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9707-034 (SFD)` LICENSED CONTRACTOR DECLAR AT|ON 1hhreb affirm under enalty of perjury that I am licensed under provisions of - with Section r00nmDivision xofthe Business and Professionals Code, and myLicense ioinfull homoand effect. License # uo.o/mm Exp. Date . 317300 B %/29/w7 Gignatu,eoiContractor OWNER -BUILDER` . hereby affirm under penalty o/perjury that |omexempt from the Contractor's License Law for the following reason: (- ) |, aoowner ofthe property, o,myemployees with°agoaaatheir sole compensation, will Uothe work, and the structure ionot intended o,offered for sale (Gov.ro*4.Business aProfessionals Couo). . ( ) 1 as owner o/ the property, am exclusively contracting with licensed oommvmm to mvnmmm the project (Sec. 70** avoinovo a ProfessionalsCodo). . () |amexempt under Section _______.o&PC.for this reason ________� ooto Signature o, Owner. ' ' COMPENSATION DLanATK�N .WORKER'S | hereby affirm under penalty o/ perjury one of the following dao|aeniona` ()| have and will maintain ocertificate o,consent mself-insure for workers' compensation, as -provided for by Section offm.th performance "/" the work for which "this permit = I have and will maintain workers' compensation insura ' nce, as required by Section 3700 of the Labor Code, for the performance of the work for,which thig permit. is issued., My workers' compensation insurance carrier & polity no. are: Carrier Policy No. (This section need not be completed if the permit valuation is for $1 QQ.00 orJess) I certify that in the performance of the Wo rk 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 su�ject to the workers' compensation provisions of Section 3700 of the Labo_r Code, I shall forthwith comply with those provisidns. Warning: Failu ' re to secure Workosf Compensation coverage is unlawful and shall subject an employee to criminal penalties and civil fines up to $100,000, in addition to the cost of compensation, damages as p rovided 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 pe rmit, subject to the conditions 'and restrictions set forth on his application. ` tEach person upon whose behalf this application iomade & each person at whose request and for whose benofit.womisperformed under mpursuant m . any permit iooueU�sa result ofthis appnoamnagrees to, &oxan. indemnify & hold harmless the Qty/of Laouima. its officers, agents and employees. o. Any permit issued as a result of thi | work wmis ncommenced within 180 uavu from date of issuance of such penmit, or cessation o,work for 180 days will subject permit mcancellation. | certify that | hmm madmioapp|icotion and state that mo.abovo imonnohnn is construction,correct. I agree- to com6ly With all Ciiy; and State laws relating to the -building U hereby authorize representatives of this City memo, upon the aUovo'monUnn6d�rop i `/ 'Ad_ -Signatum (Owner/Agent) Date '~ 7 BUILDING PERMIT DATE VALUATION LOT 9707-034 TRACT MT JOB SITE APN ADDRESS OWNER CONTRACTOR DESIGNER ENGINEER 79860 1 30qUER6NI WAY 79860 80QUEPON WY CA 92201 BERNMA DUNE S CA 92201 (614)345-4216 CBL# 1973 USE OF PERMIT S FD '-4 QITY OF LA OUINTA 6'Fr. VV00D MICE 1100,60 LF OTIMATED COST OF CONSTRUCTION 94,338.01) PERMIT FEE SUMMARY CONSTRIK-Irtow'm 101 -MO -419-000 $6.17 `00 PLAN 01ECK PEE 101-000-439-318 $52731 P4L,CHAM,CACFIEE 101 -NO-421-000 $66.50 E1EC1'RJCAL M., 101-000420-000 $126.60 PLUNMING FTE 101-000-419-000 S151,50' ORAONGFES 101-000-423-000. 'PRECISH-i P1. AN 101-000-441�W $25.00 LESS PRE -PAID FEES 4250.00 TOTAL, PERMIT FEES DUENOW S3.317.70, DATE BY FINALED PECTOR ~m 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 77 Final Final POOLS - SPAS BLOCKWALL APPROVALS 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 X2, Pool Cover Sewer Connection Encapsulation Gas Piping I rA 49f Gas Test Appliances Final COMMENTS: 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 17 Temp. Use of Power Final Utility Notice (Perm) 5-707--03+ u;i'�ctcv P.O. BOX 1504 APPLICATION ONLY Building//i!! 78-495 CALLE TAMPICO Address s�/ c7 G S Aver 1�ig v LA QUINTA, CALIFORNIA 92253 Owner`---'--- v� uf1'0 