The URL can be used to link to this page

0110-124 (SFD)LICENSED CONTRACTOR DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Zl apter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License # Lic. Class Exp. Date 5501498 .4 1.2/3112f xI Date1' f Signature of Contractor 'a/ ,� , r �' �-' 1; OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following reason: ( ) 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, Business & Professionals Code). ( ) I, as owner of the property, am exclusively contracting with licensed contractors to construct- the project (Sec. 7044, Business & Professionals Code). ( ) I am exempt under Section , B&P.C. for this reason Date Signature of Owner WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: () I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ( ) I have and will maintain workers' compensation insurance, as required by Section 3700 of. the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier & policy no. are: Carrier 13`F'.Ira` F. FUND Policy No. IOI5 65 -OA (This section need not be completed if the permit valuation is for $100.00 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, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / Date:% ;1 y Applicant- Warning: pplicant � r Warning: Failure to secure Workers' Compen9 ii n coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $100,000, in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor Code, interest and attorney's fees. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth ,on his application. r� 1. Each person upon -whose behalf this application is made & each person at whose request and for whose benefit work is performed under or pursuanfto any q rmit issued as a result of this applicaton agrees to, & shall, indemnity & hold harmless the'City of La Quinta, its officers, agents and employees. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days, will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all City, and State laws relating to the building. construction, and hereby authorize representatives of this City to enter upon, the above-mentioned property for inspection purposes. / Signature (Owner/Agent) i �de`z' �N Date. BUILDING PERMIT PERMIT# , 0110424 ' DATE VALUATION LOT TRACT ' 4 LK 94 11110 . JOB SITE ADDRESS5 -325 AVE DA.yK6AS`O APN 773i-:2CA-013 OWNER CONTRACTOR/DESIGNER/EN INEER VALMW .GC7RAN .r 0. tORREZ COlt'8"iRUIC" ION f = 81-900 AVENUE 52 31.900 �kw'tib:? 52, g ,Q .„ X0 CA 92201 WD10 CA 92201 (761)'7724848 COW; 1451 USE OF PERMIT 01Y1•LE 1:•',t MR Y 1 DIM- MG VD -M -ASTER 34. PERMIT D0&S N0T ).NC' U'0?' BLOCK WA11 g THACT CONSTRUCTIOt3 1„49 .00 3F P0140fVP,A.T.IO 90.00 3k . 0 ARAG?.�M, F01tT 403,00 OF 5 P , WOOD PENCE 200.00 LP IC511MArED COST OFC059MI-I(M ON %1,987.40 CON S'!°AMC” ION OFF, 101.000.418-000 SM00 PLAN C;K&I*K MME 101-000-439-31(; $30&53 MECHANICAL PRE $53,50 1;;1.Eiv TRICAL FITE 102 -000-420-000 $130.99 PI,1111 41WO Fa 1011-000.419--000 $110.75 s''TRd71` O MOTION NSE, - PLES10 101-000-24 3 -4)00 $9.30 a3RAY11'IM Md 101.000-423.000 $20,00 �1�pgii7.0a tin0t PR S Ift P AM' 101 d4i1-a 45 MO.f710 101-000-430-318 .$2$0.00 .f IM113-1OTAX:,C6A_Wr1 X70' 1'1,E'X.ANX)Pi"OHEM $3,44€3,06 IMS PRE -PAD Mi3Z _$25010 F1 44Z�^�a...� r6,a �gea +�y, pa g��ca'♦y �+AT/ry, qs I-''.'"��-.�.►�� ' .'�id �.�,.Xri ,iS��i.L .1:.i:.+sLq �i 6i;h «\ V�IV ocr. 1 72001 QTYOF Cy�,/� ��s�h34JV L4�9!)aTf1 RECEIPT DATE- ----,_J BY DATE FINALED INSPECTOR INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Forms & Footings Slab Grade _ _ _ _ f� ��/O` �� Underground Ducts Ducts Return Air Steel Combustion Air Roof Deck O.K. to Wrap 1 Q_ l O'I `Y�. Exhaust Fans F.A.U. . Framing Compressor ) Insulation All -$-�o ( S Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath Final Final POOLS - SPAS BLOCKWALL APPROVALS Steel Set Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Plbg. Test Final Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines Water Piping r _ `/ ��T-1�-t e�"' Heater Final Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Sewer Connection Pool Cover Encapsulation Gas Piping Gas Test 7 Appliances Final - COMMENTS: / Final Utility Notice (Gas) ELECTRICAL APPROVALS Temp. Power Pole Underground Conduit Rough Wiring Low Voltage Wiring _ Fixtures Main Service Sub Panels Exterior Receptacles G.F.I. Smoke Detectors Temp. Use of Power Final c �Z Utility Notice (Perm) f�'1�GitrCv ` � j a P.O. BOX 1504 APPLICATION ONLY Building/ , 78-495 CALLE TAMPICO � 7_ AririraCQ 2 1 V � 1^-" S C LA QUINTA, CALIFORNIA 92253 Owner —� Mailing Address v V AJ -, s- Z. City Zip Tell VVll ll QlilVl I .- AOOreSS - c7 u6 A J z. City Z N � l v Zip 'J'�i—� Tel. 7-7 .Z _ 2,,� 4 (/ State Ljc.1- f•. City 7S & Classif. V =•- `, Lic. # Arch., Engr., Designer Address i , Tel. City Zip State 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%siness 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 (8500). C., 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 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 1 I, asowner 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.) I'! I 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, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company C7 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) valuatfon 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: 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 it 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 a0plicant Date Mailing Address City, State, Zip / U -? BUILDING: TYPE'CONST. �" OCC. GRP. I ,e N A.P. Number 77*) Legal Description Project Description } s ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date Permit Validated by: Validation: WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION Sq. Ft.