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9712-128 (SFD)LICENSED CONTRACTOR DECLARATION, I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License # Lic. Class Exp. Date 113of" `;Date { Signature of Contractor r % OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following reason: ( ) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business & Professionals Code). ( ) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business '& Professionals Code). () I am exempt under Section B&P.C. for this reason Date Signature of Owner WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of. the following declarations: ( ) I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. b 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 I Policy No. STATE ifs f 140 229-97 UNIT 0018807 (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 I'Date:1 Code, I shall forthwith comply with those provisions.' Mtf_d. 1�APPlicant ;4 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 Code, interest and attorney's fees. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the ,conditions and restrictions set forth on his application. 1. Each person upon whose behalf this application is made & each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this applicaton agrees to, & shall, indemnify & hold harmless the City of La Quinta, its officers, agents and employees. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance 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. f ,/Signature (Owner/Agent) 0.. Date r BUILDING PERMIT PERMIT # - _ °°NTR°`# 9712-3.28 t DATE. % 1 VALUATION SS6, t10 LOT TRACT 6541 � ADDRE S ..51-296 �CAY,.L E O.�.IF.1�1FiME APN %C99-1.�4—�I®4 OWNER - CONTRACTOR/DESIGNER/ENGINEER & SHA RQN 'h1 S•WA.L VE - R� SVVtkL'Vf3 �Ip�:ki�'tgl.ELT.�,1L }PLI^C'(F�IA��i�ti:`f,,I,v 55 f \.1 L]V.'1 .mitt LA %�UIN't��l Z..c�1_ 92253 LA ;lUlT1`M CA 92253 CANYON LADE CA, 92587 (760)771-5412 C13 fl 4847 USE OF PERMIT Ste) SP - Pr'"'I2AiI't 770E-41dOT i14CLUDF .'AI c CK, WALLS OR POOL. '1" ACT COINS7'1tIXTION 1,38550 SF PORMPATIO 35.00 SF GARAG&'CARPORT 470.00 Sly 6 IFT. WOOD FENCE 200,00 LF EVf IIV3NT:ED FUST OF COtYS`l'RU( f]Oti PERMIT FEE �SUiV MARY z CO S',CRE1CT10t4 FFE 101-0001418-000 FILAN CHECK FEE 101-000-139-318 - S480, 1:4 AVW A•NICAL FEE W-1-0041421-000 $53.50 ELECTIUCAL FhE 101-000-120.OW $121,38� ^- 1,11ARMIN(i FEE 101-000419900 . sm.00 CK STktONG I ICr"UON FMt' - RESI17 .101-000-241-000 4".66 00 OP ADI iaG FEIN 10.1=000423.000 $20.00 d!. ifd.F`", 891ttl'1(,:1"tJ17:E f"IE 225-000-443-342 Z LL PRECIMPLA.Td 101w0011' 11-715 $25.00 3 FEE MPOSrf -$250.00 ,- °"' t7l SUB-' 'OTNI, CONSrRUC, S`.ION .AND PLAN CHECK $3,273.0_-4.. LESS PRE -PAID 1't 4250M `fOTAI_, PERrNIff FEE'S DUENO`'V $3,11:23.07 RECEIPT DATE BY DATE FINALED INSPECTOR I 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 3 Exhaust Fans O.K. to Wrap A Al Anz F.A.U. Framing A 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 Final Final POOLS - SPAS BLOCKWALL APPROV LS 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 LinesHeater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer -Lateral Pool Cover Sewer Connection Encapsulation Gas Piping Gas Test Appliances Final COMMENTS: a Q 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) Building Address Owner I Mailing ^ Address `J U ` City l Zip+ it_�4 4'S6, � 4 (10 4'4 " P.O. BOX 1504 78-495 CALLE TAMPICO 41)A;J,yy1:r LA QUINTA, CALIFORNIA 92253 � �' c1742-�28 APPLICATION ONLY LDING: TYPE'CONST. OCC. GRP. , Number -4-1, (T " 11 <1 oo 4 ' Legal Description L Project Description I 4 k, LID. . . — Cie State'Lic. & Classif. 