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002091 (SFD)Building 79-940 Address Owner Jbe sir Mailing Address City Zip � Contractor owl=. Address > City` Zip State Lic. & Classif. Arch., Engr., Designer - Address Tel. City Zip State 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. SIGNATURE DATE •4 Q2144 P.O. BOX 1504 N o . 78-105 CALLE ESTADO 00209,1 LA QUINTA, CALIFORNIA 92253 BUILDING: TYPE CONST. OCC: GRP. A.P. Number 617-121=046 Tel. Legal Description Lot 26 Project Description.!3. Tel.. City = 1824 Lic. # Sq. Ft. 62 No. No. Dw. Size • -• Stories Units I New Add ❑ 0 ER DECLARATION I hereby affirm that I am exemptpt from from the Contractor's License Law for the following reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a permit. to construct, after, improve, demolish, or repair, any structure, prior to its issuance also requires the applicant for such permit to file•a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commencing with'Section 7000) of ' Division 3 of the Business and Professions' Code, or that. he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit ' subjects the applicant to a civil'penalty of not more than five hundred dollars ($500). • O I, as owner of the property, or my employees with wages as their sole compensation, will r do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and. Code: The Contractor's License Law does not apply to an owner of property, who Estimated Valuation - PERMIT ' Plan Chk. Dep: . Plan Chk. Bal.' Const. 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,safe. If, however, the building Mech. . Electrical or improvement is sold within one year of completion, the owner -builder will'have the burden of proving that he did.rlot build or improve for the purpose of sale.) ._ Plumbing ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License -Law does not apply to an owner of property who builds or improves thereon, and who contracts for ' such projects with a contractor(s) licensed pursuant to the Contractor's: License Law.) - ❑ 1 am exempt.under Sec. B. & P.C. for this reason S. M. I. Grading Driveway Enc. Y:~' `'" Date Owner _- G''t_� Iso `�%'-x'._r, _ Infrastructure yy UZ��TT� WORKERS' COMPENSATION DECLARATION thereby affirm that'I have a certificate of consent to self•insure,'or a certificate of Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) ' Policy No. Company ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. TOTAL CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE REMARKS - (This section need not be completed if the pe:mit is for one hundred dollars ($100) valuation or less.) - - - - I certify that in the performance of thg work for which this permit is issued,•I shall not employ any person in any manner so as to become subject'to the Workers' Compensation' Laws of California. Alter ❑ Repair ❑ Demolition ❑ 94, 314 .00' - . AMOUNT 250.00 106.45 37.00 100.32 93.00 6.62 20.00 1t414.71 ��!! X27. X00 2x531.74 1 43 s 4 a e Owner NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become • ZONE: BY: subject to the Workers' Compensation provisions of the Labor Code, you must forthwith Minimum Setback Distances: comply with such provisions or this permit shall be deemed revoked. Front Setback from Center Line Rear Setback from Rear Prop. Line CONSTRUCTION LENDING AGENCY Side Street Setback from Center Line I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued. (Sec. 3097, Civil Code.) Side Setback from Property Line Lender's Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to FINAL DATE INSPECTOR expiration if work thereunder is suspended for 180 days: ���$ I certify that I have read this application and stale that the above information is correct. Issued by: _ Date Permit I agree to comply with all city and county ordinances and state laws relating 'to building construction, and herebyauthorizerepresentatives-sof this city to enter the above•. mentioned property for inspection purposes. 