12509 (SFD)Building 53.-415 Obregon
Address
Owner Sterling Homes
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
Iwaning
Address P.O. Box 450
City Zip Tel.
La Quinta, CA 92253 564-1856
Contractor -
Lendel Ventures, Inc.
APdclre�s� Box 450
fta Quinta, CA " 92253 '-564-1866
State Lic. City
& Classif. g 639535 Lic. # 859
Arch., Engr.,
Designer Urbina & Associates
Address Tel.
6370 Anvil Lake Ave.
San Diego, CA Zip 92119 Lict# C--13333
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
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 rile a signed statement that he is licensed pursuant to
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) or
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
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and
Professions Code: The Contractor's License Law does not apply to an owner of property who
builds or improves thereon and who does such work himself or through his own employees,
provided that such improvements are not intended or offered for sale. If, however, the building
orimprovement 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 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.)
O 1 am exempt under Sec. B. & P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
Ihereby 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'COMPENSATIONINSURANCE
(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 thq 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 of 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 if work thereunder is suspended for 180 days.
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives -of this city to enter the above-.
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
No. 12509
BUILDING: TYPE CONST. OCC. GRP.
A.P. Number 774-074-020
Legal Description Lot 8 Block 186
Project Description SFO
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 DA'
Issued by:
Validated
Validation
Sq. Ft. 1586
Size
No.
Stories
No. Dw.
Units
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
Pest does
not include
block walls or
pool.
Estimated Valuation
$96,626.00
PERMIT
AMOUNT
Plan Chk. Dep.
250.00
Plan Chk. Bal.
278.81
Const.
626.00
Mech.
49.00
Electrical
131.89
Plumbing
144.00
.S.M.I.
9.70
Grading
20.00
Driveway Enc.
.00
Infrastructure
2,135.84
TOTAL
3,645.24
--3,395.24
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DA'
Issued by:
Validated
Validation
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. @ $
UNITS
SLAB GRADE
ROUGH PLUMB.
BONDING
Y
ARD SPKLR SYSTEM
2ND FL. SQ. FT. @
FORMS
SEWER
WIRING
MOBILEHOME SVC.
BAR SINK '
POR. SQ. FT. ®
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
POWER OUTLET
ROOF DRAINS
GAR. SO. FT. @
TEMP. POLE . 4el -4,y
GROUT
DRAINAGE PIPING
CAR P. SQ. FT. @
FINAL INSP.
WALL SQ. FT. @
WATER SYSTEM
DRINKING FOUNTAIN.
GRADING
cu. yd.
$ plus x$
=$
URINAL
SQ. FT. @
FRAMING 0 ZS ��
pp
FINAL INSP. Ops (y
ESTIMATED CONSTRUCTION VALUATION $
WATER PIPING
NOTE: Not to be used as property tax valuation
REMARKS:
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
AIR HANDLING UNIT CFM
SPARK ARRESTOR
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
SHOWER
BOILER B.T.U.
SQ. FT. @ c
BATH TUB
INSULATION/SOUND
SO. FT. @ c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID @ 11/4 c
SEWAGE DISPOSAL
SO.FT.GAR @ 3/ac
HOUSE SEWER
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE / PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK Le
GROUND PLUMBING j—Zt--C/
(JINDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER
WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE . 4el -4,y
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
=$
LUMBER GR.
FINAL INSP. Wl-,23-41y
r
FRAMING 0 ZS ��
pp
FINAL INSP. Ops (y
ROOFING 2qf.qlY Lj
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION J7�S
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
P.O. BOXj1504-,]
Building 78-105 CALL•EIESTADO
Address 5 AVENIDA OBREGON LA QUINTA, CALtFORNIA`92253
Owner
STERLING HOMES
malting
Address
P. O. BOX 450
City
Zip -
Tel.
LA
QUINTA
92253
618yf564-1866
Contractor
LENDEL VENTURES,
INC.
Address
P.
0. BOX 450
CityZip
Tel.
LA
QUINTA
92253
619/564-1866
State Lic.
& Classif
B 638535
City
Lic. # 859
Designer URBINA & ASSOCIATES
Address Tel.
