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05737 (AR)' 4 4 " Building 77-811 CALLE SII P.O. BOX 1504 It 7&105 CALLE ESTADO Address LA QUINTA, CALIFORNIA 92253 vwhhch xOBUT/SAMMA iL'LL'elsllSrl S . Mailing " Address ShM City Zip Tel. LA QFi MTA 92253 1619/564-�i714 Contractor OWNERAL DER Address . Tela State Lic. I City & Classif. Lic. # Arch., Engr., Designer Address Tel. City I ZipI 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 OWNEWBUILDER DECLARATION I hereby affirm that I am exempt from the Contractors License Law for the following reason: (Sec. 7031.5,Busktess and Professions Code: Any city or county which requires a 1�permft to construct, after, Improve, demofsh, or repair any structure, prior to its issuance also requires the applicant for such permit to We 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 me Business and Professions Code, or that. he is exempt therefrom, and the basis for the alleged exemption. Any violationof Section 7031.5 by any applicant for a permit subjects the applicant to a chd penalty of not more than five hundred dollars (5500). ❑ 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 rnproves 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.) ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to con- struct the project. (Sec. 7044, Business and Professions Code: The Contr'actor's License Law does not apply to an owner of property who builds or improves .thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) ❑ 1 am exempt under Sec. a- & P.C. for this reason Date 6 I" ?,j. C Y Owner +•-u`�.. WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit is for one hundred -dollars (S 100) valuation or less.) I certify that in the perforohance 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' ff, after/making this Certificate of Exemption you should become .subject to the Workers' Canpensation provisions of the Labor Code, 'you must forthwith . comply with such provisions or this permit shag 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 Lenders Address This is a building permit when property filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. ' I certity that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter the above- mentioned property for inspection purposes. Signature of applicant Date Mailing Address City, State, Zip No. 05737 BUILDING: TYPE CONST. OCC: GRP. A.P. Number 773-181-001 ,Legal Description Project Description ROM ADDI' IOM Sq. Ft. lib No. No. Dw. Size Stories Units New,,❑ Add ❑ Alter ❑ Repair ❑ Demolition :1 Estimated Valuation fis,$12�8� PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. 70.20 Cogst. 108.00 Mech. Electrical 20.00 Plumbing INSPECTOR S.M.I. :53 Grading Date Permit Driveway Enc. Infrastructure Validation: TOTAL REMARKS Isi7 TXEM: k, `1d4 LL R _err r ..y. . :s` ac r'��,✓... i .IK'Ii�' 1� ��.tl �i%^ gig'"_. 1�1�;. �'S1 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 m FINAL DATE INSPECTOR 5/12/89 Issued by: Date Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. Sq. FT. ® $ UNITS SLAB GRADE ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL. SO. FT. FORMS SEWER OR SEPTIC TANK ROUGH WIRING MOBILEHOME SVC. BAR SINK POR. Sq. FT. ® GAS (ROUGH) METER LOOP HEATING (FINAL) POWER OUTLET ROOF DRAINS GAR. SO. FT. ® TEMP. POLE GROUT DRAINAGE PIPING CAR P. SO. FT. ® FINAL INSP. WALL SO. FT. WATER SYSTEM DRINKING FOUNTAIN. GRADING cu. yd. $ plus x$ =$ URINAL Sq. Ff. @ FINAL INSP. X FRAMINGd ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation _ FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER FIRE ZONE ROOFING GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED FIREPLACE LAUNDRY TRAY AIR HANDLING UNIT CFM KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET' COMPRESSOR HP POLE, TEMIPERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SO. FT. ® c BATH TUB Sq. