08201 (AR)Building
Address sti�,�1f;� Aap t art,
Owner
Craig Cayilkin
Mailing',
Address
City Zip
Contractor
Addre
' u
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
Zip
t -
State Lic. I City
& Cla'ssif.. 316flS4 Lic. #
Arch., Engr.,
Designer
Address Tel.
CityI Zip I State
Lic..#
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under p visions O apter 9 (commencing with Section
7000) of Divisfon9 (Te Business and1Pydression j$To! and my license is in full force and
effect.
SIGNATUR 111 "`O�'iil // 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 or Section 7031.5 by 'any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars (8500).
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and
Professions Code: The Contractor's License Law does not apply to an owner of property who
builds or Improves thereon and who does such work himself or through his own employees,
provided that.such improvements are not intended or offered for sale. If, however, the building
or improvement is sold within one year of 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 t
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 (8100) valuation
or less.)
I 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 California.
Date Owner
NOTICE TO APPLICANT., It, 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 -,,*
Ihereby 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
M
OCC: GRP.:
A.P. Number. 773-201-015
Legal Description
Project Description AdAt nn
08201
Sq. Ft. 666 No. No. Dw.
Size . Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
t
Gcfim�fnrl \/�lu�}inn _
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
197.60
Const.
7,5 304.00
Mech.
15.00
Electrical
15,00
Plumbing
33.00
S.M.I.
r 2.31~
Grading
Driveway Enc.
Infrastructure
TOTAL
1566.91
REMARKS
+F(AySI Cayo%V1 4� 5-NiAT9f 0
ZONE: BY:
Minimum Setback Distances: f
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE INSPECTOR
Issued by: Date 6128/90Permit
Validated by:
Validation:
T
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SO. FT. ® $
UNITS
A.C. UNIT
COLL. AREA
SLAB GRADE 2111M7
YARD SPKLR SYSTEM
2ND FL. S0. FT.
BONDING
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
DUCT WORK
ROCK STORAGE
j DRAINAGE PIPING
CAR P. SO. FT. ®
METER LOOP
WALL SO. FT.
DRINKING FOUNTAIN.
SO FT ®
REINF. STEEL
URINAL
ESTIMATED CONSTRUCTION VALUATION $
TEMP. POLE
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
WATER HEATER
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,TEM/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER. B.T.U.
SO. FT. ® c
BATH TUB
VENTILATION
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
MESHold
SO.FT.GAR ® 3/ac
HOUSE SEWER
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK 7-1/ ! j9
OUND PLUMBING 9
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE 2111M7
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
$
GRADING
cu. yd.
plus x$
=$
LUMBER GR.�J_
FINAL INSP.
FRAMING — AIA
FINAL INSP.
ROOFING;
C�^�'- -
///���
/ /�/) /l /� /
/J / / (/
�AA
�
Alokl�-C-
3,— '(
A
REMARKS:
459
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESHold
INSULATIONISOUND ��.
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
Point System Summary: Climate Zone 15 P -2R
Pro]ectTitie V 1 A C.>^
BUILDING DATA S( GI1 Area % Glass
Conditioned Floor Area �,Q "�\/ Number of Stones �_ North i .
East
Slab/Raised Floor South
Check all applicable Unit Type condition(s): West 11 1
[ ] Single Family Detached (aFD) ] Addition Alone Skylight 0
(] Single Family Attached (SFA) [ ] Existing Building Tota] I d .7—
Multi.-Family
ZMulti.-Family (MF) [ ] Existing -Plus -Addition
SCORE CARD
Measures Point Scores
1. Ceiling Insulation or C>
Sum 1-6
3
Sum 7-10
R -value [38]
U -value [0.030]
2.
-Pall Insulation
��— � �
or
C>
R -value [191
U -value [0.066]
3.
Raised Floor Insulation
or
Q
R -value [19]
U -value [0.037]
4.n
Slab Edge Insulation
C]
or
R -value [01
F2 factor [0.77]
5.'
In filtration
Standard
0
6.
Mass Heat Lass
T�Unt.—
k10 • Z k
4 -
Type (double]
U -value [0.65]
96 Total Glass [ 161
7.