3f �" �I Signature of applicant�iValidated by: C. "` Date' �?!'� Mailing Address % � Validation: City, State, Zip ' A4464 2 28 2581,74 R HARD COPY CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. .@_ $ 2ND FL. SO. FT. POR. SO. FT. p GAR. SO. FT. ® CAR P. SQ. FT. WALL SO. FT. ® SQ FT ® ESTIMATED CONSTRUCTION VALUATION $ UNITS MOBILEHOME SVC. POWER OUTLET YARD SPKLR SYSTEM BAR SINK - ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING NOTE: Not to be used as property tax valuation FLOOR DRAIN MECHANICAL FEES HEATING (ROUGH) WATER SOFTENER VENT SYSTEM FAN EVAP.COOL HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER DUCT WORK GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM HEATING (FINAL) 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. _ SQ. FT. ® c BATH TUB BOND BEAM SQ. FT. ® c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID ® 11/4 c SEWAGE DISPOSAL LUMBER GR. SO.FT.GAR'® 3/ac HOUSE SEWER FRAMING �� // FINAL INSP. /I t 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 .SETBACK AGROUND PLUMBINqja� UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE CROUGH PLUMB A/ BONDING HEATING (ROUGH) STORAGE TANK F' ( FORM Gam/ SEWER OR SEPTIC TANK /�f- ROUGH WIRING `� r1 DUCT WORK ROCK STORAGE .FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APPJEOUIP. REINF. STEEL6iAS (FINAL):% L/ '(JfEMP. POLE !/ GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING cu. yd. $ plus x$ -$ LUMBER GR. /A���/ // rE1NAL INSP. rr�s-- FRAMING �� // FINAL INSP. /I t L�L ROOFING Cl/ , 7 L 01/ q/ G6 0 �� fG REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL &THING (S! MESH INSULATIONISOUND V FINISH GRADING FINAL INSPECTION 0q,6 lJ CERT. OCC. FENCE FINAL - INSPECTOR'S SIGNATURES11NITIALS GARDEN WALL FINAL 0,a/,16EP TWyl 4 4 " P.O. BOX 1504 APPLICATION ONLY BuildingJ L� ` 78-105 CALLE ESTADO Address i fl i r E. P hrv0 LA QUINTA, CALIFORNIA 92253 Mailing Address CityZip , Contractor ress el.. State Lic. City & Classif. I Lic. # Arcn., tngr., Designer Address I Tel. BUILDING: TYPE CONST..-7��OCC. GRP.. A.P. Number / / _ � - /� -(� 7J(O Legal Description_ � k n-1 r -- Project Description 1�r . 1 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. �GNATURE DATE OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a permit to construct, alter, Improve, demolish, or repair any structure, prior to its Issuance also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ 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, Bulsness and Professions Code: The Contractor's Ucense Law does not apply to an owner of property who builds or improves thereon and who does such work himself or through his own employees, provided that such Improvements are not intended or offered. for sale. If, however, the building or Improvement is sold within one year of completion,, the owner -builder will have the burden of proving that he did not build or improve for the purpose of sale.)_` - ❑ I, as owner of the property, am exclusively contracting with licensed contractors to con- struct the project. (Sec. 7044, Business and Professions Code: The Contractor's Ucense Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractor's Ucense Law.) ❑ 1 am exempt under Sec. B. & 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 Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) Policy No. Company ❑ Copy is filed with the city. ❑ Certified copy is hereby furnished. