9708-153 (SFD)LICENSED CONTRACTOR DECLARATION
I.,hereby affirm under penalty of perjury that I am licensed under provisions of
a,aptee'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
Date Signature of Contractor
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).
(iG)> 1, as owner of the property, am exclusively contracting with licensed
contractors to construct the project (Sec. 7044, Business & Professionals
O I am exggmp u er Section B&P C-ff°r th' as `6
Date %a' 9 �'/ Signature of Owne �, �.f%�
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 Policy No.
(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
s ftject to the workers' compensation- ovisions of Se on 00 of the Labor
ode hall f h th com I i�hose rroo
v Date:'` �ti. )"� Applipari -
Warning: Failure to secure Workers' Compensation 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.
1. Each person upon whose behalf this application is made & each person at
whose request and for whose benefit work is performed under or pursuant to
any permit issued as a result of this applicaton agrees to, & shall, indemnify
& 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
/Ce
struction, and hereby authorize representatives of this City to enter upon
above mentioned property:for"i'pe do p o es.nature (Owner/AgeDate
BUILDING PERMIT PERMIT# CONTROL#
15,
DATE 3')'%� VALUATION �� �'.1���),� �) LOT TRACT ,i
JOB SITE i' vo a+=�i`i° �1a7� F'i,4r'44 v<.v.�
APN
ADDRESS
OWNER
CONTRACTOR/DESIGNER/ENGINEER
AORRv A. %'+.'R"� N)9" fj <1e�'�`�'I'fi A�.Q`'
�����i•odi°{; 1�. .I.1 F�pz'd,;
ivt
USE OF PERMIT
� u' 8 7
t°I__.>;i 04:
9XaA"7.'4M'�ye.r
9,'F=-pp'•ff�9, qq'-7 y'.+yy ,y•'�g i�,aC Rt (�-hA<n`r�1'�B'i4
11 �j-7i ��u(! '�,•i��i6e'.Uv�+!
rY�CJ1, 0,•d
t ".V •. )�5�"4 L :Ali l�v�i,9
eJo (;ceiv'
�n4e+�'a.t•_"'d `iaB r�V h.'�<.: 5 tl `7u.o t'•/i6i'!?,".i .J c.. �j?�)
G4��=lit✓�l�t� ��§�3�i.':�`. ft�� if��) �"I°V���) ti'�v YClt
c�E3f�y °G9�i'; I't �I`V )1)f of>y?3�• �.:t� .'3Sh �, �,; rtat
A", 14,11 1:,,
YI M •, x"0'1'1,.,
OCT 0 6 1997 � �°a �� � ►�<. I �:�� �,� °9�, _ ; ���� tri, No
LPL
'
RECEIPT
DATE
BY
DATE FINALED
INSPECTOR
INSPECTION RECORD
14 ' OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
G BUILDING
APPROVALS
MECHANICAL APPROVALS
rSet Backs
Underground Ducts
Forms & Footings
Slab Grade
Ducts
Return Air
Steel
v
Combustion Air
Roof Deck
Exhaust Fans
O.K to Wrap
F.A.U.
Framing
0,9
Compressor
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
10171
Final
Final
BLOCKWAL APPROVA S
POOLS - SPAS
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
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
Encapsulation
Gas Piping
Gas Test
Appliances
Final
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
Utility Notice (Perm)
COMMENTS:
,
c170 8
P.O. BOL
APPLICATION ONLY
Building 78-495 CALLE TAMPICO
Address a LAQUINTA,
CALIFORNIA 92253
Owner '� !�� ��� �A �, BUILDING: TYPE CONST. OCC. GRP. O `
Mailing % n '1 s�,
Address / 3 / o Am oP� Jr A.P. Number
Citi �✓�y Zip � v Tel.Lel Description Legal � r
L.✓ � i /i LOr (e �L 1� .�C�� V pN I T zbCJ
ContractorO� G� Project Description
o1 ���. - i /
lhen002 (
Address
73 / Q YYI1360 S (0,0441
Zlpi 2 z,6 0 7�0
State Lic. City
& Classif. Lic. # Sq. Ft. ! No. No. Dw.
Arch., Engr.,
Size / / Stories Units
Designer New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Address Tel. LeL q -LLS Lr:. Coyv
City Zip State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed u der of, isions of Chapter 9 (commencing with Section
7000) of Divis'on 3 of the ness Pr fO',' s Code, and my licen a Is n f�wi fore and
6 -
SIGNATURE _ oy DATE
OWNER -BUILDER DECLARATION Estimated Valuation
I hereby affirm that I am exempt from the Contractors 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 AMOUNT
requires the applicant for such permit to file a signed statement that he is licensed pursuant to PERMIT
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 thealleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit Plan Chk. Dep.a,
subjects the applicant to a civil penalty of not more than five hundred dollars ($500). -
C-1 I, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk. Bal.
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Bussness and Const.
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, Mech.
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 Electrical
of proving that he did not build or improve for the purpose of sale.)
I.1 1, as owner of the property, am exclusively contracting with licensed contractors to con. Plumbing '
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 S.M.I.
such projects with a contractors) licensed pursuant to the Contractor's License Law.)
Grading
17 I am exempt under Sec. B. 8 P.C. for this reason
Driveway Enc.
Date Owner Infrastructure
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
r7 Copy is filed with the city. ❑ Certified copy is hereby furnished.
TOTAL
CERTIFICATE OF EXEMPTION FROM REMARKS
WORKERS' COMPENSATION INSURANCE
(This section need not be completed it the permit is for one hundred dollars ($100) valuation
or less.)
I certify that in the performance of thg work -for which this permit is issued, I shall not
employ any person in any manner so as to become subject to the Workers' Compensation
Laws of California.
Date Owner
NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become ZONE: BY:
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Minimum Setback Distances:
comply with such provisions or this permit shall be deemed revoked.
Front Setback from Center Line
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY _1 / Side Street Setback from Center Line
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.) rl2 Side Setback from Property Line
Lender's Name (/
Lender's Address FINAL DATE INSPECTOR
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. Issued by: Date Permit
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. Validated by:
Signature of a0plicant Date
Mailing Address Validation:
City, State, Zip
WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION
57 —
Desert Sands Unified School District
Notice: 82-879 Highway 111
01
922
Document Cannot Be Duplicated Indio, C619 -77A A 922
CERTIFICATE OF COMPLIANCE '
Date 10/3/97 APN # 774-283-016
No. 16143 Jurisdiction La Quinta
Owner NamePine Mountain Real Estate, Inc. Permit #
No, 73-170 Street Amber Street
City Palm Desert zip 92260
Tract # Lot # Square Footage
Type of Development Single Family. Residence
Comments
img a family home
Log #
Study Area
1449
No. of Units 1
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'fo.11owing
reason: -�
EXEMPTION NOT APPLICABLE
This certifies that school facility fees imposed pursuant to in the amount -of' '
1.84 X 1,449 or $ 2,666.16 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 Dave Peters
Name on the check
By ' Dr. Doris Wilson
Superintendent
Fee collected /exempted by Olivia Aguirre
Signature
Telephone 760 340-9844
m
Payment Received $2,666.16
- Check No. 5459461
NOTICE: Pursuant pf Assembly Bill 3081 (CHAP 549, STATS. 1996) this will serve to notify you that the 9D -day approval period in which you may protest the fees or other payment identified
above will begin to n from the date on which the building or installation permit for this project is sssued or on which they are paid to the District(s) or to another public entity authorized to
collect 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
4W
RECORDING REQUESTED BY:
ORANGE COAST TITLE COMPACOMPANY
97EE.NN6761CCKC EEpp Rj-1583II85-1
WHUNL $OO�RR $ EMEN ND LOWND,
1111 J /� S
PINE MOUNTAIN REAL ESTATE, INC.