3 �S%� J'� ' City Lic. # Sq. ,% Ft. ,,. No. No. Dw. Size A L43� Stories Units Arch., Engr., . Designer i 7� e �. ` New [,1ii, Add ❑ Alter ❑ Repair ❑ Demolition ❑ Address s- 4 PA(. Mc, 'lel. _�.,,U.7�,�S0f CityZip Pr ,;,� ,1u UG t f t°f f1 %.Qp-3 14 State Lic. # LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section M7000) of Division 3 01 theYY''Business an, Professions Code, and my, license is �i1n full force and t. l fl 7 !1V l""`.L,G4d11_r l7� rI /� SIGNATURE I I .DATE ' OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following 'reason: (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior fo'its issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to =visions 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 • 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 (3500). I] I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec17044, Buisness and Professions Code: The Contractor's License Law does not apply to an owner of property who Estimated Valuation '• PERMIT AMOUNT ' Plan Chk. Dep. • ��y Plan Chk. Bal. Const.b 1 builds or improves thereon and who does such work himself or through his own employees. provided that such improvements are not intended or offered for sale. If, however, the building Or improvement is sold within one year of completion, the owner -builder will have the burden Of proving that he did not build or improve for the purpose of sale.) .- -- ^•-- ,... Mech. 1.1 L.J1W y Electrical , Plumbing 1'1 I, as owner of.the property, am exclusively contracting with licensed contractors to con. struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law .. S.M.1. does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's License Law.) I I am exempt under Sec. B. & P.C: for this reason _ Grading Driveway EnY. _LA UUINTA- Date Owner Infrastructure WORKERS' COMPENSATION DECLARATION I herebyaffirm that 1 have a certificate of consent to self -insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company - r7 Copy is filed with the city. ❑ Certified copy is hereby furnished. TOTAL CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE REMARKS (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 wo?k. 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 subject to the Workers' Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. ' ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Lender's Name Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Lender's Address 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 I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction,and hereby authorize representatives -of this city to enter the above. mentioned property for inspection purposes. Issued by: Date Permit Validated by: Signature of a0plicant Date Mailing Address Validation: APPLICANT PINK = BUILDING DIVISION City, State, Zip WHITE = FINANCE YELLOW = Desert Sands Unified School District Notice: 82-879 Highway 111 Document Cannot Be Duplicated Indio, CA 92201619-775-3500 CERTIFICATE OF COMPLIANCE Date 1/28/98 No. 16578 Owner NameRichard & Sharon Swalve No. 51-296 City La Quinta Tract # Street Calle Hueneme Lot # Type of Development Single Family Residence Comments APN # 769-114-004 Jurisdiction La Quinta Permit # Log # Zip 92253 Study Area Square Footage 1385 No. of Units 1 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 X 1,385 or $ 2,548.40 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/Bank of America/Richard Swalve _ r �,,;Telephone 771-5452 Name on the check .. F By Dr. Doris Wilson ,r - Superintendent Superintendent Fee collected /exempted by Pauline Pearson Payment Received Check No. 2006450901 Signature Q ", Q IOTICE: Pursuant of Assembly Bill 3081 (CHAP 549, STATS. 1996) this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified bove 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 .Ilett 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 r '•��n("'^� ��.r"hw--`.ri:a'�s�'it�^al'-w=,•-,%f7'*�..o.