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE (This section need not be completed if the permit Is for one hundred dollars ($100) valuation or less.) I certify that in the performance of 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. Date Owner NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions or the Labor Code, you must forthwith comply with such provisions or this permit shall 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.) Lender's 'Name Lender's Address This is a building permit when properly filled out, signed and validated, and is subject to expiration it work thereunder is suspended for 180 days. 1 car lfy 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 ate.Mailing Address City, State, Zip BUILDING DIVISION Sq. Ft. No. No. Dw. Size Stories Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation t Lt 00 PERMIT " AMOUNT n •\ Plan Chk. Dep. fj r7 Plan Chk. Bal. S 1.S94 Flo . 44� L 0 6 'A -S Const. y 6 g i — Mech. Electrical Plumbing 3`•� S.M.I. Grading Driveway Enc. O r Infrastructure -1 t e �'Z V; let- CD TOTAL ,J, , V� -' REMARKS t Z } r2 Zf `, ,, / t -fl ZONE: BY: Minimum Setback Distances: Front Setback from Center Line Rear Setback from Rear Prop. Line Side Street Setback from Center Line Side Setback from Property Line FINAL DATE INSPECTOR Issued by: Date 19 Ic1?tl11 Permit I ' Validated by: Validation: A 3 7 9 9 1 9 25Q00 CK CONSTRUCTION ESTIMATE GROUND PLUMBING NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. $'2 SQ. FT. @$ 6-5'446' 1.0 UNITS ROUGH PLUMB. �►Lt 2ND FL. SQ. FT. @ FORMS SEWER OR SEPTIC TANK ROUGH WIRING YARD SPKLR SYSTEM ROCK STORAGE FOUND. REINF. GAS (ROUGH) MOBILEHOME SVC. HEATING (FINAL) BAR SINK REINF. STEEL POR. SQ. FT. @ TEMP. POLE GROUT WATER HEATER 7 GAR. SQ. FT. @ AJCLLt POWER OUTLET BOND BEAM ROOF DRAINS CAR P. SO. FT. @ _$ LUMBER GR. DRAINAGE PIPING FRAMING WALL SQ. FT. @ ROOFING DRINKING FOUNTAIN SQ. FT. @ VENTILATION URINAL ESTIMATED CONSTRUCTION VALUATION $ QQ WATER PIPING NOTE: Not to be used as property tax valuation SPARK ARRESTOR FLOOR DRAIN MECHANICAL FEES LATHING WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASH ER(AUTO)(DISH) INSULATION/SOUND APPLIANCE DRYER FINISH GRADING GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED FINAL INSPECTION LAUNDRY TRAY AIR HANDLING UNIT CFM FENCE FINAL KITCHEN SINK ABSORPTION SYSTEM. B.T.U.TEMP USE PERMIT SVC WATER CLOSET COMPRESSOR HP POLE,TEMIPERM LAVATORY HEATING SYSTEM FORCED GRAVITY '� AMPERES SERV ENT 24z_ SHOWER BOILER B.T.U. SQ. FT. @ c BATH TUB SO. FT. @ c WATER HEATER MAX. HEATER OUTPUT, B.T.U. SO. FT. RESID @ 11/4 c SEWAGE DISPOSAL SQ.FT.GAR @ 3/ac HOUSE SEWER GAS PIPING �. PERMIT FEE (Ej �. PERMIT FEE ` . PERMIT FEE DBL TOTAL FEES MICRO FEE MECH.FEE PL.CK.FEE CONST. FEE ELECT. FEE SMI FEE PLUMB. FEE 3 7, ad 100.3 1 `13 STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR SETBACK GROUND PLUMBING UNDERGROUND A.C. UNIT COLL. AREA SLAB GRADE ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS SEWER OR SEPTIC TANK ROUGH WIRING DUCT WORK ROCK STORAGE FOUND. REINF. GAS (ROUGH) METER LOOP HEATING (FINAL) OTHER APP./EOUIP. REINF. STEEL GAS (FINAL) TEMP. POLE GROUT WATER HEATER SERVICE FINAL INSP. BOND BEAM WATER SYSTEM GRADING CU. yd. $ plus x$ _$ LUMBER GR. FINAL INSP. FRAMING FINAL INSP. ROOFING REMARKS: VENTILATION FIRE ZONE ROOFING