0103-115 (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
652186 1 /2
Date �� �� Signature of Contractor /•^''�- ^'"'
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's
License Law for the following reason:
( ) I, as owner of the property, or my employees with wages as their sole
compensation, will do the work, and the structure is not intended or offered for
sale (Sec. 7044, Business & Professionals Code).
( ) I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project (Sec. 7044, Business & Professionals
Code).
( ) I am exempt under Section , B&P.C. for this reason
Date Signature of Owner
WORKER'S COMPENSATIOI I 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.
(0 1 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.
(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 Californig,-an� agree that if _1_should become
subject to the workers' compensation;provisions of Section 700 of the Labor
Code, I shall forthwith comply with those provision -
Date:!/ 2 - o2 i Applicant—
Warning:
pplicant Warning: Failure to secure Workers' Compensation coverage is unlawful and
shall subject an employer to criminal penalties and civil fines up to $100,000, in
addition to the cost of compensation, damages as provided for in Section 3706
of the Labor Code, interest and attorney's fees.
IMPORTANT Application is hereby made to the Director of Building and Safety
for a permit subject to the conditions and restrictions set forth on his
application..
1. Each person upon whose behalf this application is made & each person at
whose request and for whose benefit work is performed under or pursuant to
any permit issued as a result of this applicaton agrees to, & shall, indemnify
& hold harmless the City of La Quinta, its officers, agents and employees.
2. Any permit issued as a result of this application becomes null and void if
work is not commenced within 180 days from date of issuance of such
permit, or cessation of work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is
correct. I agree to comply with all City, and State laws relating to the building
construction, and hereby authorizerepresentatives pf this City to enter upon
the above-mentioned property for'inspect�n purP9ses.
Signature (Owner/Agent) �_� ' Date` -
BUILDING PERMIT PERMIT
DATE VALUATION 311 :1 TRACT
LOT €5 1.0-•
q 152rIg� /�
.�q0 1 \l
JOB SITE
APN
ADDRESS
-: M% AVlf"I�D A t IAZ
OWNER
CONTRACTOR /DESIGNER / EN INEER
PAULDI N 1"1Y.z!e1+ 8 DFAWN WC.
P.NiLDE-14 EV_Q4S p:3ErisON IMI.
P.(?. BOX. (1711
1'.01. BOX 621
k2,%MJ' IDE CA 92501
IUVEWyik E CA 92503.
C160)399• 141'3 MIA 6246
USE OF PERMIT
MtGJ_YAWLiy 5.yt
vTG
s�t� . TDE;T�.t�i r �a�.�� ��`� txacl..us�a✓ �1�='a 1�.�.;.,IPI�t:2f../S)��° :" Q
0
--.nn
APF
2
''PACT C ONSTFtIXTION L1511.0 3F
e. eARAG�t�>�RPORT (SF) 8,349.6r
jJ
CITY
OF LA OUINTA
FI
ANCE DEPT
N'EWfa°�1fAMW COST 010 CE317S V=.0N
CO NS'I'1' UCTI.ON PIIvta 1 e11 i):10n414 -tT0 3 MUD
F'L �y:la C;•$MIX FEE 101-000-4 9-31 S $556.06
FEE 1' EP031'1' 101-000-439.'"!18 4210100
MMCHAHICAL FM,,' 101-000-421-000 " UTZf) 0
9UXT,P.ICA.14 FEE 101-000.420.000 $113.62
1'1.:UMBYH0 PES -E 101-000-419-000 $113.25
;3 t'.13tYNG MOTION :t1U - REBID 101.000•14.1.000 $0.62
i;R.��..�1N4� �:� I OY ••0�-q,2 �-0€30 f�2f).s�0
01vFdi-a PER IMPACT M. �;,la{t7,tt7
�i'•:120n^�.1��� � �1 ••coo -4d 1-:�� �Igf3.;10
SUPI,-TOTAL CONSI1; U(MON'M111 LAUCHEM`
83,452.53
L103 PRE•3'A1D'E E=
4250,00
TOTAL FIM1 Iff FallS M -Tel 14(71TV
t3t?,0265
RECEIPT
DATEBAY`,
4W
DATE FINALED
INSPECTOR
t a- , C'
5
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING
APPROVALS
MECHANICAL APPROVALS
Set Backs
`
Underground Ducts
Forms & Footings
_ �a
Ducts
Slab Grade
��
Return Air
Steel
Roof Deck
O 1
Combustion Air
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;EIC
_
n
Drywall - Int. Lath
195, t 7
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
A .c9
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines_
Heater Final .
