0108-087 (BLDG)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 t1: Business and
Professionals Code, and my License is in full force and effect.'
License # Lic. Class Exp. Date
Date ' Signature of Contractor
i
OWNER -BUILDER DECLARATION
I hereby,affirm under penalty of perjury that I am exempt from the Contractor's
License Law for the following reason:
( ) 1, a's owner of the property, or my employees with wages as their sole
compensation, will do the work, and the structure is not intended or offered for
sale (Sec. 7044,,Business & Professionals Code).
( ) I, as owner of the property, am exclusively contracting with licensed
contractors,to construct the project (Sec. 7044, Business & Professionals
Code). ,
() .I am exempt under Section B&P.C. for this reason
Date Signature of Owner
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
() I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
(,� ))I have and will maintain workers' compensation insurance, as required by
Section 3700 of the Labor Code, for the performance of the work for which this
permit is issued. My workers' compensation insurance carrier & policy no. are:
Carrier,. 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 shall forthwith comply.with those provisions.
bate: Applicant
Warning:, Failure to secure Workers' Compensation coverage is unlawful and
shall subject an employer to criminal penalties and civil fines up to $100,000, in
addition to the cost of compensation, damages as provided for in Section 3706
of the Labor Cbde, 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 hiss
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 toy
any permit issued as a result of this applicaton agrees to, & shall, indemnify
& hold harmless the City of La Quinta, its officers, agents and employees.
2. Any permit issued as a result of this application becomes null and void if
work is not commenced within 180 days from date of issuance of such
permit, or cessation of work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is
correct. I agree to comply with all City, and State laws relating to the building
construction, and' hereby authorize representatives of this City to enter upon
the above-mentioned property for inspection purposes.
Signature (Owner/Agent) 4 Date
-BUIWING -PERMIT PERMIT#v
DATE VALUATION j SLOT-i'�N�1 TRACT
ir?,)x(:f�K?�ii1
JOB SITE
ADDRESS
APN
xC^^ ry w� campy tr P t` tri 5
'i74r".Y13 A S tSr.L�;SY� A VATJhe+*.JQ '
f i�1 ri y
(1.1-32.3. •.Cn'.C:�.
OWNER
CONTRACTOR/DESIGNER/EN 1NEER
TAfixiRvT7
L7`s CoI4 yf wLm10)f o
V_29i 3 AV1_N1iAV���ZA)
'
74.1 40 IGHWAY I I J #11 B
LA QU;!' -A. CA, 9225.3
WiDIAN b-k:.u, s Gh M10
t"KX 5 108
USE OF PERMIT
GERER:t L I',U;iiIMNa
REPAIR V?110,P 10AM GM • fVRX)Rvm' la,,
Will Dt3' . W!Rmo W wa1: p)
i
VAUTATICAq LS
ti
'�y Q� � ,�j /�+�, � p j., j` ( ({� ,(�/1 (` ]°tory �•y�f 7�
1NAY .AY'♦':itS,f�RA) i.•M1,ISeT��%'�G.�A' �✓i, 111SA.Y.S'.y.!4.X„R.0
e/0100010Q
111AN CHECK RER 70) $041103
e,O1aS R CT1014 FEE 1011 -000 -418 -OW $294.3
.W,'H.AHICAI, ",lee Poi �000_421_0(0 S19.3u
N.:F.E{'. TRIC.AL MIMI 101.000-420.000 WAO
ZaERS :PRE -PAID N +amu
$0.00
FEB 08 2002.'
BY DATE FINALED INSPECTOR
• f.. 6 f' t . { a 2�
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set -Backs
Underground Ducts
Forms & Footings
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
O.K. to Wrap
F.A.U.
Framing
Compressor
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
xt
Final
final — • C7-z—POOLS
BLOCKWAL.L APPROVALS
- 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
4 Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
Encapsulation
Gas Piping
Gas Test
Appliances
Final
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
*Rough Wiring
Low Voltage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors _
Temp. Use of Power
Final !�
Utility Notice (Perm)
COMMENTS:
SCOTT'MORRISON & ASSOCIATES
3243 Arlington Ave., Suite 206 1130 C. Fuente Circae `
Riverside, California 92506-, 1` ; Palm Springs, CA 92262
(909) 624-1665 DOSH 92-0248 (800) 8243353
ASBESTOS SURVEY REPORT,
CoMPIeted,On ,
5 July 23, 2001
PLM0717#0701
Client: Zeus;Construcfion, Inc. +'
74.478'H*. 1.11 #218
Palm Desert, CA 92260
Project: 52913 Avenida_ Vallejo v . -
Le Quinta, CA
(interior -remodel) s ,
On July 17, 2001 an asbestos inspection and bulk sampling was conducted at the above project address.
Samples were taken of all .suspect asbestos containing' building materials from the interior only at the
request of the client named_ above. Various removed _samples were submitted to Tec -An, Inc- in .
• Oklahoma City;_ OK (NVLAP Code 200325-0) to estimate the percentage of asbestos by volume and
determine"the types) present.. s
Tec -An, Inc. determines percentages and" type of !asbestos by., using EPA approved;; method..