FIREPLACE SPARK ARRESTOR GAR. FIREWALL LATHING MESH INSULATION/SOUND FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURESIINITIALS, GARDEN WALL FINAL 06%fIED o C' o r -0 H BERMUDA DUNES r RANCHO MIRAGE INDIAN WELLS to PALM DESERT a d' LA OUINTA 110 INDIO y� Feb. 28, 1986 Desert Sands Unihied School District 82-879 HIGHWAY 11 1 • INDIO, CALIFORNIA 92201-5678 • (619) 347.8631 City of La Quinta Department of Community Development 78-105 Calle Estado La Qui'nta, CA 92253 Re: Lot 26, Tract 2180 La Quinta Gentlemen:. The developer of the above referenced Lot 26, Tract 2180 La Quinta has mitigated its impacts on our overcrowded schools by payment of the amount of $628 per unit to be applied to the cost of district educational facilities made necessary by such new development. Sincerely, -'� 1. V'j j.. John D. Brooks Assistant Superintendent Business Services JDB/crm COUNTY OF RIVERSIDE, DEPARTMENT OF HEALTH PERMIT APPLICATION FOR A SUBSURFACE DISPOSAL SYSTEM Applicant: Submit this form with three copies of a scaled plot plan drawn to county specifications required on the attached check list. A non refundable filing fee of $15 is required when the application is submitted. Check must be made payable to County of Riverside. Name fMailing Address Cit State Zip Code Phone 'Property Address Cit o 6emmvrs4y— /� 'Legal Description of Property (Lot, Parcel Map, Tract) #_QG -c' 2S�SH�� /20_6-10 /�Ll� 02- 7'k'4e T Lei J 'Assessors Parcel No. Water Se ving Property From Lot size , Signal ur of Applicant • Date 'The above information must be verified from Building Application Staff Use _ Do Not Write Below This Line Ini1:`a Date / `-�—�" WQCB Clearance required Yes ❑ No • Soils feasibility report required 'Yes ❑ Noffl Detailed boring report required Yes ❑ No Detailed contour plot required Yes ❑ No, Comments: _ Soils or boring report by Date Approved by C% r ' �' Soils Map PageSoil Type Tract File No. Other Number of Bedrgoms Z �� 13.�T11 .►wk Se tic Tank Size (gallons),_ Rate , � l Type of System New ddition Replacement 7 0 El Leach lineftof bottme trench / L �� Leae'K bed (sq.,ff f bottom area bed) s01' Z 60 u/. �i' 6 7'c - 1,)// 20 1-e L/.✓� Seepage Pit Diameter � Number of Pits Seepage�PitDept Total Depth of Pit Location of System� A10/ L� Addition equirements / y,_ r. /OX - A: LOA` d vl t y�' `� IYt-�s ''G C- /i.C' G Gt %C�� d A permit ia2pprovedldefiiedforthe design of a subsurface disposal stem as indicated on the accompanied plot p using the re ements set forth in Section B above. A building permit is necessary for the installation of the above d7sii,l ed ystem.i. / �[%� ao� �,l..�.�`� Signature of Health Official ,/ Date. 2 _d� I le- 147�)�1sT District: Riverside ❑ Indio Hemet DISTRIBUTION: WHITE - bffice File YELLOW - Applicant 3+:. d Issued By Date PINK - Building Deet GOLDENROD - Fc—in- F -L. "IS COUNTY OF RIVERSIDE, DEPARTMENT OF HEALTH PERMIT APPLICATION FOR A SUBSURFACE .DISPOSAL SYSTEM Applicant: Submit this form with three copies of a scaled plot plan drawn to county specifications required on the attached check list. A non refundable filing fee of $15 is required when the application is submitted. Check must be made payable to County of Riverside. Name /[ v/. 