04572 (SFD)Ix
OAS
r. P.O. BOX 1504 AN ADEQUATELY SIZED DEBRIS CONTAINER
Building': 52'""865 Valley LA,QUINTA78-105 CCAL FORNIA92253IS REQUIRED ON THE JOB -SITE DURING
Address
Owner. (IF CONSTRUCTION"
•-. .
_.s a sunrose eropertiel '> f
BUILDING: TYPE CONST. OCC. GRP.
Mailing '...
Address ��' 850 Samara � A.P. Number ?B��-323-019
City . •'�• Zip Tel. �.A - � •
Palm bas®ft 92260 34 6-•5239 1 Legal Description
Contractor Project Description.iP.3+
ress
City
Zip
Tel.
!
State Lic.
City
& Classif: � �
Lic. #
Sq. Ft. 1570
No. No. Dw.
Size
Stories Units
Arch., Engr.,
Designer
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
Address
Tel.
E
CityZip
State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed,under provisions of Chapter 9 (commencing with Section
7000) Division 3 Busineys�d�and+Professions Code,
of of the and my license is in full force and
GN T "` .�'. '" l,/ .,.d: '^ _ ""' �' ""r` 'DATE
P OWNER-BUILDERDECIARATION
I hereby affirm that I am exempt from the Contractor's License Law for the following
Estimated Valuation,
��i««ff ffigA
132 o 252
$132o252
• reason: (Sec. 7031.5,Buslness and Professions Code: Any city or county which requires a
.
permit to construct,atter, 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 thathe is exempt therefrom, and the basis
Section 7031.5 'any for
Plan Chk. Dep.
•'�'.�n 3.iip�'s"q
J"
for lhelalleged exemption. Any violation of by applicant a permit
subjects the applicant to a civil penalty of not more than live hundred dollars ($500).
Plan Bal. Chk. B.
V 77.40
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and
'
Const.
35 2 000
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: -'
35 0
provided that such •improvements are not intended or offered for sale. IL however, the building
• or improvement is sold -within one year of completion, the owner -builder will have the burden
Electrical
78.08
of proving that he did not build or improve for the purpose of sale.)
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con-
Plumbing
103.00
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. 1.
-5.70
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
Grading'
20.00-
0 1 am exempt under Sec. B. ✓£ P.C. for this reason
Driveway Enc.
` 20.0@•
Infrastructure
• Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Worker's Compensation Insurance, or a certified copy thereof .L(Sec ..3800'EiWti Code.)
Policy No. Company
.
O Copy is filed with the city. ❑ Certified copy is.hereey —furnished–
TOTAL
1$2,787.64
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 tho work for which this permit is issued, I shall not
employ any parson in any manner so as to become subject to the Workers' Compensation
Laws of California.
Date O
NOTICE ,TOAPPLICANT.r 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
Setback Distances:
'comply with such provisions or this permit shall be deemed revoked.
Minimum
Front Setback from Center Line
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY
Side Street Setback from Center Line
Ihereby affirm that there is a construction lending -agency for the performance of the .
work for which this permit is issued. (Sec. 3097, Civil Code.)
Side. Setback from Property Line
Lender'sName
Lender's' Address
FINAL DATEINSPECTOR'
This ie,a building permit when properly filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
V
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 applicant Date
Mailing Address
Validation:
city, - State; Zip
;
` WHITE i FINANCE, PINK APPLICANT, GREEN BUILDING, GOLDENROD - ASSESSOR'S OFFICE HARD COPY - FILE c
.... ..:,'.d. 3L.. .:. ._ .. •,L Sr _.,:�,..y ..
,- R`-ee:. _ —.
.. a. _ ... .:. :¢,.... ,.-a.. ..r. .. i. �.ii- = -, . .., -i.
CONSTRUCTION ESTIMATE
NO... ELECTRICAL FEES
NO. PLUMBING FEES
IST FL SO Fl (a S
UNITS
ROUGH PLUMB/ BONDING
HEATING (ROUGH)
STORAGE TANK
YARD SPKLR SYSTEM
2ND FL SO FT. g
DUCT WORK
ROCK STORAGE
FOUND. REINF.