Shading (Shade Open)
% Glass
SC
Eff. % Glass
'
a. North
x
b. East
O
X _
c�
c. South
Z1 -O
X =
1 . -lo
D
d. West
—��
X =
3 • a
+ 1
e. Skylight
X p =
p
S.
Shading (Sh-ade Closed)
% Glass
SC
Eff. % Glass
a. North.
� . o
X . �➢ � _
� . � i�
�
b.. Eazt
d
X
�
C. Soull1
X
d. West
e. Skylight
O
X a =.
0
a
9.
Interitr Thei-nal Mass
2-
10.
Exterior Nall Mass
Interior:vtass/CFA
Exterior Wall Mass
PX %Si I VAq
11.
Beating System
Zonal Control? ( Y / N)
SE or HSPF
Duct Efficiency [0.78]
Effective SE or
[0.7216.6]
HSPF [0-56/5.15]
\S NTN
12.
CoolirgSvstem
X
Zonal Control? ( Y / N)
SEER [9-5]
Duct Efficiency [0.74]
Effective SEER [7.031
13.
Yater Heating
Type [SG]
Credit [none]
Point Total:
Form Revised March 1988
Sum 1-6
3
Sum 7-10
Certificate of Compliance: Residential (Page 1 of 2) CF -1R`
Project Title Date
Project Addrm
J L '. t Building Permit N
Docum tion Author gam, . Telephone
\ _ i Checked By / Date
Compliance Method (Package, Point System or Computer) Climate Zone Enforcement Agency Use Only
GENERAL INFORMATION
Total Conditioned Floor Area: 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: I
Floor Construction Type: Slab / Raised Floor (circle one or both)
Infiltration Control: Standard/Tight (circle one)
BUILDING SHELL INSULATION
Component Insulation. Location/Comments
Type R -Value (attic, to garage, typical, etc.)
Wall ..............'� I S?
Wall ..............
Roof .............
Roof ......... a...
Floor .............
Floor .............
Slab Edge .....
-J S i
GLAZING Shading Devices
Glazing Area Glass Type Interior Exterior Overhang Framing Type
Orientation (sf) (single_ double) (roller blind, etc.) (shadescreen, etc.) (yes/no) (me!aUwccd)
Front.... ( C--) �_ 17 V .n 0 Mme- d
Front.... 7 -
Left ......
( ) Left...... () I
Left...... ( ) I
Rear.....
Rear..... ( )
Right....
Right.... ( )
Skylight....... _
Skylight.......
THERMAL MASS
Type/Covering
Area
Thickness
(slab/exposed We, etc.)
(sf)
(inches)
Location/Description (kitchen, bath, etc.)
71
--s I,/>
-D>%Q% G. ��n ���
,
17> 6—Z Ji°"1 ��,� " AJE17 A �—
C
Certificate of Compliance: Residential (Page 2 of 2) CF -1R
Project Title CO Date
HVAC SYSTEMS
Minimum Duct
Type (furnace, air Efficiency Location Duct Output Manufacturer /Model #
conditioner, heat pump) (SE SEER,HSPF) (attic, etc.) R -Value (Btuh) (or approved equal)
Maximum Furnace Heating Output: Btuh
HOT WATER SYSTEMS Tank Manufacturer/Model#
System Type (storage gas, etc.) Capacity (or approved equal) Special Feature(s)
G
SPECIAL FEATURESIREMARIiS (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 Building Owner
Name: Name:
Title/Firm: Title/Firm:
Address: Address:
Telephone:
Lic. #:
(signature)
Documentation Autho
Name:
TidaiFirm:
Address: Q `
Telephon \ Q ,*,>
stgrta )
Form Revised March 1988
(date)
—
Z 5 .Svc l 5(
(date)
Telephone:
(signature) (date)
Enforcement Agency
Name:
Agency:
Telephone:
(signature or stamp)
3
(date)
Mandatory Measures Checklist: Residential MF -1•R
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.
DESCRIPTION
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 pertn/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.
§2-5352(h) and 2-5315: Setback thermostat on all applicable heating systems.
