06074 (SFD)Building
Owner William Tribble
Address 80-655 Ave 43
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
City Zip Tel.
Indio 92201 1
Contractor Tribble Construction
Zip Tel. -
State Lic.I City
& Classif. 434957 B-1 Lic. #
Designer
Address Tel.
CityI Zip I State I
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I 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. ✓, ! ✓< �f/.'.rt �i7i �`{/ /� r
SIGNATURE _ DATE
OWNEWBUILDER DECLARATION
I hereby affirin that 1 am exempt from the Contractors License Law for the following
reason: (Sec. 7031.5,Busiress and ~essions Code: Any city or county which requires a
permit to construct, after, improve, demolsh, or repair any structure, prior to its issuance also
requires the applicant for such Pen n# to fie 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 vioNBicn of Section 7031.5 by any applicant for a permit
subjects the appicard to a civi penally of not more than five hundred dollars (E500).
❑ 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 Contactors 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
orkmprovement is sold within one year of completion, the owner -builder will have the burden
of proving that he did not build or reprove for the purpose of sale.)
❑ I, as owner of the property, am exclusively contracting with licensed contractors to com
struct the project (Sac. 7044, Business and Professions Code: The Contractor's License Law
does not apply to an owner of property who buds or reproves thereon, and who contracts for
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec. R- & P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Workers Compensation Insurance, or a certified copy thereof (Sec. 3800, Labor Code.)
Policy No Company r V. i
❑ Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed B the permit is for one hundred dollars (8100) valuation
or less.)
I certify that in the performance of thF work for which this permit is issued, 1 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: ff. 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 shag be deemed revoked.
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.)
Lenders Name
Lenders 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 applicant _ Date
Mailing Address
City, State, Zip
No.
BUILDING: TYPE CONST. OCC: GRP...
A.P. Number 773-231-007
Legal Description Lot 16
Project Description S.F.D.
06074
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: Date7-749 Permit
Validated by:
Validation:
Sq. Ft.
Size 1565
No. No. Dw.
Stories Units
New MI Add ❑
Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
89,655.00
PERMIT
AMOUNT
Plan Chk. Dep.
250.00
Plan Chk. Bal.
256.48
Const.
594.50
Mech.
47.130
Electrical
112. rO
Plumbing
166.50
S.M.I.
6.30
Grading
20.00
Driveway Enc.
20.00
Infrastructure
1983.49
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: Date7-749 Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
ROUGH PLUMB. BONDING
HEATING (ROUGH)
YARD SPKLR SYSTEM
2ND FL. SO. FT. @
SEWER OR SE ROUGH WIRING.
DUCT WORK
ROCK STORAGE
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
HEATING (FINAL)
OTHER APPJEOUIP.
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
DRAINAGE PIPING
CAR P. SO. FT.
FINAL INSP.
WALL SO. FT.
BOND BEAM
DRINKING FOUNTAIN.
GRADING
cu. yd.
$ plus x$
URINAL
SO FT ®
fiAL INSP. �i
FRAMING %
ESTIMATED CONSTRUCTION VALUATION $
ROOFING ��•r�
v
WATER PIPING
NOTE: Not to be used as property tax valuation
REMARKS:
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
SPARK ARRESTOR
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR HP
POLE, TEM/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER. B.T.U.
SO. FT. ® c
BATH TUB
�U�TIONISOUN _mac
�y -
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SO.FT.GAR ® VAc
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
BACK jj'� 3i �j'
0/6 -ROUND PLUMBING UNDERGROUND
A.C. UNIT
COLL. AREA
l�?SLAB GRADE
ROUGH PLUMB. BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SE ROUGH WIRING.
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH) METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL) TEMP. POLE
GROUT
WATER HEATER SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
_ $
LUMBER GR.
fiAL INSP. �i
FRAMING %
• INSP.` /
ROOFING ��•r�
v
/� C t!