MOBILEHOME SVC.
BAR SINK
POR SO FT. Qr
REINF. STEEL
GAS (FINAL) ejo&P. POLE
POWER OUTLET
ROOF DRAINS
GAR SO. FT.
,FINAL INSP.
BOND BEAM
WATER SYSTEM
DRAINAGE PIPING
CARP. SO FT. 0
FINAL INSP.
RAMING ._
FINAL INSP.
ROOFING
DRINKING FOUNTAIN
WALL SO. FT- (d
VENTILATION
FIRE ZONE ROOFING
URINAL
SO. FT. (d
ESTIMATED CONSTRUCTION VALUATION S
WATER PIPING
NOTE: Not to be used as properly tax valuation
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISHI
APPLIANCE DRYER.
FINAL INSPECTION
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
AIR HANDLING UNIT CFM
INSPECTOR'S SIGNATURESIINITIALS
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
SO. FT. @ c
WATER HEATER
MAX. HEATER OUTPUT. B.T.U.
SO. FT. RESID (i I'A c
SEWAGE DISPOSAL
SO.FT.GAR sr ri:c
HOUSE SEWER
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 8 AIR COND. SOLAR
SETBACK � �=
OUND PLUMBIN,2 0 _6-,y 11
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB/ BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
C,SEWER OR SE1 T�Nt� ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH) METER LOOP
HEATING (FINAL)
OTHER APP.IEOUIP.
REINF. STEEL
GAS (FINAL) ejo&P. POLE
GROUT
WATER HEATER SERVICE
,FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$ _$
LUMBER GR.
FINAL INSP.
RAMING ._
FINAL INSP.
ROOFING
rw
j I
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
VJE,LATHING
MESH
INSULATIONISOUND3 ' (Y
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
Desert Sands Unified. School District
CERTIFICATION OF PAYMENT
OF A
�"���� SCHOOL FACILITY FEES ((;ti
�'HS BE DUPLICATE
CANfgo� ccs
TO: City o L uitDI DATE: �/g'—�� (0)
Department of Community Development
78-105 Calle Estado
La Quinta, CA 92253
This is to certify that pd,4 1 v 1 A—// A,'.
developer of which is
located at — , within
this District, has paid school faci ty fees imposed pursuant to the
authority genera d by Government Code Section 5 080 i the amount of lk
cov4ring a total of .square feet of ( res dential or
( ) industrial/commercial development and that building permits for
this footage in this development may now be issued by your jurisdiction.
-r76 X_ (ON Pry
n for DESERT SANDS IFIED SCHOOL DISTRICT
White - Building Department • Yellow - Facilities Planning • Pink - Accounting • Gold - Developer
(10)-37
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COUNTY OF RIVERSIDE DEPARTMENT OF HEALTH Assessors Parcel No.
ENVIRONMENTAL HEALTH SERVICES
PERMIT APPLICATION FOR A;SUBSURFACE SEWAGE DISPOSAL SYSTEM
Applicant: Submit this form with four copies of a scaled plot plan (1-20 scale) drawn to County speculations as indicated on the attached checklist.
A non-refundable filing fee (see below) is required when the application is submitted. Check must be made payableto the County of
Riverside. Approval of this application shall remain valid for a period not to exceed one year from date of approval.
VERIFY ITEMS IN SECTION A FROM BUILDING & SAFETY APPLICATION BUILDING DEPARTMENT APPLICATION LOG #
Agent, Contractor, Contact Person
SUS�d r? Sem P•$'v�G--72 Thi INc
Phone
:3�G �88i'�
Address & Phone
7.2-gsa .So1_4t7?,4
Owner
Phone
Mailing Address
city
State
Zip
Job Property Address
Legal Description Prop. (PM, Tract,. Lot)
I -A 422 JW 74
6119
2- &�,s vAGt,,�F- :To
461-6, g4 is
Lot Size
Water Agency/Well
Use of Permit P/P, CU, etc.
Other
Dwelling, MH Site Prep, etc.
