0011-248 (SFD)'LICENSED CONTRACTOR DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of
Chapter 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
-1
i 03121
11 (no C30 � C39f W2
gate r 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).• `
( ) 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.
( Vii have and will maintain workers' compensation insurance, as required by
Secti6n 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.,
STATE FUND
(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 shplll forthwith comply with those ptovisions.
Date: ��¢ Applicant
Warning: Failure to secure Workers' Compensation coverage is unlawful and
shall subject an employer to criminal penalties and civil fines up to $1.00,000', 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 oVsuch
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..l 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) Z�-->i .:. a'�.�'/` Date /i
•-...�-�y:r•'•n..''—c-rte` ♦ ffi
BUILDING PERMIT PERMIT#
DATE r VALUATION LOT 0011. ^moi TRACT
JOB SITE
ADDRESS 5924AW, %U VALLFJO,
APN
; ?734A52 -M 0
OWNER
CONTRACTOR/DESIGNER/ENGINEER
'RORER TF A.1± )RD.
i��i�s DFV:C4L0nrt 31'r doVJ'
%f$923 RU2UMAY DAY
78-921 T{':t3'iJAWAY DAY
1 .hiv[MA6T NES -CA 92-201..
RET,Z li.1,DP.D U N1 MR C,A. 9..2261
-8706 "14
;
USE OF PERMIT
231W(FL;A RAWMY D1 ,Ivt.WO
Std P1i0,RMJT DOM 'NOT ;NCIJUDE HLOCrWAYA, P001, & SP.A6OR
TRACT CONST:RUCT'1Y14 tN9;13.00 11)}r
F?L3RCRM ATIO MAD SP,
OA:RACIE ARPORT (OF) 9,e7,d.(if1
5 VT. WOOD PENCE 90 J.?
1'Ac�rl.'�°tU) 01� i�'02NOUSU .°nON
Yi riiD
} pXg
p
11130 �=.W S.t. S� sOMMxI.YS.$
11130=F
P1r.AN C:H9C>K P ZU?-C1C 4591- } $50?7A
WE DEPOSIT 4254.0.
Jt k;HANICALr K, L? 1.0.1-i1 21-t'1i'1f3
v.•rW'}'}JW, T F 1 C)1 «fEt3t1.4 C3 f3t3C) �} }d. ti
]�I.U1s4ti3idCl L • 1Cii••CtiB?3-�a.�-�1fJ� �3.3W."65
S`d'lt.ONO MOTION FEE O1 210 1.01•000-241-0,00
frfRADFRO FRY 14014"423-000 00.00
DEV E. e0PERIMPAC:'T FU Suvt1R .
PR=ISM PL A24 S100.08
SLM-1-YU& CON ff- L'R. TTON.SkMD k>L,F.:iz>!' 014WIX.
$3,433.34
ON I Ii' �'1✓'h^F3r1'Ai��✓E'1��1d.`►3
-�2ij3.1�C3
p +•Y
JAN 16 2001..
RECEIPT
DATE
BY/ y':
DATE FINALED
INSPECTOR
((
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs
/
Underground Ducts
Forms & Footings
Ducts
Slab Grade
Return Air
Steel
Roof Deck�1?
_
Combustion Air
Exhaust Fans
O.K. to Wrap
F.A.U.
Framing
6( _
Compressor
Insulation
Zi
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans 8 Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
�{
Final
Final o
BLOCKWALL A PROVALS
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
p
Appliances
Final
Final
Utility Notice (Gas)
ELECTRICAL
Temp. Power Pole
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fbdures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
APPROVALS
p
-�
COMMENTS:
TAtyl
f�'�GN�Gv
��Vo-;o 0/ O IA'nS P.O. BOX 1504 APPLICATION ONLY
Building j 78-495 CALLE TAMPICO
Address _s. i — y.? C" �J V _ �/j / �p ;'r j LA OUINTA, CALIFORNIA 92253
( i, F' " T' 0-00 IP -D A
BUILDING: TYPE'CONST. OCC. GRP.
Mailing
v '
Address `� \ A Cu
A.P. Number r'
� "` �fl ^• Da Q
City
i a
'��
Zip ITel.
(;' �� � �
Legal Description
C � - A �
(Contractor
� �Q
.....
Project Description
/
Address
t, u A er A v
-CityZip
Te
State Lic.
City
& Classif.