U
f�CC
ryP�
I
a
- � Xv�
V c
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
� THING � 3 ` (� C�j
MESH
�U�TIONISOUN _mac
�y -
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
: t'+1•X�,Nv+,;A-- ti't-�•mrt ` bh*��-::mac{'• :_y },�y.ft~!�,ch:.'�,y`ZY il.{'>t',v„',. {J': �'ti•":-'",�43'"'tj'!r�:�'c„ti i�`.:nr'ee^!'iy'1Y'}''Y .'+.. A
' h"fit •/�, "V'�
RECEIPT NO. L J Issued By Date
DISTRICT: ❑ Riverside, 19--I d ❑ Hemet Q Perris ❑ Rancho Calif. ❑ Blythe
DOH SAN 122 (Rev. 5/88) DISTRIBUTION: WHITE - Office file YELLOW - Applicant PINK - Bldg. Dept GOLDENROD - Plans/Records
-E-L
COUNTY OF RIVERSIDE DEPARTMENT OF HEALTH Asssamnit Parcel No.
ENVIRONMENTAL HEALTWSERVIC�S
PERMIT APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM
Applicant: Submit this form with four copies of a sealed plot plan (1-20 scale) drawn.to County speculations as indicated on the attached check list
A non-refundable filing fee (see below) is required when the application is submitted. Check must be made payable to the County of
Riverside. Approval of this application shall remain valid for a period not to exceed one year from date of approval.
Q
VERIFY ITEMS IN SECTION A FROM BUILDING 8 S/�FETY APPLICATION BUILDING DEPARTMENT APPLICATION LOG' 1t
Z
Q
Agent,.Contractor, Con�ta•ct Person.
Phone
Address 8 Phone
V
/�' e
.310-925.3
JC; -1;5S tl
w
Owner
Phone .
Mailing Address
CI1y
State
Zip
Job Property
Legal Description Prop. (PM, Tract, Lot)
�Address
Lot SizeWa
e A nc-3AwF
Use of Permit P/P, CU, etc.
Other
/00,
AFI .
t
�Dwellin �
/%/ j1 t/
Date
Signature of Applicant
, CATEGORY: REV CODE FEE CATEGORY: REV CODE FEE
01 SUBSURFACE DISPOSAL 1238 $45.00 ❑ SITE EVALUATION UPON REQUEST 7349 $42.00
M
❑ MULTIPLE PARCELS WITHIN SAME (NO PLOT PLAN)
Z
LAND DIVISION ❑ SEWER/SEPTIC VERIFICATION 7348 $11.00
p
a. 1 at 4 Parcels (Each) 1238 $45.00 (Less than 1 year)
H
b. Each Parcel after 4 7344 $16.00 O PRELIMINARY ELECTIVE 7352 $45.00
W
❑ Rereview (2nd review same parcel) 7344 $16.00 EVALUATION (Attach DOH SAN 53)
W
❑ Site Evaluation in Conjunction with ❑ HOLDING TANK 7351 $45.00
Crftkcal Area 7346 $86.00 ❑ ALTERNATIVE/EXPERIMENTAL 7345 $13200
❑ Site Evaluation Lot Less than, j SYStEM `
10,000 Sq. Ft. 7347 $86.00 r'
INITIAL / DATE
Holding Tank Agreements Completed '_ E� 2,
❑ Yes p N' o '�
Certification of Existing S.D. System Required ❑ Yes 0-410
WQCB Clearance required. (Attach Formr!. ❑Yes 3�
DOH SAN 007, Santa Ana Region Only) `
Soils Percolation Report Required. ❑ Yes ja No .
Special Feasibility Boring Report "Required. ❑ Yes 1P NO
Detailed Contour Plot Plans Required (1 to 5 ft interval) ❑ Yes
Otlter ❑ Yes i^
/"0
Staff Specialist Lot Inspection Required ❑ Yes GYNO
Lot Inspection Date
Sills boring report by r Project Deft
Date
41/
Sills Map•+P..Approved by tet/--
age '�� Type
•SaA Date
U
No. of Systems'
TYPgr Of Systems) _
W. Dwelling Unita ( 1
(1) Septic Tank
Soil Rate
Gresee/Sand .