73170 AMBER STREET
PALM DESERT, CA 92260
1. SPACE ABOVE THIS LINE FOR RECORDER'S USE
GRANT DEED APN
16
The undersigned grantor'(s) declare(s):
Documentary transfer tax is $15.40
(XXX) Computed on full value of property conveyed, or
( ) Computed on full value less liens and encumbrances remaining at time of
( ) Unincorporated area: ( ) City of sale.
and
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
MICHELLE EICHSTEDT, AN UNMARRIED WOMAN
hereby GRANT(S) to
PINE MOUNTAIN REAL ESTATE, INC., A CALIFORNIA CORPORATION
the real property in the City of LA QUINTA, County of Riverside, State of California,
described as:
LOT 6 IN BLOCK 3.04 OF SANTA CARMELITA AT VALE LA QUINTA, UNIT NO. 28, AS PER
MAP RECORDED IN BOOK 19, PAGE 60 OF MAPS , RECORDS OF RIVERSIDE COUNTY,
CALIFORNIA
Dated July 14, 1997
State of California
County of Riverside
On _July 28, 1997
before me, Kelly Collier
personally appeared
Michelle Eichstedt
personally known to me (or proved to me on
the basis of satisfactory evidence) to be
the person(s) whose name(s) is/are subscribed
to the within instrument and acknowledged to
me that he/she/they executed the same in
his/her/their authorized capacity(ies), and
that by his/her/their signature(s) on the
instrument the person(s), or the entity upon
behalf of which the person(s) acted, executed
the instrument. P.
WITNESS my l ar� A4, of/icial Leaf.
Signatu J %VT
11�
MAIL TAX E E OSA S
—
CHELLE EICHSTEDT
KELLY COLUER
Comm•# 1051217
a xouwr o„ •"•AISORMA
3K UY COLLIER
Comm, g 1057217
a NOTARY
NYpres
CAIFORMARuIcIWY28
1999
(This area for official notarial seal)
COACHELLA VALLEY WATER DISTRICT
Koo
h
CASH RECEIPT DETAIL xvi4
%
-Ric C
tc
eceived From:Date.
C61k, 10 .4
R Y7
''�`170�,:,AM667q 5L - -YOALAM CA 9,2i,-A U'Q
Address:
Account No. G_ Ao; f oZi. 0,-,r) Lot(s). Co -8L 7 Tract ;2
ServiceAdd'ress 53!:�-6175 AVE.- -k/E=L^SC0 -%�G.A. Code
Ap Meters) ,.-
t 16' ierv1ce(s)*__
- 0 Backflow
-0 House Lateral(s):'.
0 Detector Check(s), -
.0 Meter Surcharge
Sanitation Capacity Charge'
0 W.S.B.F.C.
.0 Temporary Construction Meter
'13 Turn on Charge
_—.0 Uncollected Account'7 Naini
.0 Inspection Fee - Tract -
F
:4
pe
1 6 Check Fe s
Water ISe
ew r
Tract
0- Bond Payment*,- A.D.,�r Bond - . .... ...
3. Assmt,
'q �CqstqmerD eposit
0,Other' -
'TOTAL'
0?
;RemarksActlx
or
p0*
!"to:
tWe,
Cash ,�__
Service'
Check _��
Money %A2,, ;as e
Order.
S
OWNER/BUILDER INFORMATION
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of the property
improvements specified.
C
For your protection you should be aware that as "Owner/ Builder" you are the responsible party of record on such a
permit. Building permits are not required to be signed by property owners unless they are personally performing their
own work. If your work is being performed' by someone other than yourself, you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business license
from the City or County. They are also required by law to put their license number on all permits for which they
apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be
aware of the following information for your benefit and protection:
If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is $200.00 or more for the entire project, and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
If you are an employer, you must register with the State and Federal Government as an employer�and you are subject
to several obligations including State and Federal income tax withholding, federal social security taxes, worker's
compensation insurance, disability insurance costs and unemployment compensation contributions.
There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with
respect to worker's compensation insurance.
For more specific information about your obligations under Federal Law, contact the Internal Revenue Service (and, if
you wish, the U.S. Small Business Adminstration). For more specific information about your obligations under State
Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions. 4
A frequent practice of unlicensed persons professing to be contractors is to secure an "Owner/ Builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally.
Building permits are not required to be signed by property owners unless they are performing 'their own work
personally.
Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your
community or at 1020 N. Street, Sacramento, California 95814.
Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of
these matters. The building permit will not be issued until the verification is returned.
Very truly yours,
CITY OF LA QUINTA
DEPT. OF BUILDING AND SAFETY
78-495 Calle Tampico
La Quinta, CA 92253
(760) 777-7012
FAX 7 -7011 -
OWNER'S SIGNATURE/fDATE
,� � �9, � �.� � . fir? ! ,i • / � � ✓�%%
PROPERTY ADDRESS
a-70'6-153
PERMIT NUMBER(s)
{�Pine
Mountain
Real Estate Inc.°
73-170 Amber . Palm Desert, CA 92260
(619) 340-9844
OCTOBER 3, 1907
BUTLER
��- CITY OF LA QUINTA
:,:•
P. -O. sox 1501
.w .
LA' CU I NTA, CA. 92273
ATT: BUILDING DEPARTMENT
" DEAR GREG BUTLER,
PLEASE,BE ADVISED THAT DAVID PETERS AND DOUG PETERS
,�•.+'rG�` v =AREBOTH•"OFF•I CERS-- OF PINE MOUNTAIN REAL' ESTATE INC-1-
CALIFORNIA
NC ,CALIFORNIA DESERT CONSTRUCTION).
?;THEY' WILL BE 'THE. ONLY ONES WORKING ON OUR BEHALF 6N
THE'PROJECT AT °E54-615 VELASCO IN THE CITY OF LA QU I NTA
\ ` ..� U� ` 1 �*r `Tl I �. v' hof ^ • [" , r
LNCEREL°Y�
DAV-ID A PETERS
CARLOS ELIAS
REGISTERED CIVIL ENGINEER
38825 Charlesworth Drive
Cathedral City, California 92234
Telephone (760) 328-7271
January 8, 1998
City of La Quinta .
Department of Building & Safety
78495•Calle Tampico -
La Quinta, Calif. 92253
Gentlemen:
This letter concerns the, residence being constructed at
54-615 Avenida Velasco, La Quinta, Calif.
Studs with one 2" diameter holes shall be sheathed with
3/8" plywood structure I. Sheathing to extend to adjacent studs
without 2" diameter holes. Nail plywood to studs with 8 d nails
at 3" on center edges, 12" on center field. Block all edges.
I have reviewed.the layout and bearing points of the roof
truss.es designed by Spate Fabricators Truss Company and find that
their design is in conformance with my design intent.
Very truly yours,
Q�pFESS/0,� Carlos Elias
C E: j e.
W /
ac No.
slgl CIVIL
FOF CAI�E��
Name:
Account # l.�'� ol�
Meter#
Employee # r
Date / time:
Problem
❑ Emergency`Shut off
❑ but off .
®'LWINessure
❑ Sand in Water
❑ No water
❑ Need new shut off valve
❑ Locate Meter
❑ Backflow leaking
4.M .
❑ Backflow damaged
❑ Leak at meter
Work Performed Comments
❑
Flushed sand out of meter
❑
Replace shut off valve
®/ Checked pressure
Fixed leak at backflow
PSI reading
❑
Checked volume flow rate
GPM
y ❑
Fixed leak at meter
❑
Did not fix leak at meter
_
repair requested
❑
Located meter
❑
Shut water off
❑
Fixed leak at backflow
❑ Appears to be overwatering
❑ Leak was causing consumption
❑ Leak was not causing consumption
'❑ Leak on customer side
Other;ZLIAU S:S:� PS'l
For further information, please
contact the Coachella Valley
Water District
Telephone (619) 398-2651 or
f-800-262-2651 (toll free within
the Coachella Valley)
TITLE 24 REPORT FOR:
i ..
CALIFORNIA.DESERT CONSTRUCTION
54-615 VELASCO
LA QUINTA, CALIFORNIA
PROJECT DESIGNER:
REPORT PREPARED BY:
JOAN D. HACKER
INSU-FORM, INC.
68487 HIGHWAY 111, SUITE 56
CATHEDRAL CITY, CA:92264
(619) 324-0216
Job Number:
Date: 1/5/1998
The COMPLY 24 computer program has been used to perform the calculations
summarized in this compliance report. This program has approval and is
authorized by the California Energy Commission for use with both the
Residential and Nonresidential Building Energy Efficiency Standards.
This program developed by Gabel Dodd Associates (510) 428-0803.