6370 ANVIL LAKE AVE
- ..City lZip State
`I hereby affirm that 1
7000) of T.aDov( ion, q t
effect. L'L�
92119 Lic. 3333
CONTRACTOR'S DECLARATION %
ipter 9 (commgihcing with Section
and my licen a is in full force and
I'
OWNER-BUILDER DECLARAT(dollars
I hereby affirm at I am exempt from the Contractor'se Law for the following
reason: (Sec. 7031. ,Business and Professions Code: Any county which requires a
permit to
construct, alter, improve, demolish, or repair any sprior to its issuance also
requires the applic nt for such permit to file a signed statemhe is licensed pursuant to
the provisions of the Contractor's License Law, Chapter 9 (cing with Section 7000) of
Division 3 of th Business and Professions Code, or that. he ft therefrom, and the basis
for the alleged exemption. Any violation of Section 7031.ny applicant for a permit
subjects the applicant to a civil penalty of not more than five hund($500).
17 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, Buisness and
Professions Code: The Contractor's License Law does not apply to an owner of property who
builds or improves thereon and who does such work himself or through his own employees,
provided that such improvements are not intended or offered for sale. If, however, the building
or improvement is sold within one year of completion, the owner -builder will have the burden
of proving that he did not build or improve for the purpose of sale.)
I 1 I, as owner of the property, am exclusively contracting with licensed contractors to con-
struct the project. (Sec... 7044, Business and Professions Code: The Contractor's License Law
does not apply to an owner of property who builds or improves thereon, and who contracts for
such projects with a Contractor(s) licensed pursuant to the Contractor's License Law.)
1-1 1 am exempt under Sec. B. 8 P.C. for this reason
Date Owner
I -
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
F1 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 of 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 if work thereunder is suspended for 180 days.
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives -of this city to enter the above-
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
BUILDING DIVISION
APPLICATION ONLY
BUILDING: TYPE CONST. OCC. GRP.
A.P. Number 774-074—W - 0,D_<0
Legal Description LOT 18 BLOCK 186
_P.r�oject.Description S
Sq. Ft. 1,586 No. No. Dw.
Size Stories Units
New Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
PERMIT AMOUNT
Plan Chk. Dep. 250.00 250.00
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL
REMARKS
ZONE: # BY:
Minimum Setbacl����r����c'
ront� k froCen
ear I rorhAear
ide Street Setback fror
FINAL DATE I ! INS
Issued by:
Validated by:
Validation:
Line
ler Line
ne
rmit
Q41400
CONSTRUCTION ESTIMATENO.
lea
i ` ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. @ $
2ND FL. SQ. FT.
POR. SQ. FT. @
GAR. SO. FT. 0
CAR P. SQ. FT. GD
WALL SO. FT. @
SO. FT.
ESTIMATED CONSTRUCTION VALUATION $
y �I
1 ITS
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
STORAGE TANK
FORMS
FLOOR DRAIN
MECHANICAL FEES
DUCT WORK
ROCK STORAGE
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
METER LOOP
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
GAS (FINAL)
TEMP. POLE
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
GROUT
WATER HEATER
LAUNDRYTRAY
AIR HANDLING UNIT CFM
BOND BEAM
KITCHEN SINK
ABSORPTION SYSTEM. B.T.U.
GRADING
Cu. yd.
$ plus x$
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
FINAL INSP.
POLE, TEMIPERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
ROOFING
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
REMARKS:
SO. FT. @ c
BATH TUB
SO. FT. p c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID @ 1'A c
SEWAGE DISPOSAL
SO.FT.GAR @ 114c
USE SEWER
jEtGASPIPING
PERMIT FEE
PERMIT FEE
MIT 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
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./EQUIP.
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
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
DESERT SANDS.'UNIFIED SCHOOL DISTRICT
82 879 Highway 111 A
NOTICE: ; . Indio, CA -(`92201
Document Cannot Be Duplicated 619-775-3500:..
Date 11/29/93 Type of Permit Ia ,Quinta
No. 12546Permit #
Log
Owner Name Sterling Homes .
N o. StreetSee,.Below
City La Quinta rZip 92253 Study Area 113
APN # Tract #,. I:ot# T
0 'S,quire Footage 14758
Type of Development I Single: Family`` Residence•. No. of units 0
Comments 51440'Averiida Rameriz 1586 Study. Area:.113
53415 AvPnida 0hrPg0ri1,5R6 Shjdv Area 112.
54 in Avani&i.T-)i;,7 1righ 4tiiily Area 11 (1
At the present time, the Desert Sands Unified School District .does not collect fees on
carports,.covered atios/walkwa s residential :additions under 500 square feet,
garages/.P� Y
detached accessory structures or replacement ;mobilehomes • - It has beer' determined
the above-named owner"is exempt from"payin school fees at this time due to the
following reason:
EXEMPTION. NOT APPLICABLE
This certifies thatschoolfacility fees imposed pursuant to Government Code 53080
in the amount.of 165' X 4 758: or $7. 0.70"• havefbeen paid to D.S.U.S.D. for
the. property 'listed above and that building permits anid/or Certificates. of Occupancy for
this square footage in'this, proposed project rnay:now be issued.
