
F DeltaT)]
= 1405
cfm
COMPUTER METHOD SUMMARY C -2R page 10 of 13
-----------'----------------------------------------------------------------
Project Name: DON WILHELM Date: 5/11/1994
Documentation: JOHN H. HACKER & ASSOCIATES COMPLY 24 User 2655
POINT SYSTEM COMPLIANCE SUMMARY
Proposed Design Point Score
Budget Compliance Point Goal
GENERAL INFORMATION
Compliance Method:
Climate Zone:
Conditioned Floor Area:
Building Type:
Building Front Orientation:
Number of Dwelling Units:
Number of Stories:
Floor Construction Type:
Total Conditioned Volume:
Conditioned Footprint Area:
Ground Floor Area:
0 Points*BUILDING COMPLIES*
0 Points
COMPLY 24 version 4.11
15
1801 sqft
Single Fam Att
O• deg (N)
1
1
Slab on Grade
16209 cuft.
1801 sqft
1801 sqft
BUILDING ZONE INFORMATION
Floor # of Vent
Zone Name Area Volume Units Zone Type TStat Type Hgt Area
WHOLE HOUSE 1801 16209 1:,00 Conditioned Setback 2 n/a
OPAQUE SURFACES Act Solar
Type Area U -Val Azm Tilt Gains Form,3 Reference Location/Comments
ZONE NAME = WHOLE HOUSE
Wall
341
0.088
180
90
Yes
R-13
Wall
all
(W.13.2x4.16)
WHOLE
HOUSE
Door
40
0.387
180
90
Yes
Solid
Door
WHOLE
HOUSE
Wall
503
0.088
270
90
Yes
R-13
Wall
(W.13.'2x4.16)
WHOLE
HOUSE
Wall
438
0.088
0
90
Yes
R-13
Wall
(W.13.2x4.16)
WHOLE
HOUSE
Wall
449
0.088
.90
90
Yes
R-13
Wall
(W.13.,.2x4.16)
WHOLE
HOUSE
Door
20
0.387
90
90
Yes
Solid Wood
Door
WHOLE
HOUSE
Roof
1801
0.028
180
22
Yes
R-38
Roof(R.38.2x14.16)
WHOLE
HOUSE
COMPUTER METHOD SUMMARY C -2R page 11 of 13
-------------------7------------------------------------ ----------------
Project Name: DON WILHELM Date: 5/11/1994
Documentation: JOHN H. HACKER & ASSOCIATES ,COMPLY 24 User 2655
PERIMETER LOSSES F2 Insulation
Type Length Factor R -Val Depth Location/Comments
--------- ------ ------ ----- ----- -----------------------
ZONE NAME = WHOLE -HOUSE
Exposed 50.0 0.,90 0.0 0 in WHOLE HOUSE
Covered 300.0 0.72 0.0 0 in WHOLE HOUSE
FENESTRATION SURFACES Sc
Act Glass
# Type Area Frame Div U -Val Azm Tilt Only Location/Comments
--------------- ----- ----- --- ---- --- ---- ----- ---------------------
ZONE NAME = WHOLE HOUSE
1 Wdw Back (S) 53.0 Metal No 0.87 180 90 0.88 WHOLE HOUSE
2 Wdw Back (S) 16.0 Metal Yes 0.87 180 90 0.88 WHOLE HOUSE
3 Wdw Right (W) 57.0 Metal No 0.87 270 90 0.88 WHOLE HOUSE
4 Wdw Front (N) 75.0 Metal No 0.87 0 90 0.88 WHOLE HOUSE
5 Wdw Left (E) 91.0 Metal No 0.87 90 90 0.88 WHOLE HOUSE
INTERIOR & EXTERIOR SHADING
# Type Interior Shade Type
1 Wdw Light Blind
2 Wdw Light Blind
3 Wdw Light Blind
4 Wdw Light Blind
5 Wdw Light Blind
SC Exterior Shade Type
0.58 Standard Bug Screen
0.58 None
0.58 Standard Bug Screen
0.58 Standard Bug'Screen
0.58 Standard Bug Screen
�*o
0.87
1.00
0.87
0.87
0.87
COMPUTER METHOD SUMMARY C -2R page 12 of 13
---------------------- -----------------------------------------------------
Project Name: DON WILHELM Date: 5/11/1994
Documentation: JOHN H. HACKER & ASSOCIATES ICOMPLY 24 User 2655
---------------------------------------------------------------------------
OVERHANGS/SIDE FINS
--Window-- -----Overhang------ ---Left Fin--- .---Right Fin--
# Type Ht Wd Len Ht LExt-RExt Dist Len Ht Dist Len Ht
1 Wdw 4.0 4.0 10:0 0.1.10:.0 10.0
2 Wdw 4.0 2.0 2.0 0.1 2.0 2.0
3 Wdw 4.0 4.0 2.0 0.1 2.0 2.0
4 Wdw 8.0 6.0 8.0 0.1 8:0 8.0
5 Wdw 6.0 5.0 2.0 0.1 2.0 2.0
THERMAL MASS Area Thick Heat Inside Location
Type (sf) (in) Cap Cond Form 3 Reference R -Val. Comments
------------- ---- ----- ----- --------------------------- ------ --------
ZONE NAME = WHOLE HOUSE
Exposed Slab 400 3.50 28 0.98 n/a 0
Covered Slab 1401 3.50 28 0.98 n/a 2
HVAC SYSTEMS Minimum Distrib Type Duct TStat
System Type Efficiency and Location RVal Type Location/Comments
------------------------------------- ---- ------ -----------------------
Furnace 0.800 AFUE Ducts in Attic 4.2 SetBck WHOLE HOUSE
SpltAirCond12.000 SEER Ducts in Attic 4.2 SetBck
Water No. Tank Ext.