BUILDING: TYPE•CONST. Mailing OCC. GRP. Address ��_ 6(J 36)41,(ZXe1v A.P. Number 77c/- 002/9- - O/4/ Citty�7 Zip Tel. ' ys LISP 3 G Legal Description LLT 3 R Q/— '284 V LQ -2 to tContractor / Project Description Address City Zip Tel. State Lic. City n & Classif. —3 �' ?, Q Lic. # vl �3 Sq. Ft. r t No. No. Dw. Arch., Engr., Size Stories Units Designer Newy Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address Tel. City Zip State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed undervprovisions of Chapter 9 (commencing with Section TODD) of Divi ion 3 f tAhe Business and Professions Code, and my license is in full force and effect. \/!/l./ :t�/fi �Gi SIGNATURE — � ' 4 !� 7 �' / oWNER•BOLDER'DECLARATION Estimated Valuation I her a firm that I am exempt from the Contractor's License Law for the following reason: (SeE 7031.5, Business and Professions Code: Any city or county which requires a Permit to construct, alter, improve, demolish, or repair any structure, prior to Its issuance also AMOUNT requires the applicant for such permit to file a signed statement that he is licensed pursuant to PERMIT the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis Plan Chk. Dep. 1 �' for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). I- I, as owner of the property, or my employees with wages as their sole compensation, will Plan Chk. Bal. do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and Const. Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, Mech. provided that such improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden Electrical of proving that he did not build or improve for the purpose of sale.) FI 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 does not apply to an owner of property who builds or improves thereon, and who contracts for S.M.I. such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) I'7 1 am exempt under Sec. B. & P.C. for this reason Grading Driveway Enc. Date owner infrastructure WORKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified cop �� of�� abor Code.) Policy No. Company fX ,< 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 thg work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the Workers' Compensation Laws of California. Date Owner NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become ZONE: BY: subject fo the Workers' Compensation provisions of the Labor Code, you must forthwith Minimum Setback Distances: comply with such provisions or this permit shall be deemed revoked. Front Setback from Center Line Rear Setba rop. Line CONSTRUCTION LENDING AGENCY Side Street,3et a PCenter Line 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is i� ue . (Sec. 3097, Civil Code.) Side Setback from Property Line L Lender's Name Lender's Address 24XIA9910 FINAL DATE JUL 19VSfbEr�,f�R This is a building permit when properly filled out, signed and validated, and is subject to expiration if work thereunder is suspended for 180 days. I certify that 1 have read this application and state that the above information is correct. Issued by: Permit I agree to comply with all city and county ordinances and state laws relating to building y ;1, d {t E�&1��4 construction, and hereby ,authorize representatives" sof this city to enter the above- 'e✓ i A 9 ftT, L 6 ' mentioned property for inspecf'on•purposes. �/ Validated by: Signature of applicant B Date, G% Mailing Address "�� / Validation: City, State, Zip . H WHITE = FINANCE YELLOW = APPLICANT PINK = BUILDING DIVISION Desert Sands Unified School District Notice: 82-879 Highway 111 Document Cannot Be Duplicated Indio, CA 92201 619-775-3500 } CERTIFICATE OF COMPLIANCE Date 12/30/97 APN # 774-212-014 No. 161.460 Jurisdiction La Quinta Owner NameJerry Lugo Permit # y No. 54$065 Street Avenida Vallejo Log # City La Quinta Zip 92253 Study Area Tract # Lot # Square Footage 1540 Type of Development Single Family Residence No. of Units 1 Comments 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. 1.84*1 X 1,540 or $ 2,833.60 the property listed above and that building permits and/or Certificates of Occupancy for this square footage in this proposed project may now be issued Fees Paid By Cashier's Check/Valley Independent Bank Telephon ' ,c3*4 036,. Name on the check 4` ,✓ .. 