I
Signature of Applicant
Date
(/ CATEGORY: REV CODE FEE
CATEGORY: REV'CODE FEE
ipr SUBSURFACE DISPOSAL 1238 5.00
❑ SITE EVALUATION UPON REQUEST 7349 $42.00
❑ MULTIPLE PARCELS WITHIN SAME
(NO PLOT PLAN)
LAND DIVISION
❑ SEWER/SEPTIC VERIFICATION 7348 $11.00
a. 1 st 4 Parcels (Each) 1238 $45.00
(Less than 1 year)
b. Each Parcel after 4 7344 $16.00
❑ PRELIMINARY ELECTIVE 7352 $45.00
❑ Rereview (2nd review same parcel) 7344 $16.00
EVALUATION (Attach DOH SAN 53)
❑ Site Evaluation in Conjunction with
❑ HOLDING TANK 7351 $45.00
Critical Area 7346 $86.00
❑ ALTERNATIVE/EXPERIMENTAL 7345 $132.00
❑ Site Evaluation Lot Less than
SYSTEM
10,000 Sq. Ft.d 7347 $86.00
"i
INITIAL DATE_
Holding Tank Agreements Completed ❑Yes ❑ No�
Certification of Existing S.D. System Required ❑ Yes lil No I
WQCB Clearance required. (Attach Form ❑ Yes 19 No
DOH SAN 007, Santa Ana Region Only)
Soils Percolation Report Required. ❑ Yes I I No
Special Feasibility Boring Report Required. ❑ Yes I I No
Detailed Contour Plot Plans Required (1 to 5 ft. interval) ❑ Yes I I No
Other ❑ Yes No
Staff Specialist Lot Inspection Required ❑ Yes No
Lot Inspection Date
(n
Soils boring report by' 6 i1 �° "` Project # Date
Soils Map Page Soil Type Approved by ..-}..•. Date
No. of Systems
Type of System(s)
No. Dwelling Units
(1) Septic Tank
Soil Rate
rease/Sdnd
❑ Holding Tank ❑ Existing
s New ❑ Replacement
Bedrooms, Fixture Un' s
cp
`
OUDGal
7!tu
(2) Leach Line Sq. F °
Bottom trench a
Sidewall allowance
Install Line(s) long N wide with
Lead B d sq. ft
n rocW sq. ft
rummn
min. inches rock e - w drainlines or
of bottom area
per
/ ❑ NA
,
Leachlines/bed special design for slope:
(3) Pit Diameter
No. Pits
Pit Below
Seepage Pit Total Depth
O
Other.
Applicable /
Inlet (BI)
Z
7—
Max. Allowable Depth
N/A Overburden factor
❑ 5 � 6
' �'
LO
No. 2 System
REMARKS: ,1 0 tnFc�� I(X7 cxrOO!N !L,4 etWQG1 .
This application isPAS R 0/DENIED for the category checked in SECTION B above, regarding the design of a subsurface disposal system as indicated
on the accompanied plot plan, using the requirements set forth in SECTION C above. A building permit W necessary for the installation of the
above -designed system. No construction is permitted in the required reserved 100% expansion area.
1+Septic tank and sewer lines must be 50' minimum from any wells
( leach lines must be 100' minimum from any wells, including expansion area
3)./ Seepage pits must be 150' i imurn f m anv wrelLs, inclu i g expansion area �'
I � G
Signature of Health Official' Datey t Q'
RECEIPT NO. C( Issued By Im (k Date I (5 cJ t✓'
DISTRICT: ❑ Riverside, Indio ❑ Hemet 0 Y Perris ❑ Rancho Calif. ❑ Blythe
r.
DOH SAN 122 (Rev. 5/88) DISTRIBUTION: WHITE - Office file YELLOW - Applicant PINK - Bldg. Dept. GOLDENROD - Plans/Records
ru"2.
RECORDING REQUESTED BY
MANS -CAL TITLF. gyp.
AND WHEN RECORDED MAIL THIS DEED AND, UNLESS
OTHERWISE SHOWN BELOW, MAIL TAX STATEMENTS TO:
NAM[1
Sunrose Company, a Calif.,
STREET General Partnership
ADORES$
72-850 Somera Rd.,
CITT, Palm Desert, CA., 92260
STATE
21• L J
Title Order No....... ....................... Escrow No............