Table_Of-Contents-for_Title-24-Report
V_
a
CoverPage ......................................................... 1
Table of Contents .. 2
Form CF -1R Certificate of Compliance: Residential 3
Form MF -1R Mandatory Measures Checklist: Residential ................ 5
HVACZone & Space Loads Summary ..................................... 7
Form C -2R Computer Method Summary .................. ...... .. 10
Form P -2R Point System Summary ....................................... 13
f�
CERTIFICATE OF COMPLIANCE:..Residential (part 1 of 2) CF -1R page 3 of 13
---------------------------------------------------------------------------
Project Name: CALIFORNIA DESERT CONSTRUCTION Date: 1/5/1998
Address: 54-615 VELASCO
LA QUINTA, CALIFORNIA Building Permit No
Designer:
Checked by / Date
Documentation: INSU-FORM, INC. ICOMPLY 24 User 2655
-------------- 1�
INFORMATION
Compliance Method:
Climate Zone:
Conditioned Floor Area:
Building, Type:
Building Front Orientation:
Number of Dwelling.Units:
Floor Construction Type:
BUILDING SHELL'INSULATION
Component
-----------------------
R-13 WALL/111EPS
Solid Wood Door
R-38 Roof(R.38.2xl2.16)
Slab Perimeterw/R-0.0
Slab Perimeter w/R-0.0
FENESTRATION
Orient. Area U -Val Type
COMPLY 24 version 4.11
15
1448 sqft
Single Fam Det
90 deg (E)
1
Slab on Grade
U -Value Location/Comments
------- ------------------------------------
0.059 WHOLE HOUSE
0.387 WHOLE HOUSE
0.028 WHOLE HOUSE
0.900 WHOLE HOUSE
0.720 WHOLE HOUSE
Right
(N)
36.0
0.84
Double
Front
(E)
32.0
0.84
Double
Left
(S)
76.0
0.84
Double
Back
(W)
20.0
0.84
Double
THERMAL MASS Area Thick
Type Covering (sf) (in) Location/Description
----------------------------- ----- ----- -----------------------------
Concrete, Heavyweight Exposed 195 3.50 Slab on Grade
Concrete, Heavyweight Covered 1253 3.50 Slab on Grade
Shading
Devices
Frame
Interior
Exterior
OH
SF
Type
---------------
Light
Blind
---------------
Standard
Bug
--
Scr Y
--
N
-----
Metal
Light
Blind
Standard
Bug
Scr Y
N
Metal
Light'Blind
Standard
Bug
Scr Y
N
Metal
Light
Blind
Standard
Bug
Scr Y
N
Metal
THERMAL MASS Area Thick
Type Covering (sf) (in) Location/Description
----------------------------- ----- ----- -----------------------------
Concrete, Heavyweight Exposed 195 3.50 Slab on Grade
Concrete, Heavyweight Covered 1253 3.50 Slab on Grade
CERTIFICATE OF COMPLIANCE: Residential
---------------------------------------------------------------------------
(part 2 of 2)
CF -1R page 4
of 13
�� Project Name: CALIFORNIA DESERT CONSTRUCTION
Date: 1/5/1998
Documentation: INSU-FORM, INC.
---------------------------------------------------------------------------
COMPLY 24 User 2655
• HVAC SYSTEMS Minimum Distrib Type
Duct TStat
System Type Efficiency and Location
-------------------------------------
RVal Type
---- ------
Location/Comments
-----------------------
Furnace 0.800 AFUE Ducts in Attic
4.2 SetBck
WHOLE HOUSE
SpltAirCond10.000 SEER Ducts in Attic
4.2 SetBck
Water
No. Tank
Ext.
WATER HEATING SYSTEMS
Heater
in Energy Size
Insul
System Name Distribution Type Type
Sys Factor (gal)
R -Val
----------------------- ------------------
Std Gas 50 gal or Less Standard
-------
StorGas
--- ------ -----
1 0.53 50.0
-----
12.0
1:00
WATER HEATER EQUIPMENT DETAIL /Rec Rated Stdby Tank Pilot
System Name System Type Eff Input Loss R -Val Light
----------------------- ----------- ---- ----- ----- ----- -----
Std Gas 50 gal or Less DomesticHW 0.780 40000 0.040 0.0 0
SPECIAL FEATURES/REMARKS
COMPLIANCE STATEMENT
This Certificate of Compliance lists the building features and performance
specifications needed to comply with Title 24, Parts 1 & 6 of the Califor-
nia Code of Regulations, and the administrative regulations to implement
them. This certificate has been signed by the individual with overall
design responsibility. When this certificate of compliance is submitted for
a single building plan to be built in multiple orientations, any shading
feature that is varied is indicated in the Special Features/Remarks section
DESIGNER or OWNER
(Per Business & Professions Code)
Lic #:
(signature) (date)
ENFORCEMENT AGENCY
Name:
Title:
Agency:
Telephone:
DOCUMENTATION AUTHOR
JOAN D. HACKER
INSU-FORM, INC.
68487 HIGHWAY 111, SUITE 56
CATHEDRAL CITY, CA 92264
(619).324-0216
OFF-TIM
� Y
t •
(signature/stamp) (date)
MANDATORY MEASURES CHECKLIST (part 1 of 2) MF -1R page 5 of 13
---------------------------------------------------------------------------
Project Name: CALIFORNIA DESERT CONSTRUCTION Date: 1/5/1998
Documentation: INSU-FORM, INC. COMPLY 24 User 2655
NOTE: Lowrise residential buildings subject to the Standards must contain
these measures regardless of the compliance approach used. Items marked
with an asterisk (*) may be superseded by more stringent compliance
requirements listed on the Certificate of Compliance. When this checklist
is incorporated into the permit documents, the features noted shall be
considered by all parties as binding minimum component performance
specifications for the mandatory measures whether they are shown elsewhere
in the documents or on this checklist only.
BUILDING ENVELOPE MEASURES
Enforcement
o Sec. 150(a): Minimum R-19 ceiling insulation. * ,
o Sec. 150(b): Loose fill insulation manufacturers
labeled R -Value.
o Sec. 150(c): Minimum R-13 wall insulation in framed walls
(does not apply to exterior mass walls).
o Sec. 150(d): Minimum R-13 raised floor insulation in framed
floors; Minimum R-8 in concrete raised floors. *
o Sec. 150(1): Slab edge insulation - water absorption rate
no greater than 0.3%, water vapor transmission rate no
greater than 2.0 perm/inch.
o Sec. 118: Insulation specified or installed meets California
Energy Commission quality standards. Indicate Type & form.
o Sec. 116-117: Fenestration Products, Ext Doors & Infil/Exfil Controls
a. Doors and windows between conditioned and unconditioned
spaces designed to limit air leakage.
b. Manufactured fenestration products have label w/certified U -Value
c. Exterior doors and windows weatherstripped; all joints
and penetrations caulked and sealed.
o Sec. 150(g): Vapor barriers mandatory in Climate Zones 14
and 16 only.
o Sec. 150(f): Special infiltration barrier installed to
comply with Sec. 151 meets Commission quality standards.
o Sec. 150(e): Installation of Fireplaces, Decorative Gas
Appliances and Gas Logs
1. Masonry and factory -built fireplaces have:
a. Closeable metal or glass door
b. Outside air intake with damper and control
c. Flue damper and control
2. No continuous burning gas pilots allowed.
t.
MANDATORY MEASURES CHECKLIST (part 2 of 2) MF -1R page 6 of 13
---------------------------------------------------------------------------
Project Name: CALIFORNIA DESERT CONSTRUCTION (Date: 1/5/1998
Documentation: INSU-FORM, INC. ICOMPLY 24 User 2655
---------------------------------------------------------------------------
SPACE CONDITIONING, WATER HEATING AND PLUMBING SYSTEM MEASURES Enforcement
o Sec. 110-13: HVAC equipment, water heaters, showerheads
and faucets certified by the Commission.
o Sec. 150(i): Setback thermostat on all applicable
heating systems.
o Sec. 150(j): Pipe -and -Tank Insulation
1. Indirect hot water tanks (eg unfired storage tanks or
backup solar hot water tanks) have insulation blanket
(R-12 or greater) or combined interior/exterior insulation
(R-16 or greater).
2. First 5 feet of pipes closest to water heater tank,
non -recirculation systems, insulated (R-4 or greater.
3. All buried or exposed piping insulated in recirculation
sections of hot water system.
4. Cooling system piping below 551F insulated.
5. Piping insulated between heating source and indirect hot.
water tank.
o Sec. 150(m) Ducts and Fans *
1. Ducts constructed, installed and sealed to comply with
UMC Sections 1002 and 1004; ducts insulated to a minimum
R-4.2 or ducts enclosed entirely within conditioned space.
2. Exhaust systems have backdraft or automatic dampers.
3. Gravity ventilating systems serving conditioned space have
either automatic or readily accessible manually operated
dampers.
o Sec. 114:Pool and Spa Heating Systems and Equipment
1. System is certified with 78% thermal efficiency, on-off
switch, weatherproof operating instructions, no electric
resistance heating and no pilot light.
