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04726 (SFD)
Qum& P.O. BOX 1504 Building 78-105 CALLE ESTADO Address 53-205 Navarro LA QUINTA, CALIFORNIA 92253 Mailing Address 247 Ea TahquitZ ilayf 02 City i Zip JTel. Palm Springs 922152--. ..322-1.32.0 Contractor Address Zip State Lic. City & Classif. 387934 Lic. # 895 Arch., Engr., Designer Address Tel. CityI Zip I State I 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 Prorfe"ssions Code, and my license is in full force and effect.t _.�• l_ <3 � may. SIGNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ I, as owner of the properly, 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 orimprovement is sold within one year of completion, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale.) ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec. B. & P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to`self-insure,; oa certificate of Worker's Compensation Insurance, or a certified copy thereof. (Secy38t70•.Labor Code.) Policy No. Company — • / f O 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 th? 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 -of this city to enter the above- mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip BUILDING: TYPE CONST. OCC. GRP. A.P. Number- - 774-064-022 Legal Description Project Description's"�" 0 4. 726 REMARKS n ,,,,.„, , , ^, A Y 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 INS ECTOR Issued by: Date Permit Validated by: Validation: - .WHITE - FINANCE, PINK -APPLICANT, GREEN , BUILDING, GOLDENROD - ASSESSOR'S OFFICE, HARD COPY - FILE Sq. Ft. .409 Size No. Stories No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ 4301 Garage 1701 6' wood fence Estimated Valuation MoI05 PERMIT AMOUNT Plan Chk. Dep. + 00 Plan Chk. Bal. 4 64"fit) Const. 41 at) Mech. :iia oftrd Electrical 4 a Plumbing 10.I ..0 S.M.I. 5. art Grading 20100 Driveway Enc. 20.00 Infrastructurer�:r3; TOTAL REMARKS n ,,,,.„, , , ^, A Y 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 INS ECTOR Issued by: Date Permit Validated by: Validation: - .WHITE - FINANCE, PINK -APPLICANT, GREEN , BUILDING, GOLDENROD - ASSESSOR'S OFFICE, HARD COPY - FILE CONSTRUCTION ESTIMATL NO. ELECTRICAL FEES NO. PLUMBING FEES IST FL SO FT (a 1 UNITS COLL. AREA 2ND FL SO FT. q ROUGH PLUMB YARD SPKLR SYSTEM POR SO FT. or MOBILEHOME SVC. BAR SINK GAR SO. FT. Or POWER OUTLET I ROOF DRAINS CAR P. 50 FT. a ROCK STORAGE DRAINAGE PIPING WALL SO. FT. td DRINKING FOUNTAIN SO. FT. a i URINAL ESTIMATED CONSTRUCTION VALUATION S WATER PIPING NOTE: Not to be used as property lax valuation FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASH ER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED =$ LAUNDRYTRAY AIR HANDLING UNIT CFM FINAL INSP, 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 SO. FT. @ c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID a Iv: c SEWAGE DISPOSAL SO.FT.GAR @ 3/.c HOUSE SEWER SPARK ARRESTOR* GAS PIPING PERMIT FEE , PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.rEE CONST. FEE ELECT. FEE SMI FEE PLUMB FEE STRUCTURE PLUMBING ELECTRICAL HEATING 8 AIR COND. SOLAR SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP.IEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE - GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. S plus x$ =$ LUMBER GR. FINAL INSP, FRAMING —5- 5 — FINAL INSP. _ �_ ROOFING�� �v / �� �� %� _ r 1-/ /y`./ O`- G"® REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR* GAR. FIREWALL , LATHING MESH G �LjIN,S,ULATIONISOUND FINISH GRADING / • 61NAL INSPECTION W61 NAL ((( OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL n RECEIPT NO: 136 Issued By, /�!