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL SO.FT.GAR ® Vdc HOUSE SEWER FINAL INSPECTIO/o' GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ =$ LUMBER GR. FINAL INSP. X FRAMINGd FINAL INSP. ROOFING /n G✓ h� j v (� _ REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR FIREWALL AGAR. Orc-1LATHING Qom'( 2 MESH P INSULATION/SOUND/L/�/ C �� FINISH GRADING FINAL INSPECTIO/o' CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS GARDEN WALL FINAL DESERT SANDS UNFIED SCHOOL DISTRICT ' t 82-879 Highway '111 r Indio. CA 192201-. 1.. NOTICE; THIS DOCU1VCERTIFICATE OF SCHOOL FACILIT t FEE WAIVER ' 'BE DUPLICATED', TO: 0_DAT fqffq �n esti This is to, fy'Ahat developer.of t ich is located at __q9 _ / within- this ithinthis school•district, is -not required to,pay school facility, ees - pursuant to the authority`generated.by Government Code Section 53080. . Building permits for the project iredicated•above may now be issued by your .., -PERMIT D00jurisdicti,on_IF VALUATIONINDICATED—ON'BUILDING$,00, 'THIS WAIVER IS VOID AND "-A SCHOOL_FA ILITIES,FEE MUST BE PAID ,PRIOR TO ISS UANCE_OF B.U.ILD.ING—P_ERMIT.---� • - g� J � :.gc) '�.` for OtHRT. SAN UNIFIED SCHOOL DISTRICT White -Building Department Yellow-Faciitics Planning Pink -Developer (10)-38 Point System Summary: Climate Zone 15 MR n- x>i,- > z Qcis gg �, 3 c +'�-AXi I� 2 g Project Title Date •-� BUILDING DATA Conditioned Floor Area �.�� Number of Stories f Slab/Raised Floor Check all applicable UnitTq�e condidon(s): [ ] Single Family Detached (SFD) �] Addition Alone (] Single Family Attached (SFA) [ ] Existing Bui-ding [ ] Multi -Family (MF) Existing -Plug -Addition SCORE CARD Glass Area % Glass North East O �> South `8 11ILA, West 1. ';5_ Skylight + ty Total x SCORE CARD % Glass , SC Eff. % Glass P�1s S -a SNorth J Measures Point Scores 1. Ceiling Insulation + ty c. South x R-valuec[38] ti U -value [0.030] '- 'h x 2. Wall Insulation � '\ or.. ,.• x ;g5 _.-- 3. Raised R -value (19) �,A U -vague (0.066] Floor Insulation Interior Mass/CFA y or 11. Heating System Exterior Wall Mass 51 ._ R-value[19] 7 Tt yg U -value [0.037] S 7-10 '1 CN 4. Slab Edge Insulation o or 12. Cooling System [0.72/6.6] Qj 4 x . WS _ HSPF [0-5615.15] ;:I- R -value (0] F2 factor [0.771 SEER (9.5] Duct Efficiency [0.74] 5. Infiltration Standard 13. -Water Heating p 6. Glass Heat Loss '17U^N. . b Ctedi- (none] Type [double] U -value [0.65] %Total Glass C 16 Sum 1-6 7. Shading (Shade Open) I s,; e_ iS % Glass SC Eff. % Glass a. North �'- '3 QS C_: x G> ' -3 1 t �.� b. East i z t ... t.�. X G�)- _ C c. Southz 1 . ass x `i �Q d. West X �P e. Skylight- x-- 8. Shading (Shade,Closed) v t om- 'J Q S' 'SC % Glass , SC Eff. % Glass P�1s S -a SNorth J x '' 7 b. East x p = + ty c. South x d.. West 'h x e. Skylight ,.• x ;g5 _.-- 9. Interior Thermal Mass 10. Exterior Wall Mass Interior Mass/CFA y 11. Heating System Exterior Wall Mass 51 ._ x .561 = 7 Tt yg S 7-10 '1 Zonal Control? ( Y / N) SE or HSPF Duct Efficiency [0.78] Effective SE or 12. Cooling System [0.72/6.6] Qj 4 x . WS _ HSPF [0-5615.15] ;:I- Zonal Control? (Y / N) SEER (9.5] Duct Efficiency [0.74] Effective SEER [7.03] 13. -Water Heating Type [.SGI Ctedi- (none] Point Total: Form Revised March 1988 I Certificate of Compliance: Residential (Page I of 2) CF -1R Date, . L. A %k� "%a I. __1A Project Address —F-� � -A Building Permit # Dep&-entation Author Telephone Checked By Date Compliance Method (Package, Point