�.,..T,...�,iC�•.+�R7:��u">riff+t�%rl+•,r...,'.:_r,;H'�•i'>,''r'•v:��.'y.t-%�'`LS''... ASSESSOR'S PARCEL NUMBER COUNTY OF RIVERSIDE HEALTH SERVICES AGENCY /-0QV_DEPARTMENT /, 7 OF ENVIRONMENTAL HEALTH1?109-`7' APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM �PERMIT 'APPLICANT: Submit this form with four copies of a SCALED plot plan (1-20 SCALE) drawn to County specifications as indicated on the attached check list. !A non-refundable filing fee is required when the application is submitted: Check must be made payable to the County of River ide Agpro, al of this appliey- 1 (� —� B` 6.:�• tion shall remain valid for a period not to exceed one year from date of payment. ^=�'c,M 1238 $214.1] ILA LOG #err �J,6 t �� .._ CHK $;21.4- iot] —Age t, Contractor, Contact Person Address City State M Zip L!�- Telephone 40) r V-1,Lf::. VF, q(. of t\r Cf'.. 771-s,III S Owner Address City State Zip Address Telephone Q `�� h 1 0� Job Property Address 1- �4Ue�QemE. City L UjI\rr Zip U UJ Lot Size ( ater A e Aell Use of Permit, PIP, SUP, PUP, etc. Legal Description p�+� '- tom" U) r. t , J� 11� f fi��I iF.ov1� ,7;40 �tl. ft.i\ G A .'A GF. t fJ I -T- D_ �-(� all, 1;SLY—, eI' g!MH�Site Pre` p etb. / signature of Applicant +g�� % � Date CHECK BOX IF REQUIRED ❑ Holding Tank Agreements Completed ❑ Detailed Contour Plot Plans Required (1 to 5 foot interval) ❑ Certification of Existing S.D. System Required ❑ Grading Handout Provided 1n ❑ WQCB Clearance Required ❑ Staff Specialist Lot Inspection Required Z 0 (Attach For DOH -SAN -007, Santa Ana Region Only ❑ Lot Inspection U❑ Soils Percolation Report Required w ❑ Date Lot Inspection Completed: Initials U) ❑ Special Feasibility Boring Report Required Remarks: ❑ Maintenance Booklet Provided Initials Date ❑ Final Inspection by Department of Environmental Health is required. Cf42 I Soils Percolation Boring Report by Lic4Project If Date Soils Map Page " Soil Type �iD/ 1 .� S Approved By Date t � No of Systems Type of System(s) O Holding Tank Q Replacement No. Dwelling Units (t Bedrooms, SixturequRftsr (1) Septic Tank Soil Rate Grease/Sand Greasel`ntep Lint Trap 1 New Q Addition O Existing .9 !J[JT� uV Gal. '•( ! I� Gal. Sq. Ft. 6'13tt m Area otal Linear F . Sidewat Allowance long ft. Leach Bed sq. ft. of B om Area ft. roc sq. ft. running ft. Install (sL I. wide with Inlet Tested Depth I; NA min. inches rock'4belQ4drainlines or U Proposed Bottom Tested Depth Z Leach lines/bed special design for slope: (3) Pit Diameter No. Pits Pit Below Inlet (BI) Seepage Pit Maximum Other: O Total Depth Allowable 0 W Applicable NSA Overburden Factor -30M 6' { If 'SLA , . TDA Depth 43 -3 Well Review Approved: Date: Well Drilling Permit # SIGNATURE Grading Plan Approved: Date: SIGNATURE . Sewer Verification Approved: Date: / REMARKS: G1lf 't_• 14 t/ W /� /Q � f4/ M L� ✓t' V ... VIN . t .ue � � ..-. This application is A PROVED/, � ENIED^for=the•category^cheeked•ir1^SECTION"B FOR OFFICE USE ONLY above, regarding the design of a subsurface disposal system as indicated on the acompanied plot plan, using the requirements set forth in SECTION C above. A build- �� a� O^� Fee $ � Y. D Ing permit is necessary for the installation of the above -designed system. No construc- Revenue code .! tion is permitted in the required reserved 100% expansion area. (1) Septic Tank must be I,GO minimum from any wells. Q1 0 l IA& O Check # 1333 (2) Leach lines must be 100 minimum from any wells, including expansion area. / y _ / % / / initial TA Date (3) Sewer lines must be 50' minimum from any, wells. � /u c��j Vow•�J Z O(4) Seepage pits must be 150' minimum from any wells, including expansion area. ^^- � � 0� •• l �•eeo N wu�. f�'i��Lt� U W U Signature of Health Official Date DOH -SAN 122 (Rev 9/93) Distribution: WHITE—Office File; YELLOW—Applicant; KINK—Ijlag. Uept.; ciULUtNnvL—Plans/Records Orf Y' E1.4VATON fN No x 610 vw .0 x WP YO MA15TER AWA 6REAT 45LATE ROOM ZND .......... 