Z
❑�HgWing Tank ❑ Existing
Bedrrrou/me, Fbdure-Unita
'-,Grease Intcp
Q
3 -New O Replacement
/OZV�
W
(2) Leach Line Sq. Ft
Sidewall allowance
Install Lines) fL long,____ft wide with
Leach Bed sq. it
trench area
��
ft rock/ sq. 1L ''
per running ft
min. irx�rocksbelow drainlhres or
" bottom area
Os' �
Leachlines/bed special design for slope:
(3) Pit Diameter
No. Pits
Pit Below
Seepage Pit Total Depth
&her.
Applicable /946
(
9/s
Inlet (BI)
1
N/A G/` Overburden facto
J.—
{/
j'.
Max.'i911abb Depth
r
A,
v
No. 2 System ,/%,
REMARKS:'y
X /,f �7
A`.�•�' .�/tj�/%�el��r�xk.,(° s: / 1..:�w�s(!s. ��.i � /.le
�ifi/J�`'.
�•�+
���a:kA`P..f .�'?�i( �.1.'G�+.C:...o� (/�•,d f1_',.•.r�z _.Sli4•?•/�./f� .Y+G�.1.eJ`'E�' � /1%r�. _/��!/�
�-
//� /)
.,.�_.a � ,/%� o1E�...•� �f ! ..;.t. ,.� c� t'— _>i. .i`�t^.-%/4�-jG'a�-�...�(!< t,�J-r...-��i�L..� ���a t/ . �i,.�/
,,��r���n` /'.�2•��
,Yl�.�'1.�:'t � f�c..! 6 .5 ii��-.k� .-, �7._.D t .....-F ✓fit � . , �.-� �� t � .!%!i
This pa pli1b1atto0i� (PR PVEb NIEkTfor the category checked in SECTION B above, regarding t�design of aGsubsurface disposal system as indicated
on the accompanied p , using the requirements set forth in SECTION C above. A building permit is necessary for the installation of the
Z
above -designed system. No construction is permitted in the required reserved 100% expansion area.
6111)Septic tank and sewer lines must be 50' minimum from any wells C{( t7 /"et•2Q'.” Q`` j'"
�1
(2 Leach lines must be 100' minimum from any wells, including expansion r
LUllt
r t
(3) Seepage pits must bei150' minimum from any wells, including expansion area
Si nature of Health Official
RECEIPT NO. L J Issued By Date
DISTRICT: ❑ Riverside, 19--I d ❑ Hemet Q Perris ❑ Rancho Calif. ❑ Blythe
DOH SAN 122 (Rev. 5/88) DISTRIBUTION: WHITE - Office file YELLOW - Applicant PINK - Bldg. Dept GOLDENROD - Plans/Records
-E-L
iIGIR?rRrb�
(S jr- 't
Of t n,E UE .
E. lEUrr SI n(rr;Y
AGRIC;UL I URAL C:U` MISSIl1NER
V;AtLA(:E
ln,%lfS U
1 „�-_;'�1!
AN 0
�ss�sf +a f •r.., .nsse�.r.n
v v
Vi
%VIAGI I IS Z tvILASUMS
CIE�IEyI [1F,rvE(vIS1E
st �ttrt
��!• :. f
49-613 Ilt,y 06, Milte 0-12
• A'd�.,�,�,e�i�
'�rp,
'CVttchel ift, (;A 97236
�e9'
61Y-342-UZY1
L
CASE Iu.