_i; .�"$�..•�
This space for Recorder's use
Grant Deed
THE "UNDERSIGNED GRANTOR(s) DECLARE(s)
DOCUMENTARY TRANSFER TAX is S 9t•
If unincorporated area ❑ City of
Parcel No.
jo computed on full value of property conveyed, or
❑ computed on full value less value of liens or encumbrances remaining at time of sale, and
A1� FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
IV RICHARD S. O'NEILL, JR., a single man,
(i hereby GRANT(S) to
V - .
AA_(� SUNROSE COMPANY, A CALIFORNIA GENERAL PARTNERSHIP
VUo
Othe following described real property in the city of, La Quinta
N county of Riverside , state of California:
LEGAL DESCRIPTION IS ATTACHED HERETO & BY THIS
REFERENCE IS MADE A PART HEREOF;
Dated Novemb
STATE OF CAtAfORNIA
COUNTY OF a- �2 )t.Z lrL } SS.
On this `%c/
day of '�%(rz.c:.,:,./.�;� , in the year
before me, the undersigned, a Notary Public in
and for/said County and State, personally appeared
%!
personally known to me (or proved to me on the basis of satisfactory
evidence) to be the person whose name
subscribed to the within instrument and
acknowledged that executed the
same.
Signature
IrF/� �� Notary Public in anName d (Typed
said County and State
Richard S. O'Neill Jr.
j a
Ick• " �
FOR NOTARY SEAL OR STAMP
MAIL TAX STATEMENTS TO PARTY SHOWN ON FOLLOWING LINE; IF NO PARTY SO SHOWN, MAIL AS DIRECTED ABOVE
/ 1lIIl Name Street Address
•
City & State
cc
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01L
toe
0
0
IL
W
Z
i a
1
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S.-
C\v,
416
This space for Recorder's use
Grant Deed
THE "UNDERSIGNED GRANTOR(s) DECLARE(s)
DOCUMENTARY TRANSFER TAX is S 9t•
If unincorporated area ❑ City of
Parcel No.
jo computed on full value of property conveyed, or
❑ computed on full value less value of liens or encumbrances remaining at time of sale, and
A1� FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged,
IV RICHARD S. O'NEILL, JR., a single man,
(i hereby GRANT(S) to
V - .
AA_(� SUNROSE COMPANY, A CALIFORNIA GENERAL PARTNERSHIP
VUo
Othe following described real property in the city of, La Quinta
N county of Riverside , state of California:
LEGAL DESCRIPTION IS ATTACHED HERETO & BY THIS
REFERENCE IS MADE A PART HEREOF;
Dated Novemb
STATE OF CAtAfORNIA
COUNTY OF a- �2 )t.Z lrL } SS.
On this `%c/
day of '�%(rz.c:.,:,./.�;� , in the year
before me, the undersigned, a Notary Public in
and for/said County and State, personally appeared
%!
personally known to me (or proved to me on the basis of satisfactory
evidence) to be the person whose name
subscribed to the within instrument and
acknowledged that executed the
same.
Signature
IrF/� �� Notary Public in anName d (Typed
said County and State
Richard S. O'Neill Jr.
j a
Ick• " �
FOR NOTARY SEAL OR STAMP
MAIL TAX STATEMENTS TO PARTY SHOWN ON FOLLOWING LINE; IF NO PARTY SO SHOWN, MAIL AS DIRECTED ABOVE
/ 1lIIl Name Street Address
•
City & State
_ .-_-,;
4 . �� . '� -- it •
EXHIBIT "A°
r
Santa Carmelita at Vale La Quithe
,Unit '19, as per map recorded in,
)t 9 of Block 188, , in the office of the count recorder of said county
Y •
Pages 33 and 34 of Map , Unit 16, as per map recorded'
sok 19 uinta,
ct -16 of Block 158, Santa Carmelita at Vale La Q ' recorder of,.said'county.
n Book 18 Page 99 of Maps, -in the office of the county per map recorded`
uinta, Unit 16,.as p _
Santa Carmelita at Vale La 4r recorder of - said couny
C!-i�Book
6 of Block ,158, J •^� -_
18 Pag
e 99 of'.Maps;,-in'-the office -of --the county, as per map recorded
Unit 17,
of 25 of Block 171, Santa Carmelita at Vale Lace of a, recorder of saidY-county.
s in the office ,of the county per map recorded
n Book 19 Pages 19 and 20 of 'Map ,
as
recorder of said county.