�*'` �te DISTRICT Cl -,'Riverside, M-11nd io❑ Hemet ❑ Perris' ' O *Rancho Calif. ❑.= Blythe DOH SAN .122 (Rev: 5/88) DISTRIBUTION:. -WHITE - Off41 ice file YELLOW - Applicant PINK -'Bldg. Dept GOLDENROD - Plans/Records E i^ COUNTY OF RIVERSIDE,DEPARTMEN I OF HEALTH Assessors, Parcel No. "HEALTH VV Z Z? ENVIRONMENTAL SERVICES — — ©Z Z. PERMIT APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM Applirarit: 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 Anon -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. Q VERIFY ITEMS IN SECTION A FROM BUILDING & SAFETY APPLICATION BUILDING DEPARTMENT APPLICATION LOG'* Z r O Agent, Contractor, Contact Person J� hone Address &Phone Owner i Phone Mailing Address city p•�L/yJ S .9 A16 S State zipl /r'2 -Z &Z. Job Property Address ��1tt//�✓� SL 7219Z.S'U•4L16'l Legal Description Prop. (PM, T AmT B .Qt rC'r7" d.V>•s- /e Lot Sizeate m ell Use of Per__mnni�ttf /P, U, etc. 014. W Other O.U. cu w r4o- � ":D (J D elling VH S elf Prep, etc. Signature of Applicant Data ' t' CATEGORY: = REV CODE i CATEGORY: REV CODE FEE MO SUBSURFACE DISPOSAL • 1238 i $45.00 ❑ SIS EVALUATION UPON REQUEST 7349 $42.00 m ❑ MULTIPLE PARCELS WITHIN SAME (NO PLOD PLAN) LAND DIVISION ❑ EWER/SEPTIC VERIFICA ION 7348" $11.00 Qa. 1 at 4 Parcels (Each) 1238 $45.00 (Less than 1 year) H , b. Each. Perces after 4 7344 ' $10.00, ❑ PRELIMINARY ELECTIVE 7352 $45.00 W ❑ -Rereview (2nd review same parcel) 7344 $16.00 *' EVALUATION (Attach DOH SAN 53)x' ,�,!",- to _ : _ - ❑ Site Evaluation in Conjunction with , ❑ HOLDING TANK . 7351 $45.00 Critical Area 7346 ' - $66.00 ❑ �1iTERNATIVE/EXPERIMENTAL 7345 ". $132.00` ❑ . Site Evaluation Lot Less than $86.00 1 SYSTEM // 10,000 Sq. Ft. 47347 i : " "DATE tINITI Holding Tank Agreements Completed ❑ Yes L��A r .' Certification of Existing S.D. System Required ❑ .Yes;, . '_0 N WQCB Clearance required. (Attach Form DOH SAN 007, Santa Ana Region Only) - {_ Soils Percolation Report Required.; ❑,,Yes. '# ' Special Feasibility Boring Report Required. ❑ YesT - Detailed Contour Plot Plans Required (1"to 5 fL interval) ❑ Yes`--, o Other ❑ Yes a Specialist Staff Lot Inspection Required ❑, Yes N `�' Date' Lot Insp�ect,on e Soils boring report by' Proiact# Data Soils Map Page r. Soil Type ` Approved by Date U No. of SystemA ype-ot System(s) ;z . No. Dwelling Units' a' (1) Septic Tank Soft Rate Grease/Sand Z Q T ; � Wing Tank ❑ Existing °.l New ❑Replacement` Bedrooms, Witlere4lr t ae Intim lieD.IL4f�i./�i,4 Uj Leach�rjchZ ' Sidewali allowance R rock/ ft Irutall Urre(s) ft long', a wide with . min. inches low drainlirt�'or Bed sq :ft. of area per running It. `"' ,�. '"• i i Leachlines/bed special design for slope: Applicable/j� Applicable (3) Pit Diame�6" No. Pits '' Pit Below Inlet (BI Seepagr. PitJQ� pth r °1 Max. N/A Overburden factor *�T / Alo b /Depth No. 2 -!r-ern Systems /4 1 i. ` REMARKS: )i1—y��CD-- _ f ' This application is PPROVED tT7Egzfor the category checked in SECTION B above, regarding the design_of a sibsurface disposal system as indicated 0 Z on the accompanied plot plan, using -Rine requirements set forth in SECTION C above. A building -.permit is necessary for the installation of the U " bove-designed system., No construction is permitted in the required reserved 100%:expans'on area. . • - Septic tank and ,sewer lines, must be. 50', minimum from any wells /• 1 7L Leach must. minimum ,lines be 100' from3any wells, including expansion %ea- Seepapits must be 10' minimum from any wells, includi ' 98 expansi n,i Si nature.of" Hearth Official—GZG �Q �00 a �0 4� ! Q�c.vro� Certificate of Compliance: Residential (Page 1 of 2) L �-7/ Project Title Date CF -1R $oject Address .