2—CAR GAIZACit 0 SOL" lie iA-,- Kr- 1385-tv. SQ FT. 4" y --r I RECORDING REQUESTED BY �•: `,'?_ _-.. .- „-,�_:,::i i GAT�7U1� 4rx3a.�.�D4ci5�vi'q±v.VH- � AND WHEN RECORDED MAIL THIS DEED AND. UNLESS OTHER. WISE SKOWN BELOW. MAIL TAX STATEMENTS TO: V w. ,S >. r o LU �G IT p` �O ,y a> 0 o W cr,Cr 4A NA"a p Mr. & Mrs. Richard ,L. Swalve '�� Q %) U. OADDRZSS P.O. Box 4606 W W M 4)'a `$ Canyon Lake, CA 92380 Q (L `' a °ro a CITY s LU STATE ZAP L LU ; Title Order No. I — —Escrow No. 2-12179 I r _ SPACE ABOVE THIS LINE FOR RECORDER'S USE GRANT DEED 19 80 The undersigned declares that the documentary -transfer tax is$..........�...................................................................... and -is — a computed on the full value of the interest or property conveyed, or is ❑ . computed on the full value less the value of liens or encumbrances remaining thereon at the time of sale. The land, tenements or realty is located in ❑ unincorporated area city of.......jA..Quinta....................................................................... and FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, SUSAN HAHN, a single woman hereby GRANT(S) to RICHARD L. SWALVE and SHARON. M. SWALVE, husband and wife as joint tenants the following described real property in the City of La Quinta county of Riverside , state of California: Lot 21 in Block 4 of DESERT CLUB TRACT UNIT NO. 2, as per map recorded in Book 20, page 6 of Maps, in the office of the County Recorder of Riverside County. Dated April 27, 1991 Susan Hahn STATE OF CALIFORNIA COUNTY OF EL DORADO Ss. On this the 3rd day of May 19-21, before me the undersigned, a Notary Public in and for said County and State, personally appeared S_t15c1Tt Hahn , personally known to me or proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument and acknow dged_ that shP executed the same. gignature of Notary Cherryl L. West FOR NOTARY SEAL OR STAMP E� ti OFFICIAL SEAL Q� v (HERRYI. L WEST NOTARY PUBLIC CALIFORNIA Y, • a d EL DORADO COUNTY My Comm.. Expires Dec.13,1993 Assessor's Parcel No. 9.(.p."l.11.1. Q MAll. TAX STATEMENTS TO PART) SHOWN ON FOL.LOWINC LINE; IF NO PARTY SO SHOWN, MAIL AS DIRECTED ABOVE Name CAL-1/CT (Rev 2-88) i Sti-et Address City 8 State 0 4 S' TITLE 24 REPORT FOR: SWALVE CONSTRUCTION PLAN 1385 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: 3/16/1998 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. Table Of Contents for Title 24 Report ------------------------------------- Cover Page ....................................................... 1 Table of Contents ............................................ 2 Form CF-1R Certificate of Compliance: Residential ................... 3 Form MF-1R Mandatory Measures Checklist: Residential 5 HVACZone & Space Loads Summary . .. ............................... 7 Form C-2R Computer Method Summary................................... 10 Form P-2R Point System Summary ....................................... 13 CE);ftIFICATE OF COMPLIANCE: Residential (part 1 of 2) CF -1R page 3 of 13 ___.7 ----------------------------------------------------------------------- Project Name: SWALVE CONSTRUCTION (Date: 3/6/1998 Address: I LA QUINTA, CALIFORNIA Designer: Building Permit No Checked by / Date Documentation: INSU-FORM, INC. COMPLY 24 User 2655 ------ GENERAL INFORMATION Compliance Method: Climate Zone: Conditioned Floor Area: Building Type: Building Front Orientation: Number of Dwelling Units: Floor Construction Type: BUILDING SHELL INSULATION Component ----------------------- R-15 Wall (W.15.2x4.16) Hollow Metal Door Solid Wood Door