600/14-931116, the , principles of polarized light - microscopy and dispersion staining: Asbestos is
+ quantified by using the visual arena estimation technique and can only determine the approximate
Percentage of asbestos present. .
After a thorough search is eonducted and no asbestos is detested °rtorie`detected° wilt "be noted in the
report. The essence of.polarized light microscopy is not to emphatically determine that no asbestos is
present, merely that none was detected or, if it was, it was likely to be less than 1.096 of the sample.
When findings. reveal less than or close to 1.0% asbestos coniained in a`sample, further analysis may be
called for on additional samples to confirm or, denounce the initial findings. The South'.Coast`Air Quality
Management Dietrict'.(SCAOMD) requires 'bulk sampling be conducted according to the A.H.E.R.A. '
protocol provisions of. 40 CFR Part 763.107. The A.H.E.R.A. protocol recommends three 'or more
samples from a homogeneous area .be analyzed before, any building material is determined to be �.
non -asbestos containing. ,
ASBESTOS INSPECTION BY: 'Scott Morrison; DOSH #92-0248
BULK SAMPLES ANALYZED BY: Teo -An, lnc., NVLAP #200325-0 f
The results on the followi '
ng page(s) indicate thatasbestos was'detected in'O of the 7 samples analyzed.
i +
, .
34
♦ .. •
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♦
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Jti
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+-
•
!
- F -
_
SCOTT •MORRISON. & ASSOCIATES'...
'
3243 Arlington Ave., -Suite 205 " :.,
1.130 E. ruerte Circle
Riverside, California 92506.
Palm Springs, . CA.92262.
(909) 624-1665
DOSH 92-02;48 t
(800) 824-3353:
PLM0717#0101
Sample #ZC-1 .
Type of material -ceiling insulation
Location: floor debris, entrance area
.
..Area -.scattered throughout interior, K
,
Friable:yes
Results: none detected
Sample ,#ZC-2 ' '
Type of materiahwall pasterl grey
' Locationaiving room floor
Area:scattered throughout interior
' Friable -yes
- Results: I none detected
Sample #ZC-3
Type of materiaWrywallfpink
t ' LocationJiving'room floor .
}
'
h Arewscattered throughout interior
Friab{e:yes
Results: ,none detected
• !
Sample #ZC4
Type of materiatfinal coat/ blue
'
Location: interior wall, NW bedroom
" 'Area: interior wall -1 stlayer
Friable:no
Results: none detected
y
_T
Sample #ZC-5
Type or material:wall plaster/ grey coat
Location:intedor wall, NW bedroom
'
Arewinterior wall -2nd layer
Friable:no
Results:none' detected
Sample #ZC-6
Type of material:linoleuml. yellow -green
, '
_
�
- Location: SE entrance and kitchen floors
.
Area:approx.120+ total sq. ft.
,
• Friablemo
b ' Results: none detected
Sample #ZC 7
'` - Type of materiail-drywall/white
,
'
Locationinterior wall, kitchen
Area:lntenor wall, kitchen
F -
• . Friable:no -
Results: -none, detected
����� ^
Inspector` •
., ,
'
r 4 Scott C. Morrison -
Certified Asbestos Consultant
DOSH#92-0248
M
.
(2)
Julni,24rQ-1 02:23P TEC—AN,,JnC.
ti
TEC -A* INc.
25.17 S. PUA-Dur
OKLAHOMA C/rrj, 0K 73228
OMCE (405) 681-7076 - -
FAX (4051683.7256 -
405 681 7256 - P.01
LASORA TOPY ANAL Yri'm REPoRr
PoL4.91wo Vamr.McRoscopr
NVLAP LAS CODE 200325.0
TEXAs LAS # 30-0207
Client:
Scull Ni6jrison Associates
Tec -An Log #:
01-0941
Address:
I MO Fve(te Cifcic
Project Name:
leus Const(uc lion
Celliilose 95%
Pulm Springs, CA 92262
Project/Po #-.
PLM0707#0701
Date: Received:
//74/01
Sampled By:
Scott Morrison
Date Analyzed:
7124101
Date Sampled:
7117101
SAMPLE #
SAMPLE INFORMATION
LOCATICINfMATERIM:CESCRIPTION
Asismos.
COMPONENTS (76)
NON-AssEsicis
COMPONEWS (%I
PHYSICAL DiEscililirnoN
(COLORilEXTURFS)
W-1
Insulation
None detected -
Celliilose 95%
Gray/fibrous
Hbrousgloss 4%
Other I %
'ZC-2
P1105tw
gone delected
Cellulose 3%,
Gray/gronkilor
01her 97%
IC -3
Drywall
None detected
Cellulose 7%
Pink/grainy
Other 93'%
ZC-4
Plaster
None detected
Cellulose 2%
Bluelgrainy
Other 98%
ZC,-5
Wall matpflol,
None detected
Cellulose 3%
Graylgr0iny
Other 97%
ZC-6
I inoleum
None detected
Cellulose 5%
White/grainy
Other 95%
I CERTIFY VIIAT fl IF ABOVE SAMPLES Nk-TRI7 ANALYU.D IN S110CI bI-1ATrs,i* W-ri lot) 600/R-93/116
COMPI. (ANCF. WITI IA VIII .1 CAH Lh STANOMWS ANDRl-X;UI.A,l10NS.