�\)`1 \ I 1't - Ce, I S . ?. z� .-J �. BuLding Permit N ocumentatlon Author Telephone zv�� M /s Checked By / Date Compliance Method (Package, Point System or Computer) Climate Zone 3nforcement Agency'Use Only GENERAL INFORMATION Total Conditioned Floor Area:_/ 4., g ft2 Building Type: X 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: East / South / West / All Orientations (circle one cr more) Number of Dwelling Units: / Floor Construction Type: c Slab aised Floor (circle one or both) Infiltration Control: tandard ight (circle one) BUILDING SHELL INSULATION Component Insulation LocatioNComments Type R -Value (attic, to garage typical etc.) Wall .............. Wall .............. Roof ............. Roof .............. Floor ............. �— Floor ............. Slab Edge..... GLAZING Shading Devices Glazing Area Glass Type Interior Exterior Overhang Framing Type Orientation (Sf) (single, double) (roller blind etc) (shadescreen etc) (yes/no) (metal/wood) Front.... ( ) Front..:. ( ) -24 �>as31Q Nor✓r ME'7 0 �._ Left...... ( ) D�J��!` Left...... ( ) i.so►��. ys'� i-y..,.r,.� Rear..... ( ) Rear..... ( ) 21 .��.�c _,� �-' .,,•�-la �. Right.... ( ) 1 3 Right .... ( ) , Skylight....... o Skylight....... THERMAL MASS Type/Covering Area Thickness (slab/exposed, tile, etc.) (sf) (inches) Location/Description (kitchen, bath etc) Z 1G ,T Certificate of Compliance: Residential (Page 2 of 2) CF -1R Project Title Date HVAC SYSTEMS Minimum Duct Type (furnace, air Efficiency Location Duct Output Manufactur–.r Model # conditioner, heat pump) (SE,SEER,HSPF) (attic, etc.) R -Value (Btuh) (or approved equal) 'F7--,C—i- Po 1H. -7, is i-+Sf F P7 -P C- P-3 Maximum Furnace Heating Output: za -n) Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # System T I ype (storage gas. etc.) Capacity (or approved equal) Special Feature(s) 4,�7 - 2 - SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24, Chapter 2-53 and Title 20, Chapter 2, Subchapter 4, Article I of the 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 an: indicated in the Special Features/Remaiks section. Designer Building Owner Name: Name: Title/Firm: Title/Firm: Address: Address: Telephone: Telephone: Lic. #: (signature) 1. (date) (signature) Documentation Author Name: �Q' L Title/Firm: L077-ir�'9T'S Address: ?." -"--I . ;-7,;— - 1)7" -� *-Pr- 1:7 C t. `7 P, f Telep'16n� (.* I el J,� (signature) (date) Form Revised March 1988 Enforcement Agency Name: Agency: Telephone: (signature or stamp) (date) (date) Point System Summary:. Climate Zone 15 MR -- -- Date BUILDING DATA _ M ... Conditioned Floor Area /4uS Number of Stories 1 Slab/Raised Floor L !a t3 Check all applicable Unit Type condition(s): , [ ] Single Family Detached (SFD) [ ] Addition Alone [X] Single Family Attached (SFA) [ ] Existing Building [ ] Multi -Family (MF) (] Existing -Plus -Addition SCORE CARD Form Revised March 1988 Point Scores 0 -o v . O 0 C': O Sum 1-6 0 —J- 0 Point Total: t � Sum 7-10 Measures 1. Ceiling Insulation or R-value(38) U -value [0.030] 2. Wall Insulation 19_ or R -value (191 U -value (0.066] 3. Raised Floor Insulation -) I ,R or R -value 1191 U -value [0.037] . 4. Slab Edge Insulation or R -value (0) F2 factor (0.771 5. Infiltration Standard 6. Glass Heat Loss Type (double) U -value [0.65] 90 Total Glass [ 16] 7. Shading (Shade Open) _ % Glass SC Eff. % Glass a. North 1. ! x b. East 4. 