R-38 Roof(R.38.2xl2.16) Slab Perimeter w/R-0.0 Slab Perimeter w/R-0.0 FENESTRATION Orient. Area U -Val Type COMPLY 24 version 4.11 15 1385 sqft Single Fam Det 270 deg (W) 1 Slab on Grade U -Value Location/Comments 0.081 WHOLE HOUSE 0.581 WHOLE HOUSE 0.387 WHOLE HOUSE 0.028 WHOLE HOUSE 0.900 WHOLE HOUSE 0.720 WHOLE HOUSE Left (N) 3.3 0.72 Double Left (N) 36.0 0.87 Double Back (E) 83.0 0.87 Double Right (S) 12.0 0.81 Double Front (W) 4.5 0.72 Double Front (W) 25.0 0.87 Double THERMAL MASS Area Thick Type Covering (sf) (in) Location/Description ----------------------------- ----- ----- ------------------------------ Concrete, Heavyweight Exposed 368 3.50 Slab on Grade Concrete, Heavyweight -Covered 1017 3.50 Slab on Grade Shading Devices Frame Interior Exterior OH SF Type ----- --------------- none --------------- none -- Y -- N None none 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 Metal Light Blind Standard Bug Scr Y N Metal THERMAL MASS Area Thick Type Covering (sf) (in) Location/Description ----------------------------- ----- ----- ------------------------------ Concrete, Heavyweight Exposed 368 3.50 Slab on Grade Concrete, Heavyweight -Covered 1017 3.50 Slab on Grade SPECIAL FEATURES/RXKAkKS COMPLIANCE STATEMENT ,, __. r .._-..,:..nce 14a•1ft *%a i�:�i�e9i:3t17r features and performance nis Cert Li A.0 6v Q4. •.w-ra-tc...v— a _,a +„ ,..�. ,..t,. e,i*� Ti r.t pr °. a4 ; ]marts t & 6 of the Califor- speciiicai:i�,i,s :.. nia Cod- Oi L<GyYLOvi�no,r_i atc, tive:: reaui tions to implement ,..._ _�: ,.a+o 1��_ l,AAT er; e,r�1A[i by; -the individual with overall catei riie3m. t..lo ..* _ wi►a„ Ia cartif ica=te o!� aompl anee is submitted for ues�jy.� �2Sl.......•..�---i to be built 1n Multi plo orientations, any shading Q .7 +�.y ac r..��w—••7 C that is varied is indicated in the."bpeaial • e4ture®/Remarks section nrginwF.R or. OWNER DOCMWATION AUTUOR (Per Business & Professions Code) J071I1 HACIUM T;PSU- , INC. - 6.5487.:;"Ori1MJi iii, aiiIrs. w (signature) j -00 V-01 ENFORCEMEWk AGENCY Name: Title: Agency Tel* ie _ I .....(d(date) 70—cmiture stamp) (date) CtRTIFICATE OF COMPLIANCE: t. Residential (par% z ox ' i) o , e Cr -ix rnyo_''_"`___ - ..-------------------------------------------------------------- Project Name: SWALVE CONSTRUCTION I ra r... dl 1,11 /1 000 SCC L•v 13d 'User 245155Docum Documentation: INSU-YUKM, iric:• -------------------- HVAC SYS'1tAb Minimum idesi.aiw �Y�a ..a •� ••••••* Tt.,..er� ova T.s�w Tesination/comments System `type Ex i Lu lam.;y � a.v-w_---•---- - — - � -- - - --------------------- --------------------- ,,,,* ca.>, --_- Se�k9ok WHOLE HOUSE furnaut: 0 . o.... IML W.. ., ^^^ c��{+o .....,-.. OL`Ct: i h Att jC 4,.•'1 BA k 5y16AL i.CCQ l...a,;v. W W W .•EV. Wat4= No. Tank Ext. anis.' i]1'. Energy Size Insul ..twTRn T.,n CygTrV9 ^A"'•' Distribution Type TYP®° 8 ' a Factor (gal) R-vai Y systcm Name ----r----..—rr----- •---�'~�.— --- -----r ----- —____ —1 --------------------- ?►_0 SMITH 1PSG-40 Standard :$tOrGte 1 0.54 40.0 1L•� WATER HEATER EQUIPMENT DETAIL /ROC..", Rat," 6 G�py Tann r.L4W Svstem Name System Type Err ': inpli' L"a ft— vai u+yk•46. AO SMITH FSG -40 DomesticHW 0.770 JICiu 0••v:4 �•0 0 SPECIAL FEATURES/RXKAkKS COMPLIANCE STATEMENT ,, __. r .._-..,:..nce 14a•1ft *%a i�:�i�e9i:3t17r features and performance nis Cert Li A.0 6v Q4. •.w-ra-tc...v— a _,a +„ ,..�. ,..t,. e,i*� Ti r.t pr °. a4 ; ]marts t & 6 of the Califor- speciiicai:i�,i,s :.. nia Cod- Oi L<GyYLOvi�no,r_i atc, tive:: reaui tions to implement ,..._ _�: ,.a+o 1��_ l,AAT er; e,r�1A[i by; -the individual with overall catei riie3m. t..lo ..* _ wi►a„ Ia cartif ica=te o!� aompl anee is submitted for ues�jy.� �2Sl.......•..�---i to be built 1n Multi plo orientations, any shading Q .7 +�.y ac r..