An.plyst VoYmIdd. Nivl.larnie Ila// Authorized
Date Reported 0W24/01 Signator
Rerviarlvq "ooklDemalif.1, Nivlljomie Hall
This i-cW1 may not be wpioliaccd, %--xt4V1 in Ul. withoutv-.TiLttn upprovul or'Ttt.�-An, Inc. 'I'htNc,. results rcl;tto uIlly to 111c it,:ms timed and rcrimictit unalv-ii:i of
,;4mpIc,4 ohmiacd by 44 clivin. '(1ii . s (vpvrt must /tut be jawd by thu,;Jivtit to c-1-aini product wdorwi Ticrit by NV i LAII or any iig�enqv (If the U.S. 00vo-ritilcin.
'Pec -,An, Inc. is not rcxlA%n.%Ih1e. mr Pay crroi vc.svItine. thim Impmpor or I nivirrea sampling prdwodim.-A; errors resulting Born ;iurtosphio ie wii4ithnis at the time of
-t
sornpling tv dorinduring%hipritcrit: or ortim rmilting 11rorn.'Mipoug omelit ion.% All.amples will he Beit) fur 45 Jars tk'arc d is. 0-01.
(' J0.~ Ikn•wmuA,\Gart1lMdWil drro
1ul-24-01 02:24P TEC -AN, Inc-
��
405 681 7256 P.03
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4/22/02
Mr. Tarran Merrill
.52-9.13 Avenida Vallejo
La Quinta, CA., 92253
Re: Fire Damage Repair ,
Dear Mr. Merrill,
This letter is provided to, confirm your concern for the means of emergency escape fiom both
the Guest and Master Bedroom. Fire damage repair plans approved by myself for fire re-
construction do incorrectly reflect 3030 windows in both bedrooms with no notation as to the
type of window to be installed.
The mmimum means 'of emergency escape for the Guest and Master Bedroom require at least
one escape opening to have a'net clear opening of 5.7 square feet. The minimum net clear
opening height shall be 24 inches. The minimum net clear opening width shall be 20 inches. All
escape windows shall have a finished sill height not more than 44 inches above the finished
floor. (CBC 310.4)
Prior to final inspection, submit documentation for proposed replacement of egress windows.
Documentation shall be reviewed and approved prior to installation. I would like to sincerely
apologize for my oversight in plan review, please contact me directly at (760) 777-7027 for any
question or fiu-ther assistance.
Sin rely,
0
1
Building
dpc
5;29*13;o4v W',
eu Seo -
or
0
SAVE THIS BOOK
This book is valuable In addition to instructing you on
how to install and maintain, your appliaroa. it also
contains information that will amble you to obtain
r0ptW=ew parts or accessory item when needed.
Keep it with your adw lawortant
B42: 4r smooth fape
B421 4r smooth face with insolation BUngalow
B42L 4r circulating
B42ZI 4T' circulating with insulation
INSTALLATION INSTRUCTIONS
This fireplace is approved for use as a wood burning fireplace is for
use with a vented gas log approved to ANS 721.60. 221.84 or ROA
2.72 standards oLfor use with a vent -free gas log heater approved to
ANS 221.11.2 standard DESA .hood must be bmWW,whe�.
UsMz a vent -set: 'gas log heater (se Accessories. p. 12).
A WARNIKO: Always leave glass doors fully opened or fully cloud when operating this fireplace.
Z
C=M ALL DIUNhWONS M IMS MANUAL AM IN
+ 'WHES UNLRSY OTHERWISE SPECIFIED
I C133 M�43a 5001
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TITLE 24.REPORT
Title'24 Report for:
CITY OF LA QUINTA
B U LD NG & SAFETY DEPT -
Ta 6r dnMerril
APPROVE®
52-913 Avenida Vallejo
FOR CONSTRUCTI
La Quints, CA
i
DATE' d� BY
CIT trCit
�UINTA
BUILDING r� =��
Project Designer:
Y pEPT.
.` •r U
!
FOR CE C01"'it F I ��'t;TION
DATE P v
DATE,. -- ---
Report Prepared By:
Joan D. Hacker
'
Insu-Form Inc.
68255 Corta Road
Cathedral City, CA 92234
(760) 324-0216
Job Number:
y
Date:
1 /28/2002
The EnergyPro computer program has been used
to perform the calculations summarized in this compliance report This program has approval and is
authorized by the California Energy Commission for use with both the. Residential and Nonresidential 2001 Building Energy Efficiency Standards.
This program developed by Gabel Dodd/EnergySoft, LLC (415j 883-5900.
EnergyPro 3.1 ' By EnergySoft
Job Number. User Number. 2655
•%—..—'. ..... :. 'y r.+.. � � ,.-.-;*-r—;----.3 ..;�. `� ._.. :i
-s 1 .-._.^vas....:'M'M1—'i-z-SY{-"S,•-,�-'`..�':-,.,--.�_.. �..i_!F�..._�.__•� � -- � ___.-._ - -_ .+ .
e1
User Number. 2655
Certificate of Compliance:
Residential
(Part 1 of 2) 'CF -1 R
Tarran Merril
Component
1/28/2002
Project Title
Location/Comments
Date
52-913 Avenida Vallejo La Quinta
U -Value
(attic, garage, typical, etc.)