'ST�ly� Mailing Address CityState Zip Code Phone 'Property Address 'Cit o 6rriy- 'Legal Description of Property (Lot, Parcel Map, Tract) . -�Q 2SFs Aeq 4 00I&A 4D/ 6 7i�AeT ,21/ct0 'Assessors Parcel No. o Water Se ving Property From e al)�n- Lot size �T is God Signatur of Applicant Date r 'The above information must be verified from Building Application Staff Use — Do Not Write Below This Line Initi� Date �WQCB Clearance required Yes ❑ No Soils feasibility report required Yes ❑ No Detailed boring report required Yes ❑ No Detailed contour plot required Yes ❑ Noffl Comments: Soils or boring report by. Date Approved by Date Soils Map Page Soil Type Tract File No. Other Number of Bedrooms 3B 0/2Mr Z - 13d7XI mAv Septic Tank Size (gallons) �D �D Rate Required / ��l Type of System New__,Addition Rep lace ent a L/UAn� 1-1❑ Leach line sq. ft. of bottom area trench Lea& bed (sq. fr4f bottom area bed) Seepage Pit Diameter/ 6 Mll-_ Number of Pits Seepage�Pit Depth B.I. /!/ Total Depth ofPit Location of System Additio V11 ex /" V, Q-Lp� A permit i pprove d -for the design of a subsurface disposal stem as indicate on the accompanied plot plan using the req,a:i*rements set forth in Section B above. building permit is necessary for the installation of the above desi nedystem. Signature of Health Official /. ' Date - Receipt No. 7Vc2 Issued By District: Riverside ❑ Indio Hemet ❑ Date DISTRIBUTION: WHITE - Office File YELLOW - Applicant PINK - Building Dept. GOLDENROD - Pending File DOH SAN 122 (Rev 10/84) 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 - (619) 564-2246 December 31, 1986 To Whom It May Concern: The dwelling at 79-940 Horseshoe Road was finaled:-by the,: City of La Quinta on September 9, 1986. W8JUMIRMIJ i i• prinvaignes•� •• Tom Hartung Building Official TH:psn MAILING ADDRESS - P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253 PROJECT DATA SUMMARY ®r project �\(\ '•�;�' y� � .- _ the Cl:C(I ny system type rl.nn • - documentation author date now � SITE INFORMATION Heating Degree Day from Appendix C) Z f .......................................................... HDD 1 F. day Outside Design Temperature (from Appendix C or Appendix G)...................... Tow 2 � � OF PROPOSED BUILDING ENVELOPE INFORMATION Gross ' Q 1 Floor Area if Low•Risa (from Calculations)............................................ At 3 t>i ft2 Gross Wall Area if High-Rise (from Calculations)............................................ A,,, 4 f12 Designed Glazing Area (from Calculations).........'.............................................. Ag 5 �f ft2 Basic Glazing Area (16% of Line 3if low-rise or 40%of Line4 if high-rise) ........ Abg 6 ft2 Description of Assembly Glazing /1t b Ugl �9 7 Btu/ (hr •ft2•OF) ! ni c.,, L A3� W._, u U92 8 I l 3 ' Btu/ (hr-ft2•OF) `Ug3 Wall Siy<<__i 2� \ _T-)�, 6,1A t 9 C O Fj' Lo Btu/ (hr. ft2 •°F) Uwl 10 ` 7 Btu/ (hr ft2 -OF) Uw2 - 11 Btu/ (hr-ft2-°F) Uw3 12 Btu/ (hr - ft2 •°F) Ceiling/Roof T` ��i7L7..JJQo, \ Uw4 Ucl 13 14 Btu/ (hr.ft2•°F) Btu/ (hr •ft2 -OF) ( ) A Uc2 15 . D3 OD Btu/ (hr-ft2-°F) Floor Ufl 16 Btu/ (hr•f12•°F) Uf2 17 Btu/ (hr - ft2 •OF) l�. PROPOSED SPACE HEATING SYSTEM (Chapter 7) Gas Furnace f Building Design Hourly Heat Loss (from Form 2)............ :....... .................. qn lb _. 3 �_�2-1 — Btu/hr � Maximum Allowed Bonnet Capacity, 7'.5_x Line 18.................................... .. '........ 19 � � � B:.0/hr I Proposed Furnace Make Model Description 3 5 o C) O Rated Bonnet Capacity a O J J Electric Resistance Alone Electric Resistance Life Cycle Cost (from Form 5).................................... sLCC, 20 $ ` ILowest Life Cycle Cost of the Other Systems (from Form 5)................... ,LCClo,,,,21 ! $ Non- Depletable Energy w/Electric Resistance Back-Up Percentage of Annual Heat Loss Met by Non-Depletable Energy Source (from Calculations).....................................................:.......................... 