��w—••7 C that is varied is indicated in the."bpeaial • e4ture®/Remarks section nrginwF.R or. OWNER DOCMWATION AUTUOR (Per Business & Professions Code) J071I1 HACIUM T;PSU- , INC. - 6.5487.:;"Ori1MJi iii, aiiIrs. w (signature) j -00 V-01 ENFORCEMEWk AGENCY Name: Title: Agency Tel* ie _ I .....(d(date) 70—cmiture stamp) (date) DATORY MEASURES CHECKLIST (part 1 of 2) MF -1R page 5 of 13 ___7 ----------------------------------------------------------------------- Project Name: SWALVE CONSTRUCTION (Date: 3/6/1998 Documentation: INSU-FORM, INC., ICOMPLY 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 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 or installed meets California Energy Commission quality standards. Indicate Type & form. Enforcement 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: SWALVE CONSTRUCTION Date: 3/6/1998 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. 1. 2. 3. 150(m) Ducts and Fans * 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. Exhaust systems have backdraft or automatic dampers. 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 installed with: a. At least 36" 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. HVAC ZONE HEATING & COOLING LOAD SUMMARY page 7 of 13 T n�T �7T: 11!\\TnTT1TT/7T \T•^ ------------------------ --------------- D a.% ��' e.. FY .X. SL. oJt�t c. c+b�.sw �e.�y�J.L•n `L.:at.:'�. "'k K...+'d`.. { ZNEIF-i "6 f J.If. j 1 9- =fir Documentation:.INSU-FORM, INC. ICOMPLY 24 User 2655 --------------------------------------------------------------------------- HVAC ZONE DESCRIPTION HVAC Zone Name: WHOLE HOUSE Heating System Name: Day&Night 383KAV048075 Cooling System Name: Day&Night 593BJ042-A 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) 30387 ------------ (Aug 2pm) 24394 ------ 860 TOTAL SPACE LOAD 30387 24394 860 Duct Gains & Losses: 3039 2439 Ventilation: ( 0 CFM) 0 0 0 Return Air Lighting.Gain 0 TOTAL SYSTEM LOAD 33426 26833 860 SYSTEM OUTPUT AT DESIGN CONDITIONS 71000 26880 9844 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 result of a setback thermostat. Those responsible for final equipment selection 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: SWALVE CONSTRUCTION (Date: 3/6/1998 Documentation: INSU-FORM, INC. 1COMPLY 24 User 2655 --------------------------------------------------------------------------- Space Name: WHOLE HOUSE Design Indoor Dry Bulb Temperature: 70 F Design Outdoor Winter Dry Bulb Temperature: 29 F Design Temperature Difference: 1 41 F Conduction Area U -Value ------- TD ---- Btu/hr ------ ----------------------- R-15 Wall (W.15.2x4.16) ------ 1020.2 x 0.0814 x 41.0 = 3405 Hollow Metal Door- 20.0 x 0.5814 x 41.0 = 477 Solid Wood Door 20.0 x 0.3872 x 41.0 = 318 Glass Block (R) 3.3 x 0.7200 x 41.0 = 97 Double Clear Default(R) 36.0 x 0.8700 x 41.0 = 1284 Double Clear Default(R) 83.0 x 0.8700 x 41.0 = 2961 Double Clear Default(R) 12.0 x 0.8700 x 41.0 = 428 Double Clear Default(R) 4.5 x 0.7200 x 41.0 = 133 Double Clear Default(R) 25.0 x 0.8700 x 41.0 = 892 R-38 Roof(R.38.2x12.16) 1385.0 x 0.0282 x 41.0 = 1604 Slab on Grade Perim = 70.0 x 43 = 3010 Slab on Grade Perim = 210.0 x 43 = 9030 Infiltration: 1.00 x 0.018 x 1385 sf x 8.0 ft x 1.00 AC x 41.0 = 8174 TOTAL HOURLY HEAT LOSS FOR SPACE 31812 Heating AirFlow: 31812 Btu/hr / (1.08 x 35 F DeltaT)] = 842 cfm RESIDENTIAL SPACE COOLING LOAD SUMMARY page 9 of 13 ----------------------------- --------------- ----•_------------------------i^-------------...-- .----------------------- ----- ,o,ca*r k�„es_a::.: .�+r•>aY a ✓!:�.'+.r+..,'.:S.�5,:� �s;.� E' � , �• l�,y i;?.�; ° � � :d ;�, �f �. t��i.