``t No. Size ,f 4 �— Stories No. Dw. Units New,R Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation PERMIT AMOUNT .v Plan Chk. Dep. Z .5 �'— Plan Chk. Bal. Const. - Mech. Electrical Plumbing S.M.I. Grading INUJ q1(111 Driveway Enc. Infrastructure .nne�r AA N S rTIP V TOTAL ' REMARKS } s ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date Permit Validated by: Validation: WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION Desert Sands Unified School District 47-950 Dune Palms Road Notice: - La Quinta, CA 92253 Documeni{Cannot Be Duplicated 760-771-8515 CERTIFICATE OF COMPLIANCE t Date 10/11/01 APN#- 773-264-015 No. 22574 Jurisdiction La Quinta Owner NameWillaim Doran Permit #0110-124 3z5 No. 52-2- Street Avenida Velasco Log # City La Quirita , zip 92253 Study Area ' h Tract # BLK 84 U10 Lot # 4 Square Footage, .1492 P Type of Development Single Family Residence No. of Units 1 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 2.05 �X 1,492 or $ 3,058.60 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 CC/Bank of America - Alex Torres Telephone 760-772-2848 Nameon the check . By Dr. Doris Wilson x Superintendent Fee collected /exempted by Annette. Barlow Payment Received $3,058.60 Check No. 2010021504 Signature f,b TICE: Pursuant ot'Assembly Bill 3081 (CHAP549, STATS. 1996) this will serve to not fy you that the 90 day approval period inwhichyou may protest the fees or other payment identified willbegntorun from the date on which the building or installation permit for this project is sssuedor on which they are paid to the District(s) or to another public entity authorized to llect them on the District('s)(s) behalf, whichever is earlier. 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 h �irrce c0• „� SID P 0410 f-638 • ag ces �ceo..r.rr..,...r°..r � all•l�lomMAW " A%.i—"w'5'7 Ye, bwTtD City Y[ g! `wK M L Vern* Oct.. Y. 757`8rreatMAeoor rfcYCy, S "4�r. tggA • .. .4t�r 'a��• j t J • bAC[ AbVs tMls LIMNn RRQRDSR•s Y aowyw Salae,Ae •hove ® we1y h.Mf.r w. �...........a9 80 ■s ' e,•. tAI ted mr Irll relra .......... .............. w a� Corny.rM oa fall rW of IaOWgy romeysA, or '.. I rutlairiin t fi1An k.. liem t mrnrntArewr., t J e hereon at t AI/,.r..r .f d..l ................. _ ❑ UnlwrngmraM areaa . a„ Oily of... Grant Deed :.eer4 7?tL farTrt Wndalkd ey Ong CO0?ttf. company FOR A VALUABLE CONSIDERATION. raripr of •hlrh I. 1141-byariaorlel�ed, . Aoeerc A. telonne , an onwrr/ed man hereby GRANT(S) to L9 I11111eR r:, Doran and Varna H. Doren, eratooe of rhe Doran Vanll W1. 9/]0/D fhe /otbrlad dcaerlbed real properly in the count Y Trost > Y of Rlvoretdo trate of Glilareiar - u Let o of 91ock 64 of Oanca caraelica oc r. th pot map recorded In Yale !.a oulrnea, cite Count sock 1B, pa Bo 70 Unit 10, Y Rcaoedee of aald of expo In Cho _ county. ettiCe or Uoluh AY9u1t 9�1y91 � � . 3TATK nY C 111011 tiny. Y. ✓._�� Mrkn ar, IA. eAdrr rsbrawe__ a .+d !N MtA� Mr/ /A 1"p• f9. 7M�aw.Ot RprARt .. -- ssAL OR sTAw1 'MrMr.t rwd rra.e.lr,aw fW aAKr.MI 'a 4A. i,ha _ tNr IM n~r. A •afr iCIAI MOTAAy OrAL oWnP. t%21171A►w S. MNw. ��: •: •Ip• Nptri r.,ta.. �:Afr.µL ql .w r la'+Eltti�c Cp{lNTY k/F� A.A. rTIred'e. ud ' k•.. ra. .\ a. . MAIL 7Ak itAt[M N DIRLGI[p A,,Vg -der: a�'O-ES-00006954 seri Prion: Z99Z.27B3QB Z'acje I. of 1 C�trent: AoRro, O Phar O City Won Initials Case 1 Exhibi' RC DISTRICT - PLANNING �IC��M[E OCT - 2�0t� � REVIEW FORM CITY OFLAQUINTA PLANNING DEPARTMENT This form is to be used by CDD staff for review of single family dwellings in the RC (Cove Residential) District per Section 9.50.090 of the Zoning Code. Its purpose is to determine: 1) that the proposed house design does not duplicate the same architectural style of any house within -200-feet of the applicant, -and/or 2) -if -there is -a -need for the applicant to file for Master Design Guidelines. If the applicant does need to file a Master Design Guideline, please transmitted this information to the Building and Safety Department as part of your correction list. Please attach additional explanations as necessary. APPLICANT SITE ADDRESS A. 0. Torres 52-325 Avenida Velasco APN 773 -264 -015 LEGAL: LOT 4 CASE NO.: 2001-562 BLOCK 84 UNIT 10 S.C.@V.L.Q. CHECK AND APPROVED BY: Wally Nesbit DATE: Inform the assigned Building plan checker upon your assignment to this case. The CDD* Executive Secretary maintains a log book to track applications and assign case numbers. REQUIRED ITEM Y N COMMENT/CORRECTION Verify legal and APN. information Consistent with MDG on file (as applicable e VV e'_ MDG filing required (5 filings since 9/3/98) Architectural variety within 200 feet of the surrounding area: Colors $ M Ramd ing Commission ....-..—....e• .....--• ouncil hitectura esign fea ures i unit Dev. E�c4. ..---- lLrv3� I�� .._._.._ 1:) OihaP lire==: Conditions zeo r - ,5^Zo Z tENDEt VENTURES, INC.-----== P.O. BOX BOX 450 *-LA QUINTA * CA *92253 .(760) 564-1866 * FAX (760) 564-2627 Y.M iS Energy'' Management event Seeces ;a Division of. The ,'air Conditioning Company J Ref: AB 970 Ruling Effective June 1:, 2001 The enclosed "Installation Certificate" forms are included for the builder/owner to give to the appropriate sub -contractor or tradesman to fill out and sign. These will be given to the builder/owner/building inspector and the HERS Rater prior to final approval by the building department. Because the approved Cal. Title 24_ shows energy credits taken, the forms CF -6R along. with forms CF -1R must be' presented to the HERS Rater prior to testing,. Installation Certificate HVAC Systems " Water Heating. Systems . - " Fenestration Glazing " Duct Leakage & Design Diagnostics " Duct .Location & Area Reduction " Insulation Certificate 41-485 Adams Street, Unit C — Bemluda Dunes, Ca: 92201 — (760) 360.46311 Fax (760) 360-3074 ` License No. 315890 / E-mail: Freon.Jack@gte.net T24 Calcs - Manual D Duct Design - Tight Duct Testing - CHEERS'Rater - Air Saiance - CG2 Testing INSTALLATION CERTIFICATE - (Pagel of 