*31-
Ow SZy c �o u/
AUIlI(L;S5 6,5-( 09cle 3� 3 rL ty c ,,O
TULUrl oms r 9 7S5
War Wvelvpert
Mer reviewing your'laralscttarLrrcl plans, (ill IrlcmL llv3terial llsled is riot f.rr
violation of guar-niA .ne lows t_jove,mbry Ih,? Coachella Valley. 1E subsl•itutlons
do occur oral they d1E[er [run I►larrt ui:rterlal listed, this o[[lce must be Irvtlfied
i(uledlately. .
Thank you fur protectLly and Irieserviny the Coachella Valley's pest -tree envit-ouinnt.
ACYr 6jural Cain s vner'I s �ice
c -C, ltrdlo rind Riverside VEE ice
1 AJ -r '\,
Buena Engineers, Inc.
~� 79-811 Country Club Drive, Suite 4
Bermuda Dunes, CA 92201 - (619) 345-1588 / 328-9131
Client
Client
Client Phone
DATE
b/a-g/
TEST LOCATION
01, vc C4
JOB NO.
'7- i
PROJECT
z"1
LOCATION
- w .
REFERENCE CURVE
CONTRACTOR
DRY
DENSITY
IbsJCu. ft.
OWNER
WEATHER
TEMP. o at AM
° at PM
PRESENT AT SITE
yr
167-10(,
TEST
NUMBER
TEST LOCATION
01, vc C4
LOT
NO.
ELEVATION
FIELD TESTING
REFERENCE CURVE
MOISTURE
CONTENT
%
DRY
DENSITY
IbsJCu. ft.
MAXIMUM
DRY
DENSITY
%
MAXIMUM
DRY
DENSITY
Ibsicu. ft.
OPTIMUM
MOISTURE
CONTENT
%
167-10(,
"11
p
REMARKS: r c Sps-f 45 - IS ,PAa G-1 rncQ � r r7c)aIo
0 t� Uc " .. I(ZRic,
CLIENT REPRESENTATIVE SIGNATURE
FIEELD REPORT
k �� & =
TECHNICIANS SIGNATURE
CONTENForm
..... ..... ..... ..... ........ ..... ..... ..... ......... ..... .......... ..... ..... ..... ... .... .... .... __.... ... ..... ..... ..... .... .... ..... ..... ... ..... ... ___
Point System Summary P -VR
, Thermal Mass Worksheet � ' WS-lR
Certificate Of'Compliance CR-lR
Heating & Cooling Load Calculation N/A
Mandatory Measures Checklist MF-lR
Insulation Certificate
Appliance Certificate
No 'Sheets
__________
i01uf 6Ys!EM SUMMARY: CL1MATEZONE
____________________________-_________________________�___________________-____
Project: Bill Tribble Residence
�
Date/ 6-13-89
Address:
_______________________________________________________________________________
BUILDING DATA: Stories
= l
Glass A?ea
%Glass
Conditioned Floor Area =1565
North
69 4,4
Floor Type= Slab Slab Area= 1565
East
44 2.8
Unit Type: Single Family Detached
(SFV-
South
56 36
[ ] Addition Alone
West'
50 3.2;
[ ] Existing Building
Skylight
0 0 �
[ ] Existing Plus Addition
.... -_______-_______________
--------
Total 219
_________________
14 0
..... ..... .... ..... ..... ..... ..... ..... .... .....
S C O R E C A'R D'
�--------
Measures
---------
Point Scores
' R
-Value U -Value
l Ceiling Insulation
38 0
0
.
2 Wall Insulation
l9 0
0
3.- Raised Floor Insulation
0 0
0
4 Slab Edge insulation0
0
0
5 Infiltration
Standard
0
6. Glass Heat Loss
Double 0
2
Sum(I-6)=7.