`-k. Documentation: INSU-FORM, INC. (COMPLY 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/hr R-19 Wall (W.19.2x6.16) 997.4 x 0.0655 x ---- 29.6 ------ = 1932 Solid Wood Door 20.0 x 0.3872 x 29.6229 Double Clear Default(R) 54.0 x 0.8700 x 34.0 = 1597 Double Clear Default(R) 86.0 x 0.8700 x 34.0 = 2544 Double Clear Default(R) 6.0 x 0.8700 x 34.0 = 177 Double Clear Default(R) 6.3 x 0.7200 x 34.0 = 154 Double Clear Default(R) 15.3 x 0.7200 x 34.0 = 375 Double Clear Default(R) 12.0 x 0.8700 x 34.0 = 355 R-38 Roof(R.38.2xl2.16) 1385.0 x 0.0282 x 50.0 = 1956 Infiltration: 1.00 x 0.018 x 1385 sf x 9.0 ft x 1.00 AC x 34.0 = 7625 Shaded Unshaded Solar Gain Orient. ----------------------- --------- Area SGF Area SGF SC Double Clear Default(R)- West [ ---- --- 10.6 x 15 + ---- --- 4.7 x 73] ---- x 0.79 = 399 Double Clear Default(R) West [ 0.0 x 15 + 12.0 x 73] x 0.49 = 429 Double Clear Default(R) West [ 0.0 x 15 + 6.3 x 73] x 0.79 = 364 Double Clear Default(R) North [ 0.0 x 15 + 40.0 x 15] x 0.49 = 294 Double Clear Default(R) North [ 0.0 x 15 + 14.0 x 15] x 0.49 = 103 Double Clear Default(R) East [ 0.0 x 15 + 66.0 x 73] x 0.49 = 2360 Double Clear Default(R) East [ 0.0 x 15 + 20.0 x 73] x 0.49 = 715 Double Clear Default(R) South [ 0.0 x 15 + 6.0 x 32] x 0.49 = 94 Internal Gain Op Frac. ----------------------- Area Heat Gain Conv. -------- Lighting 1.00 ------ x 1385.0 --------- x ----- 0.200 x 3.413 = 945 Equipment 1.00 x 1385.0 x 0.100 x 3.413 = 473 Occupants 1.00 x 1385.0 x 225 /. 333 = 936 TOTAL HOURLY SENSIBLE HEAT GAIN FOR SPACE 24394 Latent Gain Op Frac. ------------------------------- Area ------ Heat Gain Conv. Btu/hr Equipment 1.00 x 1385.0 --------- x ----- 0.000 x 3.413 = ------ 0 Occupants 1.00 x 1385.0 x 225 / 333 = 936 Infiltration: 1.00 x 0.018 x 1385 sf x 9.0 ft x 1.00 AC x -0.3 = -70 TOTAL HOURLY LATENT HEAT GAIN FOR SPACE 860 Cooling AirFlow: 24394 Btu/hr / [1.08 x 23 F DeltaT)] = 982 cfm COMPUTER METHOD SUMMARY C-2R page 10 of 13 ------------------------------------41----------------------.-------------••- . DY/1� V/T} %T � • CT.T � r1 61/��T (,�f}171TT /�TTn1T _ I ,p R, et. z✓... .°w-4. •.cy �fi i:.".r�o a... .t �a.,iy .'� �,,r\.7:x:.1. ..-4-•:`�S/'.5.ih ,, Documentation: INSU-FORM, INC.COMPLY 24 User 2655 ----------------------------------------------------- ---------------------- RESSIM RESULTS NOT CALCULATED GENERAL INFORMATION Compliance Method: Climate Zone: Conditioned Floor Area: Building Type: Building Front Orientation: Number of Dwelling Units: Number of Stories: Floor Construction Type: Total Conditioned Volume: Conditioned Footprint Area: Ground Floor Area: COMPLY 24 version 4.11 15 1385 sqft Single Fam Det 270 deg (W) 1 1 Slab on Grade 12465 cuft 1385 sqft 1385 sqft BUILDING ZONE INFORMATION Floor # of Vent Zone Name Area Volume Units Zone Type TStat Type Hgt Area ----------------------- ----- ------ -------------------------- --- ---- WHOLE HOUSE 1385 12465 1.00 Conditioned Setback 2 n/a OPAQUE SURFACES Act Solar Type ---- Area U -Val Azm Tilt Gains ZONE ---- NAME ----- --- ---- = WHOLE HOUSE ----- Wall 117 0.065 270. 90 Yes Door 20 0.387 270 90 Yes Wall 234 0.065 0 90 Yes Wall 274 0.065 90 90 Yes Wall 372 0.065 180 90 Yes Roof 1385 0.028 270 22 Yes Form 3 Reference Location/Comments ------------------------------------------- R-19 Wall (W.19.2x6.16) WHOLE HOUSE Solid Wood Door WHOLE HOUSE R-19 Wall (W.19.2x6.16) WHOLE HOUSE R-19 Wall (W.19.2x6.16) WHOLE HOUSE R-19 Wall (W.19.2x6.16) WHOLE HOUSE R-38 Roof(R.38.2xl2.16) WHOLE HOUSE COMPUTER METHOD SUMMARY C -2R page 11 of 13 ----------------------------------------------------------------------- '.Project Name: SWALVE CONSTRUCTION Date: 3/6/1998 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 70.0 0.90 0.0 0 in WHOLE HOUSE Covered 210.0 0.72 0.0 0 in WHOLE HOUSE FENESTRATION SURFACES SC Act Glass # Type Area Frame Div U -Val Azm Tilt Only Location/Comments ZONE NAME = WHOLE HOUSE 