Water Piping
'
_ t
Plumbing Final
Plumbing. Top Out
_
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral_
Sewer Connection
f
(_6b
Pool Cover
Encapsulation
_g
�
Gas Piping
Gas
Appliances
Final
COMMENTS:
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
0
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
-'Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
O
li �Isqk 164T
Notice:
Document Cannot Be Duplicated
Date 4/2/01
No. 21826
Desert Sands Unified School District
47-950 Dune Palms Road
La Quinta, CA 92253
760-771-8515
CERTIFICATE OF COMPLIANCE
owner NamePaulden Evans Design Inc.
No. 54-925 Street Avenida Diaz
APN # 774-266-021
Jurisdiction La Quinta
Permit # 0103-115
Log #
City La Quinta Zip 92253 Study Area
Tract #
Type of Development
Comments
Lot # 10
Square Footage 1617
Single Family Residence 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
2.05 X 1,617 or $ 3,314.85 the property listed above and that building
1 .J
permits and/or Certificates of Occupancy for this square footage in this proposed project may now'be issued
Fees Paid By OC/ El Paseo Bank - Paulden Evans Teleplsone
Name on the check _
r �
By Dr. Doris Wilson %; f
Superintendent
Fee collected /exempted by Annette Barlow Payment Received $3,314.85
Check No. 023678936
Signature 4wvti
NOTICE: Pursuant of Assembly Bill 3081 (CHAP 549, STATS. 1998) this will serve to notify you that the 90 -day approval period in which you may protest the fees or other payment identified
above will begin to run from the date on which the building or installation permit for this project is sssued or on which they are paid to the District(s) or to another public entity authorized to
collect them on the District('s)(s') behalf, whichever is earlier.
Collector: Attach a copy of county or city plan check application form to district copy for all waivers.
Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting
oto3-�
j 4.9 2&
Building
Address LOT 10. At
Owner
4
P.O. BOX 1504
78-495 CALLE TAMPICO
DIAZ LA QUINTA, CALIFORNIA 92253
Mailing I
Address P 0 BOX 621
City lZip ITel.
PAULDEN EVANS
City Zip Tel.
RIVERSIDE 925017 909 788-6780
State Lic. City
& Classif. 652188 8 HI C Lia #
Arch., Engr.,
Designer
Address Tel.
CityI Zip I State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Professions Code, and my license is in full force and
effect.
SIGNATURE 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 to its Issuance also
requires the applicant for such permit to file a signed statement that he is licensed pursuant to
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
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).
1! 1, as owner of the property, or my employees with wages as their sole compensation, will
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and
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,
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.)
I 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
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.)
t? I am exempt under Sec. B. & P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby r� pagf�fir�matptqhpat 1 have a certificate of consent to self -insure, or a certificate of
Worker's C/ OO J / O Irlsyr�nce, or a c@rtyf Aed'oopy ShP,(Qo�Sec. 3800, Labor Code:) -
Policy No. C 77Company S G M
r7 Copy is filed with the city. q Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be Completed it 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 i
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 ptermit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
Ihereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
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.
Signature of a0plicant Date
Mailing Address
City, State, Zip
�(ea-se seems
old .s��
APPLICATI'0Mf ONLY
BUILDING: TYPE'CONST. A0.0 OCC. GRP.
A.P. Number 0714—PAA-091-7 _ 1A nf17krA rA Q7?;
o Boanck 216 �ab Santa Cwm, eti
0iat VaCe LaQuin
Project D §cri�t�'lorpeA map nec bk 19, pgb 50=51 Obi /napb
SINGLE FAIItILY HOME
as 0103 - It ti3- ILAa
-Vi r-> _ _ f_.. 4
Sq. Ft.No. No. Dw.
