9908-223 (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 myl1icense is in full force and effect.
License # Lic. Class Exp. Date
L
6i"3�50(3 f3
Date —% " AiIN 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 COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
( ) I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
Section 3700 of the Labor Code, for the performance of the work for which this
permit is issued.' -My workers' compensation insurance carrier & policy no. are:
Carver CW01T OENERAL IN Policy'No. SVC -341073000
(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 5ection 3700 of the Labor
Code, I shall forthwith comply with thos F rovisio s/,
Date: '► —1 -nn .Applicant / �• —..�._
Warning: Failure to secure Work rs' 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/if
nspection urposes.
Signature (Ov ne /Agent)/f r° `r � Date_7�14
BUILDING PERMIT PERMIT#
9908-22 "
DATE VALUATION LOT TRACT fc'I vj /
$321.,51.1.70 4 �!(,'`r
JOB SITE
ADDRESS so :x���TED �U Jm. DpjvF
APN �;
���
t
OWNER
CONTRACTOR/ / EN (NEER yt
�
DAN P"MOND
GUS'AF80N CONSTRUCTION
79-14.5 JACK RABB1T TRAIL
43w620 VIAMAJOIeCO
'LAQu(NTIv CA 92251
PALM Imsm CA, 92.211
'760)772-1530 CBI,# 1653
USE OF PERMIT
MOLE FANLY niT+1EL1,:1 G .
SFD. PERMIT DOES NOT INCLUDE HWC2ti WALL OR POOL
TRACT CONSTRUCTION
PORCH/PATIO '830.00 SF
GARAGEW-A .PORT i31� 4k452.e0
1".L9rDJ[ATKD COST OF C011TS`INUCn011
P 17.71M k�1 RY
CONSTRUCTION FEE 101-000418.000 $1,416.50
PLAN CHECK FEE 101-000-439-318 �z,355.bJ
EGI'. DEPOSIT 101.000.439-318 -5 YSD.001
,PIECI• ANI.CAL FEE 101-000-421.000 $175.50
EL,ECTRICI.AL NEE 101.000-420-000
PLUMBINO FEE 101-0100.419-000 $253.00
STROW MOTION FEE - RESIN 10 1 -000.241-000 532.15
GRADING- IVPF101-000-423-000
DEVELOPER IMPACT .KEE
ART IN PUBLIC PLACES • RESIr 701-000-255-000
xUP-TUf.AL COAiMUCITION AND PUN CHECK
W-64.3 z
•
IMM PRS^i AM ?.Q3
-$750,00
r �3`.�A7 r*_K1_�M..1:T.�` .-C S.1.1U:L;
$6,1314,30
r
RECEIPT
DATE
Y,i
DATE FINALED
INSPECTOR
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs Gv
Underground Ducts
Forms & Footings
Ducts
Slab Grade Q 3• (f0 L l
Steel
Return Air
Combustion Air
Roof Deck
Exhaust Fans
O.K to Wrap
F.A.U.
Framing
Compressor
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. lath
Final
Final
BLOCKWALL APPROVALS
POOLS - SPAS
Steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
Encapsulation
Gas Piping
Gas Test
Appliances
Final
Final
Utility Notice (Gas)
ELECTRICAL
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final '
Utility Notice <pgrm)
COMMENTS:
F75
? 2—
115-t-5 -}- S -1.6,C 4V
0 /Z T ,Q -e
C�L�
A v C- z\Z •age
Gf• Gt1 f2GlL
09/24/01 MON 10:25 FAX 760 340 4921 Gustafson Construction
CITY OF LA QUINTA
.;...B.UtLDING &,SAFFP(DEP/ RTMENT
777-7012
,,.
INSPECTION REQUEST LINTF
777-7153
MOND
DAN HAM
Owner
GUSTAFSON CONSTRUCTION';
Contrsctor 77
9908-223
II
pwmit NumWrLa PLACE
I lij ICPICUO
POST ONJOB. I )LIGABLE SACES
INSPECTOR' MO
SIGN ALLONSAPF
5 WrA0NTANA7,-
�
JOBAOR
DORS
i .
SFIJ PERMIT DOCS NOT INCLUDE BLOCK
NVALL OR POOL
............ DATE
TYPE OF 1N$pECP0N
VED
�7—
COVER NO WORK UNTIL ABOVE NAS BEEN SIGNED
novWALL INTERIOR;/.iil
PRE
�-FINALS
RICAL
3ING
GAS TEST
AIC
JOB a
T-rr-m-p
JMBERS
FLE-TED
0E
ABOVRN E APPROVALS DO NON UTILITIES OR,OT INCLUDIE RIUHTTO.
OCCUPY BUILDING
TU
0001
FROM HAMMONDS FAX NO: 760-771-1417 Jul.: 17 2000 08:32PM P.1
,
Dan and NOW Hammond ,
791.45 'Jac
� k Rabbit Tr.'
t j{ La Quints, Ca 92253
Pb6ne .771-2215.
!
771-1417
July.17, 2000.
:Tom,Hartung .. ,
78- 495 Calle Tampico f.. .
-La Quinta,' Ca 92253-1504
r
y Dear Toro,
Thanks for your help getting my plans through plan check: As you know
ten months: We are paying the school tax of
they have been in there for:
$15,970:74 under protest. I believe T could have been notified of the
pace increase from the city. I am waiting for letters to be sent from Ken ,.
• Miller of CVLJSD. Is there anything about this matter that you might b
able to Help with? They're clainringlhat letters were sent to the city with,
regards to the increase, butt was. not notified by anyone. If I bad. been, 1
0 042.95 -and then waited for the
• would have promptly paid the $1 .
completion of plan 'check tdZet our permits. Please notify me if you can k
Help. ti
Sincerely,
Dari Harnmorid
A 6'!t T 4 4 Qum L
Fax-
a ,
To: Dan Hammond
Fax: 771-1417
Pages: 1, including this cover sheet.
Date: July 18, 2000
Dan,
When we receive notification of a school fee increase we typically post it at our front counter. As
a matter of fact there is one there right now for the Desert Sands District. I can't explain whywe
did not receive or did not post a notice from CVUSD.
As I mentioned before, if it would help your effort I would be happy to provide you with a letter
stating when you began the plan check process. Let me know if it will help.
From the desk of...
Tom Hartung
PO Box 1504
La Quinta, CA 92253
760-777-7013
Fax: 760-777-7011
n
ASSESSOR'S PARCEL NUMBER
COUNTY OF RIVERSIDE HEALTH SERVICES AGENCY
17(4,47- Oo
DEPARTMENT OF ENVIRONMENTAL HEALTH
PERMIT APPLICATION FOR A SUBSURFACE SEWAGE DISPOSAL SYSTEM
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 Riverside. Apppproval of this applica-
tion shall remain valid for a period not to exceed one year from date of payment. 12w 99 16,2
02
S.j$21 4.0
LMS # t ( $214. Qty
Agent, Contractor, Contact Person
Address •' City State Zip
Telephone
=t.s:s�ssvi✓ /ay�T.
/?v. /aux 0¢27 pet /M e -A• 225'5
341 970v
Q
Owner
Address , • - City State Zip
7,9'%45- �1 Ark A412;71>r 7<'. l a d,^' A ,A 9? 7 S -j
Telephone
Z
o
Job Property Address
( ¢ !/ srA M or 7 A, A �/�. s �v e, �—Af
City
L e � , n'7�it
Zip
7 z -v'3
W
Lot Size Water Agency/Well Use of Permit, P/P, SUP, PUP, etc. Legal Description
Av
Dwelling, MH Site Prep.,
etc.rcc
Signature of Applicant - Date/
/1 77,7
r
CHECK BOX IF REQUIRED
If any box is checked, this applcation shall be considered rejected until
❑ Detailed Contour Plot Plans Required (1 to 5 foot interval)
the information is provided and the fee paid. Resubmittals later than 90
days after date noted below may require repayment of fees.
❑ Staff Specialist Lot Inspection Required
IM
❑ Holding Tank Agreements Com feted " `-
Z
Thomas Bros. Page Grid
0
ElCertification of Existing S.D. System Required
U
❑ WOCB Clearance Required
❑ Date Lot Inspection Completed: Initials
r -
N
(Attach for DOH -SAN -007, Santa Ana Region Only) a%�
Remarks:
❑ Soils Percolation Report Required
❑ Maintenance Booklet Provided
❑ Special Feasibility Boring Report Required
❑ Rereview Required Initials Date t" dr "
r
❑ Final Inspection by Department of Environmental Health is required.
Please call 24 hours PRIOR to inspection.
r `f
C/42 / Soils Percolation Boring Report by Lic/Prolect # Date
Soils Map Page Soil Type Approved By Date
No of Systems
Type of System(s)
❑ Holding Tank Replacement
a
No. Dwelling Units
Bedrooms, Fixture Units
(1) Septic Tank
Soil Rate
Grease/Sand
Grease Intcp/Lint Trap
Addition
XNewing
hdvw.
Gf
1500
rt �
Gal.
Gal.
Sq. Ft.
Bottom Area
Total Linear
Ft.
Sidewall Allowance
ft. rock/ sq. ft. running ft.
f
Installi—Line(s) i -00 ft. long ft. wide with
Leach Bed sq. ft. of
Bottom Area
6 ry)
Inlet Tested Depth NA
min. f Inches rock below drainlines or
I
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:
0
UApplicable
Total Depth
Allowable
Depth
WN/A
Overburden Factor
❑ 5' LJ6'
TD
Well Review Approved: Date: Well Drilling Permit #
SIGNATURE
Grading Plan Approved: Date:
SIGNATURE
Sewer Verification Approved: Date:
Plan Check Only Approved: Date:
t
REMARKS: lb er Oo ooja1 �ke / a eek, 0/l—
-Yfbltln !S dlr,,/Alf 1, 6fk#41C /9tr�iv1C- S,'`i" Int/0 I♦"
This application is APPROVED DENIED for the category checked in SECTION B
FOR OFFICE USE ONLY
above, regarding th�e, design o a subsurface disposal system as indicated on the
acompanied plot plan;ausing the requirements set forth in SECTION C above. A build-
ing permit is necessary for the installation of the
1 00
�/a3S
above -designed system. No con.
struction Is permitted In the required reserved 1004' expansion
„?�3S
Revenue code $
/ Fee
area.
(1) optic Tank must be 100' minimum from any wells.
# l3av
X(2)
3Check
each lines must be 100' minimum from any wells, including expansion area.
Date /9 -a.7-1 q Initial 1-04
(3) Sewer lines must be 50' minimum from any wells.
E
> r7 3YX
Z
.....+....r
_O
(4) Seepage pits must be 150' minimum from any wells, including expansion area.