Lic• #
Sq. Ft.
Size ��
No. NoDw.
Stories ,I Un.its
Arch., Engr., /
Designer
_�
New Add O Alter ❑ Repair ❑ Demolition ❑
fj t A11 1 A C
Address
Tel.
1461.w% s"r 5,'r T
3A `1
City
Zip
State
v�
hLic.
#
LICENSED CONTRACTOR'S DECLARATION
I hereby affirmrthat I am licensed under provisions of Chapter 9 (commencing with Section
7100) of Divisio`� 3 of the Business and Profession�lbode license is in full f
nd my rce and
effect"' j / � �����
SIGNAT.DRE'.+° �" ✓"�• ""� '�/ ° DATE
OWNER -BUILDER DECLARATION
Estimated Valuation
I hereby affirm that I am exempt from the Contractor's License Law for the following
reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a
permit to construct, alter• improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to file a signed statement that he is licensed pursuant to
PERMIT
AMOUNT
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
'any for
Plan Chk. Dep.
7
SO ` LSO
for the alleged exemption. Any violation of Section 7031.5 by applicant a permit
subjects the applicant to a civil penalty of not more than five hundred dollars (8500).
Plan Chk. Bal.
..{ ,
$
1': 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
Const.
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 I I, 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
for
S.M.I.
doesnot apply to an owner of property who builds or improves thereon, and who contracts
such projects with a contractor(s) licensed pursuant to the Contractor's' License Law.)
Grading
.
11 1 am exempt under Sec. B. & P.C. for this reason
Driveway Enc.
Date owner
Infrastructure
WORKERS' COMPENSATION DECLARATION
Ihereby affirm that 1 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
n 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 if the permit is for one hundred dollars ($100) valuation
or less.)
-
I certify that in the performance of lhp 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
comply with such provisions or this permit shall be deemed revoked.
Minimum Setback
-
Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY
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.)
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.
1 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 sof this city to enter the above-
mentioned property for inspection purposes.
Validated by:
Signature of applicant Date
Mailing Address
Validation:
City, State, Zip
WHITE = FINANCE YELLOW
= APPLICANT
PINK = BUILDING DIVISION
' Desert Sands Unified School District 4
47-950 Dune Palms Road :
Notice: La Quinta, CA 92253 ' A -
Document Cannot Be Duplicated 760-771-8515 1 .
CERTIFICATE OF COMPLIANCE
Date 1/12/01 'APN # 773-262-020
No. 21508. Jurisdiction La Quinta }
Owner NameRobert. Teaford -
Permit # 0011-248
No. 52-435 Street Avenida Vallejo Log #
City La_Quinta� , +zip , 92253` Study Area ,
Tract # BLK82U16 Lot # 9 Square Footage 1533
Type of Development Single Family Residence - - No. of Units 1 '
Comments t -
t r ,
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 1,533- or $ 3,142.65 the property listed above and that building t
permits and/or Certificates of Occupancy for this square footage in'this proposed'project ma'inow lie issued
Fees Paid By CC - Palm'Desert National Bank - Bob Teaford „ Tef,gphone=760x60-8706
Name on the check
By Dr. Doris Wilson
Superintendent '`:i' ,, ; �•
Fee collected /exe ted by Annette Barlow - Payment Received $3,142.65
'
Check No. 081758
1.11 YU
Signature - {_
NOTICE: Pursuant of Assembly Bill 3081 (CHAP 549, STATS. 1996) this will. serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified
above will begin to run from the date on which the building or installation permit for this project is sssued or on which they are paid to the District(s) or to another public entity authorized to
collect them on the District('s)(s') behalf, whichever is earlier.
Collector: Attach a copy of county or city plan check application form to district copy for all waivers.
Embossed Original- Building Dept /Applicant Copy - Applicant/Receipt Copy - Accounting `
FRI_11,1 PHOP•IE 1,10. . I_gip, 19 grit 111 1=r +: Ir,Af l F'1
�t RECORDING REQUESTED BY
1
ROBERT LEE-TEAFORD
WHEN RECORDED MAIL TO
NAME ROBERT LEE TEAFORD
MAILING 5
ADDRE-$ 9 6 x 2�
CITY, STAYS PALM SPRINGS, CA 92263
ZIP CODE
AKN
OOC " 2000-054599
02/14/2000 08:00A Fee:6.00
Page 1 of 1
Recorded in Official Records
County of Riverside
Gary L. Orso
Assessor, County Clerk & Recorder
1
illi 1111111111111111111111111111111111111111ITilli11
M
S
t)
Ph at
WF,
pA
101.