System or Computer), Climate Zone Enforcement Agency Use Only GENERAL INFORMATION Total Conditioned Floor Area: �� �. ft? Building Type: Single Family Hotel/Motel'. (check one'or more) Multi -Family Gess than 4 .atones) Addition Multi -Family (4 or more stories) Existing -Plus -Addition Front Entry Orientation: North East South West All Orientations (circle one or more) Number of Dwelling Units: Floor Construction Type:Slab/ Raised Floor (circle one or both) Infiltration Control: Stapdard/Tight (circle one) BUILDING SHELL INSULATION Component Insulatio ' n Location/Comments Type R -Value. (attic, to garage, tw cal. etc -3 Wall .............. Wall .............. Roof ...... z4k I Roof ....... Floor ...... Floor ............. Slab Edge ..... GLAZING- Shading Devices Glazing Area Orientation '(Sf) Glass Type (single, double) Interior (roller blind- etc.) Exterior (shadescreen, etc.) Overhang (yes/no) Framing Type (metal/wood) Front.... (W) A , \) L'-I%a I Z; k%.— Jg VJ A Z -V Front .... T I Left.....:(s& 17:N AL_ NJ \1_1 ' \ Com`.C. IA A -%>M Left...... Rear..... Rear...'.. Right.... Right.... Skylight....... Skylight....... THERMAL MASS Type/Covering V%4V,,L- T,\\,z ,, Area Thickness (sf) .(inches) Location/I \IJ —3, 1J a R�_,, > HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage gas, etc.) Capacity (or aDproGed equal). Special Feature(s) SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24, Chapter 2-53 and Title 20,.Chapter 2, Subchapter 4, Article 1 of the California Administrative code. This certificate has been signed by the individual with overall design responsibility and the building owner, who shall retain a copy of it and transmit the certificate to any subsequent purchaser of the building. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, all building conservation features which vary are indicated in the Special Featu-=es/Remarks section. Designer Building Owner Name: . Name: Title/Firm: Title/Firm: Address: Address: Telephone. Lic. #: Telephone: (signature)' (date) (signature) (date) Documentation Author Enforcement Agency Name: iRolmsp-- '. 'PAJ Ir . Name: Title/Firm: PaZi-� 5; l 0 W A (,�) Agency: Address: I) a VkA 10 0 A Telephone: i z0 Telephone: (signature) (date) (signature or stamp) (date) Form Revised March 1988 a Certificate of Compliance: Residential (Page 2 of 2). CF -1R Project Title Date HVAC SYSTEMS Minimum Duct Type (furnace, air . _ Efficiency '(SE, Location I};1ct ' . Output Manufacturer / Model # conditioner, heat um) SEER,HSPF) (attic, etc.) R -Value tuh or approved equal) Maximum Furnace Heating Output: fc31140. Btuh HOT WATER SYSTEMS Tank Manufacturer/Model # System Type (storage gas, etc.) Capacity (or aDproGed equal). Special Feature(s) SPECIAL FEATURES/REMARKS (Add extra sheets if necessary) COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with Title 24, Chapter 2-53 and Title 20,.Chapter 2, Subchapter 4, Article 1 of the California Administrative code. This certificate has been signed by the individual with overall design responsibility and the building owner, who shall retain a copy of it and transmit the certificate to any subsequent purchaser of the building. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, all building conservation features which vary are indicated in the Special Featu-=es/Remarks section. Designer Building Owner Name: . Name: Title/Firm: Title/Firm: Address: Address: Telephone. Lic. #: Telephone: (signature)' (date) (signature) (date) Documentation Author Enforcement Agency Name: iRolmsp-- '. 