Slab On Grade
Project Address
0.756
Exposed Slab w/R-0.0 Perimeter Insulation
Building Permit #
Insu-Form Inc.
(760) 324-0216
Exterior Wall
Solid Wood Door
Plan Check / Date
Documentation Author
Telephone
R-30 Roof (R.30.2x12.16)
Wood
Computer Performance
15
Bug Screen
Field check / Date
Compliance Method (Package or Computer)
Climate Zone
Enforcement Agency Use Only
GENERAL INFORMATION
Total Conditioned Floor Area: 840 ft2
Total Conditioned Slab Area: 840 fl?
Building Type:
(check one or more)
Average Ceiling Height: 9.0 ft
.. X❑ Single Family Detached ❑ Addition
❑ Single Family Attached ❑ Existing Building
❑ Multi -Family ® Existing Plus Addition .
Fr�nt Orientation: (West) 270 deg .Floor Construction Type: ® Slab Floor
Number of Dwelling Units: 1.00
Number of Stories: 1 ❑ Raised Floor
FENESTRATION
Shadina Devices
Type
Orientation
Const.
Component
Frame
Assembly
Location/Comments
Type
Type
U -Value
(attic, garage, typical, etc.)
Slab On Grade
n/a
0.756
Exposed Slab w/R-0.0 Perimeter Insulation
R-19 Wall (W.19.2x6.16)
Wood
0.065
Exterior Wall
Solid Wood Door
None
0.387
Exterior Door
R-30 Roof (R.30.2x12.16)
Wood
0.035
Exterior Roof
FENESTRATION
Shadina Devices
Type
Orientation
Area
Fenestration
Exterior
Overhang Side Fins
SF
U -Factor
SHGC
Shading
Yes / No
Yes /. No
Front
(West)
40.0
0.87
0.70
Bug Screen
X❑ ❑
❑ X❑
Left
(North)
9.0
0.87
0.70
Bug Screen
X❑ ❑
❑ x❑
Rear
(East)
27.0
0.87
0.70
Bug Screen
X❑ ❑
X❑
Right
(South)
13.0
0.87
0.70
Bug Screen
X❑ ❑
❑ Q
❑❑
1:1 F1
1:1 El
11
El El
El
El E]
❑❑
1:1 E]
R
❑❑
R
1:1 El
❑❑
Run Initiation
e: 01128/02
0.49:36 Run
Code: 1012243776
Ene
Pro 3.1 By EnergySoft
User Number. 2655
Job Number.
Page 3 of 15
Certificate of Compliance: Residential (Part 2 of 2) - CF=1 R
Tarran Merril 1/28/2002
Project Title Date
HVAC SYSTEMS Note: Input Hydronic or Combined Hydronic data under Water Heating Systems, except Design Heating Load.
Distribution
Heating Equipment Minimum Type and Duct or
Type (fumace, heat Efficiency Location Piping Thermostat Location/
pump, etc.) (AFUE/HSPF) (ducts, attic, etc.) R -Value Type Comments
Split Haat Pumn 7.20 HSPF Ducts in Attic 4.2 Setback Living Zone
Cooling Equipment Minimum Duct
Type (air conditioner, Efficiency Location Duct Thermostat Location /
.heat pump, evap. cooling) (SEER) (attic, etc.) R -Value Type Comments
Split Heat Pump 12.5 SEER Ducts in Attic 42 Sethack Iiving 7nnp
WATER HEATING SYSTEMS
Rated 1
Tank
Energy*Fact.1 1
External
Water Heater Water Heater Distribution
# in Input
Cap.
or Recovery Standby
Tank Insul.
System Name Type Type
Syst. Btu/hr
(gal)
Efficiency Loss (%)
R -Value
AO SMITH PEC -066 Storage Elec. Standard
1 15 M9
60
0.87 n/a
n/a
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
COMPLIANCE STATEMENT
This certificate of compliance lists the building features and performance specifications needed to comply with Title 24, Parts 1 and 6 of the
California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual with
overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple orientations, any
shading feature that is varied is indicated in the Special Features/Remarks section.
Designer or Owner (per Business & Professions Code) Documentation Author
Name:
Name:
Joan D. Hacker
Title/Firm:
Title/Firm:
Insu-Form Inc.