F-
U
W
U
-
t%6 a of Health Official`
Date
•• 1« ,no wr.o, ursuwuuun: vvnr I r_-unrce rne;YELLOW-Appucant; rirvK-tslog. Dept.; GOLDENROL-Plans/Records
X2000 13: 26 ; 7663512691 PRIME TIME PRODUCTS
PAGE ' 61 .
LA. QUIN
A POLO'ESTAT.E.S"ASS OCIATUON
` -
c% FORTUNE WEST MANAGEMENT
.
G. E. WIEDLE COMPANY
73-900 El Paseo, Suite 3 (Rear)
Palm Desert. Califoriia 92260
(760) 346-8062' PAX (760),779-1370
WEB SITE: www. for lnewest.com
.
November 5,1999
Daniel & Koleen Hain=
fid '
79145 Jack Rabbit Trail
La Quinta CA 92253.-
FAX
-1417, -
771-2215
;'
-,
-.
I VIU MM NTANA TRAIL
'Dear Mr. &t Mrs:jatLa
d:
The Archi&
of
Landscape Committee has reviewed. your plans for
a constzucuon .
'tett,
anew residencuinta
Polo Estates. The'Association's Consulting Arc
RobertRitchey,
provideshed
Review Report which-lisrs several items that nee
to be clarified
for thexecord. The Co
'ttee members were l imailedcopies of your plans and d
it Consulting.
Architect's Rcvjcw.,Rqx
rt and they individually conducted their review. No ex
eptions were
noted.
t
The Association
all' the
herefoie approvesyour plans to,build the new.residenc
on the
condition that of
s in the Consulting Architect's Review Report area
dressed
. The next step re
uires the payment of $2,500.00 to the Association as 'a
onstructaon
Compliance Deposit.
ere funds will be returned to you- at the end of construc
" on when you
have received a Cerrifica
x of Occupancy from the City of 'La Quina if there are no
compliance
issues that need to be ha
ridled.
If you have any -q
jesdions or need any further assistance, please call the rnanagement
.,office at 346-8052:
FOR THE ARCHITEC
RAL AND LANDSCAPE COMMITTEE
;. .
LA QUINTA•POI.O ES
TES ASSOCIATION
Gary Wi PCAM, C
FORTUNE WEST
AM, CMCA, Manam'w Agent
AGEMENT,
MAP
AAMC
cc: 9/12/99 Consul`
Architects Review Report
,
PUBLIC WORKS CLEARANCE LETTER
FOR
CUSTOM HOME LOTS
Dear Builder:
Prior to issuance of a building permit, you will be required to obtain clearance from the
Public Works Department for one, or more, of the following:
1. Verification that rough grading is complete, and the pad elevation certifications.
prepared 'by a licensed surveyor, or engineer, are on file in the Public Works
Department. '
2. Verification that infrastructure improvements and other required tract improvements
are complete, or sufficiently advanced to warrant building permit issuance:
3. Prepare an. engineered grading plan that provides for on -lot storm water retention,
and have it checked and approved by the Public -Works Department.
• Tract 26524 (Estancias)
'•
Tract -26.769 (Mountain View Estates),
4.
Prepare an engineered 'grading plan that provides for building ad grading in
..p 9 9 9P P 9P 9 9�
accordance with the existing soils report and tract ' grading plan, and have it
h
�,. c ecked and approved by the Public Works Department.
• Tract 28034 (South Valley Estates)
TRACT`.
LOT
2�1
PUB C W A THORIZATION DATE
FAPWDEPTOOCSIFORMSIPW CLEARANCE LETTER.ss
67'C
`
f
O.r.�.
_ f 51 �l'1UNAN��C IA"ty
t
TYPE OF STRUCTURE-'--- -J-
A�v o-wd S
•
DAT
ar (M
DAV OF WEEK
MATERIAL DESCRIPTION -
r
INS , -
HRS. CHARGED
ENGINEER—`7
� •�.�W) A IJ
ASSISTANTSI
HRS. CHARGED
INSPECTION -GENERAL � e ^"'� ^ - "� SUB ^• ' " ^
DATE CONTRACTOR (� r�J CONTRACTOR,
'Wal
D. s Cmc . 's LI .. I I —
9— �(
r 5 l_Jv sA� 8/9—
7 --Q
_111 d3 -e.S 47T--
_11h
REGISTERED INSPECTOR'S WEEKLY REPORT
JON TANDY
37630 Medjool Ave.
Palm 'Desert, CA 92211
Office (760) 772-7192
• Fax (760) 772-7193
Pager (760) -776-3338,'
TYPE OF
INSPECTION
PERFORMED
❑.REINFORCED CONCRETE ❑ STRUCT. STEEL ASSEMBLY ❑
❑ POST TENSIONED CONCRETE ❑ ASPHALT ❑ OTHER
❑ REINFORCED MASONRY ❑ FIRE PROOFING
O.r.�.
_ f 51 �l'1UNAN��C IA"ty
REPORT SEQUENCE N0.
TYPE OF STRUCTURE-'--- -J-
A�v o-wd S
PERMIT NO. -
..
DAT
ar (M
DAV OF WEEK
MATERIAL DESCRIPTION -
ARCHITECT_ _
INS , -
HRS. CHARGED
ENGINEER—`7
� •�.�W) A IJ
ASSISTANTSI
HRS. CHARGED
INSPECTION -GENERAL � e ^"'� ^ - "� SUB ^• ' " ^
DATE CONTRACTOR (� r�J CONTRACTOR,
'Wal
D. s Cmc . 's LI .. I I —
9— �(
r 5 l_Jv sA� 8/9—
7 --Q
_111 d3 -e.S 47T--
_11h
AQ6-6bve 0 ._
t
COPY SENT TO CLIENT ❑ -
CONTINUED ON NEXT PAGE'O.
PAGE OF
CERTIFICATION OF COMPLIANCE.
I HEREBY'CERTIFY THAT I HAVE.INSPECTED TO THE BEST OF' MY' GN TUBE OF'tREGISTERED SPECTO
KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE
.NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED ;� �'
A�
PLANS. SPECIFICATIONS. AND APPLICABLE . SECTIONS OF THE I `�v �'
GOVERNING BUILDING}LAWS. D TE O REPORT - REGI STER'NUMBER
,SPECIAL INSPECTI ON SERVICC,
REGISTERED INSPECTOR'S WEEKLY REPORT
l
.JON TANDY
37630. Medjool Ave.
Palm Desert, CA 92211
"Office -x(760) 772-7192
Fax (760) 772-7193
Pager (760) 776-3338
TYPE OF
INSPECTION
PERFORMED
❑ REINFORCED CONCRETE RUCT. STEEL ASSEMBLY O ' • 's W.
❑ POST TENSIONED CONCRETE O ASPHALT ❑ OTHER m
❑ REINFORCED MASONRY ❑ FIRE PROOFINGL�L�
J08 LOCATION /(r\ ^sa-� l-sm e.. ��,A �/ •� /� U ��
(E� �1�, �7}
`®. !``iCl
REPORT SEQUENCE N0.
TVP 0 TRUCT�U
ata 4�1�►� (
PERMIT - -
q . - _ 3
DAfj /p
1 1 ! 1►
DAY OF WEEK.• } I
MAT RIAL DESC IPTION
ARCHITECT
I TOR
HRS. CHARGED
ENGINEER - _
ASSISTANTS
HRS. CHARGED
INSPECTION ` GENERAC— SUB
DATE CONTRACTOR CONTRACTOR,
- �Il�''•� "IG z1V ( t-� (-:P-'
10111
, 6p, kc,4 T•XA,_
- . e ab`
. 1C �wt�S
lob?
—� v� �'- S • rg1k- e 5 - S -
J
A -IA -e— LA.) c N
ol3t
too Cil
13
i ✓.� Coves •
COPY SENT TO CLIENT O
CONTINUED ON NEXT PAGE O
PAGE OF
CERTIFICATION OF COMPLIANCE
I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MV SIG ATURE OF ;REGISTERED I PECTOR s '
KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE
NOTED. 1 HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED ✓� 1 ��� 0 (off-¢ J-�
PLANS. SPECIFICATIONS. AND APPLICABLE SECTIONS OF THE
GOVERNING BUILDING LAWS, DATE OF REPORT REGISTER NUMBER
t: �:SPECIAL INSPECTION SERVI(�,
REGISTERED INSPECTOR'S WEEKLY REPORT
.JON TANDY- .
37630 Medjool Ave.
Palm Desert, CA 92211
Office (760) 772-7192
Fax (760) 772-7193
.Pager (760) 776-3338
TYPE OF
INSPECTION
PERFORMED
❑ REINFORCED CONCRETE O STRUCT. STEEL ASSEMBLY ❑
O POST TENSIONED CONCRETE ❑ ASPHALT OTHER /
O. REINFORCED MASONRY ❑ FIRE PROOFING l9
JOB LOCATION -
REPORT SEQUENCE NO.
Tvp� OF�Tg11CTURE �A" 144� ^ � `
J•CJ•in`.
PERM qO. � -
DA � �
DAY OF WEEK
MATERIAL EESCRI N o -
ARCHITECT -
I S TOR
HRS. CHARGED
ENGINEER
ASSISTANTS
HRS. CHARGED
INSPECTIONSUB
DATE CONTRACTOR U `��`'uv�r CONTRACTOR
0341
o0
S-A-
ip
p
COPY SENT TO CLIENT O , ,
CONTIN N NEXT PAGE O
PAGES OF
CERTIFICATION OF COMPLIANCE
I HEREBY CERTIFY THAT I HAVE INSPECTED TO THE BEST OF MY
KNOWLEDGE ALOOF THE ABOVE REPORTED WORK UNLESS OTHERWISE
NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED.
PLANS. SPECIFICATIONS, AND APPLICABLE SECTIONS OF THE
GOVERNING BUILDING LAWS.
NATU OF REGISTERED IN ECTOR
WE OF REPORT REGISTER NUMBER
C
SS FASRICATIDN FEWBegin Date:
,lob Name: ,rob No. Fab. sbop�L���+P,:y.fG� ma Date: a toz)
S
H
Pc#
a RQ
A
P
E
AM
Desig,
Ate'
Heat
No.
AMC
Tot.
Sias
y4
Late
Camber
(In) CK
S.P.
Filets
(ACC)
W,acs
D
A
T
E
M.P.