'PAJ Ir . Name: Title/Firm: PaZi-� 5; l 0 W A (,�) Agency: Address: I) a VkA 10 0 A Telephone: i z0 Telephone: (signature) (date) (signature or stamp) (date) Form Revised March 1988 Insulation Certificate Number and Street City County Subdivision Lot Number Description of Installation ROOF . Material Brand Name Thickness (inches) Thermal Resistance (R -Value) EXTERIOR WALL Material Brand Name Thickness (inches) Thermal Resistance (R -Value) CEILING Batt or Blanket Type Brand Name Thickness (inches) Thermal Resistance (R -Value) Loose Fill Type Brand Name Contractor's minimum installed weight/e lb Minimum thickness inches Manufacturer's installed weight pei square foot to acheive Thermal Resistance (R -Value) RAISED FLOOR Material Brand Name Thickness (inches) Thermal Resistance (R -Value) SLAB FLOOR Material Brand Name Thickness (inches) Thermal Resistance (R -Value) Width (inches) TOUNDATION WALL Material Brand Name Thickness (inches) Thermal Resistance (R -Value) Declaration I hereby certify that the -above insulation was installed in the building at the above location in conformance with the current Building Energy. Efficiency Standards for new residential buildings contained in Title 24 of the Califomia Administrative Code. General Contractor (Builder) License Number Signature and Title Date Sub -Contractor (Insulation Installer) License Number ' Signature and Title Date Mandatory Measures Checklist: Residential MF -1R NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used.- Items marked with an asterisk (*) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. DESCRIPTION Building Envelope Measures * §2-5352(a): Minimum ceiling insulation R-19 weighted.average. .§2-5352(b): Loose fill insulation manufacturer's labeled R -Value. * §2-5352(c): Minimum wall insulation in furred walls R-11 weighted average (does not apply to exterior mass walls). §2-5352(k): Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0 perm/mch. - §2-5311: Insulation specified or installed meets California Energy Commission (CEC) quality standards. Indicate type and form. §2-5352(f): Vapor barriers mandatory in Climate Zones 14 and 16 only. §2-5317:. Infiltration/Exfiltration Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Doors and windows certified. c. Doors and windows weatherstripped; all joints and penetrations caulked and sealed. §2535Special infiltration barrier installed to comply with §2-5351 meets CEC quality standards. §2-5352(d): Installation of Fireplaces 1. Masonry and factory -built fireplaces have: a. Tight fitting, closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous bunting gas pilots allowed. \ HVAC and Plumbing System Measures §2-5352(8) and 2-5303: Space conditioning equipment sizing: attach calculations. §2-5352(h) and 2-5315: Setback thermostat on all applicable heating systems. * §2-5316(a): Ducts constructed; installed and insulated per Chapter 10, 1976 UMC. §275316(b): Exhaust systems have damper controls. §2-5314(c): Gas-fired space heating equipment has intermittent ignition devices. §2-5314: HVAC equipment. water heaters, showerheads and faucets certified by the CEC. §2-5352(i): Water heater insulation blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater); first.5 feet of pipes closest to tank insulated (R-3 or greater). §2-5312(Exception I):- Pipe insulation on steam and steam condensate return & recirculating piping. §2-5318(d): Swimming Pool Heating 1. System has: a. On/off switch on heater. b. Weatherproof instruction plate on heater. c. Plumbed to allow for solar. 2. 75 percent thermal efficiency. 3. Pool cover. 4. Time clock. 