�* §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 faucets certified by the CEC.
§2-5352(i): 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 1): Pipe insulation on steam and steam condensate return & 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. 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, refrigerator -freezers, freezers and fluorescent lamp ballasts certified
by the CEC. Indicate make and model number.
Form Revised Dc=ntxi 1997
u
Insulation Certificate
Number and Street
County
ROOF
Material
Thickness (inches)
EXTERIOR WALL
Material
Thickness (inches)
City
Subdivision
Description of Installation
Brand Name
Thermal Resistance (R -Value)
Brand Name
Thermal Resistance (R -Value)
CEILING
Batt or Blanket Type Brand Name
Thickness (inches) Thermal Resistance (R -Value)
Loose Fill Type Brand Name
Contractor's minimum installed weight/ft lb Minimum thickness inches
Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value) _
RAISED FLOOR
Material
Thickness (inches)
SLAB FLOOR
Material
Thickness (inches)
Width (inches)
FOUNDATION WALL
Material
Thickness (inches)
Brand Name
Thermal Resistance (R -Value)
Brand Name
Thermal Resistance (R -Value)
Brand Name
Thermal Resistance (R -Value)
Declaration
Lot Number
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.
General Contractor (Builder)
Signature and Title
Sub -Contractor (Insulation Installer)
Signature and Title
License Number
Date
License Number
Date
Shading Coefficient (SC) Worksheet Form S
Items 1 - 9a and 10a must be completed for glazing/shading combinations not found in Table G-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:
3'. 'Framing Type (metal/wood):
4. Mullions (yes/no):
5. Framing/MullionFactor.
(from Table G-10)
Glazing, Interior Shade & Framing
9a. . [( x 0.25) + 0.75] x x
SC„� SC„dn FMF (#5)
or 9b. (from Table G-9)
6. Interior Shade Type:,-
7.
ype:_7. SCshade open:
8. SCshade closed:
=I
. SC Shade Open
SC Shade Open
10a. [( x 0.25) + 0.75] x x =
SCmax SCn n FMF (#5) SC Shade Closed
or l Ob. (from Table G-9)
SC Shade Closed
1.00
kat- Ul widuC W/ cicdr sulg'ic g'1dSJJ
Where:
SCmax = larger of #2 and #7
SCmin = smaller of #2 and #7
Where:
SCmax = larger of #2 and #8.
SCmin = smaller of #2 and #8
Exterior Shade.
Exterior Shade Type: QJ ck
11. SCexterior shade: ` �-�
• .. - .
(from Table G-11 or manufacturer's data w/ clear single glass)
12. x 0.25) 0.75]
-7
X ' I
kD �
Where:
#11
[(1 +
= a
SCmax = larger of #9a or #9b and
SCmax
SC„dn
SC Shade Open
SCmin = smaller of #9a or #9b and #11
13. [(• �7 x 0.25) + 0.751
x
= L Qa
Where:
SCmax = larger of #10a or #10b and #11
SCmax
SC„dn
SC Shade Closed
SCmin = smaller of #10a or #10b and #11
Overhang (Point System Only)
14. x
Overhang Factor SC Shade Open
(Shade Open) (#12)
15. x
Overhang Factor SC Shade Closed
(Shade Closed) (#13)
Foran Revised March 1988
SC Shade Open
(with Overhang)
F - I
SC Shade Closed
(with Overhang)
I
Projection Ratio:
Proposed Construction Assembly: Residential Form 3R
JJ qQN CS
Project Title _ _ Date
Pr \ddress
Building Permit 0
Documentadon Author \ Telephone'
Checked By /Date
Assembly Name Enforcement Agency Use Only
Z
3
Sketch of Construction Assembly
List of Constritcticn Components
Outside Surface AirFilm
1.. �j- i "s 1, 5� -\I - -1-C C -D
Assembly Type:
(check one)
Framing Material:
Framing Size:
Framing Spacing:
Framing Percentage:
(check one)
Wall Weight / sf:
(Packages only)
2. 1 S.� L� T"� �ZD ;--) 2. 1 Q! S .