WATER HEATING SYSTEMS Heater in Energy Size Insul
System Name Distribution'•Type Type Sys Factor (gal) R -Val
Std Gas 50 gal or Less Standard StorGas 1 0.53 50.0 12.0
AFUE
WATER HEATER EQUIPMENT'DETAIL /Rec Rated Stdby Tank Pilot
System Name System Type. Eff Input Loss R -Val Light
Std Gas 50 gal or Less DomesticHW 0.760 40000 0.040 0.0 0
SPECIAL FEATURES/REMARKS
POINT SYSTEM SUMMARY
---------------------------------------------------------------------------
P -2R page 13 of
13
Project Name: DON WILHELM
;Date: 5/11/1994
Documentation: JOHN H. HACKER &
--------------------------------------
ASSOCIATES,
COMPLY 24 User 2655
--------------
BUILDING DATA
-------------
Conditioned Floor Area 1801 sgft
Number of
Stories 1
Occupancy Type Single
Fam Att
SCORE CARD
Measure
Points
1. Roof Insulation
0.0284
(U -Value)
0
2. Wall Insulation
0.0885
(U -Value)
-6
3. Raised Floor Insulation
0.0000
(U -Value)
3a. Controlled Vent Crawlspace
0'.0
(R=Value.)
-> 0
4.. Slab Edge Insulation
0:7457
(f2 factor)_
5. Infiltration
Standard
0
6. Glass Heat Loss
0.87
16.20
-4
Sum 1-6
-10
7. Fenestration Beat Gain
SC,
Orientation Area '% Glass
Open
Eff %
SER
North 75.0 4.2
x 0.77 =
3.2
0.64 1
East 91.0 5.1
x 0.70 =
3.5
0.59 -3
South 69.0 3.8
x 0.30 =
1.2.
0.75 1
West 57.0 3.2
x 0.65 =
2.1
0.59 1
Skylight 0.0 0.0
x 0.00 =
0:0
0.00 0
8. Interior Thermal Mass
2.42
1
9. Exterior Wall Mass
0.00
0
Sum 7-9
1
10. Heating System
1
Zonal Control: No
11. Cooling System
8
12. Water Heating
=
0
Point Total:
0
�j EARTH SYSTEMS CONSULTANTS S.C.
FI, BUENA ENGINEERS DIV.
79-81 1 B Country Club Drive
Bermuda Dunes, CA 92201 • (619) 345-.3588,.-
Client Name
Client Address
Client Phone
DATE
JOB NO.
,7 - Si C-R. Iii
..=�
PROJECT6.
LOCATION , Y - -
La Wil' -°..
CONTRACTOR
REFERENCE CURVE
OWNER
WEATHERTEMP.
oat AM
o at PM
PRESENT AT SITE
OPTIMUM
TEST
TEST LOCATION
LOT
i>if %���.�C. /��
(\7 1c, 5'
: I
FIELD TESTING
REFERENCE CURVE
MOISTURE
DRY
MAXIMUM
MAXIMUM
OPTIMUM
TEST
TEST LOCATION
LOT
i>if %���.�C. /��
NUMBER
/l n;Y l;, lig,
NO•
ELEVATION
CONTENT
DENSITY
DRY
DRY
-MOISTURE
116 usf5 ..
%
lbs ./Cu. it.
DENSITY
DENSITY
lbs./cu. ft.
CONTENT
%
-
67,
9S
.,
c!
9, 7
105
J
O 9.6
REMARKS:
(\7 1c, 5'
T ��p<.
(��</. j�ilG
i>if %���.�C. /��
�lc�iif�C.� G�i�n�•vGs
/l n;Y l;, lig,
�/ G` . Fi
147 /%F/�
FIELD REPORT
CLIENT REPRESENTATIVE SIGNATURE TECHNICIANS SIGNATURE
.003421'.