117 By Dr. Doris Wilson r Superintendent Fee collected /exempted by Ellen Patino Payment Received "$2;833t60 ` Check No. 154530 ^R, Signature 10TICE: 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 ident�ed ibove 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 oiled 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 RECORDING REOU,ESTED BY WON LAS T Tr T LE y AND WHEN RECORDED MAIL THIS DEED AND UNLESS OTHERWISE SHOWN BELOW MAIL TAX STATEMENT TO: Name Mr. and Mrs. Jerry Lugo 14Street dress 79-860 Boqueron Way Nitya Bermuda Dunes O State CA 92201 MAIL -TAX STATEMENTS TO Name Street Address City 8' State TITLE ORDER NO..207022 ESCROW No. 2-13120 SPACE ABOVE THIS LINE FOR RECORDER'S USE GRANT DEED THE UNDERSIGNED GRANTOR(S) DECLARE(S) DOCUMENTARY TRANSFER TAX IS $ 77.00 EN computed on full value of property conveyed, or 0 -computed on full valueless value of liens or encumbrances remaining at time of sale. [Z unincorporated area ❑ city of AND �. FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, MUMBIL, INC., a California Corporation hereby, GRANT(s).to JERRY LUGO and ISABEL LUGO, Husband --and Wife as Joint- Tenants-_-- _ ..______ the following described real property in the County of Riverside State of California: Lots 3, A and'5, Block 284, Santa Carmelita at Vale La Quinta, Unit No. 26, as per.map recorded in Book 20, Page 50 of Maps, in the office of the County Recorder of said County. Dated Jan. 16, 1992 STATE OF CALIFORNIA SS. COUNTY OF. I J �V1-s-t C� e On this It ay of lli,2121A zi ' in the year 19 before me, the undersigned, a Notary blic in and for said State, personally appeared personallyknown 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 to me that — he — executed it. WITNESS my hand and official seal. Signature NOTARY PUBLIC IN AND FOR SAID STATE ar,•441 (REV 4/85) MUMBIL, INC. BY s ti • -I jam'•-_.._ MAIL TAX STATEMENTS AS DIRECTED ABOVE. W (This area for official notarial seal) r OUR REPORT NO.: V7 ^ V DATE: a,,./ S— /i9jsi REPORT OF FIELD COMPACTION TESTS CLIENT: PROJECT: (� L.� .,. h / r"- Ai A. r NUCLEAR GAUGE INFORMATION ANOI DAILY STANDARD CAUBRATION NUMBERS VARIATION, PERCENT.+/- GAUGE ADJUSTMENT % VARIATION =ROM CALIBRATION COUNTS FROM SHEETS COMMENTS LAST USE GAUGE TYPEiTROXLE AMPSELL MOISTURE: MOISTURE: MOISTURE: MOISTURE: �0ow3c r I .tit OOEL NO.: DENSTTY: OENSITY: DENSITY: DENSITY: i ?ROCTOR INFORMATION SOIL ID # VISUAL CLASSIFICATION OF SOIL I MAX. DRY DENSITY, PCF i OPTIMUM MOISTURE % TEST DEPTH, IN ELEVATION OF TEST MOISTURE CONTENT. WET/DRY DENSITY, PCF PERCENT COMPACT ION COMMENTS M- COMPACTION MOISTURE GENERAL LOCATION: REQUIREMENTS, % qh REQUIREMENTS, I +AUVSA TEST ( NO. I READING QUOTIENT/ PCF SOIL ID NO. TEST DEPTH, IN ELEVATION OF TEST MOISTURE CONTENT. WET/DRY DENSITY, PCF PERCENT COMPACT ION COMMENTS M- M- I D- �0ow3c r M- I to- if�•y i loc. 'i I I / I �oc.I Ft !c � c rr of o— M- -- • -`w. M- I D- I - TECHN,CMN: `' COMMEJ$5: - FILy/MATERIAL }TEST RESULTS COMPLY WITH SPECIFICATIONS // O Z - 8/gCKFILL 8 -COMPACTION PEACIENTAGE DOES NOT COMPLY wrrH SPECIFTCAT)ONS 3 - BASE COURSE C - RETEST OF PREVIOUS TEST .will 4 -.SUBBASE O - MOLSTURE IN EJCCESS OF SPECIFICATIONS 5 - SOIL CEMENT E- MOLSTURE BELOW SPECIFICAT)ONS 6 - OTHER TITLE 24 REPORT FOR: JERRY LUGO AVENIDA VALLEJO LA QUINTA, CALIFORNIA PROJECT DESIGNER: REPORT PREPARED BY: JOAN D. HACKER INSU-FORM, INC. 68487 HIGHWAY 111, SUITE 56 CATHEDRAL CITY, CA 92264 (619),324-0216 Job Number: Date: 4/14/1998 The COMPLY 24 computer program has been used to perform the calculations summarized in this compliance report. This program has approval and is authorized by the California Energy Commission for use with both the Residential -and Nonresidential.Building Energy Efficiency Standards. This program developed by Gabel Dodd Associates (510) 428-0803. FENESTRATION Orient. Area U-Val,'Type Right (N) 9.0 CERTIFICATE.'OF COMPLIANCE: Residential (part l of 2) CF -1R page 3 of 12 Project Name: JERRY LUGO (N) 49.0 Date:.4/14/1998,; Address:.AVENIDA VALLEJO Front (E) 2.7 r LA QUINTA, CALIFORNIA Double Building Permit No Designer: 9.0 0.74 Double Checked by / Date Documentation: INSU-FORM, INC. 12.0 0.75 COMPLY. 