22 11 Heat Pump with Electric Resistance Supplementary Heat Percentage of Annual Heat Loss Met by Electric Resistance ! (from Calculations)............................................................................................ 23 % PROPOSED WATER HEATING SYSTEM INFORMATION (Chapter 8) Elactiic Resistance Alone {[ Electric Resistance Life Cycle Cost (from Form 6)................................. ,LCC, 24 $ ; Lowest Life Cycle Cost of the Other Systems (from Form 6)................... wLCClOwest 25 $ PROPOSED SWIMMING POOL HEATING SYSTEM INFORMATION (Chapter 1 9) Solar Life Cycle Cost (from Form 7).................................:...........................: p�CCs 26 $ Natural Gas Life Cycle Cost (from Form 7)...................................................... LCC p ng 27 . A' $ I � r A1lF ; it A; 0 I " + HOURLY AND ANNUAL- BUILDING NNUALBUILDING HEAT LOSS RATE m 2 Check Ono: Proposed Do -sign Standard Design Enforcement Agency Uso Only S I_►J�� r�- J -nor poject �� �� aw olnp Germrt numper J 61 'Jy."� project sys 2m type *-�., checked Oy `A,'1) I_;. I 1 J /ani ®�fl ❑ocumontation author Date data L*3e�rrrnrF^�a�•,+�-.�. - ,,.••.. x•n—..m�.rim.v�ri�..rr+,.z..+=W:.--r.*.nom----r � r�=o-mv.-�++r_q+rm_ wc�r'^..,m--'T•• I SITE INFORMATION Heating Oagpea Day (from Appendix) . . . . . . . . . . . . . . . . . HOD �> -F-day Outside Oesign Temperature (from Appendix) . . . . . . . . . . .. . . . . . Told 1 °F Outside January Men Temperature (from Appendix)° PROPOSED BUILDING ENVELOPE INFORMATION Gross Floor Area (from plans) . .. .. . .... .. .. .... .. .. .. .. . Af ' ft2 Gross Wall Area (from plans) . . . .. .. .... . .. .. . . .. . . . . .. . Aw I , ft2 Designed Glazing Area (from plans) . . . . . .. . . . . . . .. . . . Ag ft2 Basic Glazing Area (16% of Af if low-rise or 40% of A,,,, if high-rise) . . .Abe 7 Q f,2 HOURLY HEAT LOSS DESIGN TEMPERATURE DIFFERENCE 9 For All Assemblies Other Than The Three Below . ..70'F — 0 . ATh 1 ! of Tow from above For Insulated Floor Over Vented Unheated Space .. .... .. .. Line t =2 -,LThi 2 __::t _ -F For Uninsulated Floor Over Vented Unheated Space. . . . . .. . Lino 2 — 53F -AThu 3 s pF For Slab -on Ground Floors . . . . .. . . . . . 70pF — CONDUCTIVE HEAT LOSS OmCriptlon of /A�sscmpry Glazing 1' Wall � i V «Jl7 �— 1 i _ -> \ e Ceili,:/Roof Floor 8 Cther } G1 ink \=-tT �, ! °F -LTha Tian from acove Area, ft2 or Average U Or Assgm Cly, n or F2 from CT hourly heat Lengtn, tt 3 r. Graph 4-1 !ram aoovs x . 57S.1 x loss, q IZ X �� I X Btu/hr �Z Al from aoove w6ignteo from Th from X x X X .e, x 7T77, a 2 7 4 I� X X —�---�t��{-- —� X X X t Q` X, a ?� DUCT HEAT LOSS iEnter 0 f there are na ducts) .... . .. .. ........ 0.15 x Line 7 • 171 l volume Subtotal 5 tw��r INF ILTRATICN ...... I.t � == } h= x g:_ itx' ✓ l _ x F Sum of the epove q - 6 Al from aoove w6ignteo from Th from Average Tapia 1-7 Celling Naeignt Line Li. 1 2 7 4 I� Subtotal 7 Rtujr,r DUCT HEAT LOSS iEnter 0 f there are na ducts) .... . .. .. ........ 0.15 x Line 7 - 8 1 1 L TOTAL HOURLY HEAT LOSS, q Z f - - L Ij n ��.�.LL,.t: ANNUAL HEAT LOSS, OBJ ayiv: ;< dtulhr x .x G4hr/dey j .0fC.; y,aj L-oss from ' � tree apove Lr.e TaCje 3•d I.. nine LA Gj rJ 4- LA 4- �+ HEAT TRANSFER COEFFICIENT iI PROPOSED CONSTRUCTION ASSEMBLY Form a�D � 44 f r j Sketch of Construction Assembly WEIGHT: Ib/ft2 Check one: Wall _,11. j Roof I Floor I i' I I . � I List of Construction Components R 2. 3. 4. 5. 6. '7 8. Inside Surface Air Film Outside Surface Air Film „. Total. Resistance Rt U -Value WRQ. ► • y� 1 cooling heating cooling heating cooling heating i 17 cooling heating I .