Address:
Address:
68255 Corta Road
Cathedral City, CA 92234
Telephone:
Telephone:
(760) 324-0216
Lic. #:
(signature)
(date) (signatu
(date)
Enforcement Agency
Name:
Title/Firm:
Address:
Telephone:
Certificate of Compliance: 'Residential (Addendum) r SCF -1 R
Tarran Merril 1/28/2002
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
based on the adequacy of the. special justification and documentation submitted: Plan Field
HIGH MASS Design(see C -2R) Verify Thermal Mass: 700 sqft Exposed Slab Floor, 3.50" thick at Living
HIGH MASS Design(see C -2R) - Verify Thermal Mass: 140 sgft Exposed Slab Floor, 3.50" thick at Living
HERS Required Verification
These features must be confirmed and/or tested by a certified HERS rater under the supervision of a CEC approved HERS
provider. The HERS rater must document the field verification and diagnostic testing of these measures on a form CF -611. Plan Field
r
Run Initiation Time: 01/28/0210:49:36 ` Run Code: 1012243776
EnergyPro 3.1 By EnergySoft . User Number. 2655 Job Number. Page:5 of 15
I
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 minimum component specifications for the mandatory measures whether they
are shown elsewhere in the documents or on this checklist only.
DESCRIPTION Instructions: Check or initial applicable boxes or enter N/A if not applicable.
DESIGNER
ENFORCEMEN
Building Envelope Measures
'§ 150(a): Minimum R-19 ceiling insulation in wood frame assembly, or equivalent U -value.
§ 150(b): Loose fill insulation manufacturer's labeled R -Value.
.§ 150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -value in metal frame walls (does not apply to
exterior mass walls).
❑ '§ 150(d): Minimum R-13 raised floor insulation in framed Floors.
§ 150(1): Slab edge insulation - water absorption rate <= 0.3%, water vapor transmission rate <= 2.0 pem>rnch.
§118: Insulation specified or installed meets insulation quality standards. Indicate type and form.
§116-17: Fenestration Products, Exterior Doors and Infiltration/Exfiltration Controls
1. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage.
2. Fenestration products (except field fabricated) have label with certified U -Factor, certified SHGC, and infiltration certification.
3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed.
: . H§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.
Space Conditioning, Water Heating and Plumbing System Measures
§110-13: HVAC equipment, water heaters, showerheads and faucets certified by the Commission.
§150(h): Heating and/or cooling loads calculated in accordance with 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 extemally wrapped with R-12.
2. First 5 feet of pipes closest to water heater tank, non -recirculating systems, insulated (R-4 or greater)
3. Back-up tanks for solar system, unfired storage tanks, or other indirect hot water tanks have R-12 external insulation or R-16
combined internal/external insulation.
4. All buried or exposed piping insulated in recirculating sections of hot water systems.
5. Cooling system piping below 55 degrees F. insulated.
6. Piping insulating between heating source and indirect hot water tank.
'§150(m): Ducts and Fans
1. All ducts and plenums installed, sealed and insulated to meet the requirements of the 1998 CMC Sections 601, 603, 604 and
Standard 63; ducts insulated to a minimum installed level of R-4.2 or enclosed in conditioned space. Openings shall be sealed
with mastic, tape aerosol sealant or other duct- closure system that meets the applicable requirements of UL181. UL181A, or
UL181 B. If mastic or tape is used to seal openings greater than 1/4 inch, the combination of mastic and either mesh tape or
tape shall be used. Building cavities shall not be used for conveying conditioned air. Joints and seams of duct systems and
their components shall not be sealed with cloth back rubber adhesive duct tapes unless such tape is used in combination with
mastic and drawbands.
2. Exhaust fans systems have back draft or automatic dampers.
3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers.
§114: Pool and Spa Heating Systems and Equipment
1. Certified with 78% thermal efficiency, on-off switch, weatherproof instructions, no electric resistance heating, no pilot
r
2. System is installed with at least 36" of pipe between filter and heater for future solar, cover for outdoor pools or spas.
3. Pool system has directional inlets and a circulation pump time switch.
§115: Gas fired central furnaces, pool heaters, spa heaters or household cooking appliances have no continuously burning pilot
light. (Exception: Non -electrical cooking appliances with pilot < 150 Btu/hr)
Lighting Measures
§150(k)1: Luminaires for general lighting in kitchens shall have lamps with an efficacy 40 lumens/watt or greater for general
lighting in kitchens. This general lighting shall be controlled by a switch on a readily accessible lighting control panel at an
entrance to the kitchen.
150(k)2: Rooms with a shower or bathtub must have either at least one luminaire with lamps with an efficacy of 40 lumenshvatt
or greater switched at the entrance to the room or one of the alternative to this requirement allowed in Section 150(k)2.; and
recessed ceiling fixtures are IC (insulation cover) approved.