SHADING % Glass
SC Eff
% Glass
(Shade Open) -------
---- -----------
a 'North 4.4 X
0.77 =
3.39
-1
b. East . 2.8 X
0.77 =
2.16
^ 0
c. South 3.6 X
0.77 =
2.76
0
d West 3.2 X
0.77 =
2 46
0
e. Skylight 0.0 X
0.71 =
0 00
0
`
8. SHADIW:i % Glass
SC Eff
% Glass
(Shade Closed) -------
---- -----------
a North 4.4 X
0.66 =
2.0
-1
` b. East 2.8 X
0.66 =
l.86
-2
' cSouth 36 X
0.66 =
2 36
-4
d West 3.2 X
0.66 =
-2.11
-4
e. Skylight 0'0 X
0.66 =
0.00
0
' 9, Interior Thermal Mass.
2.50 (Int-Mass/CFA)
'
0
10. Exterior Wall Mass
0.00 (Ext
Wall Mass)
!I. Heat -Ing Heating System
Duct Ins=R- 6.3 SE
Duct Eff.
Eff
SE
� n,a c -----
Loc i attic
---------
-------
'
0.71 . X
0.00
= 0.00
'
-10
12 Cooling,System SEER
Duct Eff.
Effective
Duct Ins=R- 6.3 9.5
0.81
Seer
Loc� in attic -----
---------
-------
'll 00 X
2
13 Water Heating TYPE
Credit
---------
-----
S8
NONE
U
0U
Point Goal .............. =
Point Total this package =
..... -_..... ..... ..... ..... ..... ..... ..... ..... ------------------------------------------------------------ ____
Pnint System Summary Revised Marc� l9EW
� '
'- '.-_-'_-_____________
FrcJect: Bill Tribble Residence
iddress:
=_n_==!
_ ____
Date: 6-13-89.
.... .... ..... ..... ... ..... .... .... ----------------------------------------------------------------------
ZNTERIOR THERMAL MASS
.... ..... .... ....
(A) is used
to compute
Interior/Exterior
Mass Capacity.
The program
oiQws selection of
the most
common
mass components' each with a known UIMC
as described in Table
4 -8a,4
-8b and
Table 4-9 on Pages
4-26 and 4-27 of the
Energy Conservation
Manual
Revised
March 1988 Credit
for other mass com-
0onents will require
manual
computation
and revisions
to this document |
' ---
Type 2
----
Area
------
.
------
�
------
UIMC
.... ..... ..... .
.... .... ..... ....
.... ..... -....
------ ..... .... ..... .... -----
Total Type l Mass =
Rrogram Uses..�=
..... ..... ..... ..... ..... ___
65 %
60 %
-----------------------------------
EXTERIOR
______________________________EXTERIOR WALL THERMAL MASS
Total ---> 0j0
�
`
Total Opaque Exterior
Total Will Area � Wall Mass
------------ __----- --------------
0.0
___________0.0 Div by 1047 � = (::j.
00
�
---------------------------------------------------������.......................
|Fnermal Mass Worksheet Revised March �988
Total Conditioned Floor Area; 1565 sq.ft
DUILDIN8 TYPE: l Story [x] Single Family Detached)
[ ] Single Family Attached `
[ ] Multi-Family(less than 4 stories)
[ ] Addition Alone
[ ] Existing Building
[ ] Existing Plus Addition
Front Entry Orientation: west
Number of Dwelling Units� l
Floor Construction Type Slab
infiltration Control Standard
SUILDIN8 SHELL INSULATION
Component Insulation
Type R -Value
__________
Wall 19
Roof 38
Floor 0
GLAZIN8
Alazing
Area
Glass Type
Interior Exterior Overhang Framing type-
ypeOrient.
Orient.