OCCR
over.
R
A
L
COPY
LON:
REFVNO
ricHc
EXAM
-.,G-RANT DEED__.
AND 773.262-021-8
LA QUINTA, CA
--rQ '_ D y0 THE UNDER$IONED GRANTOR($) AFFIRM(S) THAT THERE IS NO TRANSFER TAX BASED
ON THE FULL VALUE OF THE PROPERTY BECAUSE THERE IS NO (SO, CONSIDERATION.
FOR VALUABLE CONSIDERATION, RECEIPT OF WHICH IS ACKNOWLEDGED, I (WE),
ROBERT TEAFORD, AN UNMARRIED MAN, AS HIS SOLE AND SEPARATE PROPERTY
GRANT(S) TO: CLASSIC DESERT PROPERTIES, INC., A NEVADA CORPORATION
THAT REAL PROPERTY SITUATED IN THE CITY OF LA QUINTA
COUNTY OF RIVERSIDE , STATE OF CALIFORNIA
LC °1
, DESCRIBED AS:
LOTS 9--W AND I 1 IN BLOCK 8"' OFSANTA C:ARMEI._ITA AT VALE LA QUINTA, UNIT 16 AS PER MAP RECORDED
IN WrOl1� 18, PAGE 70 OF MAPS, IN THE OFFICE OF THE COLTNTY RECORDER.OF SAID COUNTY.
'PHIS IS A TRANSFER TO A CORPORATION, 100%OWNED BY GRANTEE RALT 62 -
EXECUTED ON'THE _ DAY OF ter r, 2000, AT RT
STATE Y. ;ss
CALIFORNIA
COUNTY.OF ORANGE
Un .L4 "GI `—) VO before me
personally appeared
ROBERT TEAFORD
AND
(Personally known to Inc -OR- ❑proved to me on the basis of
3atisfacfory evidence) to be Uie person(s) whose names(s) Is/are
subscribed to the within instrument and acknowledged tome that
helshe/they executed the same in his/her/their authorized
capacity(ies), and that by his/her/thclr signature(s) on the
instrument the person(s), or the entity upon behalf of which the
persons) acted, executed the instrument.
WITNESS MY HAND AND OFFICIAL SEAL:
rY'� Sighature
tom, LIFORNIA. —
TEAFORD
JOSEPH MARQUARDT
Comm. k 1197207
4 NOTARY PUBLIC • CALIFORNIA
Orynge County A
My Comm. Expiress Sept. 28, 2002
it
TAX STATEMENTS TO: NAME: ROBERT LEE TEAFORD
STREET: 353 VIA ESCUELA, NO. 215
CITY: PALM SPRINGS,.CA 92263
RC DISTRICT -PLANNING ,REVIEW FORM
This form is to be used by. CDD staff for review of single family dwellings in the RC (Cove Residential)
District, in order to determine the applicability of compatibility issues or need to require the filing of Master .
Design Guidelines by the applicant. It shall be transmitted to the Building and Safety.Dep4rtnieni as your
correction list. Please attach. additional explanations as necessary.
r ,
APPLICANT DGx DEVELOPMENT CORPORATION
SITE ADDRESS 52-435 Avenida Vallejo
APN 773 _ 262 020 'BIN NO..: CASE NO.: 2000-339
LEGAL: LOT BLOCK Z UNIT /O S.C.@V.L.Q.
CHECKED BY: C + -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
Compatibility Review
Case logged and number assigned
Verify legal and APN information,
Consistent with MDG on file (as.applicable
Z— //?/ay
MDG filing required (5 filings since 9/3/98)
T .
Consistency with street/surrounding area:
d'
Colors
Materials
Architecture
r/
�
r�-eq�ir_ement�
•
by: Qate ' e
'. %6 LA"LS�_ A/9cav�z-�;
jQprovedd
� O/IGI�� GJL J�(ai F�� Ti �/It. STv LGJ
Pla
13 Cit
, ning Cemmlesl
Council
0"C.tA OY� ��'
✓czl,�, .,�, ro 0&.ofCo.
munny ev. Dept .
itial
L
of
Exhibit
With Conditions
TITLE 24 REPORT
�t
CITY OF LA QUINTA
Title 24 Report for: BUILDING & SAFETY DEPT.