Filets
(ACM
D
A
T
I E
Full FEN
(Symbol)
(VIS)(Date)
NIE
(Date)
Hardware
Remarks
*Materials and weldments conform to plans and specifications and AISC, and AWS Dl -1
Shipping Mark Special Deputy Inst),
�u■������iii�iii
NMI
*Materials and weldments conform to plans and specifications and AISC, and AWS Dl -1
Shipping Mark Special Deputy Inst),
Carole Christensen. Certified Enemy Analyst
Title -24. Energy Calculations T August 26; 1999
ENERGY CALCULATIONS EOR. '
Y ; Gustafson Construction ,
r.: P.O. Box 10427
--Palm Desert; CA 92257 -
'PROJECT;' `Hammond Residence µ� �ivu9G
' " Lot 4, Vista Montana Drive r
.-La Quinta Polo Estates t
La-Quinta, CA 92253
Standard - Proposed; Compliance
45.98 > 45.39
CTZ 15 - 45091sq.ft - 26.3% fenestration -
a Dual Aluminum
'windows; Wood French doors; LowE(2), Std. Drape
)WAINA-19, Roof R=38; Duct R-4.2
AFUE 80%, ?.SEER 12.0
Two 50 gal gas -water heaters EF.60
QUINTA
Table of Contents BUILDING -1 S� ETY DEPT..
v CF -1R APPROVED,
'
MF -IR FOR CONST UCTION
C -2R'
*.3-R DATE BY
- r HVAC „.
�e SPY
Fenestration Specifications -
;`: CF -6R ,
r r IC4
' t
47-596 Lake Canyon Drive, Aguanga, CA 92536
1-800-735-8152 "
CABEC Certified - California Association of Building Energy Consultants
I
CERTIFICATE OF COMPLIANCE RESIDENTIAL Page 1 CF -1R.'
Project Title.......... Hammond Residence Date..08/26/99 09:43:50
Project Address........ Lot 4 Vista Montana Dr. *******
La Quinta Polo Estates *v5.00*
Documentation Author... Carole Christensen ******* Building Permit
Carole Christensen
47-596 Lake Canyon Drive Plan Check Date
Aguanga; CA 92536
800-735-81.52 Field Check/ Date
Climate Zone........... 15
Compliance Method...... MICROPAS5 v5.00 for 1999 Standards by Enercomp', Inc.
MICROPASS v5.00 File-HAMMOND Wth-CTZ15S92 Program -FORM CF -1R
User#-MP1017 User -Carole Christensen Run-Mt/WdLoE280:12R19.38.4wh2
GENERAL INFORMATION
Conditioned Floor
Area..... 4509 sf
Building
Type........
.....
Single Family Detached
Construction
Type
.........
New '
Building
Front Orientation.
Front 'Facing 75
deg (E)
Number of
Dwelling
Units...
1
Number of
Stories..........
1
Floor Construction
Type....
Slab On -Grade
Glazing Percentage.........
26.3'0 of floor
area
Average Glazing
U -value....
0.48 Btu/hr-sf-F
Average Glazing
SHGC........
0.38
BUILDING
SHELL INSULATION
J ,
Component
Frame
Cavity
Sheathing Total Assembly
Type
Type
R -value
R -value R -value U -value
Location/Comments-
Wall
Wood
R-17.8
R-0
R-17.8 • 0.063
Wall
Wood
R-17.8
- R-0
R-17.8 0.072
Roof
Wood
R-11
R-27
R-38 0.025
attic
Door
None
R-0
R-0
R-0 0.330
SlabEdge
None
R-0
R-0
F2=0.760
to outside
SlabEdge
None
R-0
R-0
F2=0.510
to garage
FENESTRATION
t
Over -
Area
U-
Interior
Exterior
hang/
Orientation
(sf)
Value
SHGC Shading
Shading
Fins
Window .
Left (SE)
14.0
0.590
0.390 Standard
-Standard
None
Door •
Front (NE)
20.0
0:400
0.350 Standard
Standard
None
Window
Front (NE)
20.0
0.400
0.350 Standard
Standard
Yes
Window
Front (NE)
20.0
0.400
0:350 Standard
Standard
Yes
Window
Right (N)
28.0
0.590
0.390 Standard
Standard
None
Window.
Front (NE)
28.0
0.590
0.390 Standard
'Standard
None
Window
Front (E)
28.0
0.590
0.390 Standard
Standard
None
Window
Front (E)
12.4
0.460
0.390 Standard
B1dShade
None
Window
Right (NE)
45.0
0.460
0.390 Standard'y
Standard
None
Window
Right (NE)
7.5
0.460
0.390 Standard
Standard
None
Window
Front (E)
18.0
0.460
0.390 Standard
B1dShade
None
Window
Front (E)
7.5 -0.460
0.390 -Standard
Standard
None
Window
Front (SE)
45.0
0.460
0.390 Standard
B1dShade
None
Window
Front (SE)
7.5
0.460
0.390 Standard
Standard
None
Window
Front (E)
12.4
0.460.
0.390 Standard
B1dShade
None
CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 2 CF -1R
Project Title.......... Hammond Res iciPncP Tlnto nQ/7C/0n nn_
MICROPAS5 x5.00 .File-HAMMOND Wth-CTZ15S92 Program -FORM CF -1R
User##-MP1017 User -Carole Christensen Run-Mt/WdLoE280,.12R19.38.4wh2
Orientation
Window Right (N)
Window Left (S)
Window Left (SW)
Window Back (NW)
Door Back (W)
Window Back (W)
Window Back (W)
Window Back (SW)
Window Back (SW)
Window Back (SW)
Window Left (S)
Window Back (W)
Door Back (SW)
Window Back (SW)
Window Back (W)
Window Right (NW)
Door Right (NW)
Window Front (NE)
Window Front (E)
Window. Left (SE)
Window Front (E)
Window Front (E)
Window Left (S)
Window Left (S)
Window Left (S)
Window Left (SW)
Window Right (N)
Door Back (W)
FENESTRATION
Area U Interior
(sf) Value SHGC Shading
7.5 0.460 0.390 Standard
7.5 0.460 0:390 Standard
72.0 0.460 0.390 Standard.
72.0 _0.460 0.390 Standard
40.0 0.400 0.350 Standard
36.0 -0.460 0.390 Standard
21.0 0.460 0.390 Standard
42.0 0.460 0.390 Standard
25.0 0.590 0.390 Standard
49.0 0.590 0.390 Standard
16.3 .0.590 0.390 Standard
16.3 0.590, 0.390 Standard
80.0 0.400 0.350 Standard -
30.0 0.460 0.390 Standard
40.0 0.460. 0.390 Standard -
20.0 0.590 0.390 Standard
17.8 0.400 0.350 Standard
28.0 0.590 0.390 Standard
28.0 0.590 0.390 Standard
28.0 0.590 0.390 Standard
17.5 0.460 0.390 Standard
13.0 0.460 0.•390 Standard
55.3 0.460 0.390 Standard
10.0 0.460- 0.390 Standard
20.0 '0.460 0.390,Standard
20.0' 0.400 0.350 Standard
20.0 0.400 0.350 Standard
-40.0 0.400 0.350 Standard
SLAB SURFACES
Area
'Slab Type (sf)
Minimum
Equipment Type Efficiency
Furnace
ACSplit
Standard Slab 4509
HVAC SYSTEMS
Duct
Location
0.800_AFUE Attic
12.00 SEER. Attic
Over -
Exterior hang/
Shading Fins
Standard
Standard
Standard
Standard
Standard
Standard
Standard
Standard
Standard
Standard
Standard
Standard
Standard
Standard
Standard
Standard
Standard
Standard
Standard
Standard
Standard
Standard
,Standard
Standard
Standard
Standard
Standard
Standard
None
None
None
None
None
None
None
None
None
None
None
None
None
None
None
None
None
None
None
None
None
None
None
None
None
None
None
None
Duct Tested Duct ACCA
Thermostat
R -value Leakage Manual
D Type
R-4.2 No No
Setback
R-4.2 No No
Setback
CERTIFICATE OF COMPLIANCE: RESIDENTIAL. Page 3 CF -1R
MICROPAS5 v5.00' File-HAMMOND Wth-CTZ15S92 Program -FORM CF -1R.
User#-MP1017 User -Carole Christensen. Run-Mt/WdLoE280.12R19.38.4wh2•.
' WATER HEATING SYSTEMS -
Tank+ External
Ener Size Insulation.
Energy
'Tank Type Heater Type, Distribution Type -System Factor'(gal) R -value
t A .
Storage Gas Standard- '' 2 0.60 50' R-•n/a
SPECIAL FEATURES AND MODELING'ASSUMPTIONS
***•Items in this section should be documented on the"plans, ***
*** installed to manufacturer and CEC specifications, and ***
*** verified during plan check and field inspection.
r
This building incorporates non-standard.Fenestration Shading. _
'- REMARKS
CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 4 CF -1R
• D r� �' v n t T i t' l o - 7 7 -..J..., .-.,., ,7 n .. ,-. , .7 .a .,......• " � ,-. _ � _ ,... i .. � i ,. ,. .• .. - - - -
MICROPASS v5.00. _File-HAMMOND,.. Wth-CTZ15S92` Program-FORM`CF-1R
•User#-MP1017 User -Carole Christensen Ruri-Mt/WdLoE280.'12R19.38.4wh2
• �' fl. ,
COMPLIANCE STATEMENT
+`.This certificate of'.compliance?lists the building -features and performance
specifications needed to'.comply with Title=24', Parts;l and6 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 singl'e building plan to.be built, in multiple.orientations,
any shadi.ng:,;,feature that,•,i-s-varied is indicated in the Special Features
Modeling'Assumpti'ons'section.
DESIGNER or OWNER'' :i°' DOCUMENTATION AUTHOR
y J .
Name. Time Gustaf son .�, • ° F Name' Carole .Christensen
Company, -'-Gustafson Construction-,,. _ Company.'Caro'le Christensen
Address P.O. Box "10427 Address'. 47-596. Lake Canyon Drive
= Palm Desert, CA 92257 t . Aguanga, CA 92536
Phone.... ,(..7
.60) 772-15.30 : • ,Phone... 800-°735-8152
License. #67.7600
Signed:. Signed
ate ate
i q
ENFORCEMENT AGENCY
Name
Title .• .'. . -^ C e r t i f i • -
Agency'.
ed Energy Analyst
Phone Carole Christensen, CEPE
Signed. e. r R'9&99-239
ate'�dEC k
C01if0rn1e Associotlon of Building Energy ConsuUenls `
r
MANDATORY MEASURES CHECKLIST: RESIDENTIAL (page I of 2) MF -1R
Note: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used.
Items marked with an asterisk (•) may be superseded by more stringent compliance requirements listed on the Certificate of
Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties
as minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the
documents or on this checklist only.
Instructions: Check or initial applicable boxes when completed or enter N/A if not applicable.
i DESCRIPTION
DESIGNER
ENFORCEMENT
1 Building Envelope Measures:
l
I
i
' §150(a) Minimum R- 19 ceiling insulation.