8) CF -6R . Site Address Permit Number Ari installation certificate is required to be posted at the building site or made available for all appropriate inspections. (The information provided on this form is required; however, use of this form to provide the information is optional.) After completion of final inspection, a copy must be provided to the building department (upon request) and the building owner at occupancy, per Section 10-103(b). HVAC SYSTEMS: Heating Equipment Equip, #:of Efficiency Duct Duct or Heating Heating Type(pkg. CEC Certified Mfr Name, Identical (AFUE, etc.)l Location Piping Load _ Capacity beat IWMDl and Model Number Systems 2!CF-1 R valuel (attic- etc.) R -value'^' Btulhrl (13W10 Cooling Equipment Equip. CEC Certified Compressor # of Efficiency Duct Cooling Cooling Type (pk& Unit Mfr Name and Identical (SEER, etc.) Location DuctLoad Capacity heat numW Model Number Systema 1zr F-1 R valuel (attic_ etc.) R -value Btu/hrl (BM10 1. > reads greater than or equal to. I, the undersigned, verify that equipment listed above is: 1) is the actual equipment installed, 2) equivalent to or more efficient than that specified in the* certificate of compliance. (Form CF -1R) submitted for compliance with the Energy Efficiency Standards for residential buildings, and 3) equipment that meets or exceeds the appropriate requirements for manufactured devices (from the Appliance Efficiency Regulations or Part 6), where applicable. Signature, Date Installing Subcontractor (Co. Name.) OR General Contractor (Co. Name) OR Owner .� WATER HEATING SYSTEMS: - Distribution: ff Recir- # of Ratedz Tank Effi- Extemal Heater CEC Certified Mfr Type (Std, culation, Identical Input (kW Volume ciency' Standby' Insulation Type Name & Model Number Point -of -Use) - Control Type Systems or Btuft) (gallons) (EF, RE). _ Loss (%) R -value' 2 For small gas storage (rated input of less than or equal to 75,000 Btuft), electric r®stanee and heat pump water heaters, list Energy Factor. For large gas storage water heaters (rated input of greater than 75,000 Bbvhr), list Recovery Efficiency, Standby Loss and Rated Input For inst mteueous gas water heaters, list Recovery Efficiency and Rated Input 3. R-12 external insulation is mandatory for storage water beaters with an energy factor of less than 0.58. Faucets & Shower Heads: All faucets and.showerheads installed are certified to the Commission, pursuant to Title 24, Part 6,. Section 111. I, the undersigned, verify that equipment listed above my signature is: 1) the actual equipment installed; 2) equivalent to or more efficient than that specified in the certificate of compliance (Form CF -1R) submitted for compliance with the Energy Efficiency Standards for residential buildings; and 3) equipment that meets or exceeds the appropriate requirements for manufactured devices (from the Appliance Efficiency Regulations or Part 6), where applicable. Signature, Date COPY TO: Building Department= HERS Provider (if applicable) Building Owner at Occupancy . Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner January 4, 2001 INSTALLATION CERTIFICATE (Page 2 of 8) CF -6R Site Address Permit Number FENESTRATION/GLAMC.; Total Quantity Product Product of Lite Euetior Shading U -Factor (5 SHGC' (5 # of Product Square Device or Commentwl oration/ 'Manufacturer/Brand Name F --1R valnel2 C&IR val+e)2 Panes (a2tionah Feet Overhane SRecialF Iver (GROUP LEGE PRODUCTS) 1 , .2 — 3. •7. 8. 9. 10. - 12. 13. — 14. _ 15. ' Manufactured fenestration products use the values from the product label. Field fabricated fenestration products use the default values from Section 116 of the Energy Efficiency Standards. 2 Installed U -Factor must be less than or equal to values from CF -1 R. Installed SHGC must be less than or equal to values from CF -1R, ora shading device (exterior or overhang) is installed as specified on the CF -IR. Alternatively, installed weighted average U-Factors,for the total fenestration area are less than or equal to values from"CF-1R. I, -the undersigned, verify that the fenestratiion/glaMng listed above my sigaaW e: 1) is the actual fenestration product" installed; 2) is equivalent to or has a lower U -Factor and lower SHGC than that specified in the certificate of compliance: (Form CF -1R) submitted for compliance with the Energy Efficiency-Stm dcods for residential buildings; and 3) the product meets or exceeds the appropriate requirements for man dawned devices (from Part 6), where applicable. Item #s Signature, Date Installing Subcontractor (Co. Name) OR (if applicable) General Contractor (Co. Name) OR Owner OR Window Distributor Item #s Signature, Date Installing Subcontractor (Co. Name) OR (if applicable) General Contractor (Co. Name) OR Owner OR Window Distributor Item #s Signature, Date Installing Subcontractor (Co. Name) OR (if applicable) General Contractor (Co. Name) OR Owner OR Window Distributor COPY TO: Building Department HERS Provider (if applicable) Building Owner at Occupancy January 4, 2001 INSTALLATION CERTIFICATE (Page 3 of 8) CF -6R Site Address. Permit Number DUCT LEAKAGE AND DESIGN DIAGNOSTICS ❑ DUCT LEAKAGE REDUCTION Pressurization Test Results (CFM @ 25 PA) Test Leakage (CFM) Fan Flow If Fan Flow is Calculated as 400 cfin/ton x number of tons, or as 21.7 x Heating Capacity in Thousands of Btu/hr, enter calculated value here If fan flow is measured, enter measured value here Leakage Fraction = Test Leakage/(Measured or Calculated Fan Flow) Pass if leakage fraction:5 0.06 ❑ ❑ Pass Fail ❑ For AEROSOL TYPE SEALANTS ONLY - The following diagnostic testing was completed: Duct Fan Pressurization at rough -in measured leakage (CFM). CHECK AFTER FINISHING WALL: ❑ Yes ❑ No ❑ - Pressure pan test or House pressurization test ' ❑ Yes ❑ :No ❑ Visual Inspection of Duct Connections ❑ ❑ Pass Fail ❑ THERMOSTATIC EXPANSION VALVE MM ❑ Yes ❑ No 'Thermostatic. Expansion Valve (or Commission approved, equivalent) is installed and Access is provided for inspection ❑ ❑ Yes is a pass . Pass Fail ❑ DUCT DESIGN 1 ❑."Yes• ❑ No ACCA Manual D Design calculations have been completed, Duct Design is on the plans and duct installation matches plans. 