24 User 2655 Left (S) 35.0 GENERAL INFORMATION Double Back '-.(W) Compliance Method: _' COMPLY 24 version 4.11 Climate Zone: 15 (W) Conditioned Floor Area: 1540 sgft Double -Building"Type: Single Fam Det Scr '- Building Front Orientation: 90 deg' (E). Metal Number of Dwelling.Units: 1 ' t Floor Construction,Type:- Slab on Grade ` N Metal Light BUILDING SHELL INSULATION Standard Bug Component U -Value Location/Comments R-13eWALL/1"EPS 0.059. WHOLE HOUSE none Solid Wood Door 0:387 WHOLE HOUSE -R-38 Roof(R.38.2xl2.16) 0.028 WHOLE HOUSE N Slab Perimeter'w/R-0.0 0.900 WHOLE HOUSE Blind Slab Perimeter w/R-0:0 0.720 WHOLE HOUSE FENESTRATION Orient. Area U-Val,'Type Right (N) 9.0 0.74 Double Right (N) 49.0 0.75.Double Front (E) 2.7 0.72 Double Front (E), 9.0 0.74 Double Front (E) 12.0 0.75 Double Left (S) 35.0 0.75 Double Back '-.(W) 12.0 0.72 Double Back (W) 40.0 0.77 Double Shading Devices Frame Interior Exterior OH SF Type --------------- Light Blind ----7---------- Standard Bug Scr -- Y -- N ----- Metal Light Blind Standard Bug Scr Y N Metal none- none Y N None, Light Blind, Standard Bug Scr Y N Metal Light Blind Standard Bug Scr Y N Metal Light Blind Standard Bug Scr Y N Metal none none Y N None. Light Blind none Y N Metal THERMAL MASS Area Thick Type Covering (sf) (in) --------------------- -------- ----- ----- Concrete, Heavyweight Exposed 1017 3.50 Concrete, Heavyweight Covered 523 3.50 Location/Description ------------------------------ Slab on Grade Slab on Grade' - n CERTIFICATE OF COMPLIANCE: Residential (part.•2 of 2) CF -1R •page•4 of 12 Project Name: JERRY LUGO Date: 4/14/1998' Documentation: INSU-FORM, INC. COMPLY 24 User 265E HVAC SYSTEMS Minimum Distrib Type _ Duct TStat System Type Efficiency and Location RVal Type Location/Comments SplitHtPump 7.200 HSPF Ducts•in Attic 4.2 SetBck WHOLE HOUSE SplitHtPumpl2.000 SEER Ducts in Attic 4.2 SetBck Water No. Tank Ext. WATER HEATING SYSTEMS Heater in Energy Size Insul SystemrName ----------------------- Distribution ------------------ Type Type- ------- Sys Factor (gal) --- ------ ----- R -Val ----- RHEEM 81VR - 47D Standard StorElec 1 0.89 '47.0 16.0 AFUE R WATER HEATER EQUIPMENT DETAIL /Rec Rated. Stdby .Tank Pilot System Name System Type Eff Input Loss R -Val Light RHEEM 81VR - 47D DomesticHW. 0.890 84302 0.008 16..7 0 SPECIAL FEATURES/REMARKS COMPLIANCE STATEMENT This Certificate of.Compliance lists the building features and performance, specifications needed to comply with Title 24, Parts 1 & 6 of the Califor-'l nia Code of -Regulations, and the administrative.regulations to implement them. This certificate has been signed'by,the individual with overall design responsibility. When this certificate of •compliance is submitted for a single building plan to be built in multiple orientations, any shading feature -that is varied is indicated in the Special Features/Remarks section t DESIGNER or OWNER DOCUMENTATION AUTHOR (Per Business &'Professions Code). JOAN D. HACKER r INSU-FORM, INC. 6848.7 HIGHWAY 111,. SUITE 56 CATHEDRAL CITY, CA 92264 Lic #: (619)`324-0216 (signature) ' (date) ENFORCEMENT AGENCY Name: Title: Agency: Telephone: [ (T (s gature) (date) (signature/stamp)• .(date) MANDATORY MEASURES ------------------- CHECKLIST (part 1 of 2) MF -1R page 5'of 13 Project'Name: JERRY 7------------------------------------------------------- LUGODate: 4/14/1998 Documentation: INSU-FORM, INC. (COMPLY 24 User 2655 ---------------------------------------------------------------------------- NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used. Items marked with an asterisk (*) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as binding minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. BUILDING ENVELOPE MEASURES Enforcement. o Sec. 150(a): Minimum R-19 ceiling insulation. o Sec. 150(b): Loose fill insulation manufacturers labeled R -Value. o Sec. 150(c): Minimum R-13 wall insulation in framed walls (does not apply to exterior mass walls). o Sec. 150(d): Minimum R-13 raised floor insulation in framed floors; Minimum R-8 in concrete raised floors. o Sec. 150(1): Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0 perm/inch. o Sec. 118: Insulation specified orinstalledmeets California Energy Commission quality standards. Indicate Type & form. o Sec. 116-117: Fenestration Products, Ext Doors & Infil/Exfil Controls a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. b. Manufactured fenestration products have label w/certified U -Value c. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. o Sec. 150(g): Vapor barriers mandatory in Climate Zones 14 and 16 only. o Sec. 150(f): Special infiltration barrier installed to comply with Sec. 151 meets Commission quality standards. o Sec. 150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs ' 1. Masonry and factory -built fireplaces have: a..Closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No'continuous burning gas pilots allowed. MANDATORY MEASURES CHECKLIST (part 2 of 2) MF -1R page 6 of 13 ---------------------------------------------------------------------- Project Name: JERRY LUGO- Date: 4/14/1998 Documentation: INSU-FORM, INC. COMPLY 24 User 2655 ------------=------------------------------------------------=------------- SPACE CONDITIONING, WATER HEATING AND PLUMBING SYSTEM MEASURES Enforcement o Sec. 110-13: HVAC equipment, water heaters, showerheads and faucets certified by the Commission. o Sec. 150(i): Setback thermostat on all applicable heating systems. o .Sec: 150 (j) : Pipe.- and • Tank Insulation 1. Indirect hot water tanks (eg unfired storage tanks or backup solar hot water tanks) have insulation blanket (R-12 or greater) or combined.interior/exterior insulation (R-16 or greater). ` 2: First 5 feet of pipes closest.to water heater tank, non -recirculation systems, insulated (R-4 or greater. 3. All buried or exposed piping insulated in recirculation sections of hot water system. 4. Cooling system piping below 55 F insulated.. 5. Piping insulated between heating source and indirect hot water tank. o. Sec. 150(m) Ducts and Fans 1. Ducts constructed, installed and sealed to comply with UMC Sections 1002 and 1004; ducts insulated to a minimum R-4.2 or ducts enclosed entirely within conditioned space. 2. Exhaust systems have backdraft or automatic dampers. 3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible manually operated dampers. o Sec. 114:Pool and Spa Heating Systems and Equipment, 1. System is certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions, no electric resistance heating and no pilot light. 2. System is -in * stalled with: a. At least36" pipe between filter and heater for future solar heating. b. Cover for outdoor pools or outdoor spas. 3. Pool system has directional 'inlets and a.circulation pump time switch. o Sec. 115: Gas-fired central furnace, pool'heater,-spa heater or household cooking appliance have no continuously burning pilot light. (Exception: Non -electrical cooking appliance with pilot < 150 Btuh) , LIGHTING MEASURES o'Sec. 150(k): Lighting - 40 lumens/watt or greater for general lighting,in kitchens and rooms with water closets; and recessed, ceiling fixtures IC (insulation cover) approved. • n HVAC ZONE HEATING.& COOLING LOAD SUMMARY page 7 of 12 Project Name: JERRY LUGO Date: 4/14/1998'* Documentation: INSU-FORM, INC. COMPLY 24 User 2655 HVAC.ZONE DESCRIPTION , HVAC Zone Name: WHOLE HOUSE Heating'System Name: Day&Night'693CN042-A Cooling System Name: System Multiplier: 1, Fan Schedule: - 24 Hr`Fans STD .Peak Load Method: COINCIDENT. Relative,Humidity: - 50 % COOLING ' SPACES IN THIS ZONE PEAK HEATING PEAK SENSIBLE -LATENT WHOLE HOUSE (Jan 12am) 28396 '(Aug 2pm) 21106- 96.5 ' TOTAL SPACE LOAD 28396 21106 965 Duct Gains & Losses: 2840 2111 Ventilation: ( 0 CFM) 01 0 0 Return Air Lighting Gain 0- TOTAL SYSTEM LOAD 31236 23217 965 SYSTEM OUTPUT AT DESIGN CONDITIONS 54935•`° 26208 9595 NOTE: The TOTAL SYSTEM LOAD shown"represents the minimum,size equipment - which will heat or cool this zone during the design conditions indicated. These numbers include