3.. SC> „ 7)7, v W JS.L L.-
4.
5.
6.
7.
Inside Surface Air Film
Floor
Wall
Ceiling/Roof
x Q
O.C.
Wall: 15% (16" o.c.)
127o (24" o.c.)
Floor/Ceiling: 10010 (16" o.c.)
71,7o (24" o.c.)
R -Value
Cavity(Rc) Frame(R0
.I g
Total Unadjusted R -Values:
Framing Adjustment Calculation (if applicable):
X
1/Rc 1-(Frao/100)
) t
1/Rf
Rc
Fr%/100
l/Total U -Value
1
Rf _
() US.7
Total U -Value
Total R -Value
Proposed Construction Assembly: Residential Form 3R
I Project Title I Date
Project,%ddr �J t
L-. \ l� (� ` 3 `i , \Q Banding Permit;:
Documentation Author ' Telephone
Checked By /Date
c4
Assembly Name Fnforctment Agency Use Only
Sketch of Construction Assembly
List of Constructicn Components
1.
2.
3.
4.
5.
6.
7.
Outside Surface Air Film
Inside Surface Air Film
A,
Assembly Type:
(check one)
Framing Material:
Framing Size:
Framing Spacing:
Framing Percentage:
(check one)
Wall Weight / sf:
(Packages only)
Floor
wan
CeilinglRoof
z x a
Z`7
O.C.
Wall:- 15% (16" o.c.)
12% (24" o.c.)
Floor/Ceiling: 10% (16" o.c.)
7% (24" o.c.)
Total Unadjusted R -Values:
Framing Adjustment Calculation (if applicable):
R -Value
Cavity
Z5 ,L( !-�
Rc
Frame(R f)
Rf
7,x ) + ( x ) _ • ��
l/Rc 1-(Fr%/100)
1/R f Fr%/100
I/Total U -Value
Total U -Value
Total R -Value
I
t
Z
LA
Sketch of Construction Assembly
List of Constructicn Components
1.
2.
3.
4.
5.
6.
7.
Outside Surface Air Film
Inside Surface Air Film
A,
Assembly Type:
(check one)
Framing Material:
Framing Size:
Framing Spacing:
Framing Percentage:
(check one)
Wall Weight / sf:
(Packages only)
Floor
wan
CeilinglRoof
z x a
Z`7
O.C.
Wall:- 15% (16" o.c.)
12% (24" o.c.)
Floor/Ceiling: 10% (16" o.c.)
7% (24" o.c.)
Total Unadjusted R -Values:
Framing Adjustment Calculation (if applicable):
R -Value
Cavity
Z5 ,L( !-�
Rc
Frame(R f)
Rf
7,x ) + ( x ) _ • ��
l/Rc 1-(Fr%/100)
1/R f Fr%/100
I/Total U -Value
Total U -Value
Total R -Value
I
PROJECT DATA SUMMARY
owner
o
project
��11 system type
•I�1,�A��,� Z,SJy�1
ciocumentaticin autnor nate
Form 1
Cnecxeo oy
nate
SITE INFORMATION
1 7-
IF:.
Heating Degree Day (from Appendix C) .__ .. .............. .................. _...... ......—
HOD
1 y�
�
day
OF
Outside Design Temperature (from Appendix C or Appendix G) .......... ____
Tow
2
Btu/ (hr •ft2•OF)
PROPOSED BUILDING ENVELOPE INFORMATION
Btu/ Ihr•ft- •'F)
�
Btu/ (hr -h2•°F)
Gross Floor Area if Low -Rise (from Calculations) ......................................
At
3—
ft2
Gross Wall Area if High -Rise (from Calculations)' ............................................
A,,,,
4 Z-
ft2
Designed Glazing Area (from Calculations) ............................................. _.... _..