EnergyPro 3.1 By EnergySoft User Number. 2655 Job Number. Page:6 of 15
Computer Method Summary
(Part 1 of 3) C -2R
Tarran Merril
Project Title
1/28/2002
Date
52-913 Avenida Valleix
laQuinta
Project Address
Building Permit #
Inst -Form Inc_
(760) 324-0216
Documentation Author
Telephone
Plan Check/Date
Computer Performance
Compliance Method (Package or Computer)
15 Field Check/Date
Climate Zone
Source Energy Use
Standard
Proposed
Compliance
(kBtu/sf-yr)
Design
Design
Margin
Existing+Addition Budget Adjustment
Space Heating
3.47
3.27
0.19
Ratio F: 8401 840 = 1.000
Space Cooling
46.36
55.49
-9.13
Budget Adj: 1.000 X (117.44 - 67.66) = 49.78
Domestic Hot Water
24.34
40.39
-16.05
The budget shown to the left has been increased using
Totals
49.78+ 74.17 = 123.95
99.15
24.80
this Budget Adjustment based upon Existing building
information shown on the C -2R which follows this form_
GENERAL INFORMATION
Conditioned Floor Area:
Building Type:
Building Front Orientation:
Number of Dwelling Units:
`. Number of Stories:
840
Single Fam Detached
(West) 270 deg
1.00
1
Floor Construction Type: X❑ Slab Floor
❑ Raised Floor
Total Conditioned Volume: 7,560
Slab Floor Area: 840
BUILDING ZONE INFORMATION # of
Zone Name Floor Area Volume Units
Living 7nnP R40 7 580 1 00
OPAQUE SURFACES Solar
Act. Gains
Type Area U -Val. Azm. Tilt Y / N Form 3 Reference
Thermostat Vent
Zone Type Type Hgt. Area
CnnditinnPri SPthack _Q n/a
Location / Comments
a
Computer Method Summary
(Part 2 of 3)
C -2R
Tarran Merril
1/28/2002
Project Title
Date
FENESTRATION SURFACES
U-
Act.
Glazing Type
Location/
'# Type
Area
Factor
SHGC
Azm. Tilt
Comments
1_ Wandow Front OQ(e
280
0.870
070
270 -
QQ Doubl . Mtl Llnrantptl Default
Living Zone
2 Window Front (West)
12.0
0.870
0.70
270
90 Double Mtl Uncoated Default
Living Zone
3 Window Left (North)
9.0
0.870
0.70
0
90 Double Mtl Uncoated Default
Living Zone
4 Window Rear (East)
27.0
0.870
0.70
90
90 Double Mtl Uncoated Default
Living Zone
5 Window Right (South)
9.0
0.870
0.70
180
90 Double Mtl Uncoated Default
Living Zone'
6 Window Right (South)
4.0
0.870
0.70
180
90 Double Mtl Uncoated Default
Living Zone
L
i
INTERIOR AND EXTERIOR SHADING
Window
Overhang Left Fin
Right
Fin
# Exterior Shade Type
SHGC
Hgt.
Wd.
Len. Hgt.
LExt. REA Dist. Len.
Hgt. Dist.
Len. Hgt.
1 Bug Screen
0.76
4.0
7.0
2.0 0.1
2.0 2.0
2 Bug Screen
0.76
3.0
4.0
2.0 0.1
2.0 2.0
3 Bug Screen
0.76
3.0
3.0
2.0 0.1
2.0 2.0
4 Bug Screen
0.76
3.0
3.0
2.0 0.1
2.0 2.0
5 Bug Screen
0.76
3.0
3.0
2.0 0.1
2.0 2.0
6 Bug Screen
0.76
2.0
2.0
2.0 0.
2.0 2.0
r
_
Run Initiation Time: 01/28102 10.49.36 Run Codes 1012243776
EnergyPro 3.1 By EnergySoft User Number. 2655 Job Number. Page:8 of 15
E
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.
Run Initiation Time: 01/28/0210:49:36 Run Code: 1012243776
EnergyPro 3.1 By EnergySoft User Number. 2655 ' . Job Number. Paoe:9 of 15
Computer Method Summary
(Part 3 of 3) C -2R
Tarrari Merril
1%28/2002
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
Concrete, He_yyweight Mn
3_50 ---2a 0_98 n/a
_0
Living Zone / Slab on Grade--
rade_Concrete.
Concrete.Heavyweight 140
3_50 28 0_98 n/a
0
Living Zone / Slab on Grade _
PERIMETER LOSSES
F2 Insulation
Type Length
Factor R -Val. Depth Location
/ Comments
Slab Perimeter. 60
0.76 0.0 0 Living
Zone
Slab-2erimeter 38
_0..Z6 0.0 0 ' Living
Zone
HVAC SYSTEMS .
Heating Equipment
Minimum. Distribution Type
Type (furnace, heat
Efficiency and Location
Duct Thermostat
Location /
pump, etc) (AFUE/HSPF)(ducts/attic, etc.)
R -Value Type
Comments
Split Heat Pump
7.20 HSPF Ducts in Attie
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 Heat Pump
12.5 SEER Ducts in Attic
4.2 wetback
Living Zone
WATER HEATING SYSTEMS
Ratedl Tank
Energy Fact? 1 Tank lnsul.
Water Heater
Water. Heater Distribution
# in Input Cap.
or Recovery Standby R -Value
System Name -Type
Type
Syst. (Btu/hr) (gal)
Efficiency Loss (%) Ext.
AO SMITH PEC -066
Storage Elec, Standard
1 15,359 60
0.87 n/a n/a
1 For small gas storage (rated input <= 75000 Btu/hr), electric resistance and heat pump water heaters, list energy factor.
For large gas storage water heaters (rated input > 75000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss.
For instantaneous gas water heaters, list Rated Input, and Recovery Efficiency.