Size 1 s 617 Stories 1 Units
New !4 Add ❑ Alter ❑ Repair ❑ Demolition ❑
imated Valuation
PERMIT ) AMOUNT
Plan Chk. Dep. -SSC., - r- C
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure `.
TOTAL
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE INSPECTOR
Issued by: Date Permit
Validated by:
Validation:
WHITE = FINANCE YELLOW= APPLICANT PINK = BUILDING DIVISION
HEC:C)i3IJIM REOUEBTED BY
FIDELITY NAT TITLE CO
iiECORDING REQUESTED BY:
Fidelity National Title Company
Escrow No. 41606 -CB
Title Order No. 00541259
When Recorded Mail Document
and Tax Statement; To:
Mr. Paulden Evans'
P.O. Box 621 i
Riverside, CA 92502
DOC " 2000-277347
07/38/2000 08:00A Fee:8.00
Page 1 of 1 Doc T Tax Paid
Recorded in Official Records
County of Riverside
Gary L. Orso
Asses9or, County Clerk d Recorder
I
IIII
III
III
IIII
III
III
III
II
III
III
I
II
IIII
I
II
I I
I
Fm
s U PACE SIZE DA PCOR NOCOR SMF MISC.
Tv
A I R L COPY LONG REFUND NCHG FXAM
GRANT DEED
The undersigned grantorls) declare(s)
Documentary transfer tax is $33.00
( X 1 computed on full value of property conveyed, or
[ 1 computed on full value less value of liens or encumbrances remaining at time of sale,
( 1 Unincorporated Area City of La Quinta
FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Admin► L.L.C., a Delaware Limited
Liability Corporation WA–t IA- 0VdVL\i 1,1 I u - U, (1,
hereby GRANT(S) to Paulden Evans Design & Development, Inc., a California Corporation
the following described real property in the City of La Quinta
County of Riversidel! State of California:
Lot 10, Block 276, Santa Carmelita at Vale La Quinta, Unit #25, County of Riverside, State of California, as per map
recorded in Book 19, Page 50-51 of Maps, in the Office of the County Recorder of said County.
DATED: June 5, 2000
STATE OF CALIFORNIA
COUNTY OF
ON Co 113 10Qbefore me,
e ere personally appeared
personally known to me (or proved to me on the basis
of satisfactory evidence) to be the person(s) whose
name(s) is/are subscribed to the within instrument and
acknowledged to me that he/she/they executed. the
same in his/her/thei, authorized capacity(ies), and that
Admim L.L.C., a Delaware Ltd. L.C., a Ltd. Liability
Co.
t
By:Ze,
-KA- bI"t& D1&—lock)
by his/her/their signature(s) on the instrument the. d,
person(s), or the entity upon behalf of which the HACKIE FERRp r
person(s) acted, executed the instrument. Q* ' 'Mmission # !162609f -
(K
+62609r'(K Notaryry Public ..;aiiforrna;V
;`i 3AN DIEGO vunty N
Witness my hand and official sea ;; I ,, ur=ExpresN,,. ,tw,
Signature L'�1
Yny Comm. J�i�£S /vov.lOil 'god
MAIL TAX STATEMENTS AS DIRECTED ABOVE
FD -213 (Rev 7/96) GRANT DEED
f'
RC DISTRICT - PLANNING REVIEW FORM
This form is to be used by CDD staff for review of single family dwellings in the RC (Cove Residential)
District, in order to determine the applicability of compatibility issues or need to require the filing of Master
Design Guidelines by the applicant. It shall be transmitted to the Building and Safety Department as your
correction list. Please attach additional explanations as necessary.
APPLICANT
Paulden Evans
SITE ADDRESS 54-925 Avenida Diaz
APNBIN NO.:
�!J CASENO.: 2001-396
LEGAL: LOT [ p BLOCK Dn (D UNIT S.C.@V.L.Q.
CHECKED BY: Stan Sawa DATE:
Inform the assigned Building plan checker upon your assignment to this case. The CDD Executive
Secretary maintains a log book to track applications and assign case numbers.