DGH Construction Corp. -APPROVED
` Plan 1504 -All Orientations F:,,7UCTIOR CON
Palm Desert, CA
DATEBY
'Project Designer: ,
Report Prepared By:
Joan D. Hacker
Insu-form Inc.
' 68255 Corta Road
Cathedral City, CA 92234
(760) 324-0216 i
l
Job Number:
Date:
6/13/00
The Ener Pro computer program has been used to perform the calculations summarized in this compliance report. This program has approval and is
�,. • „ 9Y p P 9 P P P P 9 PP i
ff I authorized by the California Energy Commission for use with both the Residential and Nonresidential 1998 Building Energy Efficiency Standards.
This program developed by Gabel Dodd/EnergySoft, LLC (415) 883-5900.
Al I _ .I
EnergyPro 2.1 By EnergySoft
.. c-,.:.."�6 i-� ' ::� • . ,� .. _ —" Via,"'iir. . .
Job Number.
User Number. 2655
♦ r.- t...ax�! .. > r . �, r;
b
` TABLE OF CONTENTS
Cover Page
Table of Contents
2-* J
Form CF-1 R Certificate of Compliance
3
Form MF-1 R Mandatory Measures Checklist
6
Form C-2R Computer Method Summary
` .
7
HVAC System Heating and ,Cooling Loads Summary;
• 11
Room Load Summary.'
12
n
i
EnergyPro 2.1 By EnergySoft Job Number.
User Number. 2655
... t.
f.. « • .3T, l. « « o.. _ X+f _. _ ,,y j..a. _ •-
43 'wR'+.Lr ,. r
.''�
Certificate of Compliance:
Residential
(Part 1 of 2) CF -1 R
' DGH Construction Corp
n/a
6/13/00
Project Title
Wood
Date
Plan 1504 - All Orientations Palm Desert
None
Project Address
R-30 Roof(R.30.2x12.16)
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
Enforcement Agency Use Only
0.72
0:73
Drapery
GENERAL INFORMATION
Screen
X❑ ❑
Total Conditioned Floor Area: 1,496 ft2
Front
24.0
Total Conditioned Slab Area: 1,496 f?
0.70
Drape
Building Type:
(check one or more)
® Single Family Detached (SFD) ❑ Addition Alone
❑ Single Family Attached (SFA) ❑ Existing Building
❑ Multi -Family ❑ Existing Plus Addition
Front Orientation: All Four Orientations Floor Construction Type: ® Slab Floor
Number of Dwelling Units: 1.00
Number of Stories: 1 ❑ Raised Floor
Const.
Frame Assembly
Type U -Value
Stab On Grade
n/a
0.756
Slab On Grade
n/a
0.756
R-19 Wall (W.19.2x6.16)
Wood
0.065
Solid Wood Door
None
0.387
R-30 Roof(R.30.2x12.16)
Wood
0.035
rcrvtca i mA i lute
Location/Comments
(attic, garage, typical, etc.)
Covered Slab w/R-0.0 Perimeter Insulation
Exposed Slab w/R-0.0 Perimeter Insulation
Exterior Wall
Exterior Door
Exterior Roof
Shad' D
to
o„luc,
Type
Orientation Area
Labeled Fenestration
Interior
Exterior
Overhang Side Fins
SF
U -Value
SHGC
roller blind, etc.
shadescreen etc.
Yes / No
Yes / No
Front
4.0
0.72
0:73
Drapery
Bug
Screen
X❑ ❑
El Q
Front
24.0
0.87
0.70
Drape
Bug
Screen
X❑ ❑
❑ Q
Left
38.0
0.87
0.70
Drapery
Bug
Screen
x❑ ❑
El Q
Rear
40.0
0.85
0.70
Draoery
Bug
Screen
R)❑
❑ x❑
Right
40.0
0.85
0.70
DraperyBug
Screen
0 El
El0
Right
14.0
0.87
0.70
Drapery
Bug
Screen
0 ❑
❑ Q
❑ ❑
❑ ❑
El 1:1
El
El El
0
1:1 El
❑❑
1-1 El
El El
Run Initiation
Time: 06113/00
2la33@21Run
Code:
EnergyPro
2.1 By EnergySoft
User Number. 2655
Job Number.