§ 150(b) Loose fill insulation manufacturer's labeled R -Value.
I
NI
✓
§ 150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -value in metal ftame walls
(does nota by to exterior mass walls).
150td) Minimum R-13 raised floor insulation in framed Floors.
1 500) Slab edge insulation - water absorption rate no greater than 0.3%, wate
ereaterthan 2.0ernvinch. r vapor transmission rate no
1
118' Insulation specified or installed meets insulation quality standards. Indicate type and form.
§ 1 16.1 7. Fenestration Products, Exterior Doors, and Infiltration/ExFiltration Controls
I Doors and windows between conditioned and unconditioned spaces designed to limit air leakage.
? Fenestration products (except field-fabricated)have label with certified U -value, certified Solar Heat Gain
Coefficient (SHGC), and infiltration certification.
3 Exterior doors and windows weatherstripped; all joints and penetrations caulked and.sealed.
I
l
I
§ 150(g) Vapor barriers mandatory in Climate Zones 14 and 16 only.
/
§ 1500) Special infiltration barrier installed to comply with § 151 meets Commission quality standards.
§ 150(e) Installation of Fireplaces, Decorative Gas Appliances and Gas Logs.
i
I :Masonry and factory -built fireplaces have:
i
a Closeable metal or glass door .
b Outside air intake with damper and control
Flue damper and control
2 :No continuous burning gas pilot lights allowed.
/
1
I
Space Conditioning, Water Heating and Plumbing System Measures:
I
1 10-§ 1 15 HVAC equipment, water heaters, showerheads and faucets cenified by the Commission.
¢ 150(h). Heating and/or cooling loads calculated in accordance with ASHRA.E, SMACNA or RCCA.
150(1) Setback thermostat on all applicable heating and/or cooling systems.
�§ 150(j). Pipe and tank insulation
I Storage gas water heaters rated with an Energy Factor less than 0.58 must be externally wrapped with
insulation having an installed thermal resistance of R-12 or greater.
2 First 5 feet of pipes closest to water heater tank, non -recirculating systems, insulated (R-4 or greater)
3 Back-up tanks lot solar system, unfired storage tanks, or other indirect hot water tanks have R-12 external
insulation or R-16 combined internal/external insulation.
a .-\II burled or exposed piping insulated in recirculating sections of hot water systems.
5 Cooling SN stern piping below 55° P insulated.
o Piping insulated be(ween heating source and indirect hot water tank.
/
I
I
I
{
July 1, 1999
w
MANDATORY MEASURES CHECKLIST: RE8ID;ENTIAL(Page' of 2) MF -IR
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 shalf,be considered by all panies
as minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the- `
documents or on -this checklist only.
Instructions:, Check or initial. app licable.boxes when -completed: or, enter N/A if not applicable.
DESCRIPTION
DESIG.NER
ENFORCEMENT
Space, Conditioning, Water'Heating and Plumbing. System Measures: (continued)
• § 150(m):.Ducts and Fans
I. All ducts and plenums constructed, installed, insulated, fastened, and sealed to comply with thelCBO 1997'
UMC sections 601 and 603; ducts insulated.to a minimum installed R4.2 or ducts enclosed entirely within
conditioned space. Openings shall be sealed.with mastic, tape, aerosol sealant or other duct:closum system
that meets the applicable requiremetns of UL.181, UL,181 A, or'UL181 Band other applicable specified
tests for longevity given in § I50(m);.
}
2. Exhaust fan systems have back draft or automatic dampers. - `
3. Gravity ventilatingsystems serving conditioned space have either automatic or readily accessible, manually
operated dampers.
§ 114: Pool and Spa Heating Systems and Equipment.
,I. System is cenifed`with 78% thermal efficiency, on-off switch; weatherproofoperating
instructions, no electric"resistance heating:and no pilot light.
2. System is.installed }with:
a. At least 36" of pipe between filter and heater for future solar heating'.
b. Cover for outdoor pools or outdoor spas. t -
3. Pool system has directiorial inlets and a circulation=pump time switch. • ' I _
•r .
r
§ I IS: Gas fired central furnaces, pool heaters, spa heaters or house hold'cooking appliances have ho '
continuously burning ilot light. (Exception-.' Non -electrical cooking appliances with: ilot.<, ISO Btw'hr '
Lighting.Measures:
§ I50(k)I.: Luminaires.for general lighting in kitchens shall have lampswtth.•an efficacy of 40 lumens/wan or
greater for general lighting in kitchens. This general lighting-shaltbe 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/wan or greater switched at the entrance to the room or one of -the alternative's to this requirement
/
allowed in • I50(k)2.; and.recessed ceiling fixtures are IC insulation cover approved., . .
`
July 1, 1999
i
COMPUTER METHOD SUMMARY. Page 1 Ct2R
Project -Title......... Hammond Residence Date..08/26/99 09:43::50
Project Address ......... Lot 4 Vista.,Montana Dr.
La QuintaPolo Estates, '*v5.00*
Documentation Author... Carole Christensen ******* Bui ing.Permit°
Carole Christensen t.
41-596 Lake Canyon Drive Plan Check ,Date
Aguanga, CA 92536
800-735-8152 Field Check,/ Date
Climate Zone.......... 15"
Comnlianre MPt}inH MTr•i?nDncCZ .rr- nn -F_
MICROPAS5 v5.00 File-HAMMOND' Wth-CTZ15S92Program-FORM C -'2R
User#-MP1017 User -Carole Christensen Run-Mt/WdLoE280.12R19.38.4wh2
J
MICROPAS5
ENERGY USE
SUMMARY
. Energy Use
Standard.:
Proposed
Compliance
(kBtu/sf-yr)
Design
..Design
Margin
.Space Heating ..."....•
2.81
2.'60
0.21
.Space Cooling.........".
36.85
35.82
1.03
Water Heating.....
°6.32•
6.97,
-0.65
Total
'•45.98 ;
45.39•
0.59
Building complies
with Computer Performance ***
GENERAL INFORMATION
.Conditioned Floor Area..... 4509 sf
Building Type................Single Family'Detached
Construction Type New
Building Front Orientation. Front Facing 75 deg (E)
Number,.of Dwelling Units... 1
• Number of Building Stories. 1
Weather Data Type..:.., ReducedYear
Floor Construction Type.... Slab -On Grade
Number of Building Zones..:. 1
Conditioned Volume......... 49684'cf
Slab -On -Grade Area.......... 4509 sf
Glazing Percentage.`....:.:. 26.3 % of floor area
Average Glazing U -value.... 0.48 Btu/hr-sf-F
Average Glazing SHGC........ 0.38
Average Ceiling Height..... 11 ft
BUILDING ZONE INFORMATION
Floor # of Vent Vent
Area Volume Dwell Cbnd- Thermostat Height Area
,Zone. Type (sf)(cf) Units itioned Type (ft) (sf)`
HOUSE ,
Residence 4509 49684 1:00 Yes Setback, 2.0 Standard
Air
Leakage '
Credit
No
i
COMPUTER METHOD SUMMARY Page 2C -2R
Prn»eCt- Tl t - IP Tin mmr�nA 'D c+4 .ao.,r
MICROPAS5 v5.00 File-HAMMOND Wth-CTZ15S92 Program-FORM.0-2R
User#-MP1017'-User-Carole Christensen Run-Mt/WdLoE280.12R19.38.4wh2
OPAQUE SURFACES
PERIMETER LOSSES
Length,
Area
U-
"Tnsul
Act
-(ft):
Solar
' Form 3
Location/
Surface
(sf)
value
R -Val
Azm
Tilt
Gains
Reference
Comments
HOUSE
40 S1abEdge
22
0.510
R-0
No. to garage
1
Wall
249
0.063
17.8.
140
90
Yes
W.19.2X6.16
2
Wall
185.
0.063
17.8
50
.:,90
Yes
W.19.2X6.16
3
Wall
357
0.063
17,.8;
320
90
Yes
W.19:2X6.16
4
Wall
32
0:063
17.8.
1
90
Yes
W.19':.2X6.16
5
Wall
32
0.063
17.8
95
90
Yes
W. 19.2X6.16
6
Wall
110
0.063
17.8
140
90
Yes
W.19.2X6.16
7
Wall--
27
0.063'
17.8
30
90
No
W.19.2X6.16
8
Wall
200
0,.063
17.8
'75
90
No
W.19.2X6.16
9
Wall.
27
0.063
17.8
120
90
No
W.19.2X6.16
10
Wall
40
0.063
17.8
210
90
Yes
W.19.2X6.16
11
Wall
36
0.063.
17.8
255
90
Yes
W.19.2X6.16
12
Wall
40
0.063
17.8
.300
-90
Yes
W.'19.2X6.16
13
Wall
112
-0.063
17.8.
345
90
Yes
W.19.2X6.16
14
Wall
19
0.063
17.8
255
90
Yes'
W.19.2X6.16
15
Wall
189.
0. Q63
17.8
230"
90
Yes
W.19.2X6.16
16
Wall
14
0.063
17.8
175
90
Yes
W..19=.2X6.16
17
Wall
14
0.063
17..8
280
90
Yes
W.19.2X6.16
18
Wall
40
0.063
17.8
275
90
Yes
W.19.2X6.16
19
Wall
28
0.063
17.8
75
90
Yes
W.19.2X6.16
20
Wall
28
0:063
17.8
120
90
Yes
W.19.2X6.16
21
Wall
28
0.063
17.8.
165
90
Yes
W.19.2X6."16
22
Wall
35
0.063
17.8
210
90
Yes
W.19.2X6.16
23
Wall
35
0.063
17.8
255
90
Yes
W.19.2X6.16
24
Wall
35
0.063
17.8
300
90
Yes
W.19.2X6.16
25
Wall-
28
0.063
17.8
'.345
90
Yes
W.19.2X6.16
26
Wall
28
0.063
17.8
30
90'Yes
W.19..2X6.1.6
•27
Wall
110
0:063
17.8
100.
90
Yes
•W.19.2X6.16
28
Wall
110
0.063
17.8
270--
90
Yes
W.19.2X6.16
29
Wall
32
0,.063
17.8
55,
90
Yes
W.19.2X6.16
.30
Wall
32
0.063
17.8
145
90
Yes
W.19:2X6.16
31
Wall
345
0.063
17.8
190
90
Yes
W.1.9.2X6.16
32
Wall
25
0.063
17.8
•210
90
Yes
W.19..216.16
33
Wall
40
0.063
17.8
280
90
Yes
W.19.2X6.16
34
Wall
20
0.063
17.8:
345
90
Yes
W.19.2X6.16
35 -Wall
152
0.0.72..17.8
75
90
'No
GARWALLR19
36
Roof
4509
0.025.38
n/a
0
Yes
R.3'8.2X4.24
attic .