2• ❑ Yes ❑ No ; TXV is installed or Fan flow has been verified. If no TXV, verified fan flow matches design from CF -1R Measured Fan Flow = ❑ ❑ Yes'for both 1 and 2 is a Pass Pass Fail ❑ I, the undersigned, verify that the above diagnostic test results and the work I performed associated with the test(s) is in conformance with the requirements for compliance credit. [The builder shall provide the HERS provider a copy of the CF -6R signed by the builder employees or sub -contractors certifying that diagnostic testing and installation meet the requirements for compliance credit.] Tests, Signature, Date Installing Subcontractor (Co. Name) OR ' Performed General Contractor (Co. Name) COPY TO: Building Department HERS Provider (if applicable) Building Owner at -Occupancy January 4, 2001 INSTALLATION CERTIFICATE (Page 4 of 8) CF -6R Site Address Permit Number ~J DUCT LOCATION AND AREA REDUCTION DIAGNOSTICS ❑ DUCT IN CONDITIONED SPACE Yes. ❑ No Duct in conditioned space criteria matches CF -1 R ❑ ❑ - Yes is a Pass Pass: Fail ❑ REDUCED DUCT SURFACE AREA Measured duct exterior surface area in the: following unconditioned duct locations (square feet): Attics Crawispaces .. Basements Other (e.g., garages, etc.) ❑ Yes ❑ No Duct surface area matches CFAR? ❑ ❑ Yes is a Pass Pass Fail ❑ I, the undersigned, verify that the duct surface area and duct locations claimed for duct :surface area reductions and duct location improvements beyond those covered by default assumptions match those on the plans. [The.builder shall provide the HERS provider a copy of the CF -6R signed by the builder employees or sub -contractors certifying that diagnostic testing and installation meet the requirements for compliance credit.] N Tests Signature, Date Installing Subcontractor (Ca. Name) OR Performed - General Contractor (Co. Name) COPY TO: Building Department HERS Provider (if applicable) ~ Budding Owner at Occupancy January 4; 2001 INSTALLATION CERTIFICATE (Page 5 of 8) CF-6R Site Address Permit Number BUILDING ENVELOPE LEAKAGE DIAGNOSTICS ❑ ENVELOPE SEALING INFILTRATION REDUCTION Diagnostic Testing Results Building Envelope Leakage (CFM @ 50 Pa) as measured by Rater 1.: ❑ ❑ Is measured envelope leakage less. than- or equal to the required level Yes No from CF-IR?: 2.: ❑ . ❑ Is Mechanical' Ventilation shown as required on the CFA R? Yes No. 2a. ❑ ❑ If Mechanical ,Ventilation is required on the CF-1 R (Yes in line 2), has Yes No it been installed? 2b. 0 Check this box yes if mechanical ventilation is required (Yes in line 2) Yes No and ventilation fan watts are. no greater than shown on CF-1 R. Measured Watts 3. ❑ ❑ Check this box yes if measured building infiltration (CFM @ 50 Pa) is Yes No greater than the CFM @ 50 values shown for an SLA of 1.5 on CF 1 R (If this box is checked no, mechanical ventilation is required.) 4. ❑ ❑ Check this box yes if measured building infiltration (CFM @ 50 Pa) is Yes No less than the CFM @ 50 values shown for an SLA of 1.5 on ' - CF-1R,.mec6anical ventilation is installed and house pressure is . greater than minus=5 Pascal with all exhaust farts operating. ❑ ❑ Pass if: Pass Fail a. Yes in line 1 and line 3, or b. Yes in line 1 and line2, 2a, and.2b,. or. c. ;Yes in line 1 and Yes in line 4.. Otherwise fail. ❑ ,L the undersigned, verify that the building envelope leakage meets the requirements claimed for building leakage reduction below default assumptions as used for compliance on.the CF-1R. This is to certify that the above diagnostic test results and the work I performed associated with the test(s) is in conformance with the requirements for compliance credit. [The builder shall provide the HERS provider a copy of the CF-6R signed by the builder employees or sub-contractors certifying that diagnostic testing and installation meet tlx: requirements for compliance ci+edit•] Test Performed Signature Date Testing Subcontractor (Co. Name) -OR General Contractor (Co. Name) COPY TO: Building Department = HERS Provider (if applicable) Building Owner at Occupancy January 4, 2001 INSTALLATION CERTIFICATE (Page 6 of 8) CF -6R Site Address Permit Number The following is an explanation of many of the input values required on this form: HVAC SYSTEMS Aantina Fnuinmanf lr n'-# # h -....a -f*h- f 11....:.. . Furnace: Gas (including Liquefied Petroleum Gases) or oil -fired central furnace & space heater Boiler. Gas or oil -fired -boiler PckgHmftmp: Packaged central heat pump SplitHeatPump: Split central heat pump RoomHeaftmp: Room heat pump. LgPkgHeatPumP: Large packaged heat pump-(>_ 65,000 Btu/hr output) Electric: Electric resistance heating (fixed HSPF = 3.413); radiant electric resistance (fixed HSPF = 3.55) CombinedHydro: Reference water heater under water heating systems below CEC Certified Mannfacturer Name & Model Number from applicable Commission approved appliance directory, # of Identical Systems is for those systems with the same efficiency, duct location, duct R -value and deity. Efficiency fiom applicable Commission certified appliance directory. Duct (or Piping) Location is attic, crawl space, CVC crawl space, conditioned space, unconditioned space or none. Duct (or Piping) R-Valne fiom Directory of Certified Insulation Materials and/or man facUuees data. Heating/Cooling Load refer to Commission approved load calculation procedure. Heating/Cooling Capacity from the applicable Commission certified appliance directory. Note: location elevations over: 2,000 ft above sea Ievel require a derating of output capacity (refer to manufacturers literature). - ranlina