REQUIRED ITEM
Y
. N
COMMENT/CORRECTION
Compatibility Review
�l
Case logged and number assigned
�I
Verify legal and APN information
Consistent with MDG on file (as.applicable
MDG filing required (5 filings since 9/3/98)
Consistency with street/surrounding area:
Colors
Materials
Architecture
'
Other -Requirements:
cwt At
*'Certificate. of Occupancy
City of La' Quinta
Building and Safety Department
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 building construction or use. For the following:
BUILDING ADDRESS:
Use Classification: SFD
Occupancy Group: R 3
54-925 AVENIDA DIAZ
Bldg. Permit No.: 0103-115
Type of Construction: VN Land Use Zone: RC
Owner of Building: PAULDEN EVANS DESIGN INC.
—i-;�.
Building Official
Address:
P.O. BOX 621
City:
RIVERSIDE, CA 92501
By:
STEVE TRAXEL
Date:
06-13-01
POST IN A CONSPICUOUS PLACE
KEN WILKINSON
CITY OF LA QUINTA
BUILDING DEPARTMENT
COLTON,CA
STRUCTURAL ENGINEER
6956 INDIANA AVE. SUITE #9
RIVERSIDE, CA. 92506
VOICE (909) 682-2001
FAX (909) 682-2014
E-MAIL kenwilk@airl.net
February 14, 2001
Attention: RESIDENTIAL PLAN CHECKING
Re: PAULDEN EVANS — 54- 925 AVENITA DIAZ — LA QUINTA
Subject: DEFERRED SUBMITTALS FOR TRUSS CALCS PER CBC SECT. 106.3.4.2
To whom it may concern:
I have reviewed the submittal documents for the roof trusses and have found them to be in
general conformance with the design of the building.
Yours tr 1 ,
e
Ln ='nson
StruEngineer
�/�pFESSlp\
ani �e1'9!
No. 1944
r
Exp. 9-3a
srgRucNRPOP�,�P
OFC
M.
t �t�
(5�.ti�►lta u5 I.o,vt���
319 M�uvs 59-Z, 3 PAWL (SAtw
?A Nus g� l , Past 15AT.r1 .
P1aT,,(2A�, 4t (.4f VgcP' -D'. $� �Q • FT
►��v�,� V�w��ttPc('to+� �4'�.' 431 see K.
LJt"OowS`-occ;?-S .
I-tG4f 1
vtiA
io zo fx
D
40-30
Xa
Ao
1
o
®
501cp
Fx
Ilso
Fx
8 ZS
o
tq t�
fx•
a50��
Fe-
33.�
33 • `i
TITLE 24 REPORT
Title 24 Report for:
PAULDEN EVANS
54-925 AVENIDA DIAZ
LA QUINTA, CA
Project Designer:
PAULDEN EVANS
Report Prepared By:
GINA BROWN
RIVERSIDE ENGINEERING
3600 Lime Street Bldg. 1, #117
Riverside, CA 92501
(909) 369-17.00 '.
Job Number: ITY OF
D
ING & S
6077paulden APPC . f
FOR CONS)
F
Date:
DATE d
2/26/01 brf` ce
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 1998 Building Energy Efficiency Standards.
This program developed by Gabel Dodd/EnergySoft, LLC (415) 883-5900.
EnergyPro 2.1 By EnergySoft Job Number: 6077paulden User Number: 1160
S
TABLE OF CONTENTS
Cover Page
Table of Contents
Form CF -1 R Certificate of Compliance
Form MF -1 R Mandatory Measures Checklist
Form C -2R Computer Method Summary
HVAC System Heating and Cooling Loads Summary
1
2
3
6
7
11
EnergyPro 2.1 By Energysoft Job Number: 6077paulden User Number: 1160
Certificate of Comaliance: Residential (Part 1 of 2) CF -1 R
PAULDEN EVANS 2/26/01
Project Title Date
LOT 1 CALLE COLIMA & LOT 10 AVENTA DIAZ LA
nt"A'Wess Building Permit #
RIVERSIDE ENGINEERING (909) 369-1700 Plan Check Date
Documentation Author Telephone
Computer Performance 15 Field Check / Date
Compliance Method (Package or Computer) Climate Zone Enforcement Agency Use Only
GENERAL INFORMATION
Total Conditioned Floor Area: 1,617 ft2
Total Conditioned Slab Area: 1,617 f?