Pa e:3 of 12
Certificate of Compliance: Residential (Part2 of 2) CF -1R
_ DGH Construction Corp. 6/13/00
Project Title Date
HVAC SYSTEMS . Note: Input Hydronic or Combined Hydronic data under Water Heating Systems, except Design Heating Load.
Heating Equipment Minimum Distribution
Type and Duct or
Type (f urnace, heat Efficiency Location Piping Thermostat Location /
pump, etc.) (AFUE/HSPF)(ducts, attic, etc.) R -Value. Type Comments
Central Fumaca 80% AFUE Ducts in Attic 42 Setback Living 7one
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 10.0 SEER
Ducts in Attic
42
Sethnrk
u'v*nn 7nnp
Tank
Energy Fact! 1 External
WATER HEATING SYSTEMS
Rated 1
Water Heater Water Heater
Distribution
# in Input
Cap.
or Recovery Standbyy Tank Insul.
System Name Type
Type
Syst. Btu/hr
(gal)
Efficiency Loss (%) R -Value
A.0 -Smith Fsn-,;n-974 Small Gas
Standard
1_ 40 nnn
SO
nB5 n/a 12
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 water heaters, list Rated Input and Recovery Efficiency.
REMARKS
V VIYIrL1AfY1�C a 1 A 1 CIYICIV 1
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 nerr(pe 13usi Processions Cod Documentation Author
Name: Name: Joan D. Hacker
Title/Firm: Title/Firm: Insu-form Inc.
Address: Address: 68255 Corta Road
Telephone: U - Z
Lic. #: `
(signature)
Enforcement Agency
Name:
Title/Firm:
Address:
Telephone:
a
• - Energypro 2.1 By EnergySol
User Number. 2655
(date)
Cathedral City, CA 92234
Telephone: (760) 324-0216
3 00
(signa re ( ate)
Job Number.
of 12
Certificate cif Compliance: Residential (Addendum) CF -1 R
DISH Construction Corp. 6/13/00
Project Title Date
J
Special Features and Modeling Assumptions
The local enforcement agency'should pay special attention to the items specified in this checklist These items require special
written justification and documentation, and special verification to be used with the performance approach. The local
enforcement agency determines the adequacy of the justification, and may reject a building or design that otherwise complies
--" — —w auvyuuLY VI Ulu apcclal Ju3anlGCuv9l anu uvlwunlnnufuun z*UUMMea. Plan Field
The DHW System "A.O.Smith FSG -50-224" Energy Factor = 0.550. An EF below 0.58 requires an R-12 External Blanket.
HERS Required Verification
These features must be confirmed and/or tested by a certified HERS rater under the supervision of a CEC approved HERS
rI v•w�i1. , nv I IV1 twe Illull uuVulllpll#1 Ulu 1161u •C11111 MIV11 allu ulaynuauk; Lesung w inese measures on a Toren ct-bK.
Plan
Field
I
Run Initiation Time: 06/13/00 21:33:21 Run Code: 960928401
EnergyPro 2.1 By EnergySoft User Number. 2655 Job Number. - Page:5 or 12
C*
Mandatory Measures Checklist: Residential MF -1 R
NOTE: Lowrise residential buildings subject to the Standards must contain these.measures regardless of the compliance approach used.
Items marked with an asterisk (') may be superseded by more stringent compliance requirements listed on the Certificate of
Compliance. When this checklist is incorporated Into the permit documents, the features noted shall be considered by all parties
as binding minimum component specifications.
DESCRIPTION Instructions: Check or initial applicable boxes or enter N/A if not applicable.
DESIGNER
ENFORCEAAENT�
Building Envelope Measures
F'§ 150(a): Minimum R-19 ceiling insulation in wood frame assembly, or equivalent U -value.
§ 150(b): Loose fill insulation manufacturers labeled R -value.
'§ 150(c): Minimum R-13 wall insulation in framed walls or equivalent U -value (does not apply to exterior mass walls).
'§ 150(d): Minimum R-13 raised floor insulation in wood framed floors.
§ 150(1): Slab edge insulation - water absorption rate < 0.3%, water vapor transmission rate < 2.0 perm/inch.
X §118: Insulation specified or installed meets quality standards. Indicate type and form.
x §116-17: Fenestration Products, Exterior Doors and Infiltration/Exfiltrabon Controls
1. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage.