w.nnin�-* Trow SplitAirCond: Split system air conditionei PckgAirCond: Packaged air conditioner _ Split Heat Pump: Split system heat pump PckgHeatPumup: Packaged heat pump RoomHeatPump: Room heat pump LgPkgHeatPummp: Large packaged beat pump (>_ 65,000 Btu/hr output). Substitute EER for SEER when SEER is not available RoornAirCond Room air conditioner. Minimum SEER varies' LtPkgAuCond: Large packaged air conditioner (2 65,000 Btu/hr output), Substitute EER for SEER when SEER is not available EvapDirect: Direct evaporative cooling system. For compliance calculation purposes; fixed values: SEER =11-0; duct location = attic; dud insulation R value = 4-2 Evapindhvct: •D -(r' _�_ r___- _ n - Indirect evaporative cooling system. For compliance calculation purposes, fixed values: SEER =13.0; duct location = attic; duct insulation R -value = 42 MjjtUlency jWgum"Ons, r4W-YL-ULY January 4, 2001 INSTALLATION CERTIFICATE (Page 7 of 8) CF -6R Site Address Permit Number The following is an explanation of many of the input values required on this form: WATER HEATING SYSTEMS Distribution Systems Refer to Residential Manual for more details: Standard: Standard —Supply pressure based system, no pumps .. Pipe Insulation Pipe Insulation on a113/4indu pipes,. POU/HWR-- Point ofUse/Hot Water Recovery System Recirc/NoControl: Recirculation loop with no controls ` Recirw7imer. Recirculation loop with a timer _ Recwdremp: Recirculation loop with tempetatare'control Recircrrime+Temp: Recirculation loop with a timer and temperature control RecifC Demand: Recirculation loop with demand control Water Heater T3= Windows, sliding glass doors, French doors, skylights,:garden windows, and Information Needed any door with more than one square foot of glass Operator Type: Energy Factor Recovery Efficiency Standby Lossa�Ir iput Storage Gas, Oil or Electric Yes No No No Heat Pump Yes No No No Instantaneous Gas No Yes No No Instantaneous Electric Yes No No No Large Storage Gas No Yes Yes Yes Indirect Gas (Boiler) No Yes (AFUE) No Yes FENESTRATION/GLAZING Fenestration: Windows, sliding glass doors, French doors, skylights,:garden windows, and any door with more than one square foot of glass Operator Type: . Slider, hinged, fined U -Factor. Installed U Factor nmst be less than or equal to value from CF -1R OR Installed weighted average U -Factor for the total fenestration area is less than or equal to value from CF -1R SHGC: Installed SHGC const be less than or equal to value from CF -1R OR Installed weighted SHGC for the total fenestration area is less than or equal to value from CF -1R OR An. interior shading device, overhang, or exterior shading device is installed consistent with the CF -1R Shading Device: Include when the building complied using an exterior'shading device: woven sunscreen, louvered sunscreen, low sun angle sunscreen, roll -down awning_ roll -down blinds or slats (do not list bug screen), or an overhang (include depth in feet January 4, 2001 INSTALLATI®N CERTIFICATE (Page 8 of 8) CF -6R Site Address Permit Number. The following is an explanation of many of the input values required on the Diagnostic portion of this form (page 3 of 6): HYPE OF CREDIT Refer to Residential Manual Chapters 4 and 5 for more details: Reduced Duct Surface Area: Calculated as the outside area of the duct.;Areas mast be measured and verified by a HERS raver. Improved Duct Location:' Supply duct located in other than "attic, as .verified by location of registers (does not require HERS rater verification). Catastrophic Leakage: Pressure pan test readings must be less than 1.5 Pascal at a house pressure of 25 Pascal. TXV (or Commission Access cover required to facilitate verification. Eligibility criteria for approved equivalent): Commission approved equivalent, if applicable, is required to be met_ Infiltration Reduction: Infiltration is measured without mechanical ventilation operating. Mechanical ventilation is required for very tight house construction when credits for infiltration reduction using diagnostic testing are being used for achieving compliance. These very tight houses are defined as those with SLA of less than 1-5. The compliance documentation (CF -1R) will contain the mea srr ed CFM target value from a blower door test at 50 Pascal pressure difference that represents this SLA of 1.5. Mechanical ventilation is also ' required if the builder chooses to design the building to use mechanical . ventilation and claims a credit for infiltration below an SLA of 3.0. The compliance documentation (CF -IR) will contain the measured CFM target value that represents this 3.0 SLA. If the builder claims credit in a design for . infiltration reduction that is at an SLA of 3.0 or higher; and the actual measured SLA is 1.5 or greater, then mechanical ventilation is not required If the SLA in this'case were below 1.5, then mitigation (such as mechanical ventilation) would be.required. INSULATION CERTIFICATE IC -1 Number and Street' City County Subdivision Lot Number Description of Installation 1. ROOF Material Brand Name Thickness (inches) Thermal Resistance (R -Value) 2. CEILING Batt or Blanket Type Brand Name Thickness (inches) Thermal Resistance (R -Value) Loose Fill Type Brand Contractor's min installed weight/ft' lb Minimum thickness inches Manufacturer's installed weight per square foot to achieve Thermal.Resistance (R -Value) 3. EXTERIOR WALL Frame Type A. Cavity Insulation 9! Material Brand Name Thickness (inches) Thermal Resistance (R -Value) B . Exterior Foam Sheathing Material Brand Name Thickness (inches) Thermal' Resistance (R -Value) 4. .RAISED FLOOR Material ` Brand Name :Thickness (inches) Thermal Resistance (R -Value) i 5. SLAB FLOOR/PERIMETER _ Material Brand Name Thickness (inches) Thermal Resistance (R -Value) Perimeter Insulation Depth (inches) - 6. FOUNDATION WALL Material Brand Name Thickness (inches) Thermal Resistance (R -Value) Declaration c I hereby certify that the above insulation was installed in the building at the above location, in conformance with the current Energy Efficiency Standards for residential buildings (Title 24, Part 6, California Code of Regulations) as indicated on the Certificate of Compliance, where applicable. Item #s Signature, Date Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner ------------ Item #s Signature, Date Installing Subcontractor (Co. Name) OR General Contractor (Co. Name) OR Owner Item #s Signature, Date July 1, 1999 Installing Subcontractor (Co. Name) OR General Contractor, (Co. Name) OR Owner Certificate of 0 -cc, upancy City of La Quinta Building and Safety Department This Certificate issued pursuant to the requirements of Section 109 of the Uniform Building Code, certifying that, at the time of issuance, this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following; BUILDING ADDRESS: 52-325 AVENIDA VELASCO Use Classification: SINGLE FAMILY DWELLING Bldg. Permit No.: 0110-124 Occupancy Group: R-3 Type of Construction: VN Land Use Z R Owner of Building: WILLIAM DORAN Building Official L one. Address: 81-900.AVENUE 52 City: INDIO, CA 92201 By: RICHARD KIRKLAND Date: FEBRUARY 4, 2002 POST IN A CONSPICUOUS PLACE TITLE -24 REPORT Title 24 Report for: Doran Residence Palm Desert, CA Project Designer: Report Prepared By:,, Joan D. Hacker Insu-Form.lnc. . 68255 Corta Road Cathedral City, CA 92234 (760).324-0216 Job Number: Date: 10/9/2001 The EnergyPro computer program has been used to perform the calculations summarized in this compliance report. This program has approval and is authorized by the California Energy Commission for use, with both the, Residential and Nonresidential 2001 Building Energy Efficiency Standards. This program developed by Gabel Dodd/EnergySoft, LLC (415) 883-5900. EnergyPro 3.1 By EnergySoft Job Number: -User Number: 2655 1' TABLE OF CONTENTS Cover Page 1 Table of Contents. 2 Form CF -1 R Certificate of Compliance 3 Form MF -1 R Mandatory Measures Checklist 5 Form C -2R Computer Method Summary 6 HVAC System Heating and Cooling Loads Summary 9 Room Load Summary 10. Y . Certificate of Compliance: Residential (Part 1 ,of 2) CF -1 R Doran Residence Frame Type 10/9/2001 Project Title Slab On Grade Date Palm Desert Covered Slab w/R-0.0 Perimeter Insulation Slab On Grade n/a Project Address Exposed Slab w/R-0.0 Perimeter Insulation R-13 Wall w/1" EPS Building Permit # Insu-Form Inc. (760) 324-0216 Solid Wood Door None 0.387 Plan Check I Date Documentation Author Telephone 0.028 Exterior Roof Computer Performance - 15 ' (Southeast) Field Check / Date Compliance Method (Package or Computer) Climate Zone Enforcement Agency Use Only. ❑ ❑ X❑ GENERAL INFORMATION Total Conditioned Floor Area: 1,492 f? Average Ceiling Height: 9.0 ft Total Conditioned Slab Area: 1,492 f? Building Type: (check one or more) XI Single Family Detached ❑ Addition ❑ Single Family Attached ❑ Existing Building ❑ Multi -Family ❑ Existing Plus Addition Front Orientation: (East) 90 deg Floor Construction. Type: ® Slab Floor Number of Dwelling Units: 1.00 Number of Stories: 1 ❑ Raised Floor Component Type Frame Type Const. Assembly U -Value , Location/Comments (attic, garage, typical, etc.) Slab On Grade n/a 0.756 Covered Slab w/R-0.0 Perimeter Insulation Slab On Grade n/a 0.756 Exposed Slab w/R-0.0 Perimeter Insulation R-13 Wall w/1" EPS Wood 0.059 Exterior Wall Solid Wood Door None 0.387 Exterior Door R-38 Roof (R.38.2x14.16) Wood 0.028 Exterior Roof FENESTRATION Shading Devices Type Orientation Area „ Fenestration Exterior Overhang Side Fins SF U -Factor. . SHGC Shading Yes / No Yes / No Front (East) 16.0 0.60 0.65 Bug ScreenX❑ ❑ ❑ X❑ Front (Southeast) 5.3 0.57 0.67 Bug ScreenX❑ ❑ ❑ X❑ Left (South) 40.0 0.60 0.65 Bug Screen X❑ ❑ ❑ X❑ Rear (West) 40.0 0.55 0.65 Bug Screen X❑ ❑ ❑ X❑ Rear (West) 16.0 0.60 0.65 'Bug Screen X❑ ❑ ❑ X❑ Right (North) 20.0 0.60 0.65 Bug Sc en ❑ ❑ X❑ Right (North) 40.0 0.55 0.65. Bug Screen 0 ❑ ❑ X❑ Right (Northeast) 5.3 0.57 0.67 Bug Screen X❑ ❑ ❑ X❑ ❑-.❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ Run Initiation Time,• 10/09/01 14:17:47 Run Code: 1002662267 Ener Pro 3.1 By Ener Soft User Number. 2655' Job Number: Pa e:3 of 10 Certificate of Compliance: Residential (Part 2 of 2) CF -1 R Doran Residence. 10/9/2001 Project TitleDate HVAC SYSTEMS Note: Input Hydronlc or Combined Hydronlc data under Water Heating Systems, except Design Heating Load. Distribution Heating Equipment Minimum Type and Duct or Type (furnace, heat Efficiency Location Piping Thermostat Location / pump, etc.) (AFUE/HSPF)(ducts, attic, etc.) R -Value Type Comments (ventral Furnarp 80% AFUE Ducts in Attic 4.2 Setback Living Zone `r Cooling Equipment Minimum Duct Type (air conditioner, Efficiency Location Duct Thermostat Location / heat pump, evap. cooling) (SEER) (attic, etc.) R -Value Type Comments Split Air Conditioner WATER HEATING SYSTEMS - ' Rated 1 Tank Energy Fact! 1 External Water Heater Water Heater Distribution # in Input Cap. or Recovery Standby Tank Insul. System Name Type Type Syst. Btu/hr (gal) Efficiency Loss (%) R -Value AO SMITH WATER Small Gas Recirc/Time+Temp 1— 40,000 —50 0.65 n/a n/a PRODUCTS FGGSE-50-230E 1 For small.gas storage (rated inputs of less than or equal to 75,000 Btu/hr), electric resistance and heat pump water heaters, list energy factor. For large gas storage water heaters (rated input of greater than 75,000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss. For instantaneous gas waterbeaters, list Rated Input and Recovery Efficiency. REMARKS GUMPLIANGE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24, Parts 1 and 6 of the California 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) Documentation Author Name: �� -'"�cW �4 s Name: Joan D. Hacker Title/Firm: Title/Firm: Insu-Form Inc. Address:1 ��• v /riL��_ j 1� Address: 68255 Corta Road -l-+ 'A"" Cathedral City, CA 92234 Telephone: ''7 '1-- -7-,s' 4 Telephone: (760) 324-0216 Lic. #: 0 (signature) (date) (sign ure I 1(clate) Enforcement Agency Name: Title/Firm: _ Address: Telephone: lEnergyPro 3.1 By EnergySoft User Number. 