5. Directional water inlet. Lighting and Appliance Measures §2-53520: Lighting - 251umens/watt or greater for general lighting in kitchens and bathrooms. §2-5314(c): Gas fired appliances equipped with intermittent ignition devices. §2-5314(a): Refrigerators, refrigerator -freezers, freezers and fluorescent lamp ballasts certified by the CEC. Indicate make and model number. . * Forth Revised December 1997 DESIGNER I ENFORCEMENT Proposed Construction Assembly:', Residential Form 3R Pro ectTitle Date Proed Address `res�s { - . '\ �� z •�� •BwldiagPeimitN DocumeAntation Author Tellee-pphone \L^'.�-'i � �` �.�, •�� • �.� �• ' \ � -�� Checked By /Date . Assembly Name Enforcement Agency Use Only Assembly -Type: - Floor (check one) ; V. Wall R -Value Ceiling/Roof Cavity(Rc) Framing Material: Outside Surface Air -Film Framing Size: Z x FramingSpacing: '.. "-o.c.. Franung Percentage: Wall: 15% (16" o.c.) (check one) ' . 3. 12% (24" o.c.) � >. Floor/Ceiling: 10% (16" o.c.) �� �' �►�� ,� 7% (24" o.c.) Yp, Wail Weight / sf: 6. Sketch of Construction Assembly List of Construction Components R -Value Cavity(Rc) Frame(Rf) Outside Surface Air -Film 2. 3. � >. 4. �� �' �►�� ,� 5. 6. 7. Inside Surface Air Film • ' A 15 Total Unadjusted R -Values: Rc Rf Framing Adjustment Calculation (if applicable): 1/Rc 1-(Fr%/100) 1/Rf Fr90 Total U -Value 1/Total U -Value Total R -Value • C Proposed Construction Assembly: Residential: -Form 3R Project Title Date Project Address Building Permit N D entation Author Telephone Che&ed BY I Dat , Assembly Name .r " En oic=ent Agency Use Only -Asse:nbly'Type: Floor (check one) + Wall List of Construction Components Ceiling/Roof Framing Material: tD 0,0 pp, Framing Size: x �(J Framing Spacing: Outside Surface Air Film i 7 - Framing Percentage: Wall: 15% (16" o.c.) (check one) 12% (24" O.C.) 2. F1oar/Ceiling: ' 10% (16" ox.) 7% (24" ox.) . Wall Weight / sf; aCQ Z xS (Packages only) Sketch of Construction Assembly List of Construction Components R -Value Cavity(Rc) Frame(Rf) Outside Surface Air Film i 7 ` 1. 2. \ 4Js V XTNo-�� 3. aCQ Z xS 4.�J 5. 6. 7. ;r ; Inside Surface Air Film. , Total Unadjusted R -Values: ` Z Rf Framing Adjustment Calculation_ (if applicable): ( x ) + ( x 1/RC 1-(Fr%/100) 1/Rf Fr%/100 Total U -Value 1/Total U -Value , Total R -Value' Shading .Coefficient (SC) Worksheet Form S . Items 1- 9a and 10a must be completed for glazing/shading ombinations not found in Table G-9 of the ECM by using documented manufacturers' data for the specific conditions indicated (#2, #8 and #11). For instructions on filling out the worksheet, see Shading in the ECM Glossary. For overhang SC values (#14 and #15), see Section 4.2 in the ECM. General Information 1. Glazing Type: `j� V �4L T 6. Interior Shade Type:A 2. SCglazing alone: S; 7: SCshade open- 1.00 3. Framing Type (metal/wo: P -N � � 8. SCshade closed: 3 4. Mullt,� ions (yes/no): Q (SC of shade w/ clear single glass) 5.. Framing/Mullion Factor. (from Table G-10) . Glazing, Interior Shade & Framing r. 9a. x 0.25) +-0.751 x -s5 x ,83 = e�'i�� Where: SC„ iak ' SCndn F1ViF 45) SC Shade Open SCmax larger of #2 and #7 or 9b. (from Table G-9) SCmin smaller of #2 and #7 SC Shade Open 10a. [(. x.'0.25) + 0.75] x,� `7 x _ ,Z-�S Where: SCrnax . SCn n FMF #5) SC Shade Closed - SCmax = larger of #2 and #8 or lOb. (from Table G-9) SCmin =smaller of #2 and #8 SC Shade Closed Exterior Shade Exterior Shade Type: .S1AA33t II. SCezlerior shade: • (from Table G-11 or manufacturer's data w/ clecr,single glass) p Where: . . 