+.-...- _ HEAT TRANSFER COEFFICIENT ii PROPOSED CONSTRUCTION ASSEMBLY orm o� E I I, I. a jl List of Construction Components R j 2. 5. `1 6. 7. 8. —7 Inside Surface Air Film Sketch of Construction Assembly WEIGHT: Ib/ft2 Check one: Wall _ Roof Floor a Outside Surface Air Film A... . Total Resistance Rt U -Value (14y cooling heating cooling heating cooling heating c) -111 ,(D cooling heating rtrJ+CJlerse'- "" >'r'1'•i.ts;. .. � _. R .... _ .�_ _ _ -_1�_ _ - - �......_.��+.� a �r - .y.�w.-. BUILDING DESIGN AND EQUIPMENT SUMMARYF®e - 2 page 1 of 2 IAttstL' Project title climate Zone Prolect aearess plan cnecx/permit numoer project owner cneckea by Cocumentation auenor Cate oa:e `7 combrtance matnoo iPrewr:=tive or terformance. cescribe) Enforcement Agency Use Only BUILDING 2`4YEL.r'F;E oeeiGi4 Q Descriptien of Item Dimensicn Points `'�' Total Floor Area ftp 1. Floor. Slab Perimeter, Type 1 iv'> 1 Q- 4>`J F_ =�' ° Z ft Type 2 Type 1 T' F. ft '7Tri'� �1: '°_—�%'G`—, Y I `i Type 2 c I..� _ ,�� }t �4.0 E —13 ft: c/'a= 2 Ceiling: k Type 1 —>J! 1 .., .. ..i;��i 'y 1'. -t _- c ft' I Type 2 ftz ! 3. Wall. Type 1 � ., . _'� i � � � i ft= I 6 Type 2 f 11 i 4. Glazing: West, Ty. 1 ,j i _ 1 f1arJ�� % 4- ftZ Type 27�— - ft, North, Type t 11- G� L. Ani C lV � % ) - I Type 2 (111(, L". 77 East, Type 1 .A IJ o— ftz _.. Type 2i. South, Type D I , A II C. ftz Z-gc/ � 1 ft= Type 2 ft2 Skylight. Type 1—SC _ C7 ftZ Type 2 —SC _ ft= 5. Shading Coefficient: West 9 :;;1�I,.i;;,r - t;.c:� ':.t,J.,� 4 f,, 1-) Sc � North I t� < . I'J SC o East /. _ SC b South '' _' '� Z•gS/, •GCS Sc t 6. Horizontal South Overhang ft 7. Movable Insulation _% fit 8. Infiltration Control S —'-,A '-J 9. Thermal Mass: Type 1 T L,. G, -.� :, _ J - ; C P�q 2!n fir) r r TYpe 2 _.r� HL ,^'G ft= I r Type 3 �� 1-C 116 ft2 y pe _.� !-II: ; rfC f . t Type 5 A6 MC ft= 4� �. Point Total This Page II �� =`ice"r,3i•t 1. ' ("r�,; tr_ tom, 1 �1•' /v 1/83 — 420 — CEC 284-66 (2/83) r t , l �,_ F. ..K. _.,��:.._' - •tOfAawY��lP• w .a+�+wwus•www..w•�.avra�rwr�.-. �.+wuwsrasvM�.� - -r • T-- .,ear. • ..-.— _� � '. -Z.. �....�...,..,....-.-..ate.,_.... .__' .. .. .-r .,�-�......` - _ J+�••��: i '�.Y 'L SUMMARY y F®t'm` ' page 2 of 2 i t - o,aNct utla climate Lane . t oroicctaocirens HEATING, VENTILATING, AIR CONDITIONING SYSTEM Point 10. Heating (fill in information on proposed system) ! I I Central Gas Furnace brand and model numaer SE (� � 1 0 00 0 Btuihr { neating capacity Heat Pump grana and motel number- ACOP Btu/hr nesting capacity at 47 F Active Solar CYPe (liquid or air) collector brand and motel number solar fraction ft o collector area collector Orientation collector tilt - rated fatad slope • y -Intercept Other Cescriba 11. Cooling (fill in information on proposed system) Electric Air Conditioner li 4 A Imo, '7 ��?� QC Gf� � • � brand ano mocel'number - _ seasonal EER -1.—Do ":� . Btu/hr ccollnq cacacry at 9-_" F Electric Heat Pump Btu/Sr cooling rioaccty at 95" =- 1 T Other ' Cescribe 1 • 12. Mechanical Ventilation , _ ces.rlbe DOMESTIC WATER SYSTEM 13. Heating (fill in information on proposed system) Gas Only i� �M 1� �� �-l`- 7t Gallons brand and rnocel number tank size-•' Heat Pump w/Electric Backup Gallons t i blanc ant mode! number'- .. .. tank size E Active Solar t "{ conec:or orand and -model numoer'(aced 'rated slope solar traction y - Intercept . • fta l backup neater type,-brana and mocel'nurrtcer" conector'drea collector - - ' orientation Other r, - • dezcrioa Point Total from Page 1 Total Print Score i ' 1/91 - za - CEC