37
Door
48
0.330
0
75
90
No
None
38
Door
24
0.330
0
75
190
No
None
PERIMETER LOSSES
Length,
F2
Insul,
Solar
Surface
-(ft):
Factor
R-val
Gains Location/Comments
HOUSE
39 SlabEdge
326
0.760
R-0
- No.to-outside
40 S1abEdge
22
0.510
R-0
No. to garage
COMPUTER METHOD SUMMARY Page 3. C -2R
Project Title.......... Hammond Residence Date..08/26/99 09:43:50
MICROPAS5 v5.00 File-HAMMOND Wth-CTZ15S92 Program -FORM C -2R
User#-MP1017 User -Carole Christensen Run-Mt/WdLoE280.12R19.38.4wh2
Orientation
HOUSE
1 Window
2 Door
3 Window
4 Window
5 Window
6 Window
7 Window
8 Window
9 Window
10 Window
11 Window
12 Window
13 Window
14 Window
15 Window
16 Window
17 Window
18 Window
19 Window
20 . Door
21 Window
22 Window
23 Window
24 Window
25 Window
26 Window
27 Window
28 Door
29 Window
30 Window
31 Window
32 Door
33 Window
34 Window
35 Window
36 Window
37 Window
38 Window
39 Window
40 Window
41 Window
42 Window
43 Door
FENESTRATION SURFACES
Area U- Act Exterior Shade Interior Shade
(sf) Value SHGC Azm Tilt Type/SHGC Type/SHGC
Left
(SE)
14.0
Front
(NE)
20.0
Front
(NE)
20.0
Front
(NE)
20.0
Right
(N)
28.0
Front
(NE)
28.0
Front
(E)
28.0
Front
(E)
12.4
Right
(NE)
45.0
Right
(NE)
7.5
Front
(E)
18.0
Front
(E)
7.5
Front
(SE)
45.0
Front
(SE)
7.5
Front
(E)
12.4
Right
(N)
7.5
Left
(S)
7.5
Left
(SW)
72.0
Back
(NW)
72.0
Back
(W)
40.0
Back
(W)
36.0
Back
(W)
21.0
Back
(SW)
42.0
Back
(SW)
25.0
Back
(SW)
49.0
Left
(S)
16.3
Back
(W)
16.3
Back
(SW)
80.0
Back
(SW)
30.0
Back
(W)
40.0
Right
(NW)
20.0
Right
(NW)
17.8
Front
(NE)
28.0
Front
(E)
28.0
Left
(SE)
28.0
Front
(E)
17.5
Front
(E)
13.0
Left
(S)
55.3
Left
(S)
10.0
Left
(S)
20.0
Left
(SW)
20.0
Right
(N)
20.0
Back
(W)
40.0
0.590 0.390
0.400 0.350
0.400 0.350
0.400 0.350
0.590 0.390
0.590 0.390
0.590 0.390
0.460 0.390
0.460 0.390
0.460'0.390
0.460 0.390
,0.460 0.390
0.460 0.390
0.460 0.390
0.460 0.390
0.460 0.390
0.460 0.390
0.460 0.390
0.460 0.390
0.400 0.350
0.460 0.390
0.460 0.390
0.460 0.390
0.590 0.390
0.590 0.390
0.590 0.390
0.590 0.390
0.400 0.350
0.460 0.390
0.460 0.390
0.590 0.390
0.400 0.350
0.590'0.390
0.590 0.390
0.590 0.390
0.460 0.390
0.460 0.390
0.460 0.390
0.460 0.390
0.460 0.390
0.400 0.350
0.400 0.350
0.400 0.350
140 90 Standard/0.76
50 90 Standard/0.76
50 90 Standard/0.76
50 90 Standard/0.76
1 -90 Standard/0.76
50 90 Standard/0.76
95 90 Standard/0.76
75 90 B1dShade/0.2
30 90 Standard/0.76
30 90 Standard/0.76
75 90 B1dShade/0.2
75 90 Standard/0.76
120 90 B1dShade/0.2
120 90 Standard/0.76
75 90 B1dShade/0.2
345 90 Standard/0.76
165 90 Standard/0.76
210 90 Standard/0.76
300 90 Standard/0.76
255 90 Standard/0.76
255 90 Standard/0.76
255 90 Standard/0.76
230 90 Standard/0.76
230 90 Standard/0.76
230 90 "Standard/0.76
175 90 Standard/0.76
280 "90 Standard/0.76
230 90 Standard/0.76
230 90 Standard/0.76
275 90 Standard/0.76
3.20 90 Standard/0.76
320. 90 Standard/0.76
55 90 Standard/0.76
100 90 Standard/0.76
145 90 Standard/0.76
100 90• Standard/0.76
100 90 Standard/0.76
190 90 Standard/0.76
190 90 Standard/0.76
190 90 Standard/0.76
210 90 Standard/0.76
345 90 Standard/0.76
280 90 Standard/0.76
Standard/0.68
Standard/0.68
Standard/0.68
Standard/0.68
Standard/0.68
Standard/0.68
Standard/0.68
Standard/0.68
Standard/0.68
Standard/0.68
Standard/0.68
Standard/0.68
Standard/0.68
Standard/0.68
Standard/0.68
Standard/0.68
Standard/0.68
Standard/0.68
Standard/0.68
Standard/0.68
Standard/0.68
Standard/0.68
Standard/0:68
Standard/0.68
Standard/0.68
Standard/0.68
Standard/0.68
Standard/0.68
Standard/0.68
Standard/0.68
Standard/0.68
Standard/0.68
Standard/0.68
Standard/0.68
Standard/0.68
Standard/0.68
Standard/0.68
Standard/0.68
Standard/0.68
Standard/0.68
Standard/0.68
Standard/0.68
Standard/0.68
COMPUTER METHOD.SUMMARY
Page 4 C -2R
-Project Title ............ Hammond°Residence. Date ... 08/26/99 09:43:50
MICROPAS5 v5.00 File-HAMMOND Wth-CTZ15S92 Program -FORM C -2R
.User#-MP1017 User-Carole'Christensen Run-Mt/WdLoE280.12R19'.38.4wh2
;
• S r
-OVERHANGS AND. SIDE FINS
ti.
'
Window- Overhang Left Fin Right Fin—
Area, Left Rght
Surface
(sf) Width' . Hgth Dpth Hght Ext Ext Ext-- - Dpth Hght Ext . Dpth Hght
HOUSE.
,
3 Window
20.0 6:8- 3.0 0:0 0.,0 °0.0 -0.0 7.r0 8.'0 2.0. 1.0
37.0 2.0
4 -Window
20.0 6'8 .3.b 0.0..0:0 0.0 ;0.0 1.0 ,- 8.0x. 2.0 7.0
37..0 2.0
SLAB SURFACES
.
Area
Slab Type (sf)
HOUSE
;
j .Standard Slab 4509..
-
HVAC SYSTEMS '
Minimum Ductl Duct Tested Duct' ACCA
Duct.
System Type
Efficiency Location R -value .'Leakage Manual
D Eff.
HOUSE
Furnace
a 0.800 AFUE Attic - -R-4.2 •NoNo
0.743
ACSplit
- 12. 0`0: SEER- Attic No ; No
0.596
° WATER -HEATING SYSTEMS °
Number ja°° Tank
External
= Tank Type
,• in Energy Size
Heater Type Distribution Type' System Factor(gal),
Insulation
R -value
1 Storage
Gas- Standard`.. ',2; 0.60 50
R-,n/a
SPECIAL FEATURES AND MODELING ASSUMPTIONS
*** Items
in this section should be documented on the plans,.***
installed
to manufacturer and CEC specif i'cations, and *.
*** verified during plan check and field inspection. ***
This building
incorporates non-standard Fenestration !Shading,'.
REMARKS
• S r
ti.
CONSTRUCTION ASSEMBLY Page 1- 3R -
Project Title... -.,....... .Hammond Residence Date..08/26/99 09:43:50
MICROPAS5 v5.00 File-HAMMOND -Wth-'CTZ15S92'•_Program=FORM.'3R
User#-MP1017 -User-Carole Christensen'•Run-Mt/WdLoE280.12R19.38.4wh2
Parallel -Path Method- "
Reference Name, W.19.2X6 '16
r Description" Wall R-19 2x6 166c
Type .Wall
R -Value 1'7"'8 Hr'-sf-F/Btu
Framing. '
Material.. FIR2X6
i s Desd
cription .,.2x6 fir'
Spacing". 16 inches on'center
� `Framing Frac.. 0. 15,'
.Sketch of Construction%Assembly
LIST
OF CONSTRUCTION COMPONENTS
Material
Cavity.
Frame '
Name -Description.,,�
,:.
R -Value. R
-Value
a
O.
FILM. EX Exterior" air: filmy: winter (value
0,.17
0. 17
1.
PLY. 0 . 50 0'50 ` in 'plywood =
0.62
0.62
2.'
BLDG.PAPER• Building .paper (felt)-
��
0.06
0.06
3c.
BATT,.R19 R-19 batt insu_l (cavity ,=; 5.5 „in)
117".80
--
3f.
FIR.2X6 2x6 fir
--.
5.45
4.•
GYP.0.50 0.50 in gypsum or plasterboard
0:45'
0.45
I.
FILM.IN•:WLL Inside air film: heat sidewaysy�. -
0.68
0.68
Total Unadjusted R -Values-•
19.78
7.42
,,.FRAMING
ADJUSTMENT CALCULATION..
,
Cavity-' Framing
Total
't
U-Valtie:.. (1 /� 19.78 x 0.85) + `(l / 7.42 x •0.15) _
Btu/hr-sf-F
x0:063
.Total
R -Value: 1 / 0.063 -1�
15.83
hr-sf-F/Btu
'CONSTRUCTION'ASSEMBLYPage 2 3R
ProTe:ct Title
........ e. -Hammond Residence - Date_._nA/2ti/99°n9-4-A•Sn..
Parallel Path. Method '
`
Reference'Name GARWAL•LR19
r.
Description' -,..Wall 'R 19':2x4 `16oc
'
s
Type ........ Wall
,
R' -Value",. . . Hr`'sf rF/gt'u
Framing
Material' FIR.2X4
Type Wood s
-
Description 2x4'fir
•
-
- Spacing 16 .inches on center
«' ¢
_ Framing 'Frac . 0 15,
' Sketch, 'of.C'struct on'Assembly -
'
LIST*OF CONSTRUCTION - COMPONENTS,' t Y
Material
Cavity
Frame
Name.-
Description R -Value R=Value
O. 'FILMEX
Exterior air film: winter value 0.:17 -
0.17
1. GYP:O.'50
0'.50_ dn..`gypsum or plas"ter,board 0'.'45
0.45 `
BLDG.PAPER-,
Building paper• (felt) - 0:06
0.:06
,3c:...'BATT. Ri 9
R'1"9 batt insul- (cavity =' 5.5 in) -17.80
--
3f::. FI'R.2X4"a. _
2x4 firs;..', r -- -
3-:46
. y.'4. • -GYP.0.50
0.50 in gypsum or; plaster board 0.45
. 0.45.