,ot 10 o.f Block 114,. -Santa Carmels, intthel.officeuofttheUcountynit /
Pages 79 and 80 of'Map ► - , ' as per map recorded
in Book 18 Pag .'
he office of the County Recorder of said county.
rot 14 of Block 237, Santa Carmelita at Vale La Quinta, Unit 2 � ded
Page -24 of Maps, in t Unit ll,�as per map recor
in Book 20 Quint,,
i,ot 22 of Block 103, Santa Carmelita at,Vale La Q ' Recorder, of said county.
Book 18 Page 75 of Maps'.. in the.office of the County as per map' a
inuinta; Unit 11,
Lot 21 of -Block 103; Santa,Carmelita at Vale office
Q
75 of Maps,' the office ofithe County .Recorder of said county.
recorded in Book 18 Page as per map
Santa Carmelita at Vale La Quinta, Unit 1� Recorder of said "county.
Lot 22 of Block,ll, a �b of Maps,lin .the office of the County recorded in
recorded in Book 18 Page uinta, Unit 19, as per map
Lot 24 of Block 197, Santa Carmelita at Vale La Q Recorder'of said county.
Pages and 34 of•Maps, in the office of the County as per map recorded
Book 19 Pag uinta, Unit 19,
Lot 23 of Block 197, Santa Carmelita at Vale La Q Recorder of said•county.
es 33 and 34 of Maps, in the office ofIthe County recorded
in Book 19 pages uinta, Unit 19F% as Per map
Lot 1 of Block 196, Santa Carmelita at Vale La Q Recorder of said 'county-
in Book 19 Page 33 and 34 of Maps, in the office of the County 3
I
1
a
t '
November :8., 1991
BankBoston Mortgage Co.
P. O: Box 45110
Jacksonville,. FL 32232-5110
Attention: Insurance Department
RE: Loan # 5567071/Sharon McElfresh
a
To Whom It May.Concern:
The structure located at 52-865 Avenida Vallejo is located
in an "X" flood zone (Areas of 500 year flood; areas"_of 100
year flood with average depths of less than.1 foot.or with
drainage areas less than. 1. square mile; and areas protected
by levees from 100 year flood) per the revised
(panel 060709 0005 B, effective August 19, 1991)=for La
Quinta
If you have .any questions, feel .free to ,contact ine-.
Sincerely;
BUILDING AND SAFETY DEPARTMENT
.�_ - I, . � , - - .. .•,rt" fix. . - r ,
Tom Hartung l
r _
Director of Building-arf"d Safety
TH/lc
cc: Sharon McElfresh
enclosure (flood zone map)
MAILING ADDRESS - P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253
OFF ICE OF
AGRICULTURAL CO3MMISSIONER
AND
WEIGHTS & MEASURES
49-613 Ilwy 86, Suite 8-12.
Coachella, CA 92236
619-342-8291
E. LEON' SPAUGY
CO�I�RS=IO`ER
LAMES O WALLACE'
ASSIVANr fhM?IISSW\EP.
CLEMENT BENVEINISFE;
SEALER
DATE 2;2 CASE' M. �� L �� cs'S Qa 'L
DEVELOPER'S NAME:
ADDRESS: % :2 I - S v.
TELEPI10'ME (a l Q) -
5 2sc9S AJ1�����
Dear Developer:
After reviewing your landscaping plans,all plant material listed is not in
violation of quarantine laws governing the Coachella Valley. If substitutions'
do -occur and they differ frun plant material listed, this office must be notified
immediately.