2. Manufactured fenestration products labeled with certified U -value, 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(f): 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.
t I
Space Conditioning, Water Heating and Plumbing System Measures
§110-13: HVAC equipment, water heaters, showerheads and faucets certified by the Commission.
0 §150(h): Heating and/or cooling loads calculated in accordance with ASHRAE, SMACNA 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. Back-up tanks for solar system, unfired storage tanks, or other indirect hot water tanks have R-12 external insulation or R-16
combined intemaVextemal insulation, piping between heat source and tank insulated.
3.Insulation on the first 5' of pipes closest to water heater tank, non -recirculating systems (R-4 or greater), buried or exposed
piping in recirculating sections of hot water systems, cooling system piping below 55 deg F.
�( '§150(m): Ducts and Fans
1. All ducts and plenums constructed, installed, insulated, fastened, and sealed to comply with the ICBO 1997 UMC sections
601 603; ducts insulated to a minimum installed R-4.2 or ducts enclosed entirely within conditioned space. Openings shall be
sealed with mastic, tape aerosol sealant or other duct closure system that meets the applicable requirements of UL181,
UL181S, or UL181B and other applicable specified test for longevity given in 150(m).
2. Exhaust fans systems have back draft or automatic dampers.
3. Gravity ventilating systems servng conditioned space have either automatic or readily accessible, manually operated
dampers.
%K §114: Pool and Spa Heating Systems and Equipment
1. Certified with 78% thermal efficiency, on-off switch, weatherproof instructions, no pilot or electric resistanceheating.
2. System is installed with at least 36" of pipe between filter and heater, cover for outdoor pools or spas.
3. Pool system has directional inlets and a circulation pump time switch.
X §115: Central Furnaces, pool heaters, spa heaters or household cooking appliances have no constant pilot light.
Lighting Measures
X §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.
X 150(k)2: Rooms with a shower or bathtub must either have at least one luminaire with lamps with an efficacy of 40 Iumenstwatt
or greater switched at the entrance to the room or one of the alternative to this requirement allowed in 150(k)2.; and recessed
ceiling are IC (insulation cover) approved.
1EnergyPro 2.1 By Energy5oft User Number. 2655 Job Number. Page:6 of 12
Computer Method Summary (Part 1 of 3) C -2R
DGH Construction Corp. 6/13/00
Project Title Date
Plan 1504 - All Orientations Palm Desert
Project Address Building Permit #
Insu-form Inc. (760) 324-0216 plan ChecklDate
Documentation Author Telephone
Computer Performance 15 Field Check/Date
Compliance Method (Package orcomputer) CimteaZone
Source Energy Standard
Use (kBtu/sf-yr) Design
Facing
North Margin
Thermostat
Facing
East Margin
Zone Name
Facing
South Margin
Zone Type Type
Facing
West Margin
I ivinn 7nna
3.81 0.42
4.24 -0.01
4.08 0.15
3.62 0.61
Space Heating 4.23
Space Cooling 42.42
Domestic Hot Water 15.79
42.91 -0.48
15.01 0.78
41.18 1.24
15.01 0.78
42.65 -0.22
15.01 0.78
42.64 -0.21
15.01 0.78
61.73 0.71
r 60.44 2,011
1 61.74_n7l
Totals 62.45
BUILDING
COMPLIES
This C -2R summarizes the results of a four cardinal orientation analysis. The pages that follow describe the front facing North occurence.
This plan has been analyzed with identical features in all orientations.
GENERAL INFORMATION
Conditioned Floor Area: 1,496 Floor Construction Type: ❑X Slab Floor
Building Type: Single Fam Detached ❑ Raised Floor
Building Front Orientation: All Four Orientations
Number of Dwelling Units: 1.00 Total Conditioned Volume: 13,464
Number of Stories: 1 Slab Floor Area: 1,496
BUILDING ZONE INFORMATION
# of
Thermostat
Vent
Zone Name
Floor Area Volume Units
Zone Type Type
Hgt Area
I ivinn 7nna
14 13Agg 1 on
rnnditinnad SPthark
_ 2 • n/a
OPAQUE SURFACES Solar
Act. Gains
Type Area U -Val. Azm. Tilt Y / N
EnergyPro 2.1 By EnergySoft User Number. 2655
Form 3 Reference
Job Number.