I. FILM. IN.WLL
In- side.'a i.r•fi1m:`heat sideways y 0:68
0.68
Total' Unadjusted R -Values 19.61
5.27
•FRAM'ING ADJUSTMENT
CALCULATION••'-
= Cavity Framing Total
U--:Val-ue: (l /, 19.'61:x 0:.85) + (1 % 5.x.27 x 0.15) _ '0.072 Btu/hr-sf-F
,
Total• R -Value. `
1 / 0-.-.072 13 93 hr-s.f-F..,/Btu
CONSTRUCTION ASSEMBLY Page 3 3R
Project Title..---. .......... Hammond Residence Date,. .08./26/99 09:43:50
-r MICROPAS5,v5.00 File-HAMMOND. Wth`CTZ15S92.• Program -FORM 3R
User#-MP1017• User -Carole Christensen Run`-Mt/WdLoE280.12R19.38.4wh2
.Parallel Path'Method
Reference Name R.38.2X4.24
Description .....Roof R-38 2x4 24oc
Type ......... Roof
:R -Value .. 38 Hr-sf-F/Btu "
Framing ,
Material FIR. 2X4
Type' Wood ,
Description 2x4 fir
Spacing ..... 24 'inches on center
Framing., Frac .. 0.07
Sketch of Construction Assembly •.
LIST
OF CONSTRUCTION COMPONENTS '
Material
Cavity
Frame,
Name Description
R -Value
w
R -Value
0..
FILM.EX 'ExteriorIair,film: winter
value
0.17
0.17
1.
SHNGL.CEMENT Asphalt -cement shingles0.21
-0.21
2.
BLDG. PAPER .. _ Building •paper . (felt)
0.06,
0.06
3.
PLY.0.50 '0.'50 in plywood
0.62.
0.62
4.
AIR.RF.3.50 1.5 in & greater air space:`heat
flow up
0.80
0.8.0
5.
BATT.R27.0 R-27 batt.. -insulation
27.00
27.00
6c.
BATT.RII.0 •.R-11 batt insul (cavity >
3.�5 in)
11.00
--
6f.,
FIR.2X4. 2x4 fi*r
--
3.46
7.
GYP. 0.50 O.SO,in gypsum•or plaster
board
0..45
0.45
I.
FILM.IN.RF Inside air:film:`heat flow
straight up
0.61
0.61
r
Total Unadjusted,
R -Values°
-401.92
33.39
. FRAMING ADJUSTMENT CALCULATION- -
Cavity Framing
Total
U. Value: (1 /' 40.92 x 0,.`93). + (1 ;/ 33..3.9' x'
0.07) ;'= 0.025
•Btu/hr-sf-F
Total R -Value: 1 /
0.025. _ 40.28
hr-sf-F/Btu
HVAC SIZING Page 1 HVAC
Project Title.......... Hammond -Residence Date..Q8/26/99 09.:43:50
Project Address......... Lot. 4Vista Montana Dr. *******
La.Quinta Polo Estates *v5.00*
Documentation Author... Carole. Christensen ******* Building Permit•
Carole Christensen
47-596 Lake Canyon Drive Plan Check Date
Aguanga, CA 92536
800-73.5-8152 Field Check/ Date
Climate Zone.......... 15
ComnlianrP MPthn(l MTrT?nDnCq -t.cZ nn -F„r , boo
MICROPAS5 v5.0.0 File-HAMMOND Wth-CTZ15S92 Program -HVAC SIZING
_User#-MP1017 User -Carole Christensen Run-Mt/WdLoE280.12R19.38.4wh2
GENERAL INFORMATION
Floor. Area .............
4509 sf
Volume.. ... ...........
496.84 cf
Front Orientation........
Front Facing
.75 deq(-E)--
-E) ,Sizing
SizingLocation............
PALM DESERT
T'
' Latitude...-..�....
33.7 degrees
Winter Outside -Design...
32 F
Winter Inside Design ........
70-F
Summer Outside Design. •
112 ;F �•
r
SummerInsideDesign.......
78 F',
Summer Range:. ....
34 F _
Interior Shading Used.....,..
Exterior.Shading Used..
No z
Overhang Shading Used......
No
Latent Load•Fraction......
0..20
HEATING AND COOLING
LOAD SUMMARY
- -'
Heating
Cooling
Description
(Btuh)•
(BtUH)
Opaque Conduction and,Solar........
21828
12143
Glazing Conduction.. ........ ....
,21616
19340
Glazing Solar..... .... ..
n/a
30562
Infiltration.. ..... ..
26236
17362
Internal Gain . . ............
n/aL
2550
Ducts... ....
. 69'68
8196
Sensible' Load ........ ...�.......
76646
90153
Latent Load....... .y... ....:.
Yn/a
.18031
Minimum Total.Load
76646
108184
Note: The loads.shown are only one of the-criteria,affecting
the' -selection
of HVAC, equipment. "Other relevant design factors such as airflow
" requirements,• outdoor design:.tetnperatures, coil sizing, availability of
equipment, oversizing safetymargin, etc.,
must also be
considered. It is
the HVAC designer's responsibility to consider all factors when selecting
the HVAC equipment.'.
• - • f
Milgard Windows
NFRC Tested U-Factors.for Aluminum Windows -:SW
Aluminum And Intercept Spacer
Without grids or SS/SS & DS/DS with flat grids '
Standard Frame
Window
" Series
I I I0H/LI80H/I280H
Window -
- Type
Aluminum Slider std hoVFl hoVZ hol
California
Default U -Factor
Clear .Low -E
0.82 0.77
.•CLRtCLR
ARGON'
0.74 0.72
CLRMARD LOW -E(2)
ARGON :
0.63 0.60
CLRtSOFr LOWE(4)
ARGON
0.59 0.55
TMUCTURAL
RATING.
HS -R20
1510/1580/1680•
AluniinuinSingle Hun sid/WZ
0.82
0.77
6.75
0.73
0.65
0.61
0.60_
0.56
DII-R25
910C Case
Aluminum Casement Cal
0:82
0.77
0.73
0.71
0.64
0.51-
0.60
0.57
C-05
910C Awn
Aluminum Awnin Cal
0.82
0.77
0.73
0.71-
0.64
0.61
0.60
0.57
P -C35
910C Pic _
Aluminum Picture Window Cal
0.67
0.62
0.62 -
0.59
0.50
0A7
0.46
0.41
F -C35
91 IC Case
Aluminum Casement Cal H -bar
0.82
0.77
0.74
0.72.
0.65
0.63
0.62
0.59
C -C35•
9110 Awn
Aluminum Awning Cal H-bir
0.82
0.77
034
0.72
0.65
0.63
0.62
0.59
P -C35
91 IC Pic
Aluminum Picture Window Cal H -bar
0.67
0.62 -
0.60
0.58
0.48
0.45
0.44
0.40
F -C35
912C Pic
Aluminum Picture Window Cal 1"
0.67
0.62
0.62
0.59
0.50
0.47
0.46
0.41,
F -C35
710 Pic
Aluminum Picture Window std
0.67
0.62
0.60'
0.57
0.48
0.45-
0.43
0.39
F-050
410
Aluminum Sliding Door
0.77
0.72-
450 .,
Aluminum Sliding Door std
0.72
0.67
0.74
0.72'
'0.62
0.59
0.58
0.54
SGD-R20
R-15
Aluminum Radius Window
0.67
0.62.
0.59•
0.57
0.47
`0.44,
0.42
0.38
F-HC45
S Series, w
-
Window
Series
1110SH
-
Window
T
Aluminum Slider Stucco Hollow Sill
California
Default U -Factor
Clear Low -E
0.82 0.77
CLR/CLR
ARGON
0.77 0.75
CLRRIARD WW -E(2)
ARGON.ARGON
0.66 0.63
CLR/SOF-rLOW-E(4)
0.62 0.58
STRUCTURAL
RATING
HS -R20
1510S
Aluminum Single Hung Stucco
0.82
0.77
0.78
0.76
0.67'
0.64
0.62
0.59
13I1-1125
910S Case
Aluminum Casement Stucco
0.82,
0.77
0.74
0.72
0.65
0.62
0.61
0.58
C -C35
910S Awn
Aluminum Awning Stucco
0.82
0.77 '
0.74
0.72
0.65
.0.62
0.61
0.58
P-05
910S Pic
Aluminum Picture Window Stucco
0.67
0.62 1
0.62
0.60
0.51
0.47
0.46
_ 0.42
F -C35
9125 Pic
Aluminum Picture Window Stucco 1"
0.67
0.62
0.62
0.60
0.51
0.47
0.46
.0.42
F -C35
710S Pic,
Aluminum Picture Window stucco
0.67
0.62
0.60
0.57
0.48
0.45
0.43
0.39.
F-050
4505
Aluminum Sliding Door stucco
0.72
0.67
0.74
0.72
0.62
0.59
0.58
'0.54
SGD-R20
R -15S
Aluminum Radius Window Stucco
0.67
0.62
0.59
0.57
0.47
0.44
0.42
0.38
F-llC4S
A specific glazing option may be 0.01 to 0.02 lower than shown.
(2) Low E.2 = Hardcoat (PPG Sungare 500 or LOF).
(4) Low E.04 - Sofcoat (Cardinal Low E).
(5) These ratings are not "Certified" material standard for fiberglass is nor f nished
revised 3/5/99
rr11yy��pp 4
aafly e bm
Solar Heat Gain Coefficients
Aluminum
IlType
Glazin No Grids
Flat Grids
Sculptured
Grids
Sliders
Clr / Clr
0.68,
0:63
0.57
111 OH / 1180H / 1280H
[EBrz/ Or
0.56
0.52
0.48
oe172 / Clr` -
0.39
0.37
0.33
oe170 / Cir
0.36._
0.33
0.30•
LOF / Cir
0.64
0.58
0.54
Azurlite
0.43
0.40
T 0.37
Single Huns
Cir / Cir
0.68
0.62
0:57
1510 / 1580 /1680
Brz / Clr
0:57
0.52
0.48
Loe172 /Cir
0.40
0.36
0.33
Loe170 / Clr
0.36
0.33
0.30
LOF. / Clr
0.63
0:58,
0.53 -
Azurlite
-0.44
"0.40
0.37.