-..... -..... ..... ... -
(sf)
-----
Single/Double
... ..... ..... -..... ..... ..... ..... -... ... --
Type Blind Type Screen Y/N Metal/Wood
----------
North
69.0
Double
----------- ------- -------------
---------North
South
56.0
Double
East
44.0
Double
_______�__ __________
West
50 0
Double
________ __________
__________ __________ ________ __________
Skylite
0.0
Double
__________ __________ ________ __________
FHERMAL MASE
_______________________________________________________________________________
�
Certificate of Compliance Page 1 of 2 Revised March 1988
m
iCATE OF COMPLIANCE: Residential `CF_.;�^R
.... ..... ..... ____________________________________________________________________________
Project Title: Bill Tribble Residence Date! 6-13-89
Project Address: U
�... �.... ..... ..... .... ..... ..... ---------------------------------------------------------------------�
HVAC SYSTEMS
Type Minimum
Furnace Efficiency
Heat Pmp (Se`Seer,Hspf)
__.... ..... ..... ..... ..... ... .... _____________
Air Cond Seer]l 00%
Furnace Se 0.71%
Duct
Location Duct Output Manufacturer/Model:li:
(attic etc) R -Val (Btuh) (or approved equal)
__________ _______ _______ -------------------------------
attic
__________________________attic 6.3 42,000 Tempstar/CA7042
attic 6.3 80'000 Tempstar/NU8l-80
' |
---------- _______ _______ _____---------___----------
�
-'------- -----------Q-----------------
- ----- ---- ------- ------- ---------------------------
Maximum Furnace Heating Output: 65,000 btuh
HOT WATER SYSTEMS
System Type Tank Manufacturer/Model#
(storage'gas) Capacity (or approved equal) Special Feature(s)
------------- --------- ----------------------- -------------------------------
Storage Gas N/A Gal. N/A/N/A -------------------------------
-------------
____________________________
_____________ ----
..
-------------
SPECIAL FEATURES
_----
---------
AND
_______________________
-----------------------
REMARKS
_________________________
----------------------------------------
-----------------------------
(Add extra
------------------------------------------------------------------------------|
_-___-___-_____________________________________-_-__-'--'
_ ..... ..... ..... _
sheets if
necesshhy) ^
�
OOMPLIANCE STATEMENT
This certificate of compliance lists the building features and performance
spehifications needed to comply with Title 24, Chapter 2-53 and Title 20'
Chapter 2, Subchapter 4, Article l of. the California Administration code.
This certificate has been signed by the individual with overall design res-
ponsibility and the building owner' who shall retain a copy of it and trans ----
mit the certificate to any subsequent purchaser of the building. When this
certificate of compliance is submitted for a single building plan to be built
in multiple orientations, all building conservation features whith vary are
indicated in the Special Features/Remarks Section.
DESIGNER
'
�
Title/Firm:
�
_ ..... ..... ..... _
Address
Address. .
!_�_______________________
Address.
-Telephone
----------------------------
________________________'Telephone ...... ..... ..... ..... .... .... ..... ..... ..... .... ..... .... .....
..... ..... ..... ..... ..... ..... ..... ..... ..... ..... .... .....
Licence #
Signature
BUILDING
O
Name
�
_ ..... ..... ..... _
Title/Firm:________________________
Address.
.�_________________________
--------------------------
Telephone
________________________Telephone :_____________________ _.
Signature :_________________________
DOCUMENTATION O ENFORCEMENT AGENCY
NameDawn's
�*�^ 1Name
Title/Firm' -' '~`~^"~°"ox*�»«�U�� K���� Agency '
'--- 6240ICOACHELLA -�-^~' ---------
Address. .: __ "'��o/m/��V�' Telephone �
_ _ -CA' _________________________
-----------------------------
Telephone
Signature JJQ.11411 QJQ _____ Signature _________________________
.
_
_
--------------------------------------------- _----------- __�_________________
�
Certificate of Compliance Page 2 of 2 Revised March l988
�
c1.r ondztzoning
Heating Equipment 52-l0l Industrial Way
Sizing ComplianceCoachella'Calif 92236
Point System 264767 (C-20) 6l9-398-5589�
..... ..... .... ..... _________________________________________________________________-�________ �
Job No� �l
�
Project �Single Family Detached l Story Structure
Owner �Bill Tribble
Address
Orientation �west
METHOD��ASHRAE�Load Calculatio� Manual � ' Date� 6-l3-89
' N
' N
..... ..... ..... ..... ..... .... .... ... ..... .... ____________________________________________________________________ �
HOURLY HEAT LOSS� Total Conditioned Floor Area= l565
Site Inform�tion�
Inside Design Teture. . . . . . . . . . ... . . . . . . . . . . . . . = 700 F
Outside Design Temperature �� �� � � � �.� ���� ���� ����� � ��= 3l�0 F
Design Temperature Difference (TD)�
For Standard Assemblies
. . . . .