I Comments
of 12
Computer Method Summary (Part 2 of 3) C -2R
DGH Construction Corp. 6/13/00
Project Title Date
FENESTRATION SURFACES
U -Value Act. Glazing Type Location/
# Type Area SHGC Azm. Tilt Comments
L
Windnw
Front
(Nnrth)
4.0
0 72n
2
Window
Front
(North)
24.0
0.870
3
Window
Left
(East)
32.0
0.870
4
Window
Left
(East)
6.0
0.870
5
Window
Rear
(South)
40.0
0.850
5
Window
@tight
est)
40.0
0.850
Z
Window
Right
(West)
14.0
0.870
Screen
0.76 3.5 4.0 2.0 0.1 3.0 2.0
I
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Run
Initiation Time: 06/13/00
User Number. 2655
21:33:21 Run Cod • 9609711401
Job Number.
j
Page:8 of 12 j
073
0.70
n
0'
gn Dnuhi . Mtl In mated D fa dt
90 Double Mtl Uncoated Default
Living
Living
7nnP
Zone
0.70
90
90 Double Mtl Uncoated Default
Living
Zone
0.70
90
90 Double Mtl Uncoated Default
Living
Zone
0.70
180
90 Double Mtl Uncoated Default
Living
Zone
0.70
270 90 Double Mtl Uncoated Default
270 90 Double Mtl Uncoatpfj D fa It
Living
Living
Zone
0.70
Zone
5
Drapery
INTERIOR AND EXTERIOR SHADING
# Interior Shade Type SHGC Exterior Shade Type
Window Overhang
SHGC Hgt. Wd. Len. Hgt. LExt. RExt.
Left Fin Right Fin
Dist. Len. Hgt Dist Len Hgt
1
Drapery
0.68 Bug
Screen
0.76 4.0 1.0 2.0 0.1 2.0 2.0
2
Drapery
0.68 Bug
Screen
0.76 4.0 6.0 2.0 0.1 2.0 2.0
_
3
Drapery
0.68 Bug
Screen
0.76 4.0 4.0 2.0 0.1 2.0 2.0
_
4
Drapery
0.68 Bug
Screen
0.76 _2�() __UJ 014 _2�0
- -
5
Drapery
0.68 Bug
Screen
0.76 2.0 __Q,_1 2.0 _a
-
6
Drapery
0.68 Bug
Screen
0.76 _U 6-0 2.0 _0_1 2.0 2.0
-
7
Drapery
0.68 Bug
Screen
0.76 3.5 4.0 2.0 0.1 3.0 2.0
I
EnergyPro 2.1 By EnergySoft
Run
Initiation Time: 06/13/00
User Number. 2655
21:33:21 Run Cod • 9609711401
Job Number.
j
Page:8 of 12 j
Computer Method Summary
(Part 3 of 3) C -2R
DGH Construction Corp.
6/13/00
Project Title
Date
THERMAL MASS FOR HIGH MASS DESIGN
Area
Thick.
Heat
Inside Location '
Type (sf)
(in.)
Cap. Cond. Form 3 Reference
R -Val. Comments
PERIMETER LOSSES
F2
Insulation
Type Length
Factor
R -Val. Depth Location / Comments
Slab Perimeter 143
0_76
0.0 0 Living Zone
Slab Perimeter 600_76
0.0 0 Living Zone
HVAC SYSTEMS
Heating Equipment Minimum Distribution Type
Type (furnace, heat Efficiencyy 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.
System Name Length 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 10.0 SEER Ducts in Attic 44.2 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) (al) Efficiency Loss (%) Ext
A.O.Smith FSG -50-224 Small Gas Standard 1 40.000 50 0.55 n/a 12
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: 06/13/00 21:33:21 Run Code: 960928401
EnergyPro 2.1 By EnergySoft User Number. 2655 Job Number. Pa°e:9 of 12
Computer Wthod Summary (Addendum) C2 -R
DGH 'Construction Corp 6/13/00
Project Title Date ,
+' Special Features and Modeling Assumptions
The local enforcement agency should pay special attention to the items specified in this checklist. These items require special
written justification and documentation, and special verification to be used with the performance approach. The local
enforcement agency determines the adequacy of the justification, and may reject a building or design.that otherwise complies
�..,.., ,,.......ro, .a. J— ... ,.o..,,.. a.... ,....Q..�uu.. ouumitmu• Plan Field
The DHW System, "A.O.Smith FSG -50-224" Energy Factor = 0.550. An EF below 0.58. requires an R-12 External Blanket.