Run Initiation Time: 01/28/0210:49:36 Run Code: 1012243776
EnergyPro 3.1 By EnergySoft User Number. 2655 ' . Job Number. Paoe:9 of 15
Computer Method Summary (Addendum) C -2R
Tarran Merril 1/28/2002
Special Features and Modeling Assumptions 3
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
based on the adequacy of the special justification and documentation submitted. Pian Field
HIGH MASS Design(see C -2R) - Verify Thermal Mass: 700 sqft Exposed Slab Floor, 3.50" thick at Living
HIGH MASS Design(see 6-2R) - Verify Thermal Mass: 140 sqft Exposed Slab Floor, 3.50" thick at Living
4
HERS Required Verification
These features must be confirmed and/or tested by a certified HERS rater under the supervision of a CEC approved HERS
provider. The HERS rater must document the field verification and diagnostic testing of these measures on a form CF -6R. plan Field
Run Initiation Time: 01/28/0210:49:36 Run Code: 1012243776
EnergyPro 31 By EnergySoft User Number. 2655 Job Number. Page: 10 of 15
Computer Method Summary (Part 1 of 3) C -2R
Tarran Merril 1 /28/2002
Project Title Date
�241l Avenida Valleix a Cluinta
Project Address Building Permit #
lh-, t Firm Inc (760) 324-0216 plan ChecklDate
Documentation Author Telephone
Source Energy Use
Standard
Proposed
Compliance
(kBtu/sf-yr)
Design
Design
Margin
Space Heating
1.35
2.55
-1.20
Space Cooling
41.97
74.50
-32.53
Domestic Hot Water
24.34
40.39
-16.05
Totals
67.66
117.44
-49.78
Existina
Builldina
Information
GENERAL INFORMATION
Conditioned Floor Area: 840 Floor Construction Type: El Slab Floor
Building Type: Single Fam Detached E] Raised Floor
Building Front Orientation: (West) 270 deg
Number of Dwelling Units: 1.00 Total Conditioned Volume: 7,560
Number of Stories: 1 Slab Floor Area: 840
BUILDING ZONE INFORMATION # of
Zone Name Floor Area Volume Units
OPAQUE SURFACES Act.
Type Area U -Val. Azm. Tilt
Wall 180 0-098 270 90
nnor 20 0 387 270 -90_
Wall 341 0 065 _� go
Wall 193 0.065 90 90
nnnr 20 0.387 90 90
Wall_ 277 0 085 180 AIL
Rnnf 840 0.051 180 _0
Thermostat Vent
Zone Type Type Hgt. Area
rnnditinnerl SPthack 9 n/a
Solar
Gains
Y / N Form 3 Reference Location / Comments
Enerp6Pro 3.1 By EnergySoft User Number. 2655 Job Number. Page: 11 of 15
Comauter Method Summary _ (Part 2 of 3) - C -2R
Tarran Merril 1/28/2002
Project Title Date
FENESTRATION SURFACES
U- Act. Glazing Type Location/
# Type Area Factor SHGC Azm. Tilt Comments
' j_
ut/indow
Front
(Westl
2
Window
Front
(West)
3
Window
Left
(North)
4
Window
Rear
(East)
5
Window
Right
(South)
6
Window
Right
(South)
90
90 Single Mtl Uncoated Default
Living
Zone
9.0
1.280
980
1_280
080 _
270_
qQ Singles Mtl Uncnated Default
t iving
7nne
12.0
1.280
0.80
270
90 Single Mtl Uncoated Default
Living
Zone
9.0
1.280
0.80
0
90 Single Mtl Uncoated Default
Living
Zone
27.0
1.280
0.80
90
90 Single Mtl Uncoated Default
Living
Zone
9.0
1.280
0.80
180
90 Single Mtl Uncoated Default
Living
Zone
4.0
1.280
0.80
180
90 Single Mtl Uncoated Default
Living
Zone
4.0 7.0
3.0 4.0
3.0 3.0
3.0 3.0
3.0 3.0
2.0 2.0
Overhang
Len.
Hgt.
LEA
REA
2.0
0.1
INTERIOR AND EXTERIOR SHADING
#
Exterior Shade Type
SHGC
1
Bug Screen
0.76
2
Bug Screen
0.76
3
Bug Screen
0.76
4
Bug Screen
0.76
5
Bug Screen
0.76
6
Bug Screen
0.76
4.0 7.0
3.0 4.0
3.0 3.0
3.0 3.0
3.0 3.0
2.0 2.0
_ Right Fin
t. Dist. Len. Hgt.
EneravPro 3.1 By EneravSoft User Number. 2655 Job Number. Page: 12 of 15
Overhang
Len.
Hgt.
LEA
REA
2.0
0.1
2.0
2.0
2.0
0.1
2.0
2.0
2.0
0.1
2.0
2.0
2.0
0.1
2.0
2.0
2.0
0.1
2.0
2.0
2.0._i_1
2.0
2.0
_ Right Fin
t. Dist. Len. Hgt.