Building Type:
(check one or more)
® Single Family Detached (SFD) ❑ Addition Alone
❑ Single Family Attached (SFA) ❑ Existing Building
❑ Multi -Family ❑ Existing Plus Addition
Front Orientation: (South) 180 deg Floor Construction Type: ® Slab Floor
Number of Dwelling Units: 1.00
Number of Stories: 1 ❑ Raised Floor
Const.
Component Frame Assembly Location/Comments
Type Type U -Value (attic, garage, typical, etc.)
Slab On Grade
n/a
0.756
Covered Slab w/R-0.0 Perimeter Insulation
Slab On Grade
n/a
0.756
Exposed Slab w/R-0.0 Perimeter Insulation
R-21 Wall (W.21.2x6.16)
Wood
0.059
Exterior Wall
R-38 Roof (R.38.)(14.16)
Wood
0.028
Exterior Roof
FENESTRATION
Shadinq Devices
Type
Orientation Area
I
Labeled Fenestration
Interior
Exterior
—
Overhang Side Fins
SF
U -Value SHGC
roller blind
etc. shadescreen etc.
Yes/No
Yes / No
Front
(South)
118.6
0.72 0.70
Drapery
Bug Screen
❑ X❑
❑ X❑
Left
(West)
14.0
0.72 0.70
Drapery
Bug Screen
❑ X❑
❑ X❑
Rear
(North)
49.0
0.72 0.70
Drapery
Bug Screen
❑ X❑
❑ X❑
Right
(East)
12.0
0.72 0.70
Drapery
Bug Screen
❑ -1
❑ X❑
❑ ❑
11 11
❑ ❑
❑ ❑
-
El
❑❑
--
Fl
1:1 F1
1111
1111
El El
1111
_
❑ ❑
❑ ❑
El
El El
Run Initiation Time: 02/26/0111:18:48
Run Code: 983216128
Ener
Pro 2.1 By Ener
Soft
User Number: 1160
Job Number: 6077 aulden
Pa e:3 of 11
Certificate of Compliance: Residential (Part 2 of 2) CI,
PAULDEN EVANS 2/26/01
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 (furnace, heat Efficiency Location Piping Thermostat Location /
pump, etc.) (AFUE/HSPF)(ducts, attic, etc.) R -Value Type Comments
Central Fcrnnr.P 78°% AFUE Ducts in Attic 42 Setback HVAC System
Cooling Equipment Minimum
Duct
Type (air conditioner, Efficiency
Location
Duct
Thermostat
Location/
heat pump, evap. cooling) (SEER)
(attic, etc.)
R -Value
Type
Comments
Split Air Conditioner 10.0 SEER
Ducts in Attic
42
Rathark
HVAC System
WATER HEATING SYSTEMS
Water Heater Water Heater
Distribution
Rated 1
# in Input
Tank
Cap.
Energy Fact! 1 External
or Recovery Standby Tank Insul.
System Name Type
Type
Syst. Btu/hr
(gal)
Efficiency Loss (%) R -Value
Standard Gas 50 gal or Less Small Gas
Standard
9- 40 000
s0_
053 n/a 12
1 For small gas storage (rated inputs of less than or equal to 75,000 Btu/hr), electric resistance and heat pump water heaters, list energy factor.
For large gas storage water heaters (rated input of greater than 75,000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss.
For instantaneous gas water heaters, list Rated Input and Recovery Efficiency.
REMARKS
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)
Name:
Title/Firm: PAULDEN EVAN
Address:
Documentation Author
Name: GINA BROWN
Title/Firm: RIVERSIDE ENGINEERING
Address: 3600 Lime Street Bldcl. 1, #117
Riverside, CA 92501
Teleph ;Teliepho s 369- 00
Lic. #
(signature) (date) sgnature (date)
Enforcement Agency
Name:
Title/Firm: _
Address:
Telephone_
IEneravPro 2.1 By EneravSoft User Number: 1160 Job Number: 6077paulden Paae:4 of 11 1
Certificate of Compliance: Residential (Addendum) CF -1 R
PAULDEN EVANS 2/26/01
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
)asea on ine aaequacy or ine special jusurication ano oocumeniation sunmiiieo. IPlan Field
The DHW System "Standard Gas 50 qal or Less" Enerqv Factor = 0.530. An EF below 0.58 requires an R-12 External Blanket.