Ag
5 Lp c&
h2
Basic Glazing Area (16%of Line 3 if low -r se or 40%of Line 4 if high-nseL.._._
Atig
6
ft2
Description of Assembly
Glazing a �- �� U91
c U92
NWall ?T���Si7 1% • L+%��-V u,l
Uw2
Uw3
Uw4
Ceiling/Roof \\�-� �' Ucf
cz Uc2
Floor Uf,
Uf2
r
7
Btu/ Ihr•ft2•OF)
8
Btu/ (hr -ft2•OF)
9
Btu/ (hr•ft2-OF)
10
B:u/ (hr -ft2.°F)
11
Btu/ (hr •ft2•OF)
12
Btu/ Ihr•ft- •'F)
13
Btu/ (hr -h2•°F)
14 •
Stu/ (hr -ft2•IF)
15
Btu/ (hr•tt2-OF)
16
Btu/ (hr.ft2•OF)
17
btu/(hr -ft2•OF)
PROPOSED SPACE HEATING SYSTEM (Chapter 7)
Gas Furnace
I l�
Building Design Hourly Heat Loss (from Form 2) ..................................... o,,
18 .1�
Btu/hr
Maximum Allowed Bonnet Capacity. 14b&x Line 18 .............................. _...._....... ..
19
Btuihr
Proposed Furnace t ,�
Make
Model Description
Rated Bonnet Capacity
Electric Resistance Alone
Electric Resistance Life Cycle Cost (from Form 5) ................................. sLCCe
20
S
Lowest Life Cycle Cost of the Other Systems (from Form 5) ................... sLCC,o,,,19
21
S
Non•Dep(etable Energy w/Electric Resistance Back -Up
Percentage of Annual Heat Loss Met by Non-Depletable Energy
Source (from Calculations).............................................................
22
0
Heat Pump with Electric Resistance Supplementary Heat
Percentage of Annual Heat Loss Met by Electric Resistance
(from Calculations) ............................................ _............ _..............
23
%
PROPOSED WATER HEATING SYSTEM INFORMATION (Chapter 8)
Efecttric Resistance Alone'
Electric Resistance Life Cycle Cost (from Form 6) ................................. wLCCe
24
S
Lowest Life Cycle Cost of.the Other Systems (from Form 6) ............. wLC,-j ij,,
25
S
PROPOSED SWIMMING POOL HEATING SYSTEM INFORMATION (Chanter 9)
Solar Life Cycle Cost (from Form 7)............................................................... :,,-cc,
26
S
Natural Gas Life Cycle Cost (from Form 7).._ ......................................... pLCC'ng
27
S
HOURLY AND ANNUAL Form 2R
BUILDING HEAT LOSS RATE (sial)
Check One: Proposed Design
Standard Design
owner orOiect
prOlect ioc ttlon system type
Tt 4 �A ") l_ , l -Z C:; --S J w
--mentation autnor date
tnrorcement ♦+gency vs. -11
owicing permit numoer
r-necueO DY
°ate
SITE INFORMATION
Heating Degree Day (from Appendix) ........... .. ... 0 HOO z F• day
Outside Design Temperature (from Apoendix) ........ .. ...... . Tow°F
Outside January Moen Temperature (from Appendix) .. .. .... .. .. . TJan C7 _-F
PROPOSED BUILDING ENVELOPE INFORMATION
LPD t
Gross Floor Are@ (from plans) ............................ Af `� ftZ
Gros WaU Area (from plans) ............ ...... . ... Aw Z ft2
Designed Glazing Area (from plans) ....................... . . A9 _ ft2
Basic Glazing Area (16% of Af if low-rise or 40% of A,,,, if high-rise) .. .. .. .Abq � � ft2
HOURLY HEAT LOSS
DESIGN TEMPERATURE DIFFERENCE
For All Assemblies Other Than The Three Below ...70°F — \ °F ��Th 1F
Tour from aoove
For Insulated Floor Over Vented Unheated Space .......... Line 1 =2 -AThi 2 °F
For Uninsulated Floor Over Vented Unheated Space. ...... . tine 2 — 5°F 'AThu 3—� °
atF
For Slab -on Ground Floors ........... 7D°F - °F &Ths 4 , °F
Tian from aoove
CONDUCTIVE HEAT LOSS Average U
Of ASSem01Y.