4s='� x -7-7 c. South Sr) x ; -7 d.. West, R .'o .3 x -7 :Z e. Skylight `• X 8. Shading (Shade Closed) % Glass SC Eff. % Glass a. . North I -71 x b. East ,-.i . 4 V� x z2 = ; c. South 1 J X 7- d. West goo x , z -Z = 1. 7 e. Skylight i . X _ 9. Interior Thermal Mass ) , 10. Exterior Wall Mass Interior Mass/CFA o Exterior Wall Mass 11. Heating System '7, o x s Z = $ Zonal Control? ( Y /✓1 SE or HSPFDuct Efficiency [0.78] Effective SE or (0.72/6.6] HSPF [0.5615.15] 12. Cooling System 9. (.S x 8 ► - -7. S-1, Zonal Control? ( Y SEER [9.5] Duct Efficiency [0.741 Effective SEER [7.03) 13. Water Heating 5E —" Type ISGI Credit Inonel Form Revised March 1988 Point Scores 0 -o v . O 0 C': O Sum 1-6 0 —J- 0 Point Total: t � Sum 7-10 Thermal Mass Worksheet WS -1R INTERIOR THERMAL MASS Use one of the two following options for calculating interior mass as explained in Section 4.2 of the Energy Conservation Manual (ECM). Method B must be used for mass elements that have an interior unit mass capacity less than 1.7. Method A: Look up the Interior Mass/CFA value from ECM Table 4-7 reprinted on the reverse- side of this page. TYpe 1 mass has a Unit Interior Mass Capacity (UIMC) greater than or equal to 4.2 (see ECM Tables 4-8a and 4-8b reprinted on Attachment). Type 2 mass has an UIMC greater than or equal to 1.7 and less than 4.2. Mass % is the mass surface area divided by conditioned floor area (CFA). For mass elements exposed on both (two) sides to conditioned space, enter the area of only one side to calculate the percentage. Type 1 Mass Area: Mass % Type 2 Mass Area: Interior Mass/CFA from Table 4-7: Method B: Calculate the Interior Mass/CFA value using the worksheet space below. Look up tie Unit Interior Mass Capacity (UIMC) for each interior mass surface in ECM Tables 4-8a, 4-8b and 4-9 reprinted on'the Attachment. Include the interior surfaces of exterior mass walls. For interior mass walls exposed on both (two) sides to conditioned space., enter the surface area of only one side. Include the inside surfaces of exterior mass walls as explained in Section 4.2 of the ECM. Unit Interior Interior Description Mass Are Mass Capacity Mass Capacity X _ X _ 2Si J . 1 I v� _ • `I Ci Total CFS. Interior Mass/CFA EXTERIOR WALL THERMAL MASS Calculate the Exterior Wall Mass of all exterior walls. Look up the Exterior Mass Factor for eaca opaque wall element from ECM Table 4-9 reprinted on the Attachment. Only exterior mass wall surfaces may be included in this calculation. Opaque Exterior _ Description Wall Area Mass Factor X = X — x = Conventional Walls x Q = 1 , Total Total Opaque Exterior Wall Area Wall Mass Form Revised March 1988 Project Tltle Date INTERIOR THERMAL MASS Use one of the two following options for calculating interior mass as explained in Section 4.2 of the Energy Conservation Manual (ECM). Method B must be used for mass elements that have an interior unit mass capacity less than 1.7. Method A: Look up the Interior Mass/CFA value from ECM Table 4-7 reprinted on the reverse- side of this page. TYpe 1 mass has a Unit Interior Mass Capacity (UIMC) greater than or equal to 4.2 (see ECM Tables 4-8a and 4-8b reprinted on Attachment). Type 2 mass has an UIMC greater than or equal to 1.7 and less than 4.2. Mass % is the mass surface area divided by conditioned floor area (CFA). For mass elements exposed on both (two) sides to conditioned space, enter the area of only one side to calculate