Fixed
Clr / Clr
0.71
0.65
0.62
910C / 910
Brz / Clr
0.58
0.54
0:51
Loe172 / Clr
0.30
0.37
0.35
Loe170 / Clr,
0.35
0.33
0.31
LOF / Clr
0.65
0.60
0.58
Azurlite
0.44
0.41
0.39
710
Clr / Cir
0.72
0.65
'0.59
Brz / Cir
0.59
0.53
0.49
Loe172 / Clr
0.40
0.36
0.33
Loe170 / Cir
0.35
0.32
0.30
LOF / Cir
0.66
0.60
0.55
Azurlite
0.44
0.40
0.37
Casement / Awnings
Clr / Or
0.61
0.57
0.54
910C / 910
Brz / Clr
0.51
0.48
. 0.45
Loe172 / Clr
0.36
0.33
0.32
Loe170 / Clr
0.33
0.31
0.30
LOF / Cir
0:58
0.55
0.52
Azurlite
0.39
t 0:37
0.35
Door
Clr / Clr
0.69
0.62
0.57
4501415
Brz / Clr .
0.57
0.52
0.47
Loe,172 / Clr.,
0.39
0:36
0.33
Loe170 / Clr '
0.35
0.33
0.30'
LOF / C1r
0.64
0.58
0.53
Azuriite
0.44'
0.40:
0.37
INSTALLATION CERTIFICATE .(Page I of 7) CF -6R
Site Address Permit Number
An installation certificate is required to be posted at the building site or made available for all appropriate inspections. (The
information provided on this form is required; however, use of this form to provide the information is optional.) After
completion of final inspection, a copy must be provided to the building department (upon request) and the building owner at
occupancy, per Section 10-103(b).
HVAC SYSTEMS:
Heating Equipment
Equip. # of Efficiency Duct Duct or Heating Heating
Type (pkg: - CEC Certified Mfr Name Identical (AFUE, etc.)' Location Piping LoadCapacity
heat Dump) and Model NumberSystems (ZC'F-I R vat ,el (attic etc R val ie (Btu/hr) (Btu/hr)
Cooling Equipment
T Equip` CEC Certified Compressor # of Efficiency Duct Cooling Cooling
Ype (P g• Unit Mfr Name and Identical (SEER, etc.) Location Duct Load • Capacity
heat oumo) Model Number System r>C'F-I R value! (attic err) R value (Btu/hr) (Btu/hr)
1. > reads greater than or equal to.
I, the undersigned; verify that equipment listed above is: 1) is the,actual equipment installed, 2) equivalent to or more
efficient -than,that specified in the certificate of compliance (Form -CF -IR) submitted for compliance with the Energy
Efficiency Standards for residential buildings, and 3) equipment that meets or,exceeds the appropriate requirements
for,• manufactured devices (from the Appliance Efficiency Regulations or Part 6),'where applicable.
r
Signature, Date -
WATER HEATING SYSTEMS:
Installing Subcontractor. (Co. Name)
OR General Contractor (Co. Name) OR Owner
Distribution If Recir # of Rated2 Tank Effi- External
Heater CEC Certified Mfr Type (Std, culation, Identical . Input (kW Volume ciency' Standby= Insulation
Type Name & Model Number Point -of -Use)— Control Type Systems or Bfu/hr) (gallons) (EF, RE) Loss (%) R -value
2 For small gas storage,(rated input 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 Recovery Efficiency, Standby Loss and Rated Input.
For instantaneous gas water heaters, list Recovery Efficiency and Rated Input.
3. R-12 external insulation is mandatory for storage water heaters with an energy factor of less than 0.58.
Faucets & Shower Heads:
All faucets and showerheads installed are certified to the -Commission, pursuant to Title 24, Part 6, Section 1 11.
I, the undersigned, verify that equipment listed above my signature is: 1) the actual equipment installed; 2) equivalent
to or more efficient than that specified in the certificate of compliance (Form CF -i R) submitted for compliance with
the Energy Efciency Standards for residential buildings; and 3) equipment that meets. or exceeds the appropriate
requirements for manufactured devices (from the Appliance Efficiency Regulations or Part 6), where applicable.
Signature, Date
COPY TO: Building Department
HERS Provider (if applicable)
Building Owner at Occupancy
Installing Subcontractor (Co. Name) OR
General Contractor (Co. Name) OR Owner
July 1, 1999
INSTALLATION CERTIFICATE (Page 2 of 7) CF -6R
Site Address Permit Number
FENESTRATION/GLAZING:
3.
4..
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
' Manufactured fenestration products use the values from the product label. Field fabricated fenestration products use the
default values from Section 116 of the Energy Efficiency Standards.
= Installed U -value must be less than or equal to values from CF -1R. Installed SHGC must be less than or equal to values
from CF -1R, or a shading device (interior, exterior or overhang) is installed as specified on the CF -IR. Alternatively,
instal led.weighted average U -values for the total fenestration area are less than or equal to values from CF -1R.
I, the undersigned, verify that the fenestration/glazing listed above my signature: 1) is the actual fenestration product
installed; 2) is equivalent to or has a lower U -Value and lower SHGC than that specified in the certificate of
compliance (Form CF -1R) submitted for compliance with the Energy Efficiency Standards for residential buildings;
and 3) the product meets or exceeds the appropriate requirements for manufactured devices (from Part 6), where
applicable.
Item #s
(if applicable)
Item #s
(if applicable)
Item #s
(if applicable)
COPY TO:
Signature, Date
Signature, Date
Signature, Date
Building Department
HERS Provider (if applicable)
Building Owner at Occupancy
July 1, 1999
Installing Subcontractor (Co. Name) OR
General Contractor (Co. Name) OR Owner
OR Window Distributor
Installing Subcontractor (Co. Name) OR
General Contractor (Co. Name) OR Owner
OR Window Distributor
Installing Subcontractor (Co. Name) OR
General Contractor (Co. Name) OR Owner
OR Window Distributor
Total
Quantity
Interior or
Product Product
of Like
Exterior Shading
U -Value' (5 SHGC' (5 # of
Product Square
Device or Comments/Location/
Manufacturer/Brand Name CF- IR_value) 2 CF -IR value)= Panes
(Optional) Feet
Overhang Special Features
(GROUP LIKE PRODUCTS)
1.
2
3.
4..
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
' Manufactured fenestration products use the values from the product label. Field fabricated fenestration products use the
default values from Section 116 of the Energy Efficiency Standards.
= Installed U -value must be less than or equal to values from CF -1R. Installed SHGC must be less than or equal to values
from CF -1R, or a shading device (interior, exterior or overhang) is installed as specified on the CF -IR. Alternatively,
instal led.weighted average U -values for the total fenestration area are less than or equal to values from CF -1R.
I, the undersigned, verify that the fenestration/glazing listed above my signature: 1) is the actual fenestration product
installed; 2) is equivalent to or has a lower U -Value and lower SHGC than that specified in the certificate of
compliance (Form CF -1R) submitted for compliance with the Energy Efficiency Standards for residential buildings;
and 3) the product meets or exceeds the appropriate requirements for manufactured devices (from Part 6), where
applicable.
Item #s
(if applicable)
Item #s
(if applicable)
Item #s
(if applicable)
COPY TO:
Signature, Date
Signature, Date
Signature, Date
Building Department
HERS Provider (if applicable)
Building Owner at Occupancy
July 1, 1999
Installing Subcontractor (Co. Name) OR
General Contractor (Co. Name) OR Owner
OR Window Distributor
Installing Subcontractor (Co. Name) OR
General Contractor (Co. Name) OR Owner
OR Window Distributor
Installing Subcontractor (Co. Name) OR
General Contractor (Co. Name) OR Owner
OR Window Distributor
'INSTALLATION CERTIFICATE (Page 3 of 7) CF -6R
Site Address rw Permit Number
DUCT DIAGNOSTICS
This building obtained compliance credit for: ❑ Duct sealing Eluct Area Reduction
ACCA Manual D design and installation
CREDIT FOR REDUCED DUCT
ACCA Design-
esign
SURFACE
SURF ,ACE AREA OR -LOCATION
Duct Location* Exterior . Measured
❑ Duct Design on Plans
Surface Exterior
❑, Installed duct diameters match plans
Area Surface •
Cf -1R Area
❑ Attic
❑ TXV installed 4. 1
❑ Crawlspace
❑ Access to TXV valve (if installed)
❑ Basement
-
❑ No TXV, Fanair flow (CFM)
❑ Other
' Duct Sealing
❑' Duct Leakage Measured ''
r
❑Measured leakage,(CFM)..
'
*Ignore ducts in
HVAC Fan air flow (CFM) (measured or calculated as
conditioned 'space.
❑CFM =.0.7 x Afloor for CZ 8 through 15
Only a -check is r
required for
. ❑CFM = 0.5:x Arioor for CZ. 1• through -7 &.16
location credit. k
or; if the equipment size is known, the larger of 1 or 2.
1. , ❑CFM = 400 x Cooling Capacity.in Tons or.
2.+ ❑CFM = 21.7 x Heating;Capacity.in Thousands of Btu per hour)
Leakage divided by HVAC Fan air flow must be < 0.06
For AEROSOLTYPE SEALANTS ONLY - The following' diagnostic testing was completed:
❑ Duct'Fan Pressurization at rough -in measured leakage CFM). CHECK AFTER FINIiSHING WALL::
❑ Pressure pan test House pressurization test . ^ F 0. Visual Inspection of Duct Connections
Provide Follow-up Test Results or'Inspection Results on a Separate Page a
❑ This certifies that the duct surface area and duct' locations.were verified. -
When compliance'credit is claimed for duct surface area reduction's and duct location improvements beyond those covered
by default assumptions, builder employees or subcontractors shall certify that they have verified that the duct surface area
and locations match those on,the plans and shall indicate,,the duct surface area in each duct -location on the CF -6R.
❑ This is to certify that the above diagnostic•test results and the work I performed associated with the test(s) is in
conformance withthe requirements for compliance. credit. [The builder shall provide the�HERS provider a copy of the CF -
6R signed by the builder employees or sub -contractors certifying that diagnostic testing and installation meet the
requirements for compliance credit.]