HERS Required Verification
These features must be confirmed and/or tested by a certified HERS rater under the supervision of a CEC approved HERS
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: 02/26/01 11:18:48 Run Code: 983215128
EnergyPro 2.1 By EnergySofl User Number: 1160 Job Number: 6077paulden Page:5 of 11
Mandatory Measures Checklist: Residential MF -1 R
NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used.
Items marked with an asterisk (') may be superseded by more stringent compliance requirements listed on the Certificate of
Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties
as binding minimum component specifications.
DESCRIPTION Instructions: Check or initial applicable boxes or enter N/A if not applicable.
DESIGNER
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.
a'§ 150(c): Minimum R-13 wall insulation in framed walls or equivalent U -value (does not apply to exterior mass walls).
'§ 150(d): Minimum R-13 raised floor insulation in wood framed floors.
§ 150(1): Slab edge insulation - water absorption rate < 0.3%, water vapor transmission rate < 2.0 perm/inch.
❑X §118: Insulation specified or installed meets quality standards. Indicate type and form.
o§116-17: Fenestration Products, Exterior Doors and Infiltration/Exfillration Controls
1. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage.
2. Manufactured fenestration products labeled with certified U -value, SHGC, and infiltration certification.
3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed.
§150(8): Vapor barriers mandatory in Climate Zones 14 and 16 only.
§1500: 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
FX—] §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.
a§1500): Pipe and Tank Insulation
1, Storage gas water heaters with less than 0.58 energy factor shall be externally wrapped with R-12.
2. Back-up tanks for solar system, unfired storage tanks, or other indirect hot water tanks have R-12 external insulation or R-16
combined internal/external insulation, piping between heat source and tank insulated.
3,Insulation on the first 5' of pipes closest to water heater tank, non -recirculating systems (R-4 or greater), buried or exposed
piping in recirculating sections of hot water systems, cooling system piping below 55 deg F.
a'§150(m): Ducts and Fans
1. All ducts and plenums constructed, installed, insulated, fastened, and sealed to comply with the ICBO 1997 UMC sections
601603; ducts insulated to a minimum installed R-4.2 or ducts enclosed entirely within conditioned space. Openings shall be
sealed with mastic, tape aerosol sealant or other duct closure system that meets the applicable requirements of UL181,
UL181S, or UL181B and other applicable specified test for longevity given in 150(m).
2, Exhaust fans systems have back draft or automatic dampers.
3. Gravity ventilating systems servng conditioned space have either automatic or readily accessible, manually operated
dampers.
X❑ §114: Pool and Spa Heating Systems and Equipment
1. Certified with 78% thermal efficiency, on-off switch, weatherproof instructions, no.pilot or electric resistance heating.
2. System is installed with at least 36" of pipe between filter and heater, cover for outdoor pools or spas.
3. Pool system has directional inlets and a circulation pump time switch.
X] §115: Central Furnaces, pool heaters, spa heaters or household cooking appliances have no constant pilot light.
Lighting Measures
§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 either have at least one luminaire with lamps with an efficacy of 40 lumens/watt
or greater switched at the entrance to the room or one of the alternative to this requirement allowed in 150(k)2.; and recessed
ceiling are IC (insulation cover) approved.