the percentage. Type 1 Mass Area: Mass % Type 2 Mass Area: Interior Mass/CFA from Table 4-7: Method B: Calculate the Interior Mass/CFA value using the worksheet space below. Look up tie Unit Interior Mass Capacity (UIMC) for each interior mass surface in ECM Tables 4-8a, 4-8b and 4-9 reprinted on'the Attachment. Include the interior surfaces of exterior mass walls. For interior mass walls exposed on both (two) sides to conditioned space., enter the surface area of only one side. Include the inside surfaces of exterior mass walls as explained in Section 4.2 of the ECM. Unit Interior Interior Description Mass Are Mass Capacity Mass Capacity X _ X _ 2Si J . 1 I v� _ • `I Ci Total CFS. Interior Mass/CFA EXTERIOR WALL THERMAL MASS Calculate the Exterior Wall Mass of all exterior walls. Look up the Exterior Mass Factor for eaca opaque wall element from ECM Table 4-9 reprinted on the Attachment. Only exterior mass wall surfaces may be included in this calculation. Opaque Exterior _ Description Wall Area Mass Factor X = X — x = Conventional Walls x Q = 1 , Total Total Opaque Exterior Wall Area Wall Mass Form Revised March 1988 Shading Coefficient (SC) Worksheet Form S Items 1 - 9a and 10a must be completed for glazing/shading combinations not found in Table C-9 of the ECM by using documented manufacturers' data for the specific conditions indicated (#2, #8 and #11). For instructions on filling out the worksheet, see Shading in the ECM Glossary. For overhang SC values (#14 and #15), see Section 4.2 in the ECM. General Information 1. Glazing Type: 2. SCglazing alone: 8 3. Framing Type (metal/wood): YN ^�`�o- • 4. Mullions (yes/no): 5. Framing/Mullion Factor. t3 (from Table G-10) 6. Interior Shade Type: (,HA2; -4 . c- 7: SCshade open: 1.00 8. SCshade closed: (SC o:- shade w/ clear single glass) Glazing, Interior Shade & Framing 9a. [(► . o x 0.25) + 0.75] x _a_ x 8 8 = ?-; 4 'Where: SCmax SCt„in FMF (#5) SC Shade Open SCmax = larger of #2 and #7 or 9b. -7 7 (from Table G-9) SCrnin = smaller of #2 and #7 SC Shade Open 10a. [( x 0.25) + 0.751 x . 24'x 2 _ - / -7 Where: SCmax SCmin FMF (#5) SC Shade Closed SCmax = larger of #2 and #8 or IOb. 22 (from Table G-9) SC7dn = smaller of #2 and #8 SC Shade Closed Exterior. Shade Exterior Shade Type: r,� 11. SCexteriorshade: . 0,34 (from Table G-11 or manufacturer's data w/ clear single glass) 12. [( . 7 7 x 0.25) + 0.751 x 3`-� _ Where: SCn= = larger of #9a or #9b and #11 3 y SC„ SCmin SCm SC Shade Open in.= smaller, of #9a or #9b. and #11 13. [( . '54 x 0.25) + 0.75] x '7 Where: = i-4 ,, SCmax = larger of #10a or #lob and #11 SCmax SCmin SC Shade Closed SCmin = smaller of #1Oa or #IOb and #11 Overhang (Point System Only) i 14. x Overhang Factor SC Shade Open SC Shade Open (Shade Open) (012) (with Overhan ) i 15. $J� Overhang Factor (Shade Closed) Form Revised March 1988 8 X SC Shade Closed SC Shade Closed (#13) (with Overhang) .VS Prcjection Ratio: 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 c.:)mpliance 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 fJr the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION DESIGNER ENFORCEMENT 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 0.3%, 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/Exfiltration 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.ge- §2-5314: §2-5352(h) and 2-5315: Setback thermostat on all applicable heating systems. U§2-5316(a): Ducts constructed, installed and insulated per Chapter 10, 1976 MC.§2-5316(b): Exhaust systems have damper controls.