Thank you for protecting and preserving the Coachella Valley's pest -free environment.-
g cultural Cannissioner's Office
cc: Indio and Riverside Office
eC tificate of Compliance: Residential (Page 1 of 2) CF -1R
Project Tids
l.,.cn�1rJ
ProjectAddrw
JOHN H. HACKER 327-4565 Building Permit 0
Documentation Author Telephone Chucked By / Due
POINT SYSTEM 15
Compliance Method (Package, Point Syron or Computer) Climate Zone Enforcement Agency Use Only
GENERAL INFORMATION
Total Conditioned Floor Area: 16-70
Building Type: >C Single Family Hotel/Motel
(check one or more) Multi-Ftunily (less dwn 4 stories) Addition
Multi -Family (4 or more stories) Existing -Plus -Addition
Front Entry Orientation: North / East /South / West / All Orientations (circle one or more)
Number of Dwelling Units: /
Floor Construction Type: (;jQ Raised Floor (circle one or both)
Infiltration Control: - tarda fight (circle one) ���FESS�ON
BUILDING SHELL INSULATION
Area
Glass Type
Interior
Component
Insulation
Location/Comments
`" ACKER
Type
R -Value
(attic, to garage, typical. etc.)
a 140
CIVL
wall ..............
R- 19
FRAME WALLS
(S
wall ...
DOUBLE
VERTICAL
BLINDS
Roof .............
Roof .............
R-38
TYPICAL
FOF CAO
Floor.............
WHITE_
Floor.............
_
Slab Edge .....
0
TYPICAL
DOUBLE
GLAZING Shading Devices
Glazing
Area
Glass Type
Interior
Exterior
Overhang
Framing Type
Orientation
(SO
(single, double)
(roller blind, etc.)
(shadescreen, etc.)
(yes/no)
(metal/wood)
Front....
(S
DOUBLE
VERTICAL
BLINDS
NONE
YES
METAL
Front....
( )
WHITE_
_
Left......
(w)
95_
DOUBLE
VERTICAL
BLINDS
NONE
YES
METAL
Left......
( )
WHITE
Rear.....
(N)
_I 2_
DOUBLE
VERTICAL
BLINDS
Nnm
YES
METAL
Rear.....
( )
WHITE
Right....
(t-)
DOUBLE
VERTICAL
BLINDS
NONE
YES
METAL
Right....
( )
WHITE
Skylight.......
�_
DOUBLE
NONE
NC
Skylight.......
THERMAL MASS
Type/Covering Area Thickness
(slab/exposed, tile, etc.) (SO (inches) Location/Description (kitchen, bath, etc.)
SLAB/EXPOSED 10'4 3 1/211 KITCHEN/BATH/ENTRY
Certificate of Compliance: Residential (Page 2 of 2) CF -111
Su P R01E Cn . 8 -aa -aa
Project Tule nate
HVAC SYSTEMS
Maximum Furnace Heating Output: 45+Btuh
HOT WATER SYSTEMS Tank Manufacturer/Model
System Type (storage gas, etc.) Capacity (or approved equal) Special Feature(s)
STORAGE TANK GAL WATERKING OR -50 NONE
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, Subchapter4, Article 1 of the Califomia 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 ane indicated in the Special Features/Remarks section.
Designer Building Owner
Name: Name:
Title/Firm: Title/Firm:
Address: Address:
Telephone:
Lic. N:
(signature) (date)
Documentatlon Author
Name: JOHN H. HACKER & ASSOCIATES
Title/Firm:
Address: 4 501 E. SUNNY DUNES, SUITE C
PALM SPRINGS, CA 92264
Telephone: ) 327-4565
signatu (date)
Form Revised Match 1988
Telephone:
(signature) (date)
Enforcement Agency
Name:
Agency:
Telephone:
(signature or stamp) (dote)
Minimum
Duct
Type (furnace, air
Efficiency
Location
Duct Output
Manufacturer / Model #
conditioner, heat pump)
(SF, SEER.HSPF)
(attic, etc.)
R -Value (Btuh)
(or approved equal)
FURNACE
72% SE
ATTIC
R-2.1
DAY & NIGHT — 394 J
AIR COND.