HERS Required Verification
These features must be confirmed and/or tested by a certified HERS rater under the supervision of a CEC approved HERS
nrnvirinr Tha �NCDC rwaa..... �4. dww.....ww..Lw awe �s:ww.:__
----_--- ..._ .._.._ ._._...._ . _ _ .... ... ...... ... ........o...,., anu �.Us.waaw wauny Vi mese measures on a Torm GF-bK.
Pian
Field
Kun Initiation I ime: ub/'13/o
2.1 By EnergySoft User Number. 2655
:21 Run Code: 961
Job Number.
10 of 12
HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY
iPROJECT NAME
DATE
DGH Construction Corp.
6/13/00
!SYSTEM NAME
i Living Zone
I FLOOR AREA i
1 496
ENGINEERING CHECKS
SYSTEM LOAD
Number of S stems
I COIL COOLING PEAK COIL HTG. PEAK
Heating System
CFM Sensiblel Latent CFM Sensible
I Output per System 89,000
Total Room Loads 1,91
26,720 3,28 804 31,234
Total Output (Btuh) 89,0001
;
Return Vented Lighting
o
I Output (Btuh/sgft) 59.5
I
Return Air Ducts
1,336 1,562
Cooling System
Return Fan
0 0
Output per System 58,000
Ventilation 0
0 0 0
Total Output (Stuh) 58,000
Supply Fan
0 0
Total Output (Tons) 4.8
Supply Air Ducts
1,3361 1,562
Total Output (Btuh/sgft) 38.8
TOTAL SYSTEM LOAD--
29 392 3,280 34 357
Total Output (sq ftrron) .
i
I Air System
HVAC EQUIPMENT SELECTION
CFM per System 2,210,
Airflow (ctm) 2 210
BDP CO. 561AJ060-'
33,482 21,271 89,000
Airflow (cfm/sgft) 1.48
Airflow (cfm/Ton) 457.2
I Outside Air (^/o) 0.0
Total Adjusted System Output
(Adjusted for Peak Design Conditions)
33,482 21,27 89,000
Outside Air (cfm/sgft) o �(
TIME OF SYSTEM PEAK
Aug 2 pm Jan 12 am
Note: values above given at ARI conditions
EATING SYSTEM PSYCHROMETRICS Airstream Temperatures at Time of Heating
Peak
26.0 OF 69.3 OF 69.3 OF
106.90
Supply Air Ducts
I Outside Air
0 dm
Supply Fan Heating Coil
106.2 OF
2210 dm
ROOMS
69.3 OF
70.0 OF
Return Air Ducts
DOLING SYSTEM PSYCHROMETRICS Airstream Temperatures at Time of Cooling
Peak
i
111.0 / 77.4 OF 78.6 / 68.4 OF 78.6
/ 68.4 OF 64.4 / 63.5 OF
Supply Air Ducts
Outside Air
0 dm Supply Fan
Cooling Coil
65.0 / 63.7 OF
2210 cfm
61.1% R.H. I ROOMS ,
78.6 / 68.4 °F
78.0 / 68.2 OF
I
i
Return AirDucts
tnergyrro z.i ey Energy5ott User Number. 2655 Job Number. Page 11 of 12
�I
ROOM LOAD SUMMARY
PROJECT NAME
DISH Construction Corp.6/13/00
SYSTEM NAME
Living Zone
DATE
-
FLOOR AREA
1,496
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
LivingZone
Living Zone
1
1,917
26,720
3,280
1,917
26,720
3,280
804
31,234
PAGE TOTAL 1,917 26,72:01737,280
TOTAL 1,617 26,7203,280
804
31,234
Soo
31,234
EnergyPro 2.1 By EnergySoft User Number. 2655 Job Number Page 12 of 12
May 25, 2001
City of La Quinta
Building Department
RE- 52=435 Avenida Vallejo
t1s:wQ
To whom it may concern,,
I Felipe Fregoso, who prepared and signed the approved set of building plans for the
above address, do give permission to the bonded courier "The Blueprinter" to pickupjhe
set of plans from the City of La Quinta and make the necessary copies.
Th You!
Felipe F ego
so
F.Fregoso & Associates,
45-190 Club Drive
Indian Wells, CA
la
y