12. [(9-9q x 0.25) + 0.75] x3� _ - t SCmax = larger of #9a or #9b and #11 SCmax SCn n SC Shade Open SCmin smaller of #9a or #9b and #11. Where: 13. [( �� x 0.25) + 0.75] x ,SCndn SCmax = larger of #l0a or #10b and #11 - SCmax SC SC Shade Closed SCmin = smaller of #10a or #lOb and #11 Overhang (Point System Only) Projection Ratio: 14. x. Overhang Factor SC Shade Open SG Shade Open (Shade Open) (#12) (wah Overhang) 15. x Overhang Factor SC Shade Closed SC Shade Closed (Shade Closed). (#13), (w. -M Overhang) Form Revised March 1988 s PROJECT DATA SUMMARY Form, 1 owner protect -Checked by e system type date documentation author date SITE INFORMATION Heating Degree Day (from Appendix C) ..........._„-__-.- ... _...... _...... ......_... HDD 1 � �'Z °F•day Outside Design Temperature (from Appendix C or Appendix a) ......... __.. T 2 °F PROPOSED BUILDING ENVELOPE INFORMATION —7 Gross Floor Area if Low -Rise (from Calculations).___--: _...................... Af 3 r ft2 Gross Well Area if High -Rise (from Calculations) .... w 42 Designed Glazing Area (from Calculations) ................... ......... _:.:..--....-.--.-:..... .. Ag 5 ft2 Basic Glazing Area (16%of Line 3 if low-rise or 40%of Line 4 if high-riseL....... Abg 6 ft2 " Description of Assembly, Q _FA 1 0 , � °F) 161t -,161t-,` Glazing f-3 Ugl 7 Btu/ (hr • ft2 • Ug2 8 Btu/ (hr •ft2 •OF) Ug3 9 Btu/ (hr • ft2 •OF) Wall UWi 10 �� Btu/-(hr•ft2•°F) Uw2 11 Btu/ (hr • ft2 • °F) U„•,3 -12 Btu/ (hr • ft2 • °F) Uw4 13 Btu/ (hr• ft2 •°F) ' nn V � � Ceiling/Roof L = .� Ucl 14 C Btu/ (hr •ft2•°F1, Q. K,2W-A" Uc2 t5 Btu/ (hr - ft2 •°F) Floor Ufi 16 Btu/ (hr • ft2 •OF) Ut2 17 Btu/ (hr • ft2. OF) PROPOSED SPACE HEATING SYSTEM (Chapter 7) Gas Furnace Building Design Hourly Heat Loss (from Form 2) -_ ..... _........................... qh 18 Btu/hr Maximum Allowed Bonnet Capacity, 1.5 x Line 18.-..._ ........................................ 19 Btu/hr Proposed Furnace Make Model Description Rated Bonnet Capacity Electric Resistance Alone Electric Resistance Life Cycle Cost (from Form 5)-_ .... _........................... sLCCe 20 $ Lowest Life Cycle Cost of the Other Systems (from Fosm 5) ......:............ sLCCIwet 21 $ Non-Deplatable Energy w/Electric Resistance Back -Up Percentage of Annual Heat Loss Met by Non-Depletable Energy• Source (from Calculations) Heat Pump with Electric Resistance Supplementary Haat , Pocentage of Annual• Heat Loss Met by Electric ResistEnce (from Calculations) ........................................ _... .... .......................................... 23 % PROPOSED WATER HEATING SYSTEM INFORMATION (Chapter 8) Electric Resistance Alone Electric Resistance Life Cycle Cost (from Form 6) ••.••–•••••••••••-••.•••----••.. WLCC, 24 1 $ . Lowest Life Cycle Cost of the Other Systems (from Form 6) ................... a wl_CCp„� 25 $ PROPOSED SWIMMING POOL HEATING SYSTEM INFORMATION (Chapter 9) Solar Life Cycle Cost (from Form 7)............................_...._.......................... pLCCs. 26 $ Natural Gas Life Cycle Cost (from Form 7) .... :................ ..... _........................... pLCCng 27 $ • HOURLY AND ANNUAL BUILDING HEAT LOSS RAT EV Check One: Proposed Design Standard Design owner aroln_t pr toel��on system type documentation aianor au Form 2R (8/81) Enforcement Agency Use Only oustlaing permit numaer cnecxea oy date SITE INFO AT -��Z Heating Osgnm Oav .Ifrom Appendix) ... . .......... .. . HOO oF- day Outside Oesign Temperature (from Appendix) .............. ... To„r�,� of Outside January Mean Temperature (from Appendix) .... . . . . . . Tjan OF PROPOSED BUILDING ENVELOPE INFORMATION 1 GroFloor Anse Ifrom pians) ...... .... .................. Af ft2 Gross Gros Wall Arae (from clans) ..... ........... .. .. .. Ave ft2 Oesignd Glazing Area (from pians) . . ...... ...... .. .. .. . A9 ft2 Basic Glazing Area (16% of Af if low-rise or 40% of Aw :f high -riffs) .. .. .. .Aye ft2 HOURLY I -EAT LOSS DESIGN TEMPERATURE DIFFERENCE For AU Assemblies Other Than The Three Below .: ' h le;; — �\ aF OT 1 �� of 'raw from soovs For insulated Floor Over Vented Unheated Space .......... Line 1 -2 -QThi 2 of 0 For Uninsulated Floor Over Vented Unheated Space., ...... _ line 2 — 5*F - OThu 3 F For Slab -on Ground Floors ........... 