2655 Job Number: PageA of 10 1 Mandatory Measures Checklist: Residential MF -1 R NOTE: Lowdse 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 minimum component specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. r DESCRIPTION Instructions: Check or initial applicable boxes or enter N/A if not applicable. DESIGNER ENFORCEMEN Building Envelope Measures ; ❑ '§ 150(.): Minimum R-19 ceiling insulation in wood frame assembly, or equivalent U -value. ❑ $150(b): Loose fill insulation manufacturer's labeled R -Value. ❑.§ 150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -value in metal frame walls (does not apply to exterior mass walls). ❑ "§ 150(d): Minimum R-13 raised floor insulation in framed floors. ❑ § 150(1): Slab edge insulation - water absorption rate — 0.3%, water vapor transmission rate — 2.0 permAnch. _ ❑ §118: Insulation specified or installed meets insulation quality standards. Indicate type and form. ❑ §116-17: Fenestration Products, Exterior Doors and Infiltration/Exfiltration Controls 1. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. 2. Fenestration products (except field fabricated) have label with certified U -Factor, certified SHGC, and infiltration certification. 3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. ❑ §150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. ❑ §150(0: Special infiltration barrier installed to comply with Section 151 meets Commission quality standards._ ❑ §150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs. 1. Masonry and factory -built fireplaces have closable doors, outside air intake with damper and control, and flue damper and control; 2. No continuous burning gas pilots allowed. Space Conditioning, Water Heating and Plumbing System Measures ❑ §110-13; HVAC equipment, water heaters, showerheads and faucets certified by the Commission. ❑ §150(h): Heating and/or cooling loads calculated in accordance with ASH RAE, SMAC NA or ACCA. ' ❑ §150(i): Setback thermostat on all applicable heating and/or cooling systems. ❑ §1500): Pipe and Tank Insulation 1. Storage gas water heaters with less than 0.58 energy factor shall be externally wrapped with R-12. 2. First 5 feet of pipes closest to water heater tank, non -recirculating systems, insulated (R4 or greater) 3. Back-up tanks for solar system, unfired storage tanks, or other indirect hot water tanks have R-12 external insulation or R-16 combined internal/external insulation. 4. All buried or exposed piping insulated in recirculating sections of hot water systems. 3 5. Cooling system piping below 55 degrees F. insulated. 6. Piping insulating between heating source and indirect hot water tank. ❑ '§150(m): Ducts and Fans 1. All ducts and plenums installed, sealed and insulated to meet the requirements of the 1998 CMC Sections 601, 603, 604 and Standard 6-3; ducts insulated to a minimum installed level of R-4.2 or enclosed in conditioned space. Openings shall be sealed with mastic, tape aerosol sealant or other duct- closure system that meets the applicable requirements of UL181, UL181A, or UL181 B. If mastic or tape is used to seal openings greater than 1/4 inch, the combination of mastic and either mesh tape or tape shall be used. Building cavities shall not be used for conveying conditioned air. Joints and seams of duct systems and their components shall not be sealed with cloth back rubber adhesive duct tapes unless such tape is used in combination with mastic and drawbands. 2. Exhaust fans systems have back draft or automatic dampers. 3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers. ❑ §114: Pool and Spa Heating Systems and Equipment 1. Certified with 78% thermal efficiency, on-off switch, weatherproof instructions, no electric resistance heating, no pilot. 2. System is installed with at least 36" of pipe between filter and heater for future solar, cover for outdoor pools or spas. 3. Pool system has directional inlets and a circulation pump time switch. ❑ §115: Gas fired central furnaces, pool heaters, spa heaters or household cooking appliances have no continuously burning pilot light. (Exception: Non -electrical cooking appliances with pilot < 150 Btu/hr) Lighting Measures ❑ §150(k)1: Luminaires for general lighting in kitchens shall have lamps with an efficacy 40 lumens/watt or greater for general lighting in kitchens. This general lighting shall be controlled by a switch on a readily accessible lighting control panel at an entrance to the kitchen. ❑ 150(k)2: Rooms with a shower or bathtub must have either at least one luminaire with lamps with an efficacy of 40 lumens/watt or greater switched at the entrance to the room or one of the alternative to this requirement allowed in Section 150(k)2.; and recessed ceiling fixtures are IC (insulation cover) approved. EnergyPro 3.1 By EnergySoft User Number: 2655 Job Number: Page:5 of 10 Computer Method Summary (Part 1 of 3) C -2R loran Residence 10/9/2001 Project Title Date Palm Desert Project Address Building Permit # Insu-Form Inc_ (760) 324-0216 Documentation Author Telephone Plan Check/Date Computer Performance 15 Field Check/Date Compliance Method (Package or Computer) Climate Zone Source Energy Use Standard Proposed Compliance (kBtu/sf-yr) Design Design Margin Space Heating 1.18 0.80 0.38 Space Cooling 34.89 38.86 -3.97 Domestic Hot Water 15.82 12.21 3.61 Totals 51.89 51.87 0.02 BUILDING COMPLIES GENERAL INFORMATION Conditioned Floor Area: 1,492 Floor Construction Type: X❑ Slab Floor Building Type: Single Fam Detached ❑ Raised Floor Building Front Orientation: (East) 90 deg Number of Dwelling Units: 1.00 Total Conditioned Volume: 13,428 Number of Stories: 1 Slab Floor Area: 1,492 BUILDING ZONE INFORMATION # of Thermostat Vent Zone Name Floor Area Volume Units Zone Type Type Hgt. Area I iving 7nnP 1 499 1-149 1 00 CnnditinnPd SPthark n/a OPAQUE SURFACES Solar Act. Gains Type Area U -Val. Azm. Tilt Y / N Form 3 Reference Location / Comments Computer Method Summary (Part 2 of 3) C -2R Doran Residence 10/9/2001 Project Title Date FENESTRATION SURFACES # Type Area U- Factor SHGC. Act. Azm. Glazing Type Tilt Location/ Comments _1_ Window Front (Fast) - 16.0 0.600 0.65 An An Double NonMtl Clear Default Living Zone 2 Window Front (Southeast) 5.3 0.570 0.67 135 90 Double NonMtl Clear Default Livinq Zone 3 Window Left (South) 24.0 0.600 0.65 180 90 Double NonMtl Clear Default Living Zone 4 Window Left (South) 12.0 0.600 0.65 180 90 Double NonMtl Clear Default Living Zone 5 Window Left (South) 4.0 0.600 0.65 180 90 Double NonMtl Clear Default Living Zone 6 Window Rear (West) 40.0 0.550 0.65 270 90 Double NonMtl Clear Default Living Zone L Window Rear est) 16.0 0.600 0.65 270 90 Double NonMtl Clear Default Living Zone 8 Window Right (North) 4.0 0.600 0.65 0 90 Double NonMtl Clear Default Living Zone .9 Window Right (North) 16.0 0.600 0.65 _� 90 Double NonMtl Clear Default Living Zone LQ Window Right (North) 40.0 0.550 0.65 0 90 Double NonMtl Clear Default Living Zone 11 Window Right (Northeast) 5.3 0.570 0.67 45 90 Double NonMtl Clear Default Living Zone INTERIOR AND EXTERIOR SHADING # Exterior Shade Type SHGC 1 Bug Screen 0.76 2 Bug Screen 0.76 3 Bug Screen 0.76 4 Bug Screen 0.76 5 Bug Screen 0.76 6 Bug Screen 0.76 7 Bug Screen 0.76 8 Bug Screen 0.76 9 Bug Screen 0.76 10 Bug Screen 0.76 11 Bug Screen 0.76 0.1 2.0 Overhang Left Fin Right Fin Len. Hgt. LExt. REA. Dist. Len. Hgt. Dist. Len. Hgt. 4.0 4.0 2.0 0.1 2.0 2.0 4.0 1.4 2.0 0.1 2.0 2.0 4.0 6.0 2.0 0.1 2.0 2.0 3.0 4.0 2.0 0.1 2.0 2.0 1.0 4.0 2.0 0.1 2.0 2.0 6.8 6.0 2.0 -0.1 2.0 2.0 4.0 '4.0 2.0 0.1 2.0 2.0 1.0 4.0 2.0 0.1 2.0 2.0 4.0 4.0 2.0 0.1 2.0 2.0 6.8 6.0 2.0 0.1 2.0 2.0 4.0 1.4 2.0 0.1 2.0 2.0 EnergyPro 3.1 By EnergySoft User Number: 2655 Job Number. Pane:7 of 10 Computer Method Summary (Part 3 of 3) C -2R Doran Residence 10/9/2001 Project Title Date THERMAL MASS FOR HIGH MASS DESIGN Area Thick. Heat Inside Location Type (so (in.) Cap. Cond. Form 3 Reference R -Val. Comments PERIMETER LOSSES F2 Insulation Type Length Factor R -Val. Depth Location / Comments Slab Perimeter 10 0.76 0.0 0 Living Zone Slab Perimeter 10 0.76 0.0 0 Living Zone HVAC SYSTEMS Heating Equipment Minimum Distribution Type Type (furnace, heat Efficiency and Location Duct Thermostat. Location / pump, etc.) (AFUE/HSPF)(ducts/attic, etc.) R -Value Type Comments Central Furnace 80%AFUE Ducts in Attic 4.2 Setback Living Zone Hydronic Piping Pipe Pipe Insul. Svstem Name Lenoth Diameter Thick. Cooling Equipment Minimum Duct Type (air conditioner, Efficiency Location Duct Thermostat Location / heat pump, evap. cooling) (SEER) (attic, etc,) R -Value Type Comments Split Air Conditioner 12.0 SEER Ducts in Attic 4.2 Setback Living Zone WATER HEATING SYSTEMS Ratedl Tank Energy Fact! 1 Tank insul. Water Heater Water Heater Distribution # in Input Cap. or Recovery Standby R -Value System Name Type Type Syst. (Btu/hr) (gal) . Efficiency Loss (%) Ext. A O SMITH WATER PRODUCTS Small Gas Recirc/Time+Tema _1 40,000 50 0.65 n/a n/a 1 For small gas storage (rated input — 75000 Btu/hr), electric resistance and heat pump water heaters, list energy factor. For large gas storage water heaters (rated input > 75000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss. For instantaneous gas water heaters, list Rated Input, and Recovery Efficiency. REMARKS Run Initiation Time: 10/09/01 14:17:47 Run Code: 1002662267 EnergyPro 3.1 By EnergySoft User Number: 2655 Job Number: Page:8 of 10 HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY PROJECT NAME DATE Doran Residence 10/9/2001 SYSTEM NAME FLOOR AREA Living Zone 1,492 Number of Systems 1 Heating System Output per System 92,000 Total Output (Btuh) 92,000 Output (Btuh/sgft) 61.7 Cooling System Output per System 47,000 Total Output (Btuh) 47,000 Total Output (Tons) 3.9 Total Output (Btuh/sgft) 31.5 Total Output (sgft/Ton) 380.9 Air System CFM per System 1,595 Airflow (cfm) 1,595 Airflow (cfm/sgft) 1.07 Airflow (cfm/Ton) 407.2 Outside Air (%) 0.0 Outside Air (cfm/sgft) 0.00 Note: values above given at ARI conditions 26.0 OF 69.4 OF Outside Air 0 cfm 69.4 OF Supply Fan 1595 cfm Total Room Loads Return Vented Lighting Return Air Ducts Return Fan Ventilation Supply Fan Supply Air Ducts TOTAL SYSTEM LOAD COIL COOLING PEAK ICOILHTG.PEAK CFM I Sensiblel Latent I I CFM I Sensible 1,523 26,904 3,27 383 21,556 0 1,345 1,078 0 0 0 0 0 0 0 0 0 1,345 1 1,078 29,5941 3 27 BDP CO.563AN048-A 30,865 12,002 Total Adjusted System Output 30,865 12,002 (Adjusted for Peak Design Conditions) TIME OF SYSTEM PEAK I Aug 2 pm 69.4 OF 123.2 OF Heating Coil PSYCHROMETRI k Return Air Ducts `S 11.0 / 77.4 OF _ 78.8 ! 66.3 OF� 78.8 ! 66.3 OF . 60.7 / 59.6 OF Outside Air 0 cfm 78.8/66.3 °F Supply Fan Cooling Coil 1595 cfm h Return Air Ducts � 92,000 92,000 17 Jan 12 am Supply Air Ducts 122.5 OF ROOMS 70.0 OF Supply Air Ducts 61.5 / 59.9 OF 53.6% R.H. ROOMS 78.0 / 66.0 OF EnergyPro 3.1 By EnergySoft User Number. 2655 Job Number: Page:9 of 10 .ROOM LOAD SUMMARY PROJECT NAME Doran Residence DATE 10/9/2001 SYSTEM NAME Living Zone FLOOR AREA 1,492 ROOM LOAD SUMMARY. ROOM COOLING PEAK COIL COOLING PEAK COIL HTG. PEAK ZONE NAME ROOM NAME Mult. CFM SENSIBLE LATENT CFM SENSIBLE LATENT CFM SENSIBLE Living Zone Living 1 1,523 26,904 3,271 1,523 26,904 3,271 383 21,556 PAGE TOTAL 1 1,523 26,904 3,271 383 21,556 TOTAL 1 1,523 26,904 3,271 383 21,556 EnergyPro 3.1 By EnergySoft User Number. 2655 Job Number: Page:10 of 10