EnergyPro 2.1 By EnergySofi User Number: 1160 Job Number: 6077paulden Page:6 of 11
Computer Method Summary
(Part 1 of 3) C -2R
PAI LDEN EVAN,S
Project Title
2/26/01
Date
I OT 1 CAI IF COLIMA & LpT 10 AVFNTA
DIA7 I
A QI IINTA
Project Address
Building Permit #
RI ERSpF FNGINEERING
(909) 369-1700
Documentation Author
Telephone
PlanChecklDate
Computer Performance
Compliance Method (Package or Computer)
15
Climate Zone
Field Check/Date
Source Energy Use Standard
Proposed
Compliance
(kBtu/sf-yr) Design
Design
Margin
Space Heating 6.00
4.18
1.82
Space Cooling 46.58
48.16
-1.58
Domestic Hot Water 14.97
14.83
0.15
Totals 67.55
67.17
0.38
GENERAL INFORMATION
Conditioned Floor Area: 1,617 Floor Construction Type: X❑ Slab Floor
Building Type: Single Fam Detached Raised Floor
Building Front Orientation: (South) 180 deg
Number of Dwelling Units: 1.00 Total Conditioned Volume: 16,170
Number of Stories: 1 Slab Floor Area: 1,617
BUILDING ZONE INFORMATION # of
Zone Name Floor Area Volume Units
Thermostat Vent
Zone Type Type Hgt. Area
ConditinnPd SPthark n/a
Solar
OPAQUE SURFACES Act. Gains
Type Area U -Val. Azm. Tilt Y / N Form 3 Reference Location / Comments
Com uter Method Summary (Part 2 of 3) C -2R
PAULDEN EVANS 2/26/01
Project Title Date
FENESTRATION SURFACES
LI -Value Act. Glazing Type Location/
# Type
_L_ Window Front (South)
2 Window Left (Westi
3 Window Rear (North)
4 Window Right (East)
Area SHGC Azm. Tilt
Comments
118.6 0 720 070 180 q0 Double Mtl Uncoated Default 1st Floor
14.0 0.720 0.70 270 90 Double Mtl Uncoated Default 1st Floor
49.0 0.720 0.70 0 90 Double Mtl Uncoated Default 1st Floor
12.0 0.720 0.70 90 90 Double Mtl Uncoated Default 1st Floor
INTERIOR AND EXTERIOR SHADING
# Interior Shade Type SHGC_ E
1 Drapery
0.68 Bug
Screen
0.76
2 DraperV
0.68 Bug
Screen
0.76
T Drapery
0.68 Bug
Screen
0.76
4 Drapery
0.68 Bug
Screen
0.76
Window
Fin
2.1 Rv Fncrnv.0nft User Number: 1160 Job Number: 6077paulden Page:8 of 11
Computer Method Summary (Part 3 of 3) C -2R
PAULDEN EVANS 2/26/01
Project Title Date
THERMAL MASS FOR HIGH MASS DESIGN
Area Thick. Heat Inside Location
Type (sf) (in.) Cap. Cond. Form 3 Reference R -Val. Comments
PERIMETER LOSSES
F2 Insulation
Type Length Factor R -Val. Depth Location / Comments
Slab Perimeter 166 0.76 0.0 0 1st Floor
Slab Perimeter 135 0_76 0.0 0 1st Floor
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
Central Furnace
78%AFUE
Ducts in Attic
4.2
Setback
HVAC System
Pipe
Hydronic Piping Pipe
Insul.
System Name Length
Diameter
Thick.
Cooling Equipment
Minimum
Duct
Type (air conditioner,
Efficiency
Location
Duct
Thermostat
Location/
heat pump, evap. cooling)
(SEER)
(attic; etc)
R -Value
Type
Comments
Split Air Conditioner
10.0 SEER
Ducts in Attic
4.2
Setback
HVAC System
WATER HEATING SYSTEMS Rated/ Tank Energy Facts 1 Tank Insul.
Water Heater Water Heater Distribution • # in Input Cap. or Recovery Standby R -Value
System Name Type Type Svst. (Btu/hr) (aal) Efficiencv Loss (%) Ext.
Standard Gas 50 gal or Less Small Gas Standard —1 40,000 50 0.53 n/a 12
1 For small gas storage (rated input — 75000'Btu/hr), electric resistance and heat pump water heaters, list energy factor.
For large gas storage water heaters (rated input > 75000 Btulhr), list Rated Input, Recovery Efficiency and Standby Loss.
For instantaneous gas water heaters, list Rated Input, and Recovery Efficiency.