no safety factor, and the HVAC contractor -should oversize by a reasonable margin to account for variations'in weather conditions and the pick-up capacity required to bring the zone to temper- ature as a xesult of a setback thermostat. Those responsible for final, equipmentselection should note that Sensible and,Latent Cooling Loads are`. indicated to allow for accurate comparison with manufacturer's,output data. RESIDENTIAL SPACE HEATING LOAD SUMMARY page 8 of 13 Project',Name: JERRY LUGO Date: 4/14/1998 Documentation: INSUiF6RM, INC. --------------------------------------------------------------------------- COMPLY 24 User 2655 M Space Name: WHOLE HOUSE. _ Design Indoor Dry Bulb Temperature:,' 70 F Design Outdoor Winter Dry Bulb Temperature: 29 F Design Temperature Difference: 41 F Conduction, Area, U -Value TD Btu/hr. R-13 WALL/111EPS 1099.3 x 0.0585 x 41.0 = 2637 Solid Wood Door j 20.0 x .0:3872 x 41.0 _ 318 DOUBLE .9.0 x 0.7400 `x 41.0 = 273 DOUBLE 49.0 x -0.7500 x 41.0 _ 1507 Glass Block (R) 2.7 x 0.7200 ', .x `41.0 80 DOUBLE 9.0 x 0.7400.. X-41.0 = 273 DOUBLE. 12.0 x 0.7500 x 41.0 = 369 DOUBLE 35.0 x 0:7500 'x 41.0 = 1076 -Glass Block (R) 12.0 x -0.7200 x 41_0 = 354 Double Clear Default(R) 40.0• x 0.7700 x 41.0- = 1263, R-38 Roof(R.38:2x12:16) 1540.0 x 0.0282 x 41.0 = 1783:.• -Slab on Grade Perim =- 127.0 x _ 43 = 5461 Slab on Grade. - Perim = 91.0 x •.43 = 3913• Infiltration: 1.00 x 0.018 x 1540 sf x 8:0 ft x 1.00 AC x 41.0 _ 9088: TOTAL HOURLY HEAT LOSS FOR SPACE 28396 Heating AirFlow: 28396 Btu/hr / .[1.08 x 35 F DeltaT)]•'=' 752 cfm • • - f RESIDENTIAL SPACE COOLING LOAD SUMMARY page 9 of 12 Project Name: JERRY LUGO Date: 4/14/1998 Documentation: INSU-FORM, INC. ICOMPLY 24 User 2655 --------------------------------------------------------------------------- Space Name: WHOLE HOUSE Design Indoor Dry Bulb Temperature: 78 F Design Outdoor Summer Dry,Bulb Temperature: 112 F Design Temperature Difference: 34 F Conduction Area U -Value DETD Btu/hi ----------------------- R=13-WALL/ 1"EPS ------ 1099.3 x ------- 0.0585 x ---- 29:6 ------ = 1904 Solid Wood Door 20.0 x 0.3872 x 29.6 = 229 DOUBLE 9.0 x 0.7400 x 34.0 = 226 DOUBLE 49.0 x 0.7500 x 34.0 = 1250 Glass Block (R) 2.7 x 0.7200 x 34.0 = 66 DOUBLE 9.0 x 0.7400 x 34.0 = 226 DOUBLE 12.0 x 0.7500 x 34:0 = 306 DOUBLE 35.0' x 0.7500 x 34.0 = 893 Glass Block (R) 12.0 x 0.7200 x 34.0 = 294• Double Clear Default(R) 40.0 x 0.7700 x 34.0 = 1047 R-38 Roof(R.38.2xl2:16) 1540.0 x 0.0282 x 50.0 = 2175 Infiltration: 1.00 x 0.018 x 1540 sf x 8.0 ft x 1.00 AC x 34.0 = 7537 Shaded Unshaded Solar Gain Orient. Area SGF Area SGF SC, ----------------------- Glass Block (R) --------- East [ ---- --- 1.0 x 15 + ---- --- 1.7 x 73] x 0.88 122: DOUBLE East [ 4.5 x 15 + 4.5 x 73] x 0.49 194:` DOUBLE East [ 6.0 x 15 + 6.0 x 73] x 0.49 = 2591 DOUBLE South [ 32.0 x 15 + 0.0 x 32] x 0.49 = 235 DOUBLE South [ 3.0 x 15 + 0.0 x 32] x 0.49 = 22 Glass Block (R) West [ 6.0 x 15 + 6.0 x 73] x 0.81 = 427 Double Clear Default(R) West [ 40.0 x 15 + 0.0 x 73] x 0.51 = 304 DOUBLE North [ 0.0 x 15 + 33.0 x 15] x.0.49 = 242 DOUBLE North [ 0.0 x 15 + 16.0 x 15] x 0,.49 = 118 DOUBLE North [ 0.0 x 15 +' 9.0 x 15] x 0.49 = 66 Internal Gain Op Frac. Area Heat Gain Conv. ----------------------- Lighting -------- 1.00 ------ x 1540.0 --------- x 0.200 x ----- 3.413 = 1051. Equipment 1..00 x 1540:0 x 0.100 x 3.413 = 526 Occupants 1.00 x 1540.0 x 225 / 333 = 1041 TOTAL HOURLY SENSIBLE•HEAT GAIN FOR'SPACE 21106 Latent Gain Op Frac. Area Heat Gain Conv. Btu/hr- Equipment 1.00 x 1540.0 x 0.000 x 3.413 = 0 Occupants 1.00 x 1540.0 x 225 / 333 = 1041 Infiltration: 1.00 x 0.018 x 1540 sf x 8.0 ft x 1.00 AC x -0.3 = -69 TOTAL HOURLY LATENT HEAT GAIN FOR SPACE 965 COMPUTER METHOD SUMMARY C -2R page 10 of 13 Project Name: JERRY LUGO Date: 4/14/1998 Documentation: INSU-FORM, INC. COMPLY 24 User 2655 +RESSIM RESULTS NOT CALCULATED GENERAL INFORMATION. Method: COMPLY 24 version 4.11 Climate Zone:" 15 Conditioned Floor Area: 1540 sqft Building Type: Single Fam Det Building•Front Orientation: 90 deg (E) Number of Dwelling_Units: 1 Number,of Stories: 1 Floor