2. System is installed with:
a. At least 36" pipe between filter and heater for future
solar heating.
b. Cover for outdoor pools or outdoor spas.
3. Pool system has directional inlets and a circulation
pump time switch.
o Sec. 115: Gas-fired central furnace, pool heater, spa heater
or household cooking appliance have no continuously
burning pilot light. (Exception: Non -electrical cooking
appliance with pilot < 150 Btuh)
LIGHTING MEASURES
o Sec. 150(k): Lighting - 40 lumens/watt or -greater for
general lighting in,kitchens and rooms with water closets;
and recessed ceiling fixtures IC (insulation cover) approved.
HVAC ZONE HEATING & COOLING LOAD SUMMARY page 7 of 13
+' Project Name: CALIFORNIA DESERT CONSTRUCTION Date: 1/5/1998
Documentation: INSU-FORM, INC. COMPLY 24 User 2655
--------------------------------------------------------------------------J
HVAC ZONE DESCRIPTION
HVAC Zone Name: WHOLE HOUSE
Heating System Name: Day&Night 383KAV036070
Cooling System Name: Day&Night 563A -036-A
System Multiplier: . 1
Fan Schedule: 24 Hr Fans STD
Peak Load Method: COINCIDENT
Relative.- Humidity: :. , 50
COOLING
SPACES IN THIS ZONE PEAK HEATING PEAK SENSIBLE LATENT
WHOLE HOUSE (Jan 12am) 25212 (Aug 2pm) 21204 -1236
-------------- ------
TOTAL SPACE LOAD 25212 21204 -1236
Duct Gains & Losses: 2521 2120
Ventilation: ( 0 CFM) 0 0 0
Return Air Lighting Gain 0
------- -------- ------
TOTAL SYSTEM LOAD 27733 23324 -1236:
SYSTEM OUTPUT AT DESIGN CONDITIONS 53000
26688 4962
NOTE: The TOTAL SYSTEM LOAD shown represents the minimum size equipment
which will heat or cool this zone during the design conditions indicated.
These numbers'include no safety factor, and the HVAC contractor should
oversize by a reasonable -margin to account for variations in weather
conditions and the pick-up capacity required to bring the zone to temper-
ature as a result of a setback thermostat. Those responsible for final
equipment selection should note that Sensible and Latent Cooling Loads are
indicated to allow for accurate comparison with manufacturer's output data.
RESIDENTIAL SPACE HEATING LOAD SUMMARY page 8 of 13
---------------------------------------------------------------------------
Project Name: CALIFORNIA DESERT CONSTRUCTION Date: 1/5/1998
Documentation: INSU-FORM, INC. COMPLY 24 User 2655
----------------------------------------------------- --------------------
Space Name: . WHOLE HOUSE
Design Indoor Dry Bulb Temperature:
Design Outdoor Winter Dry Bulb Temperature:
Design Temperature Difference:
70 F
32 F
38 F
Conduction
Area
U -Value
TD
Btu/hr
R-13 WALL/111EPS
772:0
x
0.0585
x
38.0 =
1716
Solid Wood Door
20.0
x
0.3872
x
38.0 =
294
DOUBLE
36.0
x
0.8400
x
38.0 =
1149
DOUBLE
32.0
x
0.8400
x
38.0 =
1021
DOUBLE
76.0
x
0.8400
x
38.0 =
2426
DOUBLE
20.0
x
0.8400
x
38.0 =
638
R-38 Roof(R.38.2xl2.16)
1448.0
x
0.0282
x
38.0 =
1554
Slab on Grade
Perim =
55.8
x
42 =
2318
Slab on Grade
Perim =
150.1
x
42 =
6229
Infiltration: 1.00 x 0.018
x 1448 sf
x 8.0
ft
x 1.00 AC
x
38.0
= 7865
TOTAL
HOURLY
HEAT
LOSS FOR
SPACE
25212
Heating AirFlow: 25212
Btu/hr /
[1.07 x
35
F DeltaT)]
= 672
cfm
RESIDENTIAL SPACE COOLING LOAD SUMMARY page 9 of 13
_ ---------------------------------------------------------------------------
Project Name: CALIFORNIA DESERT CONSTRUCTION Date: 1/5/1998
Documentation: INSU-FORM, INC. COMPLY 24 User 2655
---------------------------------------------------------------------------
Space Name: WHOLE HOUSE
Design Indoor Dry Bulb Temperature:
Design Outdoor Summer Dry Bulb Temperature:
Design Temperature Difference:
78 F
115 F
37 F
Conduction
Op Frac.
Area
Heat Gain
U -Value
Btu/hr
DETD
Btu/hr
-----------------------
R-13-WALL/111EPS
---------
x 0.000 x
------
772.0
x
-------
0.0585
x
----
30.6 =
------
1382
Solid Wood Door
= 978
20.0
x
0.3872
x
30.6 =
237
DOUBLE
TOTAL HOURLY
36:0
x
0.8400
x
37.0 =
1119
DOUBLE
23 F DeltaT)]
32.0
x
0.8400
x
37.0 =
995
DOUBLE
76.0
x
0.8400
x
37.0 =
2362
DOUBLE
20.0
x
0.8400
x
37.0 =
622
R-38 Roof(R.38.2x12.16)
1448.0
x
0.0282
x
51.0 =
2086
Infiltration: 1.00 x 0.018 x 1448
sf x 8.0 ft
x 1.00 AC
x
37.0 =
7658
Shaded
Unshaded
Solar Gain
Orient.
Area SGF
Area SGF
SC
-----------------------
DOUBLE
---------
East [
---- ---
6.0 x 15
+
---- ---
10.0 x
73]
----
x 0.49
= 402
DOUBLE
East [
6.0 x 15
+
6.0 x
73]
x 0.49
= 259
DOUBLE
East [
3.0 x 15
+
1.0 x
73]
x 0.49
= 58
DOUBLE
South [
20.0 x 15
+
0.0 x
32]
x 0.49
= 147
DOUBLE
South [
40.0 x 15
+
0.0 x
32]
x 0.49
= 294
DOUBLE
South [
16.0 x 15
+
0.0 x
32]
x 0.49
= 118
DOUBLE
West [
6.0 x 15
+
10.0 x
73]
x 0.49
= 402
DOUBLE
West [
3.0 x 15
+
1.0 x
73]
x 0.49
= 58
DOUBLE
North [
0.0 x 15
+
16.0 x
15]
x 0.49
= 118
DOUBLE
North [
0.0 x 15
+
20.0 x
15]
x 0.49
= 147
Internal Gain
Op Frac.
Area
Heat Gain
Conv.
-----------------------
Lighting
--------
1.00
------
x 1448.0
x
---------
0.200
x
-----
3.413 =
988
Equipment
1.00
x 1448.0
x
0.100
x
3.413 =
494
Occupants
1.00
x 1448.0
x
225
/
333 =
978
TOTAL HOURLY SENSIBLE HEAT GAIN FOR SPACE 21204
Latent Gain
Op Frac.
Area
Heat Gain
Conv.