71fF - =A—F QTh, 4 ' aF Tian from above CONDUCTIVE HEAT LOSS Average U Of Anomaly . 2 or or framF2 • Aria. tt from* &T .:houiiy neat Oe1scriotion.of AwmoW }� Length, tt GruoQ 4-1 from bow • "c a loss, a 1 �' to/hr Glazing 1J�/>QcV X X Wall xX = X x 3 lA%��D L Cailing/Roof PUT x x x X211 Floor X X 's Other .x volume Subtotal 5 to/hr um of the above a frZ.x ft x 3 'F 6 INFILTRATION .......x Al from above 'Netgnted from Tn from _ Average Table 3-7 Line I • Calling Height 2 Subtotal 7 J� Qtu/hr tine a • tine q DUCT HEAT LOSS (Enter 0 if there are no ductsi ... .. . . .. ....... 0.15 x Line 7 B HOURLY HEAT LOSS, aL 9 tu/hr acne tineTOTaL ANNUAL HEAT LOSS, OL X oF 10 aF day/Vr X Btu/hr X I '� 24 hr/dav Btu/Yr NOD' Hourly Meat LOSS C from Tn from from above from Line 9 Tabts 3-d Line.! 8 SUMMARY 2 :....Form ' page 2 of 2 V l�V— oroiect ti zone j� i,climate �S 1� aroiect address HEATING, VENTILATING, AIR CONDITIONING SYSTEM Points . 10. Heating (fill in information an proposed system) Central Gas Fumace ere trend and mode numoar SE 7� \ Btu/hr c�iiELA Q1 `neaeing cawuty Heat Pump G 1 �Z �J�U� Z� 3 e piano and modal numtar ACOP Q-AOrJ StUhr • _ meetingcapacity at .47-F - .. .. . Active Solar • - - type (liquid or air) collector orano and model numoar }aur fraction • fta a - • . - collector area. colNC.or af"enta4an collector tilt rated rates SIooe - y •Intercept ' Other - ' _aesutbe • 11. Coo6g (fill in information an proposed system) Electric Air Conditioner tretlo and model numaer seasonal EER Stu/hr • c000unq,,Capacity at 95 F Electric Heat Pump Qt- �%-A 1.�%-�,V- ' a� . Stu/hr cooling capacity at 95 F Other 12. Mechanical Ventilation } aesaroe DOMESTIC WATER SYSTEM ' 13. Heating (fill in information on proposed system! Gas Only Gallons trand and model number tank size ., Heat Pump w/Electric Backup' Gallons , zrane and model number tank $1.96 Active Solar - - collector brans and model. numcerratea rated slope sour, traction y •intercept fta oackua neater type, Drano and rr.oael numoar collector area collector _ - orientation Other aesutbb ' . Point Total from Page 1 Total Point Scare ' W83 - 420 - C£C O icl�� Amp %//%%/o 00 S ` �\ \ ; %%%% ii i The sensible, economical answer, to individualized Zonal Comfort Control WEMG=Umwam GENERAL 0 ELECTRIC t O icl�� Amp %//%%/o 00 S ` �\ \ ; %%%% ii i The sensible, economical answer, to individualized Zonal Comfort Control WEMG=Umwam GENERAL 0 ELECTRIC o C�O��C�a�DOG� A26578D,C A2B678D,C Voltage Models III 230/208 A2B778D,C - A28388D A3B588O A26578E A28678E ' a s 265 A38688D A38788D•. A28778E A26388E A28588E 8,800/8,600 12,000/11,700 14,500/14,300 IV 230/208 A26688E A36788E 8,900 A28398D A38598D A38698D A3B798D 11,900 14,800 265 A2B398E A2B598E 8.2/8.4 7.7/8.0 7.0/7.0 Cooling BTUH 230/208 A2B698E A3B798E 8.2 7.8 6900/6800 9000/8900 12000/11800 14100/13900 4.6/4.8 7'0 265 y 7.3.7.3 9.2/9.8 EER (BTUH/Watt) _30/208 '-N8-7/9.i 679000 12100 t 4.0 5.7 8.0 13800 24 265 8.2/8.4 7.7/8.0 6.7/6.8 18 37 48 Amps FL © X30/208 8.3 8.2 4.7/5.0 6.5 6 39 265 3.3/0.5 7.3/7.7.3 9.5/10.1 Amps LR 230/208 4'p 6.0 8.4 17.0 24 37 1075/1025 1550/1475 2075/2025 Watts 265 11 48 1100 290/208 18 26 39 1525 2125 775/750 1100/1050 1575/1475 1.00/1.00 0.92/97 .98 /.99 265 800 2100 /2050 1.00 1.0'0 Power Factor 230,208 1100 1600 2125 280/250 280/225 .99 1.00/1.00 