ConstructionType:. Slab on Grade Total -Conditioned Volume: 12320 cuft ` Conditioned Footprint Area: 1540 sqft Ground Floor Area: 1540 sqft 'BUILDING ZONE INFORMATION Floor # of Vent Zone Name Area Volume Units Zone Type TStat Type Hgt Area WHOLE HOUSE 1540 12320 1.00 Conditioned.Setback„ 2 n/a OPAQUE SURFACES Act Solar Type Area U -Val Azm Tilt Gains Form 3•Reference Location/Comments BONE NAME = WHOLE HOUSE Wall 108 0.059 90 90 Yes R-13 WALL/111EPS WHOLE HOUSE Door 20 0.387 90, 90 Yes Solid Wood Door WHOLE HOUSE Wall 333 0.059 180 90 Yes R-13 WALL/111EPS WHOLE HOUSE Wall 252 0.059 270 90 Yes R-13 WALL/111EPS WHOLE HOUSE Wall 406 0.059 0 90 Yes R-13 WALL/111EPS WHOLE HOUSE Roof 1540 0.,028 90 22 Yes R-38 Roof(R.38.2xl2.16) WHOLE HOUSE. COMPUTER METHOD SUMMARY C -2R page 11 of 13 Project Name: JERRY LUGO Date: 4/14/1998 Documentation: INSU-FORM, INC. COMPLY 24 User 2655 PERIMETER LOSSES F2 Insulation Type Length Factor R -Val .-Depth Location/Comments --------- ------ ------ ----- ----- --------------- ------- ZONE NAME = WHOLE HOUSE Exposed 127.0 0.90 0.0 0 in WHOLE HOUSE Covered 91.0 0.72 0.0 0 in WHOLE HOUSE FENESTRATION -SURFACES Sc r. .. Acte. Glass # Type Area'Frame Div U -Val Azm Tilt Only Location/comments --------------- ----- ----- --- ----- --- ---- -------------------------- ZONE NAME = WHOLE HOUSE 1 Wdw Front (E) 2:7 None No 0.72 .90 90 0.88 WHOLE HOUSE 2 Wdw Front (E) 9.0 Metal No 0.74 90 90 0.88 WHOLE HOUSE 3 Wdw Front (E) 12.0 Metal No 0.75 90 90 0.88 WHOLE HOUSE 4 Wdw Left (S) 32.0 Metal No 0.75180 90 0.88 WHOLE HOUSE 5 Wdw Left (S) 3.0 Metal No 0.75 180 90 0.88 WHOLE HOUSE 6 Wdw Back (W) 12.0 None Yes 0.12 270 ,90 0.88 WHOLE HOUSE 7.Wdw Back (W) 40.0 Metal No 0.77 270 90 0.88 WHOLE HOUSE 8 Wdw Right (N) 33.0 Metal No 0.75 0 90 0.88 WHOLE HOUSE 9 Wdw Right (N) 16.0 Metal No 0.75 0 90 0.88 WHOLE HOUSE 10 Wdw Right (N) 9.0 Metal No 0.74 0- 90 0.88 WHOLE HOUSE INTERIOR & EXTERIOR SHADING # Type Interior Shade Type SC -Exterior Shade Type Sc -- 1 ---- Wdw ----------------------- None ---- 1.00 ----------------------- None ---- 1.00 2-Wdw Light.Blind 0.58 Standard Bug Screen 0.87 3 Wdw Light Blind 0.58 Standard Bug Screen 0.87 4 Wdw Light Blind 0.58 Standard Bug Screen 0.87 5 Wdw Light Blind 0.58 Standard Bug Screen 0.87 6 Wdw None 1.00. None 1.00 7 Wdw Light Blind 0.58 None 1.00 8 Wdw Light Blind 0.58 Standard Bug Screen 0.87• 9 Wdw Light Blind 0.58 Standard Bug Screen 0.87 10 Wdw Light Blind 0.58 Standard Bug Screen 0.87 COMPUTER METHOD SUMMARY C -2R page 12 of 13 ----------------------------------------------------------- 7 ---------- Project Name: JERRY LUGO (Date: 4/14/1998 Documentation: INSU-FORM, INC. ICOMPLY 24 User 2655 --------------------------------------------------------------------------- OVERHANGS/SIDE FINS 2.0 2.0 --Window-- -- Type ---- Ht ---- Wd ---- 1 Wdw 4.0 0.8 2 Wdw 3.0 3.0 3 Wdw 3.0 4.0 4 Wdw 4.0 4.0 5 Wdw . 1.0 3.0 6 Wdw 3.0 4.0 7 Wdw 6.8 3.0 8 Wdw 6.8 5.0 9 Wdw 4.0 4.0 10 Wdw 3.0 3.0 -----Overhang------ Len Ht LExt RExt 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 0.1 2.0 2.0 10.0 0.1 10.0 10.0 10.0 0.1 10.0 10.0 2.0 0.1 2.0 2.0 2.0 0.1 2.0 2.0 THERMAL MASS Area Thick Heat Type (sf) (in) Cap ------------- ---- ----- ----- ZONE NAME = WHOLE HOUSE Exposed Slab 1017 3.50 28 Covered Slab 523 3.50 28 ---Left Fin --- Dist Len Ht ---Right Fin -- Dist Len Ht Inside Location Cond Form 3 Reference R -Val. Comments --------------------------- ------ -------- 0.98 n/a 0 0.98 n/a 2 HVAC SYSTEMS Minimum Distrib Type Duct TStat System Type Efficiency and Location RVal Type 'Location/Comments -----=------------------------------- ---- ------ ----------------------- SplitHtPump 7.200 HSPF-Ducts in Attic 4.2 SetBck WHOLE HOUSE SplitHtPump12.000 SEER Ducts in Attic 4.2 SetBck Water No. Tank Ext. WATER HEATING SYSTEMS Heater in Energy Size Insul System Name Distribution'Type Type Sys Factor (gal) R -Val ----------------------- ------------------ ------- --- ------ ----- ----- RHEEM 81VR - 47D Standard StorElec 1 0.89 47.0 16.0 AFUE WATER HEATER EQUIPMENT DETAIL ./Rec Rated Stdby Tank Pilot System Name System Type Eff Input Loss R -Val Light ----------------------- ----------- ---- ----- ----- ----- ----- RHEEM 81VR - 47D DomesticHW 0.890 84302 0.008 16.7 0 SPECIAL FEATURES/REMARKS r` POINTS SYSTEM SUMMARY P -2R page 13 of.13 Project Name: JERRY LUGO Date: 4/14/1998` Documentation: INSU-FORM, INC. --------------- ------------ --,---------------------------------------------- J COMPLY 24 User 2655 BUILDING DATA, . F ------------- . Conditioned Floor Area 1540 sgft Number of ♦ fair - Stories 1 .