Btu/hr
-----------------------
Equipment
--------
1.00 x
------
1448.0
---------
x 0.000 x
-----
3.413
------
= 0
Occupants
1.00 x
1448.0
x 225 /
333
= 978
Infiltration: 1.00 x
0.018 x 1448 sf
x 8.0
ft x 1.00 AC
x -9.8
= -2031
TOTAL HOURLY
LATENT
HEAT GAIN FOR
SPACE
-1236
Cooling AirFlow:
21204 Btu/hr /
(1.07 x
23 F DeltaT)]
= 860
cfm
'r%
:l
COMPUTER METHOD SUMMARY. C -2R page 10 of 13
-------------------------------------------------------7--------------------
Project Name: CALIFORNIA DESERT CONSTRUCTION Date: 1/5/1998
Documentation: INSU-FORM, INC. COMPLY. 24 User 2655
----------------------------------------------------------------------=----
RESSIM RESULTS NOT CALCULATED
GENERAL INFORMATION
Compliance Method:
Climate Zone:
Conditioned Floor Area:
Building Type:
Building Front Orientation:
Number of Dwelling Units:
Number of Stories:
Floor Construction.Type:
Total Conditioned.Volume:
Conditioned Footprint Area:
Ground Floor Area:
COMPLY 24 version 4.11
15
1448 sqft
Single Fam Det
90 deg (E)
1
1
Slab on,Grade
11584 cuft
1448 sqft
1448 sqft
BUILDING ZONE INFORMATION
Floor # of Vent
Zone Name Area Volume Units Zone Type TStat Type Hgt Area
----------------------- -----------
-------------------------- --- ----
WHOLE HOUSE 1448 11584 1.00 Conditioned Setback 2 n/a
OPAQUE SURFACES Act Solar
Type Area U -Val Azm Tilt Gains Form 3 Reference Location/Comments
ZONE NAME = WHOLE HOUSE
Wall
208
0.059
90 •
90
Yes
R-13
WALL/111EPS
WHOLE
HOUSE
Wall
244
0.059
180
90
Yes
R-13
WALL/111EPS
WHOLE
HOUSE
Wall
276
0.059
270
90
Yes
R-13
WALL/111EPS
WHOLE
HOUSE
Wall
44
0.059
0
90
Yes
R-13
WALL/111EPS
WHOLE
HOUSE
Door
20
0.387
0
90
Yes
Solid Wood Door
WHOLE
HOUSE
Roof
1448
0.028
90
22
Yes
R-38
Roof(R.38.2xl2.16)
WHOLE
HOUSE
J
COMPUTER METHOD SUMMARY C -2R page 11 of 13
---------------------------------------------_------------------------------
Project Name:. CALIFORNIA DESERT CONSTRUCTION Date: 1/5/1998
Documentation: INSU-FORM, INC. COMPLY 24 User 2655
----------------------------------------------------- --------------------
PERIMETER LOSSES
Type
F2
SC
Insulation
Shade Type
SC
--
1
----
Wdw
Type
---------
Length
------
Factor
------
R -Val
-----
Depth
-----
Screen
Location/Comments
--------
;
NAME = WHOLE
HOUSE
Blind
0.58
Standard
Bug
Screen
0.87
3
Exposed
55.8
0.,90
0.58
0.0
0
in
WHOLE
HOUSE
Wdw
Covered
150.1
0.72,
Standard
0.0
0
in
WHOLE
HOUSE
Light
FENESTRATION
SURFACES:-
Standard
Bug
Screen-
0.87
6
SC
Light
Blind
0.58
Standard
Bug
Screen
0.87
7
Act
Light
Glass
0.58
Standard
# Type
Screen
Area
Frame
Div
U -Val
Azm
Tilt'Only
Location/Comments
ZONE NAME =
WHOLE
HOUSE
9
Wdw
Light
Blind
0.58
Standard
Bug
1 Wdw Front
(E)
16.0
Metal
No
0.84
90
90
0.88
WHOLE.HOUSE
0.87
2 Wdw Front
(E)
12.0
Metal
No
0.84
90
90
0.88
WHOLE
HOUSE -
3 Wdw Front
(E)
4.0
Metal
No
0.84
.90
90
0.88
WHOLE
HOUSE
4 Wdw Left
(S)
20.0
Metal
No.
0.84
180
90
0.88
WHOLE
HOUSE
5 Wdw Left
(S)
40.0
Metal
No
0.84
180
90
0.88
WHOLE
HOUSE
6 Wdw Left
(S).
16.0
Metal
No
0.84-18
0
90
0.88
WHOLE
HOUSE
7 Wdw Back
(W)
16.0
Metal
No
0.84
.270
90
0.88
WHOLE
HOUSE
8 Wdw Back
(W)
4.0
Metal
No
0.84
270
90
0.88
WHOLE
HOUSE
9 Wdw Right
'(N)
16.0
Metal
No
0.84
0
90
0.88
WHOLE
HOUSE
10 Wdw Right
(N)
20.0
Metal
No
0.84
0
90
0.88
WHOLE
HOUSE
INTERIOR & EXTERIOR SHADING
#
Type
Interior Shade Type
SC
Exterior
Shade Type
SC
--
1
----
Wdw
-----------------------
Light
Blind
----
0.58
-----------------------
Standard
Bug
Screen
----
0.87
2
Wdw.
Light
Blind
0.58
Standard
Bug
Screen
0.87
3
Wdw
Light
Blind
0.58
Standard
Bug
Screen
0.87
4
Wdw
Light
Blind
0.58
Standard
Bug
Screen
0.87
5
Wdw
Light
Blind
0.58
Standard
Bug
Screen-
0.87
6
Wdw
Light
Blind
0.58
Standard
Bug
Screen
0.87
7
Wdw
Light
Blind
0.58
Standard
Bug
Screen
0.87
8�Wdw
Light
Blind
0.58
Standard
Bug
Screen
0.87
9
Wdw
Light
Blind
0.58
Standard
Bug
Screen
0:87
10
Wdw
Light
Blind
0.58,
Standard
Bug
Screen
0.87
THERMAL MASS Area Thick
Type (sf) (in)
ZONE-NAME="WHOL'E'HOUSE
Exposed Slab 195 3.50
Covered Slab 1253 3.50
Heat . Inside Location
"Cap Cond Form 3 Reference R -Val. Comments
----- --------------------------- ------ --------
28 0.98 n/a
28 0.9.8" n/a
HVAC SYSTEMS Minimum" Distrib Type Duct TStat
System Type Efficiency and Location RVal Type . Location/Comments
------=------------------------------ ---- ------ -----------------------
Furnace 0.800 AFUE Ducts in Attic 4.2 SetBck WHOLE HOUSE
SpltAirCond10.000 SEER Ducts in Attic 4.2 SetBck
Water No. Tank Ext.
WATER HEATING SYSTEMS Heater in Energy 'Size Insul
System Name Distribution Type Type Sys Factor (gal) R -Val
Std Gas 50 gal'or Less Standard StorGas 1 0.53 50.0 12.0
AFUE
WATER HEATER EQUIPMENT DETAIL /Rec Rated Stdby Tank Pilot
System Name System Type Eff Input Loss R -Val Light
Std Gas 50 gal or Less DomesticHW 0.780, 40000 0.040 0.0 0
SPECIAL FEATURES/REMARKS
COMPUTER
METHOD
SUMMARY
C -2R page 12 of 13
---------------------------------------------------------------------------
Project
Name:
CALIFORNIA
DESERT CONSTRUCTION
Date: 1/5/1998
1 Documentation:
-=-------------------------------------------------------------------------
INSU-FORM,
INC.
COMPLY 24,User 2655
OVERHANGS/SIDE
FINS
--Window--
----- overhang ------- ---Left
Fin --- ---Right",Fin--
# Type
Ht
Wd
Len,
Ht
LExt
RExt Dist'Len
Ht Dist Len. Ht
-- ----
1 Wdw
----
4.0
----
"4.0
----
2.0
----
0.1
----
2.0
---- ---- ----
2.0
---- ---- ---- ----
2 Wdw
3.0
'4.0
2.0
0.1
2.0
2.0
3 Wdw
2.0
2.0
2.0
0.1
2.0
2.0
4 Wdw
-4.0�
5.0
2.0
0.1
2.0
2.0
5 Wdw - "
6'..'8.
6. 0 ""
"_ " 2. 0
0, 1
2 .0.
2.0
6 Wdw
4.0
4.0.
2.0
0.1"
2.0
2.0
7 Wdw
4.0
4.0
2.0
0.1
2.0
2.0
8 Wdw
2.0
2.0
2.0
0.1
2.0
2.0
9 Wdw
4.0
4.0
2.0'
0.1
2.0
2.0
10 Wdw
4.0
5.0
2.0
0.1
2.0
2.0
THERMAL MASS Area Thick
Type (sf) (in)
ZONE-NAME="WHOL'E'HOUSE
Exposed Slab 195 3.50
Covered Slab 1253 3.50
Heat . Inside Location
"Cap Cond Form 3 Reference R -Val. Comments
----- --------------------------- ------ --------
28 0.98 n/a
28 0.9.8" n/a
HVAC SYSTEMS Minimum" Distrib Type Duct TStat
System Type Efficiency and Location RVal Type . Location/Comments
------=------------------------------ ---- ------ -----------------------
Furnace 0.800 AFUE Ducts in Attic 4.2 SetBck WHOLE HOUSE
SpltAirCond10.000 SEER Ducts in Attic 4.2 SetBck
Water No. Tank Ext.
WATER HEATING SYSTEMS Heater in Energy 'Size Insul
System Name Distribution Type Type Sys Factor (gal) R -Val
Std Gas 50 gal'or Less Standard StorGas 1 0.53 50.0 12.0
AFUE
WATER HEATER EQUIPMENT DETAIL /Rec Rated Stdby Tank Pilot
System Name System Type Eff Input Loss R -Val Light
Std Gas 50 gal or Less DomesticHW 0.780, 40000 0.040 0.0 0
SPECIAL FEATURES/REMARKS
a
POINT SYSTEM SUMMARY.