Tests Signature, Date ' Installing Subcontractor (Co. Name) OR
Performed General Contractor (Co. Name)
COPY TO: Building Department
HERS Provider'(ifapplicable)
Building Owner at Occupancy
y July 1, 1999 -
W
INSTALLATION CERTIFICATE (Page 4 of 7) CF -6R
Site Address Permit Number
BUILDING ENVELOPE LEAKAGE
DIAGNOSTICS
This building obtained compliance credit for: ❑ Envelope sealing using diagnostic testing (CF -1 R)
Diagnostic Testing Results
Needed for Compliance Measured
(from CF -1 R) Blowerdoor Test
Results
Building Envelope Leakage (CFM @ 50 Pa)
Leakage level equivalent to an SLA of 3.0 from CF -1 R
Minimum Building Leakage equivalent to an SLA of 1.5
from CF -1 R (CFM @ 50 Pa)
❑ Yes ❑ No Is design leakage less than the SLA 3.0 equivalent (from CF -1R)?
❑ Yes ❑ No Is mechanical ventilation installed? (Required if design is less than 3.0 SLA)
❑ Yes ❑ No Is measured leakage (without fans operating) less than minimum in the above Table (1.5 SLA from
CF -1 R)?
❑ Yes ❑ No Is mechanical supply ventilation installed to assure house pressure does not go below minus 5 Pascal
relative to outside ambient with all exhaust fans operating?
Mechanical Ventilation — Fill in Table if mechanical ventilation is installed
Used for Compliance
(from CF -1 R)
Continuous Mechanical Ventilation (CFM)'
Continuous Mechanical Supply Ventilation (CFM)
Required to maintain -5 Pa if building
envelope leakage is less than minimum (see
above)
Total Power Consumption of Continuous
Mechanical Ventilation (Watts)2
Measured
Actual
❑ This certifies that the building envelope leakage was verified.
When compliance credit is claimed for building leakage reduction below default assumptions, builder employees or
subcontractors shall certify that they have verified that the building leakage level matches that used for compliance on the
CF -1 R and shall document the leakage levels required for compliance and the tested infiltration values on the CF -6R.
❑ This is to certify that the above diagnostic test results and the work I performed associated with the test(s) is in
conformance with the requirements for compliance credit. [The builder shall provide the HERS provider a copy of the
CF -6R signed by the builder employees or sub -contractors certifying that diagnostic testing and installation meet the
requirements for compliance credit.]
Test Performed Signature Date Testing Subcontractor (Co. Name) OR
General Contractor (Co. Name)
COPY TO: Building Department
HERS Provider (if applicable)
' When mechanical ventilation is required, CFM less than 0.047 CFM per square foot of conditioned floor area indicates
failure to achieve compliance.
2 As determined from label on fan or manufacturers literature.
July 1, 1999
INSTALLATION CERTIFICATE (Page 5 of 7) CF -6R
Site Address Permit Number
The following is an explanation of many of the input values required on this form:
HVAC SYSTEMS r
Heating Equipment Type must be one of the followine:
Furnace:
Gas (including Liquefied Petroleum Gases) or oil -fired central furnace &
space heater
Boiler:
Gas or oil -fired boiler
PckgHeatPump:
Packaged central heat pump
SplitHeatPump:
Split central heat pump '.
RoomHeatPump:
Room heat pump
LgPkgHeatPump:
Large packaged heat pump (>_ 65,000 Btu/hr output)
Electric:
Electric resistance:heating (fixed HSPF = 3.413); radiant electric resistance
(fixed HSPF = 3.55) `
CombinedHydro:
Reference water heater under water heating systems below
CEC Certified Manufacturer Name & Model Number from applicable Commission approved appliance directory.
# of.Identical Systems is for those systems with the same efficiency, duct location, duct R -value and capacity.
Efficiency from applicable Commission certified appliance directory.
Duct (or Piping). Location is attic, crawl space, CVC crawl space, conditioned space, unconditioned space or none.
Duct (or Piping) R -Value from Directoryof Certified•:Insulation Materials and/or manufacturer's data.
Heating/Cooling Load refer to Commission approved load calculation procedure.
Heating/Cooling Capacity from the applicable Commission certified appliance directory. Note: location elevations over
2,000 ft above sea level require a derating of output capacity (refer to manufacturer's literature).
Cooling Equipment Type must be one of the followine:
SplitAirCond:
Split system air conditioner
PckgAirCond:
Packaged air conditioner -
Split Heat Pump:
Split system heat pump
PckgHeatPump:
Packaged heat pump
RoomHeatPump:
Room. heat pump d µ'
LgPkgHeatPump:.
Large packaged heat pump (>_ 65,000 Btu/hr output): Substitute EER for SEER
when SEER is not available
RoomAirCond:
Room air conditioner. Minimum SEER varies*
LgPkgAirCond:
Large. packaged air conditioner (>_ 65,000 Btu/hr output). Substitute EER for
SEER when SEER is not available
EvapDirect:
'
Direct evaporative cooling system. For compliance calculation purposes, fixed
values: SEER = '11.0; duct location =attic; duct insulation R -value = 4.2
EvapIndirect:
Indirect evaporative cooling systema For compliance calculation purposes, fixed
values: SEER = 13.0; duct location = attic; duct insulation R -value = 4.2
*Refer to Energy Commission publication Appliance Efficiency Regulations, P400-92-029
July 1, 1999
INSTALLATION CERTIFICATE (Page 6 of 7) 1" " ' CF -6R
Site Address Permit Number
The following is an explanation of many of the input values required on this form:
WATER HEATING SYSTEMS
ll:..a..: l... ♦:.... Cs.,...o Dnfnr to liaciiionlinl Mnymnl fnr mnrP. de..t.nil—
vJu
Standard:
Standard — Supply pressure based system, no pumps
Pipe Insulation:
Pipe Insulation on all 3/4 -inch pipes
POU/HWR:
Point of Use/Hot Water Recovery System
Recirc/NoControl:
Recirculation loop with no controls
Recirc/Timer:
Recirculation loop with a timer
Recirc/Temp:
Recirculation loop with temperature control
Recirc/Time+Temp:
Recirculation loop with a timer and temperature control
Recirc/Demand:
Recirculation loop with demand control
Water Heater Type
Storage Gas, Oil or Electric
Heat Pump
Instantaneous Gas
Instantaneous Electric,
Large Storage Gas
Indirect Gas (Boiler)
FENESTRATION/GLAZING
Fenestration:
Information Needed
Energy Factor
Recovery Efficiency Standby Loss
Rated Input
Yes
No No
No
Yes
No No
No
No
Yes No
No
Yes
No No
No
No
Yes Yes
Yes
No
Yes (AFUE) No
Yes
Fenestration:
Windows, sliding glass doors, French doors, skylights, garden windows, and
any door with more than one square foot of glass
Operator Type:
Slider, hinged, fixed
U -Value:
Installed U -value must be less than or equal to value from CF -1R
OR
Installed weighted average U -value for the total fenestration area is less than
orequal to value from CF- I R
SHGC:
Installed SHGC must be less than or equal to value from CF -1 R
OR
Installed weighted SHGC for the total fenestration area is less than or equal
to value from CF -1R
OR
An interior shading device, overhang, or exterior shading device is installed
consistent with the CF -1R
Shading Device:
Include when the building complied using an interior shading device: blinds,
opaque roller shades, blinds (do not list draperies), an exterior shading
device: woven sunscreen, louvered sunscreen, low sun angle sunscreen, roll -
down awning, roll -down blinds or slats (do not list bug screen), or an
overhang include depth in feet
July 1, 1999
INSTALLATION CERTIFICATE: r (Page 7. -of 7) CF-
6R
Address j Permit Number.
The 'following is an explanation of many:of the input values required on the Diagnostic portion of this form (page 3 of 6):. '
TYPE OF CREDIT• ;.
Refer to, Residential Manual Chapters 4 and.5 for more details:
Reduced Duct Surface Area:
Calculated as the outside area of the duct. Areas .must be measured and
verified by a HERS rater.
Improved Duct Location_ :
Supply.duct located in other than attie,ras verified by location of registers
(does not require HERS rater verification).
Catastrophic L"eakage:.
Pressure pan test readings'must be less than 1:5 Pascal at a house pressure.of
-25 Pascal., Ir
TXV:
Access cover, required_ to facilitate verification. '
Infiltration Reduction:
Infiltration is measured without mechanicals ventilation operating,
Mechanical ventilation is required for verytight house construction when '
credits for infiltration reduction using diagnostic testing are being used for
achieving compliance. These very tight houses are defined as those with
SLA of less than1.5. `The compliance documentation (CF -11R) will contain
the measured CFM target value from a blower door test at.50 Pascal pressure-
difference that represents this SLA of1.5. Mechanical ventilation is also
required'if the builder chooses to design the building to use mechanical
ventilation and claims a credit for infiltration below an SLA of 3.0. The"
compliance;documentation (CF -1 R) -will contain the measured CFM target
-
yalue that represents this 3.0 SLA. If the builder claims credit in a design
for infiltration reduction that, is at an SLA of 3.0 or higher, and the actual
measured SLA is 1.5 or greater, then mechanical ventilation is not required.
If the SLA in:this case were below 1.5, then mitigation_ (such as mechanical
ventilation) would be required.
July 1, 1999
INSULATION CERTIFICATE
IC -1
Number and Street
City .
County
Subdivision Lot Number
Description of Installation
1. ROOF
. Material
Brand Name `
Thickness (inches)
Thermal Resistance (R -Value)
2. CEILING
Batt or Blanket Type
BrandName
Thickness (inches)
Thermal Resistance (R -Value) -
Loose Fill Type
Brand
Contractor's min installed weight/ft2- lb
Minimum thickness inches
Manufacturer's installed weight per square foot to achieve Thermal :Resistance (R -Value)
- 3. EXTERIOR WALL
Frame.Type
<
A. Cavity Insulation
Material
Brand Name
Thickness (inches)
Thermal Resistance (R -Value)
B . Exterior Foam Sheathing.
Material -
Brand Name
Thickness (inches)`
Thermal Resistance (R -Value) <
4, RAISED FLOOR
Material
Brand Name
` Thickness (inches)
Thermal Resistance (R -Value)
5. SLAB FLOOR/PERIMETER
• ,
Material
Brand Name
Thickness (inches)
Thermal Resistance (R -Value) ,
Perimeter Insulation Depth (inches)
' 6. FOUNDATION WALL
Material
Brand Name - -
Thickness (inches)
Thermal, Resistance (R -Value)
Declaration
I hereby certify that the above'insulation was installed in,ihe building at the above location in conformance with the current
Energy Efficiency Standards for residential buildings
.
(Title 24, Part 6, California Code of Regulations) as indicated on,the
Certificate of Compliance, where applicable.
K
Item #s Signature, Date
Installing Subcontractor (Co. Name) OR '
General Contractor (Co.,Name) OR Owner
` Item #s Signature; Date
Installing Subcontractor (Co. Name) OR
General Contractor (Co. Name) OR Owner
Item #s Signature, Date
Installing Subcontractor (Co. Name) OR
General Contractor (Co. Name) OR Owner
July T, 1999