9.1 SEER
ATTIC
R-2.1
DAY & NIGiiT — 568 EJ
Maximum Furnace Heating Output: 45+Btuh
HOT WATER SYSTEMS Tank Manufacturer/Model
System Type (storage gas, etc.) Capacity (or approved equal) Special Feature(s)
STORAGE TANK GAL WATERKING OR -50 NONE
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, Subchapter4, Article 1 of the Califomia 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 ane indicated in the Special Features/Remarks section.
Designer Building Owner
Name: Name:
Title/Firm: Title/Firm:
Address: Address:
Telephone:
Lic. N:
(signature) (date)
Documentatlon Author
Name: JOHN H. HACKER & ASSOCIATES
Title/Firm:
Address: 4 501 E. SUNNY DUNES, SUITE C
PALM SPRINGS, CA 92264
Telephone: ) 327-4565
signatu (date)
Form Revised Match 1988
Telephone:
(signature) (date)
Enforcement Agency
Name:
Agency:
Telephone:
(signature or stamp) (dote)
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 fisted
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
SuiWing Envelope Measures
• 62-5352(a): Minimum ceiling insulation R-19 weighted average.
42.5352(b): Loose fill insulation manufacturer's labeled R -Value.
• 12.5352(c): Minimum wall insulation in framed walls R-11 weighted average (does not apply to
exterior mass wails).
12.5352(k): Slab edge insulation - water absorption nue no greater than 0.3%, water vapor
transmission rate no greater than 2.0 perm/inch.
42-5311: Insulation specified or installed meets California Energy Commission (CEC) quality
standards. Indicate type and form.
62-5352(f): Vapor barriers mandatory in Climate ?.ones 14 and 16 only.
12-5317: InfiltratioNExfiltnttion Controls
L 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.
12-5352(e): Special infiltration barrier installed to comply with ¢2.5351 meets CEC quality
standards.
12-5352(d): Installation of Futplaces
1. Masonry and factory -built fireplaces have:
L Tight fitting. closeable metal or glass door
b. Outside air intake with damper and control
c. Flue damper and control
2. No continuous burning gas pilots allowed.
HVAC and Plumbing System Measures
42-5352(8) and 2-5303: Space conditioning equipment sizing: attach calculations.
12-5352(h) and 2-5315: Setback thermostat on all applicable heating systema.
•
02-5316(a): Ducts consmictod, installed and insulated per Chapter 10, 1976 UMC.
42-5316(b): Exhaust systema have damper controls.
§2-5314(c): Gas -fined space heating equipment has intermittent ignition devices.
§2-5314: HVAC equipment. water heaters, showorheads and faucets oeNfied by the CEC:
42-5352(i): Water heater insulation blanket (R-12 or greater) or combined interior/exterior
insulation (R-16 or greater); fust 5 feu of pipes closest to tank insulated (R-3 or greater).
§2-5312(Exception 1): Pipe insulation on steam and steam condensate return dt: recirculating
piping.
12-5318(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
42-53520): Lighting .25 lumem/watt or greater for general lighting in kitchens and bathrooms.
42-5314(c): Gas fined appliances equipped with intermittent ignition devices.
42-5314(a): Refrigerators. refrigerator -freezers, freezers and fluorescent lamp ballasts certified
by the CEC. Indicate make and model number.
Paan Ravind Dewmbw 19V
DESIGNER I ENFORCEMENT
I A/A I
I/
,.
JOHN H: HACKER, CIVIL ENGINEER, PALM SPRINGS 27-4565 .
NAME -----=- SUNROSE CO.
ADDRESS,,' LA QUINTA
DATE ------- 8-22-88
REF.CAL.'ENERGY CONSERVATION DESIGhI MANUAL, FORM 2, HEATING LOSSES
MANUAL J FOR COOLING LOSSES
AREA BLDG, 1570 SQ. FT.
PERIMETER 174.4444'S0. FT.