REMARKS
Run Initiation Time: 02/26/0111:18:48 Run Code: 983215128
EnergyPro 2.1 By EnergySoft User Number: 1160 Job Number: 6077paulden Page:9 of 11
Computer Method Summary (Addendum) 22-R
PAULDEN EVANS 2/26/01
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
)area on the aaequacy of the special jusutication ana aocumemation suomitted. I Plan Field
The DHW System "Standard Gas 50 gal or Less" Energy Factor = 0.530. An EF below 0.58 requires an R-12 External Blanket.
HERS Required Verification
These features must be confirmed and/or tested by a certified HERS rater under the supervision of a CEC approved HERS
provider. me mERS rater must document the tieia ventication and diagnostic testing of tnese measures on a torm GI --5K. Plan Field
Run Initiation Time: 02/26/01 11:18:48 Run Code: 983215128
EnergyPro 2.1 By EnergySoft User Number: 1160 Job Number: 6077paulden Page:10 of 11
1HVAC SYSTEM HEATING AND COOLING LOADS SUMMARY
PROJECT NAME DATE
PAULDEN EVANS 2/26/01
SYSTEM NAME FLOOR AREA
HVAC System 1,617_
Number of Systems
1
Heating System
Output per System
89,000
Total Output (Btuh)
89,000
Output (Btuh/sqft)
55.0
Cooling System
Output per System
46,000
Total Output (Btuh)
46,000
Total Output (Tons)
3.8
Total Output (Btuh/sqft)
28.4
Total Output (sgft/Ton)
421.8
Air System
CFM per System
1,575
Airflow (cfm)
1,575
Airflow (cfm/sqft)
0.97
Airflow (cfm/Ton)
410.9
Outside Air (%)
0.0
Outside Air (cfm/sqft)
0.00
Note: values above given at ARI conditions
EA
26.0 OF
O
Outside
0 cfm
68.9 of
Total Room Loads
Return Vented Lighting
Return Air Ducts
Return Fan
Ventilation
Supply Fan
Supply Air Ducts
TOTAL SYSTEM LOAD
COIL COOLING PEAK
I COIL HTG. PEAK
CFM
I Sensiblel
Latent
I I CFM
I Sensible
1,729
29,211
3,855
703
38,053
0
1,461
1,903
0
0
0
0
0
0
0
0
0
1,461
1,903
32,1321 3,8551
41 859
BDP CO. 561AJ048--• 29,530 12,795 89,000
Total Adjusted System Output 28,530 12,795 89,000
(Adjusted for Peak Design Conditions)
TIME OF SYSTEM PEAK Aug 2 m Jan 12 am
Kics (Airstream Temperatures at Time of Heatina Peak)
68.9 of m 121.60f
Heating Coil
:DOLING SYSTEM PSYCHROMETRICS
11.0/77.40F
ow
Outside Air
0 cfm
78.9/66.8 ° F
Supply Fan
1575 cfm
121.6 of
-� Supply Air Ducts
120.5 of
ROOMS
70.0 of
k Return Air Ducts 4
78.9/66.80F ® 61.4/60.30F
Cooling Coil Supply Fan
1575 cfm
61.4 / 60.3 of
Supply Air Ducts
62.2/60.6OF
55.3% R.H. ROOMS
78.0/66.6OF
K Return Air Ducts `{
I EneravPro 2.1 By EneravSoft User Number: 1160 Job Number: 6077paulden Page:11 of 11 1
KEN WILKINSON STRUCTURAL ENGINEER
6956 INDIANA AVE. SUITE #9
RIVERSIDE, CA. 92506
VOICE (909) 682-2001
FAX (909) 682-2014
E-MAIL kenwilkinson@fam.net
May 3, 2001
CITY OF LA QUINTA
BUILDING & SAFETY DEPARTMENT
Attention: BUILDING INSPECTIONS
Re: PAULDEN EVANS RESIDENCES - LA QUINTA
Subject:.SHEAR PANELS CHANGES.
The shear panels as shown on the approved plans may be changes from the 7/16" thickness
to the 3/8" APA rated wood structural.panels. The allowable shear values remain the same.
Yours truly,
QPOFESSIOA,
ILKIry/ O
Ken Wilkinson yam' 19�e�
Structural Engineer •w 1 ..n o-
{
.•1r