. . .
. . . .
. . .
. .
. . . .=
200 F
For Floor Over Vented Unheated
Space. . .
. . .
. . . . .
. . .
. . .
. . . .=
^
l9.5 F
, NDUCTIVE HEAT LOSS�
Description of Assembly
Area
U -Value
TD
Btu/hr
.... .... ..... __
Slab� R- 0 0 Inches l58 (ft)
X
42
= 6636
Cei38
.l565
X
0
030
X
39
= l83l
Wa�l � R- l9
l345
X
0065
X
39
= 3204
� 6lazing� Double
69
X
0650
X
39
= l749
S 6lazin�� Double
56
X
0�650
X
�39
= l420
E 8lazing� Double
44
X
0
650
X
39
= lll5
W 8lazingDouble
50
X
0
650
X
39
= l268
�kylight |Doubl
�
X
650
X
39
= 0
Subtotal
= l7223
InfiltratiCT)
�
Duct Heat Loss�
Maximum Btu/hr�
l56EZ, X 8 X �0�50 X 0 0l8 X 39 = 4395
0�l5 X 2l6l7 = 3243
Total Hourly Heat Loss = 24860
I X ( 24860 + (l0 X l565)) = 52663
-..... ... ......... .... --... ..... ..... ..... ... ..... -----------------------------------------------------... ... ..... -.... ..... ..... ----
�INIMUM HEATING EriUIPMENT OUTPUT� 24860 (Btu/hr)
MAXIMUM HEATIN8�EX"UIPMENT OUTPUTBtu/hr)
... ... ..... ..... .... .... ..... .... ..... ..... .... .....
------------------------------------------------------------------
|�ecftting Equipment Sizing
inaustriai Way
Point System 164767 (C720) 619-398-5589
ibb No.
Project ;Single Family Detached I Story Structure
Owner :Bill Tribble
Address
Orientation west
METHOD: ASHRAE Load Calculation Manual Date: 6-13-89
----------------------------------------------------------------------------------
Site informatiom
Design Equivalent Temperature Differences: (TDeq)
Standard Temperature Difference...
....
....
... .
.
..
=
34.0
F
For Frame Walls and Doors. ...
. ....
.....
....
. ..
I—=
28.0
F
For Masonry Walls. .. . .. .
. .. ..
..
. ..... .
.
..=
21.0
F
For Floor. .. .. . . .... ...
..... ......
. ...
..
. ..=
20.0
F
For Ceiling and Roof. ..... . ..
.....
..
. .....
.
.
..
=
49.0
F
CONDUCTIVE HEAT GAIN:
^
Description of Assembly
________________________________
Area
______
U -Value
_________
TD
_____
Btu/hr.
_________
�
Ceili' ' R 38
ng. -
l565
X
0 030
�
X
49 �
0
=
2301
Wall : R- l9
1266
X
0.066
X
28.0
=
2304
N Glazing Double
69
X
0.650
X
34.0
=
1525
S Glazing Double
56
X
0.650
X
34.0
=
1238
E Glazing Double
44
X
0.660
X
34.0
=
972
W 6lazing Double
50
X
0.650
X
34.0
=
1105
Skylight Double
0
X
0.660
X
34.0
=
0
Subtotal
=
9444
SOLAR HEAT GAIN: .
Description of Assembly
Area
W.F.
Btu/hr.