P -2R
page 13 of
13
`* Project Name•. CALIFORNIA DESERT
CONSTRUCTION
- -----------------------
Date:
1/5/1998
,k Documentation: INSU-FORM, INC.
--------------------------=----------------=-------------------------------
COMPLY 24 User 2655
BUILDING DATA
-------------
Conditioned'Floor Area 1448 sqft
Number of
Stories
1
Occupancy Type Single
Fam Det.
SCORECARD
Measure
Points
1. Roof,Insulation
0.0282
(U -Value)
0
2. Wall Insulation
0.0585.
(U -Value)
-1
3. Raised Floor Insulation
0.0000
(U -Value)
3a. Controlled Vent-Crawlspace
0.0
(R -Value)
->
0
4. Slab Edge Insulation
0.7688
(f2 factor)
5. Infiltration
Standard
0
6. Glass Heat Loss.
0.84
11.3%
0
Sum 1-6
-1
7. Fenestration Heat Gain
SC
Orientation Area % Glass
Open.
Eff %
SER
North 36.0 2.5
x 0.77 =
1.9
0.64 1
East 32.0 2.2
x 0.65. =
14
0.;56 1
South 76.0 5.2
x 0.67 =
3..5
0.50 -1
West 20.0 1.4
x 0:63 =
0.9
0.58 3
Skylight 0.0 0.0
x 0.00 =
0.0
0.00 0
8.- Interior Thermal Mass
2.18
0
9., Exterior Wall Mass
0.00
0
Sum '7-9
4
10. Heating System
0
Zonal Control: No
11. Cooling System
0
12. Water Heating
=
0
Point
Total:
3
Representative photo only, some models may vary in appearance.
UL
UL.
Rated in accordance with ARI Standard Listed By
210. Certification applies only when used Underwriters'
with proper components as listed with ARI. Laboratories
1 1/2 THRU 5 TONS SPLIT SYSTEM
FEATURES
• High efficiency scroll compressors on all models
• Sweat valves on all models
• External refrigerant connections
• Copper tube / aluminum fin coil
• Prepainted condenser fins
• Fan motor in-line disconnect plug
• Factory charge
• Top air discharge for quieter operation
• Galvanized steel cabinet with integral base rails
• Triple step paint process
• Coated inlet grille
LP -1
421 21 1102 02
6A5518VKD I 6A5524VKD I CA5530VKD I CA5WVKD I CASS41VKD I CASMVKD CAMVKD I
11.9
14.1
Model Number
V Electrical
Voltage -Phase -Hz
Data
Voltage Range (Min -Max)
#14/50
Minimum Circuit Ampacity
#14/30
Win: SizelMax. Length (AWG
#12/25
Time Delay Fuse (Amps)
#8/�
Max. Fuse or HACR Type Brei
Compresor
Voltage -Phase -Hz
Data
Full Running / Lock Rotor Amp
Fan Data
Voltage -Phase -Hz
20
Horsepower/ Type
30
Full Load I Lock Rotor Amps.
40
Speeds / CFM (Max)
Outdoor .
Total Face Area (Sq. FL)
Coil Data
Fins Per Inch / Rows
208/ 230-1-60
Tube Diameter (OD) (In.)
Charge
Suction I.D. Size (In.)
9.0/42
Liquid I.D. Size (In.)
14.1/73
Factory Charge R-22
Weights
Shiopinq / Net (lbs.)
6A5518VKD I 6A5524VKD I CA5530VKD I CA5WVKD I CASS41VKD I CASMVKD CAMVKD I
11.9
14.1
18.9
21.3
24.6
28.6
35.7
#14/50
#14/40
#14/30
#12135
#12/25
#10/40
#8/�
15
20
2530
All Models
30
35
45
20
20
30
35
40
50
60
208/ 230-1-60
9.0/42
10.3/-53
14.1/73
16.0/100
18.6/127
21.8/131
27.1/175
208/230-1-60
118 / PSC
1/51 PSC
1151 PSC
1/5 / PSC
1/3 / PSC
113 / PSC
1/3 / PSC
6511.55
1.312.3
1.3/2.3
1.3/2.3
1.4/3.6
1.4/3.6
1.9/4.35
1/1400
1/2100
1/2100
1/2200
1/2800
1/3000'
1/3500
10.73
10.73
10.73
13.41
15.39
20.13
21.31
20/1
20/1
22/1
2211
22/1
22/1
22/1
3/8
314
7/8
11/8
5/16
318
59
73
74
82
98
134
150
130/122
1321123
1401131
156/146
183/165
193,1 180
209 1196
ACCESSORIES
Model / Part
Number
Description
Use With
AMA001TDA
Indoor Blower Time Delay
All Models
24370800
Compressor Anti -short cycle 24 Volt 3 Min. Time Delay
All Models
1070822
Compressor Anti -short cycle 24 Volt 5 Min. Time Delay
All Models
1148671
Low Ambient Kit (Fan Cycling Switch)
All Models .
1053477
Compressor Crankcase Heater Solid State "Stick On" Type
All Models
1148113
Compressor Crankcase Heater "Wrap-around" Type
All Models
1060833
Compressor Sound Jacket
3 Ton
1060834
Compressor Sound Jacket
4 and 5 Ton
Order from Service Parts
) SPECIFICATIONS SUBJECT TO cNANa wmHOlfr NOTICE
i1•
Se
PERFORMANCE
INDOOR MODEL
••
BTUH
Base Match
SEER
ACCESSORIES
+ TD11 + TXV
SEER SEER
+ TD1 + TXV
SEER
EER
WATTS
SIT
CFM
PIN
BELS
OUTDOOR
MODEL
CA5518VKD
EP'18B15A
17500
10.9
11.1
11.3
11.4
10.4
1683
.74
600
.051
72
EP'24615A 18000 11.0 11.2 11.4 11.5 10.6 1698 .75 600 .051#
EP'30(B15,F19)A 18000 11.1 11.3 11.5 11.6 10.6 1698 .75 600 .051#
EX'24(B15,F19)A 18300 11.3 11.4 - - 10.8 1694 .73 600 TXV
EAH5524SA 18000 11.0 11.2 11.4 11.5 10.7 1682 .74 600 .051 #
EAH5536SA 18500 112 11.4 11.6 12.0 10.9 1697 .74 600' .051#
FCP2400A 17500 10.9 - • 11.3 - 10.2 1715 .74 600 .051# .