§2-5314(c): Gas-fired space heating equipment has intermittent ignition devices. HVAC equipment, water heaters, showerheads and faucets certified by the CEC. S §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 insulated (R-3 or greater). §2-5312(Exception.l): Pipe insulation on steam and steam condensate return & recirculating piping. §2-5318(d): Swimming Pool Heating aJ 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. Time clock. 5. Directional water inlet. Lighting and Appliance Measures §2-53520): Lighting - 25 lumens/watt or greater for general lighting in kitchens and bathrooms. §2-5314(c): Gas fired appliances equipped with intermittent ignition devices. §2-5314(a): Refrigerators, refrigerator4reezers, freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. Form Revised December 1987 FORM J -1T (Transparent) Copyright by Iht ..Air Conditioning Contrucnrts Plan No. of Amertci' - Date � 122811 28 17th street N.W. • ^, Waah,ngton. D.C. 20036 Calculated by--- Printed lin U.S.A , Jany. 1967 WORKSHEET FOR MANUAL J (Third Edition) LOAD CALCULATIONS FOR RESIDENTIAL AIR CONDITIONING For: Name <«ZR Ci Nt rn_.) t_T• o.] Address- '7.47 . •- til .'>`t_ Cityand StatGorProvince t•,.•- �at..•+Ct ^n - fty: ContrSctor�p }I 1-,4,^ ��o.T•.�.,tn _ Addi:% , •r �JS • City I1r! -%\-1+ C. Equipment Standard ARI Capacity Rating, j Winter Design Conditions i Outside 24 F inside F Temperature Difference 4\"._Degrees (Insert data below only after all beat loss calculations have been completed) i To(al Heat Loss (Btuh) _254"From Line No. 15) Mod No. S)�.b\•zr}9. Serial No. Manufactured by t- ^ SL Rating Data: Input- Zsa n n Btuh Output at Bonnet_l Zi—_- -_Btuh Description of Con[rols? �L'o� _77 -4:E-1 i Summer Design Conditions I Outside _ti� --F Inside--)A---F j North Latitude- 3 Degrees Daily Range_ 0 (Insert data below only after all beat gain calculations have been completed) 2. Total window area, sq It. Total Heat Gain (Btuh) 2) a4S _(From Line No. 20 or •21, if 'ed) ! Equipment Capacity Multiplier �Z-- Model No.�1��u'' Serial No. - Manufactured by -L-- -.,,I c C, Rating Data: Cooling Capacity- i3_ `s���J _ Btuh Air Volume__ v --Cfm Description of Con trols_"z--4-Y,a� Winter Construction Data (See Table 2) Summer Construction Data (See Table 5 ) and Partitions c _3z1,J a= Direction House Faces__.�� :r ,tits Windows and Doors � Windows ai�d Doors .i. Width of window, ft. Walls and Partitions ---� I _- I Ceilings --- Ceilings-- I —_ 4. Shaded area per foot of over- hang from Table B-1, sq ft. Floors___ j A-" Floors__ I — — Table A (USE TO CALCULATE SHADED AND UNSHADED GLASS AREAS) 1. Direction which window faces. 2 B. Capacity Multiplier, from Table 7 , C. Equipment Standard ARI Capacity Rating, Minimum required, (Line A) x (Line B) D. Capacity of Equipment Selected, not less than Line C, Enter in "Entire House" column, Line 21 E. Adjustment Factor (Line D)- (Line A), 2. Total window area, sq It. .i. Width of window, ft. 4. Shaded area per foot of over- hang from Table B-1, sq ft. 5. Width of, overhang, ft. 6. Total area of shaded glass, _ sq ft. (Line 4) x (Line 5). 7. Total arca of unshaded glass, Nil ft. (Line 21 -(Line 6). - - Table B (Use to Determine Adjustment Fodor) A. Total Btuh Gain, from Line 20 2 B. Capacity Multiplier, from Table 7 , C. Equipment Standard ARI Capacity Rating, Minimum required, (Line A) x (Line B) D. Capacity of Equipment Selected, not less than Line C, Enter in "Entire House" column, Line 21 E. Adjustment Factor (Line D)- (Line A), Enter in "HTM" column, Line 21