INSULATION R VALUES ,FLOOR 0 ..CEILING 38 ..WALL 19
AREA NORTH WINDOWS 32 SO.FT. PERCENT OF AREA 2.,0:+8217
AREA EAST_WINDOWS 25 SOFT. PERCENT OF AREA 1.592._.57
;AREA SOUTH WINDOWS 37 SO.FT. PERCENT OF AREA 2.x.56688
AREA WEST_WINDOWS 95 SO.FT. PERCENT OF AREA 6.050956
AREA SKYLIGHTS 0 SQ -.FT.. PERCENT OF AREA 0
TOTAL WINDOW AREA 189 SQ.FT. PERCENT OF AREA 12.05822
THE U VALUE OF THE WINDOWS IS .65 DUAL PANE
THIS BLDG USES DRAPES & FLAT SHADING DEVICES* ON WINDOWS.
(*mini -blinds, rollar shades, venetian blinds or vertical blinds)
THE TOTAL S.C. OF THE WINDOWS IS 0.30
.SOUTH OVERHANG LENGTH 2
INTERIOR THERMAL MASS AREA = 274 SO FT.
INFILTRATION (STD 0.018 , MED 0.'014, . TIGHT 0.0-12) _ . 01.8
HEATING LOSSES
FOOTING LOSSES... 6056.711 BTU
CEILING LOSSES... 1232.152 BTU
WINDOW LOSSES.. 3808. 0 BTU
WALL LOSSES...: 1824.547 BTU
INFILTRATION LOSSES... 7008.48 BTU
TOTAL HEAT LOSSES,BTU/HR.. 199.0.24'
GAS FURNANCE SIZE 41609.31 BTU OR 45,000 BTU
.COOLING'LOSSES
FOOTING LOSSES... 2605:037 BTU
CEILING LOSSES.'.. 1589.873 BTU
WINDOW LOSSES.-.. 7170 BTU
WALL LOSSES....- 2x•54.255 BTU
INFILTRATION LOSSES... 3014.4 BTU .
NO. OF PEOPLE... 5 COOLING LOSSES... 2000
KITCHEN... 1500 BTU
DUCT LOSSES INCLUDED IN TOTAL
• TOTAL COOLING LOSSES 26262.36 BTU
POINT SYSTEM SUMMARY.eCLIMATE.ZONE
15 P --2R
' PROJECT...TITLE=SUNIROSE�CO.
DATE=8-22-88
JOB SITE=LA OPINTA
BUILDING DATA
` CONDITIONED FLOOR AREA= 1570
NUMBER OF STORIES= 1
.' SLAP/RAISED FLOOR SLAB
TOTAL•GLASS•AREA 189 SG►.FT
%GLASS 12.03922
CHECk. ALL APPLICABLE UNIT.TYFE CONDITION(S)
` (X) SINGLE FAMILY DETACHED (.SFD)
( ) ADDITION ALONE
( ) SINGLE FAMILY ATTACHED (SFA)
( > EXISTING BUILDING
. ( ) MULTI—FAMILY (MF)(
> EXLSTING-PLUS—ADDITION
'. SCORE CARD
"MEASURES
POLNT SCORES
1. CE IL I NG INSU.
0
2.WALL INSU. 19
0
3.RAISEDFLOOR 'INSU 0
0 .
4.SLAB EDGE INSU G
0
5.INFILTRATION STANDARD
i_)
6 -.GLASS HEAT LOSS DOUBLE'PANE
U=.65 ,5
SUM 1-6=
( 5 )
7.SHADING (SHADE OPEN)
GLASS AREA
SC= .6776
A. NORTH
0 32
0
D. SOUTH
0 37.
E. WEST
1 95
H . SKYLIGHT.
. B. SHADING (SHADE CLOSED)
% GLASS
SC= .2552
A. NORTH
0 2:03821.7
B. EAST
3 1.592 57
C. SOUTH
4 2.356688
D. WEST
0 6.0150956
E . SKYLIGHT SC= 0.77
0 0
9.'INTERIOR THERMAL MASS 1.745223 —1
10.EXTERIOR WALL MASS 0
t�
SUM 7-10 =( 7 >
11.HEATING SYSTEM 72 S.E.
G
12. COOLING SYSTEM 9.100001
SEER —4
13 WATER HEATING—,,S.G.
0
TOTAL POINTS 8