Area, ft2 or or FZ from GT
hourly heat
•� Oescriotlon.of Assamaw Length. ft Grpaon 4-1 from ove
�/ V L. �--i S V a `-c
loss. ,7
Z �
Glazing X x s"
3tu/hr
X X
GJ �Z ��'�NAt �. O S`1
13 S
YVall X x=
X X_=
` x x =
_
Cailing/Roof ` '�l,- 7d X r5 X
C> l D
_ _
1? 7�>5 X . x =
Floor x X a■
X
Sv
Other \ C 1 M \ �s.'f? X IV 1 l .- _
Z L.'
Z --
volume Subtotal 5
um o =tuihr
o aaOve O
INFILTRATION
......•� ft2 x ft x x
Al from aoove We,gnteo from LITM from
Average Taole 3-7 Una 1
Calling "ignt
Q�g Z
Subtotal 7
= tui h r
tune 5 ne o
DUCT H EAT LOSS (Enter 0 if there are no dues) .................. 0.15 x Line 7
TOTAL HOURLY HEAT LOSS, aL, 9
na i,ne tui hr
ANNUAL -HEAT LOSS, OL
°F-dayiyr , Z�6"� I fl °F
_
'
x 3tuihr x , x24hridav ♦ 10
3tuiyr
nCC' Houny Heat _oss C from 41 TM from
frcrn aoove from Line 9 Tacie 3-a Lina 1
1`J
ca v .-,Ccr)
Q h
b IY
(a Nc
ts
Lj )9
'Y \YD _!'V �
-P-1 � �
f -.
SUMMARY . Form 2
page 2 of 2
Orolect title climate :one
oroiect actress
HEATING, VENTILATING, AIR CONDITIONING SYSTEM Points
10. Heating (fill in information on proposed system)
Central Gas Fumace �� S J C %
Grana ano model numoer SE
Btu/hr
_ heating caoautY
Heat Pump
Grana ants moaet numoer. ACOP
Btu/hr
- heating UDaGty it 1: F
Active Solar
type (Ilauto o(r�{air) collector orano aria nloael numoar sour frac710n
o
Collector area . collector orientation Collector tilt rata rataa SIoOe
y - Interceot
Other
aascrloo
11. Cooling (fill in information on proposed system)
E!ectric Air Ccnditioner ��(�C��
orano ane moaet numoer seasonal EzR
E!ec:ric Heat Pump
Btu/hr
tooting caOautY at 95 F
Btu/hr
cooling rloacJtY at 95" F
Other
aescrl0e
12. Mechanicai Ventilation Xs k
aascrloe
COMESTIC WATER SYSTE'/1
13. Heating (fill in information on proposed system)
Gas Only L✓� ` l Gallons
orano ane moan numoer tank Uzo
Heat Pump w/Electric 3ac!wa Gallons .
orano ano moaet numoer tank size
Active Solar
gllec:or orano ano model numoar tea rates slooe solar fraction
y • ntereept
fits
o4cxuo neater *Yoe, orano and model numoar colle=or area collac:or
orientation
Other
aescrloe
Point Total from Page 1
Total Point Score >�
:/83 - 420 • CEC
DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway 111
NOTICE:, Indio, CA 92201
Document Cannot Be Duplicated (619) 347-8631
Date 7/5/90 1 Type of Permit I La Quinta
No. 110005 Permit #
Log #
Owner Name Craig Conklin
No. 52-051 street Avenida Cortez
city La Quinta zip 92253 Study Area 112
APN # Tract # I Lot # Square Footage 16W
Type of Development Residential Addition No. of units
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::.I
EXEMPTION NOT APPLICABLE
This certifies that school facility fees imposed pursuant to Government Code 53080
in the amount of 1.58 X ® or$ 1,052.28 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 Craig Conklin Company Telephone
Name on the check
By John D. Brooks -'
Associate Superintendent, Business Services
Fee collected /exempted by Shelley Bennett
Payment'11eceiv�a1�
Signature
Check -NQ�6890
+�
Collector: Attach a copy of County or City Plan check a Ph•cation form to Distrioh
PY• ,
Embossed Original- Buildin&Dept./Applicant Copy - Applin; nt/Receipt Copy - Accounting
JUL 0 -5 RECD