1.00/1.00 320/300 265 t .00 .94/.97 .96/.98 2/5 280 Dehumidification 280/208 1.00 1.00 60/55 60/55 60/55 (Pints/hr.) 1.4 2.2 .95 882.3 265 1 4 3 8 4 8 950/800 1050/850 Roomside CFM Hi,Lo 230 2.2 3.7 2.3 3.6 250/230 4.4 310/240 300/230 2.4 3.7 5 4 ?65 250 310/240 290/230 148 157 Vent CFM Hi/Lo 300/240 330/250 174 60/55 60/55 60/55 Heating Capacity - BTUH -3"60/55 Put in BTUH 0 Reverse Cycle r maximum connected load. 230 208 265 6400/6300 8800/8600 11300/11000 13700/13600 230 208 Amps FL a 0 6400 9100 11700 13700 I 3.2/3.3 265 4.4/4.6 6.8/6.7 7100/5800 7100/5800 7100/5800 2.8 8.4/8.9 Watts 3.8 5.6 7.4 9.3/8.5 230 208 725/700 1000/950 1425/1375 1850/1800 9.0/8.2 9.2/8.4 255 2080/1725 2080/1725 2080/1725 COP 750 1025 1500 230+ 208 2.6/2.6 ..4 1900 10600/8600 10600/8600 10600/8600 2.�0 2.6/2.6 23/2 2.5 2.2/2.2 f 13.7/1213 ..4/12.13.6/72.3 4 Shipping Wt. (lbs) 2.6 2.3 2.1 1 3105/2550 3105/2550 3105/2550 161 162 169 190 I 11900/9700 11900/9700 119OO/9700 ELECTRIC RESISTANCE HEAT OPERATION @(Other Electric resistance heaters are available on special order) 15.4/14.0 15.1/13.7 15.3/13.9 3480/2850 3480/28503480/2850 Elect. 1st Line - Total Heating Output in BTUH Heater Min, Prot. 2nd Line- Full Load Amps or Max. Connected LoadC .0 13900/11400 13900/11400 13900/11400 Voltage Watts Designator' Amp. Device { 3rd Line -Total Watts Input 1 18.0/16.4 17.7/16.1 17.9/16.3 230/208 3400/2775 DA 20 2OTD 11900/9700 11900/9700 11900/9700 11900/9700 4080/3350 4080/3350 4080/3350 15.3/13.9 15.4/14.09070 15.4/14.09070 15.4/14.09070 17300/14100 17300/14100 17300/14100 3460/2830 3490/2860 3490/2860 3510/2880 22.3/20.2 22,0/19 9 230/208 5000/4075 DJ 30 30TD 5080/4150 22.2/415 17300/14100 17300/14100 17300/14100 5080/4150 5080/4150 - 22.3/20.2 22.3/20.2 22.3/20.2 15500 15500 15500 285 5090/4160 5090/4160 51 t0/412 22.2 21.9 22.0 3000 EP 15 15TD 10500 10500 80 4570 4570 4570 11.6 10500 10500 11.8 11.8 7100 7100 73080 12'0 0 3080 8.0 8.2 81000 265 5000 EV 30 30TD 3080 30817 2080 2080 2110 - 130300 17300 17300 9.4 19.4 19.9 105080 102 000 10500 Outdoor Heat @ 23OV Heats080 23OV Heat5080 5110 3080 11'8 'Temp. °F. BTUH. COP BTUH COP BTUH @ COP BTUH230V Heat @ COP 3080 3110 HEAT PUMP OPERATION 13900 62 8300 2.8 11000 2.8 13700 73900 13900 (Capacities and COP 57 2.5 16900 2.2 15.6 15.8 @ various outdoor 7700 2.8 10300 2.8 12900 2.5 15800 2.2 4080 15'6 52 7000 2.7 4080 4110 temperatures) 9600' 2.7 12100 2 q 14800 2.2 17300 ZONELINE .42 6400 2.6 8800 2.6 11300 2.3 13700 2.2 17300 17300 III and IV 5700 2.5 8200 2.5 10400 2.3 12600 2.1 08 19.6 37 5100 2.3 7500 2.3 9600 2.2 11500 2.0 5080 19.4 5080 5110 27 4400 2.1 6800 2.1 8800 2.0 10500 1.8 3800 2.0 6100 2.0 8000 1.8 9500 1.6 .E I Fan Motor Amps ZONELINE JD Series-1.3 Amps IV 22 3700 1.8 5300 1.8 7200 1.7 8500 1.4 )E Series- .9 Amps 17 2300 1.6 4600 1.6 6400 1.5 7500 1.2 ]D Series-1.7 Amps Minimum Branch Circuit Ampacity Ratings conform !o 1981 +o Indoor Fan Continuous/Cycle switch on all heat/cool and OE Series-1.4 Amps N.E.C.• however, local electrical codes should apply in the E 11, III & IV Indoor Fan Motor Amps event of any conflict. heat pump models. ries-,4 Amps a Corrosion treatment is signified by the number 9 in the sixth 'Time Delay. E ll, III & IV Outdoor Fan Motor Amps character of the model number. Ratings and perform ID & E Series- .8 Amps above. ance as tO & E Series-1.1 Amps s ICR System is signified by the number 3 in the sixth cha•acter of the model number. Ratings and performance as above. Models with the ICR System are not available with corrasion NOTE: For Zonelineo Heat Pumps only, see ICR Option page 3. treatment. Specifications subject to change without notice.