} � Occupancy Type Single Fam'Det '. SCORE CARD `. Measure , Points 1. Roof,"Insulation 0.0282 (U -Value)- 0. 2. Wall Insulation 0.0585 (U -Value) -1 3.- Raised Floor. Insulation 0.0000 ,(U -Value) .: r 3a. Controlled -Vent Crawlspace 0.oc (R=Value) -> -1 .� 4.. Slab Edge, Insulation.' 0.8249. • (f2 factor)_ r - 5. Infiltration '" Standard 0 • 6. Glass Heat .Loss. 0:75 11.0% 2 Sum 1-6 0 7. Fenestration Heat Gain- SC•+ Orientation' Area%'Glass. Open- Eff % SER ' North 5.8.0 3%8 x 0.77 2.9 0..64 1 East 23'. 7 1. 5 x 0.66 _ 1.0. 0.59 '2 •: South 35.0 2.3 x. 0;60 -1.4 0.50 2 West 52 . D 3.4 x. 0.51 _ 1'.7 0.62• 2 ♦ ' Skylight -0.0 0.0 x 0.00 = 0.0 0.00 0_ , 8. Interior Thermal Mass 3.x65 5 ' 9. Exterior Wall Mass .' 0.00 :. - 0 Sum.779- 12 10. Heating System 1 Zonal Control: No " -11. Cooling ,System 6 12. Water Heating _ -19 4 Point Totalv 0 ' t JAN -12-2004 07:11 AM C RTIFICATE OF FIELD VERIFICATION AND DIAGNOSTIC --------------- Project Title ,• 1�� Proiect A� s Tel e S 4 Da( Builder Name Plan.Number Tele none Sample Group Number HERS a t a r / • %- C �6Dti1e Sample House Number. rtltying Signature v �C. SOGi HERS Provider �G.J-�SSaG/�i%S Firm: Street Address: �� r��0 'ir�L� CltylSlate/Zlp: Copies to: Builder, HERS Provider HERS ATER C MPLIAN E STAT9ME The house was: Tested ❑ Approved as pert of sample testing, but was not tested As'the HERS railer providing diagnosticllenclegrequirementsand rlals chet:ked nNh saform houses Identified on: this form comDly with the diagnostic Tested compliance (LJ Distribution system is fully ducted (i.e., does not use bullding cavities 'as plenums or platform returns in lieu of ducts) ct tape Is Installed, mastic and drewbends are used in combination Where cloth backed, rubber adhesive du with cloth backed, rubber adhesive duct tape to seal leaks at duct connections. MINIMUM REQUIREMENTS FOR DUCT LEAKAGE REDUCTION COMPLIANCE CREDIT Duct Diagnostic Leakage To Results (Maximum 6% Duct Leakage) Measured P.08 } CF -4K Duct Pressurization Test Results (CFM 25 Pa) values , Test Leakage Flow in CFM e7__ If fan flow is calculated as 400cfmlton x number of tons enter calculated value here . If fan flow is measured enter measured value here i Leakage Percentage (100 x:Test Leakage/Fan Flow) = A Check Box for Pass or Fail (Pass=6% or less) ❑ ass Fail I THERMOSTATIC EXPANSION VALVE TXV or Commission approved a uivalent Yes ❑ No Thermostatic Expansion Valve (or Commission approved ❑ equivalent) is installed and Access IS provided for inspection pass Fail Yes is a pass ❑ MINIMUM REQUIREMENTS FOR DUCT DESIGN COMPLIANCE CREDIT 1. D Yes • O No ACCA Manuel D Design requirements have been met i (rater has verified that actual installation matches values In" , CF -1 R and design on plana 2. D Yes ❑ No TXV is Installed or Fan flow has been verified. If no TXV, verified fan flow matches design from CF -1R. Measured Fan Flow Yes for both 1 and 2 is a Pass Pass Fail i Certificate of Occupa,ncy City of La ..Quinta - Building and Safety Department" ,E°`' This Certificate issued pursuant to the requirements of Section 109 of the Uniform Building Code, certifying that, at the. time of issuance, this structure was in compliance with the various ordinances of the City regulating'budding construction or.use. For. the following: BUILDING ADDRESS: 54-065 AVENIDA VALLEJO Use Classification: SINGLE FAMILY DWELLING Bldg. Permit No.: 9707-034 Occupancy Group: R-3 Type of Construction: VN Land Use Zone: -RC - Owner of Building: JERRY & ISABEL.LUGO Address: 79-860 BOQUERON WAY s City: BERMUDA -DUNES, CA., 92201 g® By: DANIEL P. CRAWFORD JR. Date: 10/8/98 Building Official I POST IN A CONSPICUOUS PLACE