1 Wdw Front (W) 25.0 Metal No 0.87 270 90 0.88 WHOLE HOUSE 2 Wdw Front (W) 4.5 Metal No 0*.72 270 90 0.88 WHOLE HOUSE 3 Wdw Left (N), - 3..3 None No 0.72 0 90 0.88 WHOLE HOUSE 4 Wdw Left (N) 36.0 Metal No 0.87 0 90 0.88 WHOLE HOUSE 5 Wdw Back (E) 30.0 Metal No 0.87 90 90 0.88 WHOLE HOUSE 6 Wdw Back (E) 20.0 Metal No 0.87 90 90 0.88 WHOLE HOUSE 7 Wdw Back (E) 33.0 Metal No 0.87 90 90 0.88 WHOLE HOUSE 8 Wdw Right (S) .;12,`0 Metal No 0.87 180 90 0.88 WHOLE HOUSE INTERIOR & EXTERIOR SHADING V Type Interior Shade Type SC ---- Exterior ----------------------- Shade Type SC ---- -- 1 ---- Wdw ----------------------- Light Blind 0.58 Standard Bug Screen 0.87 2 Wdw None 1.00 None 1.00 3 Wdw None 1.00 None 1.00 4 Wdw None 1.00 Standard Bug Screen 0.87 5 Wdw Light Blind 0.58 Standard Bug Screen 0.87 6 Wdw Light Blind 0.58 Standard Bug Screen 0.87 7 Wdw Light Blind 0.58 Standard Bug Screen 0.87 8 Wdw Light Blind, 0.58 Standard Bug Screen 0.87 , C -2R page 12 of 13 COMPUTER METHOD SUMMARY _ ____________ ____ Datg; 3117/1998 ct Name: SWALVE C;0K6TRcuC•Tlvi: project • ...,. I COMPLY 24 User 2655 Documentation: 1 5U-xw&m, l.• . ! ------------------------------------------ oVERHANGSISIDE F11t3 ---Right Fin- a ------ --+•Lait .Fin--- 4Fin -- --��:,..:.::= ------ ...} ;:3 Z of Trlrvt_ R.Ext Dist Lw� Ht' Dist Len Ht i TYrc „v ---- ---- ---- ---- ---- ---- w.w,-w. --w. �. -wr-- --w, w. ---- ---- ..,a . n a -n �_0 0.1 2.0 2.0 A. nuw • g I • n 6.o • ' ' 0. 1 6.0 6.0 t.,.�,.. n f, I . -1 2.0 0.1 2.0 2.0 L,d;.; 5 n 6.0 2.0 0.1 2.0 2.0 _ 5 4?d1w 05-0 5. 0 2.0 0.1 2.0 2.0 A wdw 4.0 5.0 2.0 0.1 2.0 2.0 7 Wdw 6.8 5.0 2.0 0.1 2.0 2.0 8 Wdw 1.6 4.0 2.0 0.1 2.0 2.0 Inside Location THERMAL MASS Area Thick Heat p-al.p('om3nenta Type ( sf ) (in) --- - ----- Cap %ons r urm . saw •�•••.� - - - - ---- ----- ---- -------------- ----- -------------- ------------- ZONE NAME WHOLE HOUSE Exposed Slab 3ba 3.5u . io 0.38 ;,1 2 d Slam jVl Cfovere 7 4.70 - A AA w l� LP AVAC sYSTEMS minimum nistrib Typa DX16t Taub ur cn>`ion/Comments „-- __ --. Type ria: ,.a �.►.... and .nr_ati en Rvsl TYRa- n 800 AFTTF. niirtg in Attic 4'.2 SstBCk W$OLE HOUSE i wa;,wCc . * • .2dan.nnSOUCk r^^n .l�Jl ML1 .Wates' No. Tank Ext. waTFR HEATING SYSTEMS 2eaC4r in. i Distribution Type.Type: Sys Factor (gal) R-vG� gvstem Name ------ - --------- i i v AO SMITH FSG -40 Standard fiLOti�4b . .`r .+ .e: w.•`a. Q♦aMt T�nl� Pilot WATER HEATER EQUIPMENT DETAIL , �� afF.6". R -Val Liaht :te T- System Name system Typd r -_ -� --- - ---- ----- __ ----------- U9MraiAI CUW 0.770 376.00 4.:044 0.0 0 AO SMITH FSG -40 SPECIAL FEATURES sas rano , • - PdiNT SYSTEM SUMMARY P -2R page 13 of 13 --?------------------------------------------------------------------------ .Pr6ject Name: SWALVE CONSTRUCTION Date: 3/6/1998 Documentation: INSU-FORM, INC. COMPLY 24 User 2655 --------------------------------------------------------------------------- BUILDING DATA SER ------------- Conditioned Floor Area 1385 sqft Occupancy Type Single Fam Det SCORE CARD Measure 1. Roof Insulation 0.0282 2. Wall Insulation 0.0814 3. Raised Floor Insulation 0.0000 3a. Controlled Vent Crawlspace 0.0 4. Slab Edge'Insulation 0.7650 5. Infiltration Standard 6. Glass Heat Loss 0.86 7. Fenestration Heat Gain SC Orientation Area % Glass Open ---- ----------- ------------ North 39.3 2.8 x 0.78 = East 83.0 6.0 x 0.70 = South 12.0 0.9 x 0.36 = West 29.5 2.1 x 0.64 = Skylight 0.0 0.0 x 0.00 = 8. Interior Thermal Mass 2.54 9. Exterior Wall Mass 0.00 10. Heating System Zonal Control: No 11. Cooling System 12. Water Heating Number of Stories 1 Points (U -Value) 0 (U -Value) -5- (U-Value) (R -Value) -> 0 (f2 factor)_ C 11.8% 0 Sum 1-6 -5 Eff % SER 2.2 1.00 1 4.2 0.59 -4 0.3 0.59 3 1.4 0.64 2 0.0 0.00 0 1 0 Sum 7-9 3 1 0 = 1 Point Total: 0