FCX2400A 18200 11.2 - - - 10.7 1699 .73 600 TXV
CA5524VKD
EP'24615A
23600
10.5
10.7
10.9
11.0
10.2
2314
.74
800
.059
74
EP'30(B15,F19)A 23600 j 10.6 10.8 11.0 11.1 102 2314 .76 800 .059#
EX'24(B15,F19)A 24200 11.2 11..3 - - 10.3 2350 .75 800 TXV
EAH5524SA 24200 10.5 10.7 10.9 11.0. 10.2 •2353 .72 800 .059#
EAH5536SA 24200 10.7 11.0 11.1 11.2 10.7 2286 .75 800 .059#
FCP2400A 23600 10.5 - 11.0 - 10.0 2360 .74 800 .059#
FCX2400A 24200 11.1 - - - 10.3 2350 .75 800 TXV
CA5530VKD
EP'30(815,F19)A
28600
10.5
10.7
10.9
11.0
9.7
2948
.76
1000
.065
76
EP'36(B15,F19,J22)A 28800 10.6 10.8 11.0 11.1 9.7 2969 .75 1000 .065#
EX'36(F19,J22)A 30000 11.2 11.3 - - 10.0 3000 .74 1000 TXV
EAH55WSA 28200 1 10.4 10.6 10.8 11.0 9.5 2968 .73 1000 .065#
FCP3000A 28600 10.5 - 11.0 - 9.5 3010 .76 1000 .065
FCX3600A 30000 11.1 - - - 10.0 3000 .74 1000 TXV
CA5536VKD
CA5536VHD
CA5536VLD
EP'36(615,F19,J22)A
34400
10.5
10.7
10.9
11.0
9.5
3621
.75
1200
.072
76
EP'42(F19,J22)A 36000 11.0 11.2 11.4 11.5 10.6 3396 .74 1200 .072#
EX'36(F19,J22)A 36000 11.5 11.6 - - 10.3 3495 .74 1200 TXV
EAH5536SA 33800 10.6 10.8 11.0 9.4 3596 .74 1200 .072#
FCP3600A 34400 10.5 - 11.0 - 9.3 3699 .75 1200 .072
FCX3600A 36000 11.3 - - - 10.3 3495 .74 1200 TXV
CA5542VKD
EP'42(F19,J22)A
42000
10.5
10.7
10.9
11.0
9.9
4242
.74
1225
.078
76
EX'42J22A 42000 11.0 11.1 - - 9.9 4242 .71 1400 TXV
EP'48F19A 42500 10.9 11.1 11.3 11.4. 9.9 4293 -.74 1400 .078#
EP'48(J22,N26)A 42500 11.0 11.2 11.4 11.5 10.0 4250 .73. 1400 .078#
EAH5548SA 42500 11.0 11.2 11.4 11.5 10.0 4250 .73 1400 .078#
FCP4200A 42000 10.5 - 10.9 - 9.5 4421 .74 1400 .078
FCX4800A 42000 11.0 - - - 9.9 4242 .71 1400 TXV
CA5548VKD
CA5548VHD
CA5548VLD
EP'48(J22,N26)A
46000
10.5
10.7
10.9
11.0
9.8
4694
.76
1600
.079
78
EX'48N26A 46000 11.5 11.6 - - 10.1 4554 .73 1600 TXV
EP*60J22A 47000 11.0 11.2 11.4. 11.5 9.8 4694 .76 1600. .079#
EAH5548SA 44500 10.9 11.1 11.3 11.5 9.7 4588 .74 1600 .079#
EAH5560SA 46500 11.0 11.2 11.4 11.5 9.9 4697 .74 1600 .079#
FCP4800A 46000 10.5 - 10.9 - 9.6 4791 .76 1600 .079
FCX4800A 45500 11.3 - - - 9.8 4664 -73 1600 TXV
CA556OVKD
CA5560VHD
CA5560VLD
EP*60J22A
58000
10.5
10.7
10.9
11.0
9.6
6042
.69
1600
.089
76
EP'60N26A 58000 10.5 107 10.9 11.0 9.6 6042 .69 1800 .089
EX*60N26A 60000 11.0 11.1 - - 9.9 6061 .69 1750 TXV
EAH5560SA 60000 10.7 10.9 11.1 11.5 9.6 6250 .70 1800 .089#
FCP6000A 58000 10.5 - 10.9 - 9.6 6042 .69 1800 .089
FCX6000A 59000 10.6 - - - 9.7 1 6082 .69 1750 TXV
- A = Loose Coil, C = Cased Upflow Coil, D = Cased Downflow Coil, H = Cased HOnZontal Cotl
- If TXV kit is used, disregard PIN.
# = Installer Must Change Pin To Size Indicated. Pin shipped with outdoor unit PIN = Refrigerant Orifice PIN size. TD1= AMA001TDA Indoor BlowerTime Delay Kit,
required to make seer indicated. ST9120, FCP, FCX, and EF fan controls also satisfy TD1 requirements. TXV = Thermostatic Expansion Valve, use TXV153
(AMF153TKA) on 1-1/2 to 3 Tons, use TXV355 (AMF355TKA) on 3-1/2 to 5 Tons. For Electric Furnace (EF Series) ratings: EF08B1500A = EPA24B15A + TD1,
EF12F1900A = EPA36F19A + TDI, EF16J2200A = EPA48J22A + TDI, EF20N2600A = EPA60N26 + TD1.
SPEgRCATIONS SUBJECT To MANGE wmrOUT NOTICE
TABLE 1 ACCESSORYUSED
TDI - AMA001TDA Indoor blower time delay kit required to make SEER indicated.
ON
All Models
AXA001TKA / AXBO02TKA Expansion Valve Kit
CA5518 & 24
AXA002TKA / AXBO03TKA Expansion Valve Kit
CA5530 & 36
AXA003TKA / AXBO04TKA Expansion Valve Kit
CA5542 & 48
AXA004TKA / AXB005TKA Expansion Valve Kit
CA5560
AMFI53TKA Expansion Valve Kit (Use with New Coils)
CASS18 thru CA5536
AMF355TKA Expansion Valve Kit (Use with New Coils)
CA5542 thru CA5560
EXTENDED REFRIGERANT LINE
CORRECTION FACTORS
Varying Line Length in Feet ( m ) vs. Total Capacity Multiplier
25 (8) So (15) 75 (23) 100 (30) T2-5 (3-8) 150 (46)
1.00 .99 .98 .96 .94 .92
REFRIGERANT CHARGE DATA
All models are factory charged with A-22 for outdoor unit,
25' ( 8m ) of referigerant line and matching indoor section.
Refrigerant charge correction per foot ( 305mm) of line:
1/4" O.D. =.25 oz.; 5/16" O.D. =.45 oz.; 3/8" O.D. =.60 oz.;
1/2" O.D. = 1.2 oz.
VOLTAGE CORRECTION• -
Volts Capacity Watts
208 .98 .99
INDOOR AIRFLOW
CORRECTION
InddoBor
TABLE
% Rated Air
90 95
100
105. 110
Total Cap. Mult.
.98 .99
1.00
1.01 1.03
Sens Cap. Mult
.95 .98
1.00
1.03 1.05
(Based on 95*F Ambient)
Entering Indoor Wet Bulb 'F (°C).
InddoBor
C
of (°Cl
rrection
Co59
F
G
63
65
67
69
71
17-1/2
-
5)
(16)
7)
( B)
(9)
(20)
(21)
70 (21)
Total Cap. Mull.
Sens Cap. Mult.
.90
.86
.93.
.85
.96
.82
.99
.77
1.02
.70
-
-
75 (24)
Total Cap. Mult.
Sens Cap. Mult.
.89
1.04
.92
1.03
.95
1.00
.98
.95
1.01
.88
1.04
.78
20.3/4
80 (26)
Total Cap. Mult.
Sens Cap. Mult.
.88
1.18
.91
1.17
.94
1.14
.97
1.08
1.00
1.00
1.03
.89
1.06
.73
85 (29)
Total Cap. Mutt.
Sens Cap. Mult.
-
-
90
129
.93
1.26
.96
120
.99
1.11
1.02
.98
1.05
.81
Rnlrt
Tvna = annrnximately 50% Relative Humiditv
I
T-
G
1T71
E II F H
U U
TOP VIEW
CORNER CONTROL
BOX '*�
43/4"
LOW VOLTAGE
/2 CONDUIT
Model
A
8 I
C
D
E I
F
G
H
I
CA5518
24
11-1/4
17-1/2
4
12-1/2
16.1/2
4-1/2
23.1/2
23.1/2
CA5524 24
11-1/4
CA5530 24
11-1/4
CA5536 30
17-1/4
CA5542
26
10-3/4
22
4
17-5/8
18-314
5-1/2
30
30
CA5548 34
1 18-3/4
CA5560 36
20.3/4
11//f
3l4 OR 7 UNEVOLTAGE I I
CONDUIT A
W. I'm, M�ww
11/2- - C -1 1T
1 /r,
31/4„
D
ALL DIMENSIONS IN INCHES
TEM--rRESIDENTIAL AND COMMERCIAL SYSTEMS • SPLIT SYSTEMS • PACKAGED AIR CONDITIONERS •
Heating and Cooling Products COMBINATION GAS I ELECTRIC UNITS • HEAT PUMPS • AIR HANDLERS • MANUFACTURED HOME AIR
CONDITIONERS • GAS. OIL AND ELECTRIC FURNACES
Inter -City Products Corporation (USA)
651 Heil --Quaker Ave.
Lewisburg, Tennessee 37091
PART No. 421 21 1102 02 o-97)
Printed in U.S.A. SPECIFICATIONS SUBJECT TO CHANGE WITHOUT NOTICE Replaces 421 21 1102 01
Y
r1�h
Representative photo only, some models may vary in appeaiance.
MANUFACTURED FOR NATURAL GAS
CONVERTIBLE TO (LP) PROPANE GAS
NOTE: These furnaces are not designed
for installation in a corrosive atmosphere,
containing Chlorine, Fluorine, or any other
damaging chemicals.
WARNING
This furnace is not designed for use inside
mobile homes, trailers, or recreational
vehicles. Such use could result in property
damage, bodily injury, and/or death.
UPFLOW HORIZONTAL 40" (Low NOx)
EFFICIENCY
• Hot surface pilot device.
• Induced draft combustion blower.