________________________________
NGlazing Double
_______N
----------
69.0
X
30
=
2070
^ S Glazing Double
56.0
X
44
=
2464
E Glazing Double
44.0
X
79
=
3476
W Glazing Double
50.0
X
79
=
3950
Skylight Double
0.0
x
79
=
0
Net
Solar Heat
Gain
= 11960
Infiltration: 1565 X 8 X
0.50
X
0.018 X
34
=
383l
Internal Heat Gain. . .. .... .
.. . .
........
...
3000
Total
Heat Gain.
. ..
..=
28236
Duct Heat Gain:
0.10,
X
28236
=
2824
Total
Sensible
Hourly Heat
Gain
= 31059
Latent Load:
0.20 1 31059 = 6212
-------------------------- ___________________________________________
6ENSIGLE COOLING LOAD: 31059 (Btu/hr)
TOTAL SENSIBLE COOLING LOAD + LATENT LOAD: 37271 (Btu/hr)=
___________________________________________________
Cooling Equipment Sizing �
3 l Tons
Uate;-y'i^/'c5U
� Address;
_--_..... ..... .... ..... ..... .... ..... ..... ..... ..... ..... ..... ..... .... ..... ..... .... ______________________
Lowrise residential buildings subject to the Standards must contain these
measures regardless of the compliance approich 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.
� `
-_______________________________________________-_______�______________________
D E S C R I P T ' .1 O N
Designer
Enforcement
_-________________-_______-_____-______________________________________________
*Minimum Ceiling Insulation..,... ...
38
[
] [
]
Lpose Fill Insuiation................... =
[
I [
]
*/Onimum Wall Insulation .... : .: ... .....=
l9
[
] [
]
3lab.Edge Insulation. . ...- .,... . � .=
NR
[
] C
]
Type Insulation used .....�.....' .=
Batt
[
] [
]
Vappr sorrier ........ .... ... .=
NR
[
] [
]
InTzltratzon.....................=
Standard
[
] [
]
Doors/Windows designed to limit leakage =
Yes
[
] [
]
Doors/Windows certified ............=
Yes
[
] [
]
Doors/Windows weatherproofed'caulked etc=
Yes
[ ' ^
] [
]
Infiltration Barrier..... . . ...... .=
NR
[
] [
]
Fireplace metal or Glass closable doors.=
NA
[
] [
]
Fireplace air intake with damp & control=
NA
[
] [ '
]
Fireplace flue damper and control. . ..=
NA
[
] [
]
Space conditioning equipment sizing. ..=
See Calcs
[
] [
]
Setback Thermostat on heating systems ... =
Yes
[
] [
]
*Ducts installed per Chapter 10, 1976 UMC=
Yes
[
] [
]
Space heating has ignition devices. ... ..=
Yes
[
] [
]
Water Heaters' HVAC etc CEC certified..=
Yes
[
] [
]
Water Heater Insulation Blanket .....=
Yes
[
] [
:'J'
Water Heater Insulation R -Value ......=
Yes
[
] [
]
Water Heater pipes insulated.. .... .... &
Yes
[
] [
]
Swim Pool heater has on/off switch.. ... .=
NA
[
] [
]
Swim Pool weathprf instr. plate on htr =
NA
[
] [
]
Swim Pool plumbed to allow for solar .... =
NA
[
] [
]
Swim Pool equip 75% thermal efficiency .=
NA
[
] [
]
Swim Pool Cover and time clock... ......=
NA
] [
]
Lighting in Kitchen/baths >=25 lumens��=
Yes
[
] [
:JGas
appliances equipped with igniters: =
Yes
[
] [
]
Appliances/lamp ballasts CEC certified ..=
Yes
[
] [
]
APPLIANCES:
Refrigerator'Manufacturer: N/A Model# N/A
Freezer ManufactuVer ..... 1 N/A ` Model# N/A
_________________________ ____________________ Model#
Model#
Model#
------------------------- -------------------- --------------------
`
Mandatory Measures Checklist Revised December l988