EneravPro 3.1 By EneravSoft User Number. 2655 Job Number. Page: 12 of 15
Computer Method Summary (Part 3 of 3) - C -2R
Tarran Merril 1/28/2002
Project Title Date
THERMAL MASS FOR HIGH MASS DESIGN
Area Thick. Heat Inside Location
Type (so (in.)' Cap. Cond. "Form 3 Reference R -Val. Comments
• COL-cf-OP--UQ -3_50' —2fl 0-9g n/a _Q I iving one / SIa6 on Grade
4 Concrete, Heavyweight 140 3_50 28 0_98 n/a 0 Living Zone / Slab on Grade
PERIMETER LOSSES
R F2 Insulation
Type Length Factor R -Val. Depth Location / Comments
Slab -Perimeter 10 -U6 0.0 0 Living Zone
SJ.atz2etimel r _10 0-76 0-0 0 .Living Zone
HVAC �YSTEMS
Heating Equipment Minimum Distribution Type
Type (furnace, heat Efficiency and Location. Duct Thermostat Location /
pump, etc.:) (AFUE/HSPF)(ducts/attic, etc.). R -Value Type Comments
Split Heat Pump 6.00 HSPF'. Ducts iri Attic 4.2 Setback j�— Living Zones
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 JHeat Psjmp 9.0 SEER Ducts in Attic 4.2 Setbbck "-
Living Zone
WATER HEATING SYSTEMS Ratedl Tank
Energy Fact!
1 Tank Insul. '
Water Heater Water Heater Distribution # in Input Cap.
or Recovery
Standby R -Value
System Name Type Type Syst. (Btu/hr) .(gal)
Efficiency
Loss (%) Ext.
!, AO SMITH PEC -066 Storage Elec" Standard 1 15 359 60
0.87
n/a n/a
1 For small gas storage (rated input <= 75000 Btu/hr), electric resistance and heat pump water heaters, list energy factor.
For large gas storage water heaters (rated input > 75000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss.
For instantaneous gas water heaters, list Rated Input, and Recovery Efficiency.
HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY ::1
!PROJECT NAME DATE
Tarran Merril 1/28/2002
SYSTEM NAME FLOOR AREA
i Living Zone 840
IENGINEERI
' � Number of
Total Output (Btuh)
Output (Btuh/sgft)
!Cooling System
Output per System
Total Output (Btuh)
Total Output (Tons)
Total Output (Btuh/sqft)
Tota! Output (sgftrron)
41,000,
41,000
3.4
48.8
Total Room Loads
Return Vented Lighting
Return Air Ducts
Return Fan
Ventilation
Supply Fan
Supply Air Ducts
TOTAL SYSTEM LOAD
COIL COOLING PEAK
COIL HTG. PEAK
CFM
I Sensible
Latent
I CFM
- Sensible
19,106 1,841 2 30841.
Air Jystem
HVAC EQUIPMENT SELECTION
CFM per System I
1,400
YORK H4DH042S06
27,273
9,824
I
27,622
Airflow (cfm)
1,400
7.5 kW Supplemental Electric
25,598
Airflow (cfm/sgft)
I 1.67
1
Airflow (cfm/Ton)
409.8
Total Adjusted System Output
27824
273 9,
Ii
53,220 ;
Outside Air (%)
0.0
(Adjusted for Peak Design Conditions)
TIME OF SYSTEM PEAK
,
Aug 2 pm
I
Outside Air (cfm/sgft)
0.00
Jan 12 am
Note: values above given at ARI conditions
BEATING SYSTEM PSYCHROMETRICS (Airstream Temperatures at Time of Heating
Peak)
26.0 of 69.4 of 69.4 of 87.8 of 104.8 of
y
Supply Air Ducts
Outside AirO .
0 cfm
104.2 of
Supply Fan
Heating Coil Aux. Heat Coil
1400 cfm
ROOMS
70.0 of
69.4 of
Retum Air Ducts
:.DOLING SYSTEM PSYCHROMETRICS (Airstream Temperatures at Time of Cooling
Peak)
111.0/77.4OF 78.6/65.8OF 78.6/65.8OF 60.4/59.3OF
,
„
Supply Air Ducts
Outside Air
`
0 cfm Supply
Fan Cooling Coil
61.0 / 59.5 of
1400 cfm
ROOMS
52.1% R.H.
of
78.0 / 65.6 of
78.6 / 65.8
Return Air Ducts
EnergyPro 3.1 By EnergySoft
User Number. 2655 Job Number.
Page: 14 of 15
JM LOAD SUMMARY
CT NAME DATE
Tarran Merril 1/28/2002
M NAME FLOOR AREA
Living Zone 840
1 LOAD SUMMARY
f
p
EnergyPm 3.1 By EnergySoft User Number. 2655 Job Number. Page: 15 of 15
f r
ROOM COOLING PEAK
COIL COOLING PEAK
COIL HTG. PEAK
ZONE NAME
ROOM NAME
Mult.
CFM y
SENSIBLE
LATENT
CFM
SENSIBLE
LATENT
CFM . SENSIBLE
Living Zone
Living
1
952
17,369
1,841
952
17,369
1,841
505 18,531
l
i i
i i
I
II
I
�r
PAGE TOTAL-,',... 152 17,369 1,841 505 18,531
TOTAL 1 952 17,369 1,841 505 18,531
EnergyPm 3.1 By EnergySoft User Number. 2655 Job Number. Page: 15 of 15
f r