• Adjustable electronic fan control with low speed continuous fan feature
responds quickly to circulate heated air and provide maximum comfort.
HEAT EXCHANGER
• Four pass aluminized steel.
• 20 year limited heat exchanger warranty.
VENTING
• Vertical category I and horizontal through the wall category III venting
when vented in accordance with installation instructions and local codes.
BURNER ASSEMBLY
• In—shot monoport. All low NOx.
• Aluminized steel.
BLOWER ASSEMBLY
• Multispeed, prelubricated PSC motors. Dynamically balanced. Heavy
duty motor brackets. Resilient mounted motors.
WIRING CENTER
• 40VA transformer.
• Color coded wiring.
• Low voltage terminal board.
• Factory pre—wired to allow easy connection to an electronic air
cleaner and/or humidifier.
• Dependable electronic fan timer allows precise comfort control.
CABINET
• Grey baked enamel, steel cabinet.
• Foil—faced glass fiber heat exchanger compartment insulation.
SAFETY
• AGA and CGA design certified.
• Flame sensor.
• 100% safety shut off. Redundant gas valve.
• High temperature limit control.
• Flue blockage pressure switch.'
• Blower door interlock switch.
INSTALLATION
• May be installed as an upflow furnace or as a horizontal furnace.
• Compact design for minimum clearances.
• Convertible to (LP) Propane Gas.
�TFO
EFFICIENCY V�M
b. RAT
CERITIFIED
NG
ama 5
APPROVro
Design Certified
by A.G.A.
LP -1 441 212401 01
FURNACE SPECIFICATIONS
Model Number NATURAL GAS
•HORIZONTAL
NTN505OBFA
NTN50758FA
NTN50758HA
NTN51008HA
NTN5100BKA
NTN5100BKB
NTN5125BKA
NTN5125BKB
INPUT (btuh)
50,000
75,000
75,000
100,000
100,000
100,000
125,000
125,000
HTG. CAP. (btuh)
40,000
59,000
60,000
79,000
79,000
79,000
99,000
99,000
AFUE%(ICS)
80.0%
80.0%
80.0%
80.0%
80.0%
80.0%
80.0%
80.0%
CSE
73.0%
73.0%
73.0%
73.0%
73.0%
73.0%
73.0%
73.0%
NOx(Ng/J)
37
37
37
37
37
37
37
37
TEMP. RISE (deg. F)
35-65
35-65
25-55
35-65
35-65
35-65
40-70
40-70
VOLTS/PH/HZ
115/60/1
115/60/1
115/60/1
115/60/1
115/60/1
115/60/1
115/60/1
115/60/1
F.L.A.
9 .
9
12
12
12
12
12
12
TRANSFORMER (V.A.)
40
40
40
40
40
40
40
40
GAS PIPE SIZE (IN.)
1/2
1/2
1/2
1/2
1/2
1/2
1/2 .
1/2
CATEGORY 1 VENT SIZE
3"
4"
4"
4"
4"
4"
5"
5"
CATEGORY III VENT SIZE
3"
3"
3"
3"
3"
3"
3"
3"
COOLING CAP.
3.0 TON
3.0 TON
4.0 TON
4.0 TON
5.0 TON
5.0 TON
5.0 TON
5.0 TON
FILTER SIZE (IN.) (1 required)
14 x 25 x 1
14 x 25 x 1
16 x 25 x 1
16 x 25 x 1
20 x 25 x 1
20 x 25 x 1
20 x 25 x 1
20 x 25 x 1
SHIPPING WEIGHT (LBS.)
127
129
1 157
1 159
175
175
177
177.
DIMENSIONS (in.) HEIGHT
40
40 • .
40
'40
40
40
1 40
40
WIDTH X DEPTH
151/2 x 28'/2
151/2 is 281/2
191/8 x 281/2
191/8 x 28'/2
22 /4 x 28'/,
22"/4 x 28'/2
1 22J/4 x 281/2
22'!4 x 2811,
SLOWER•
Model Number
NATURAL GAS
NTN505OBFA
NTN5075BFA
NTN5075BHA
NTN51008HA
NTN5100BKA
NTN5100BKB
NTN5125BKA
NTN5125BKB
BLOWER TYPE AND SIZE
10x6
10x8
10x10
10x10
12x12
11x10
12x12
11x10
MOTOR H.P. (TYPE)
1/3
1/3
1/2
1/2
3/4
3/4
3/4
3/4
MOTOR SPEEDS
3
3
3
3
4
4
4
4
AIRFLOW.
.10 ESP IN. W.C.
LOW
645
733
1503
1333
1417
1210
1611
1264
MEDIUM LOW - - - - 1611 1441 1816
1520
MEDIUM 1000 1116 1722 1545 - - -
-
MEDIUM HIGH - - - - 1830 1773 2005
1841
HIGH 1305 1418 1887 1835 2219 2104 2250
2161
.20 ESP IN. W.C.
LOW
660
740
1460
1305
1405
1201
1575
1251
MEDIUM LOW - - - - 1595 1430 1765
1506
MEDIUM 990 1100 1660 1520 - - -
-
MEDIUM HIGH - - - - 1810 1740 1960
1803
HIGH 1250 1370 1810 1790. 2185 2078 2205
2132
.30 ESP IN. W.C.
LOW
665
742
1420
1284
1388
1197
1532
1249
MEDIUM LOW - - - - 1570 1453 1733
1486
MEDIUM 975 1085 1608 1496 - - -
-
MEDIUM HIGH .- - - - 1798 1740 1923
1772
HIGH , 1205 1323 1752 1754 2163 .2061 2158
2079
.40 ESP IN. W.C.
LOW
650
730
1370
1250
1360
1191
1480
1219
MEDIUM LOW - - - - 1545 1441 1670
1456
MEDIUM 950 1050 1540 1460 - - -
-
MEDIUM HIGH - - - - 1765 1718 1860
1736
HIGH 1150 1270 1670 1700 2125 2020 2110
2042
.50 ESP IN. W.C.
'LOW
655
711
1318
1218
1336
1167
1457
1168
MEDIUM LOW - - - - 1527 1425 1619
1427
MEDIUM 925 1016 1484 '420 - - -
-
MEDIUM HIGH - - - - 1726 1707 1805
1702
HIGH 1100 1209 1599 1655 2095 2005 2065
1991
.60,ESP IN. W.C.
LOW
•640
700
1250
1160
1300
1160
1395
1178
MEDIUM LOW - - - - 1480 1390 1560
1415
MEDIUM 890 970 1400 1380 - - -
-
MEDIUM HIGH - - - - 1700 1676 1750
1672
HIGH 1040 9100 1520 1585 2050 1953 1995
1914
.10 ESP IN. W.C.
LOW
615
670
1182
1088
1259
1130
1327
1143
MEDIUM LOW - - - - 1430 1365 1488
1358
MEDIUM 840 910 1322 1325 - - -
-
MEDIUM HIGH - - - - 1653 1654 1681
1614
HIGH 980 1061 1425 1497 2001 1917 1922
1838
1. Application of NTN510013JC above 1650 CFM requires two side returns or bottom return.
2. Applications of NTN5100BKC, NTN5125BKC, & NTN5150BKC above 1650 CFM requires two side returns or bottom return.
0
NOTE: Evaporator "A" coil drain pan dimensions
may vary from furnace duct opening size. Always
consult evaporator specifications for duct size
requirements.
5
25-20-29
I \ C
Unit is designed for bottom
return or side return.
Return air through back of
unit is NOT allowed.
Unit Dimensions
A
B
C
D
E
F
G
H
J
K
L
M
050BF& 075BF
40
15'/2
281/2
181/2
14
231/8
125/8
121/4
2212
281/4
26
237/8-
( 1 1.02)
(394)
(724)
(470)
056)
(587)
(321)
(311)
(572)
(718)
(660)
(606)
075BH & 10OBH
40
191/8
281/2
181/2
175/8
231/8
143/4
141/2
221/2
281/4
26
237/8
-(1.02)
(486)
(724)
(470)
(448)
(587)
(375)
(368)
(572)
(718)
(666).
(606)
1008K & 125BK
40
223/4
2B'/2
181/2
211/4
231/8
183/4
141/2
22172
28/4
26
237/8
(1.02)
(578)
(724)
(470)
_ (540)
(587)
(476)
(368)
(572)
(718)
(660)
(606)
vll l-WIV1W In 111%,nr-311111111R1CIC15/
SPECIFICATIONS SUBJECT TO CHANGE WITHOUT NOTICE I