Fees Paid•_By Sterling Homes Telephone 564-1866
Name on ;the. check
By Dolores •A.. Ballesteros - r'
Superintendent
Fee collected /exempted by : ' Vickie J. Durrett
•Payment P�ceivcd - :"
Signature '
,Check- No:.:1698
Collector: Attach a copy.of. county.or city plan. 'check application form. to district copy _gtag waivers.
Embossed Original- Building Dept./Applicant `"Copy:=:Applicant/Receipt Copy - Accounting
STERL. I NG,' RAYMARC 619.'560 7 1 73 P.04
Pulpc Coast,e'SCROw LConppoat(on
74.920:H1GHHY Y 111 INOMMELLS, CA. 92210
TELEPHONE (619) sri"344,
ESCROW INSTRUCTXONS -
Cindy Burgin Escrow>No. 14555
E9crow Oif.icvr ,Pat#: occcbsx ?s, 1993
PaCific Caa$t Escrow Coz•poration IS_.LIC.ENSED BY THE DEPARTMENT OF
CORPORATIONS.,' STATE OF &"IFORNIA..`
Buyers) herein will hand you as initial.'deposit the num of.......$. _500.00
CASH THROUGH ESCROW...':'...:.:... ..... .;...... ............. : S 23,S00.00
TOTAL. CONSIDERATION ...... :....... .... .:.':.............. ...:$ 24,000.00
Buyer shall deliver to' you:any instruments and'/ox sm 'fund'required.froBuyor to enable you
to comply with these instruction's, all of which:'you are' 'author zed :'to use and/or deliver
on -or before 12/27/93,1 and when you`,are in a position to obtain a standard Policy of Title
Insurance through CHICAGO TITLE :INSURANCE,COMPANY; provided that, said'policy has a
liahilley of at least the ,:amount •,:of the above td
otal gond erAtLon, a
60vring the following
daaQribec1 property in, the' .,City of LA.QUINTA, County of Riverside, State of California:
LOT,' 8 IN BLOCK 1866F SANTA •CARMET.ITA AT'VALE 7.A .QUINTA,, .UNIT NO. 18', AS' PER MAP RECORDED
IN `BOOK 19, • PAGE 30 AND . 31' OF."MAPS,. IN THE OFFICE OF 'THE. 'COUNTY --,RECORDER OF SAID COUNTY
PROPERTY ADDRESS .VACANT LOT- El; BLOCK 18.6/.-APN NO. 77.4-074-020,LA QUINTA,CA 92253
SHOWING TITLE VESTEb..I.N.::Sterling Homes, A_General Partner"ship
FRSE FROM ENCUMaRANCES :EXCEPTA'
General and Special :Tax as, for:.current.,fiscal year, including any.`apeoial levies, payments
.for which are inoluded therein:and.co'llected therewith. Covenant.e'," conditions,
restrictions, reservAtions, easements,: riglita 0f_wayi, of record, .if Any,. also exception or
"reservations of oil,gae _or mineral righte,'`if.:a►�y..
.1:). Buyer will execute these instructions.immediately:upon::•rea'eipt.of. same and return said
in3truetlona, and'the good:.faith,depoaiC check.of ,:$500.00;
.::.':. 4. G,9 3 9.
' Date,..
m�r
V
of
Orrr-kiWk
I jq�
Tit of 14a 1
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building
Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of.. the City regulating building construction or use. For; the following:
BUILDING ADDRESS 53-415 Avenida Obregon
Use Classification Single Family Dwelling Bldg. Permit No. 12509
Group R3 Type Construction VN Fre Zone Use Zone SR
Owner of Building Lendel Ventures, Inc. Address P.O. Box 450
La Quinta, CA 92253
City
By; Lonnie Day
August 25, 1994
Date •
Building Official
POST IN A CONSPICUOUS PLACE
Installation Certificate: Residential CF -6R
Use of this form to satisfy the requlrsmsnts of the Administrative Cods is optional, but the Information must be provided and posted.
53415 AVENIDA OBREGON, LA QUINTA, CA 92253 12509`'
Sits Address Permit Number
An installation certificate is required to be posted at the building site prior to the issuance of the occupancy permit. This torm
may be used to most these requirements. All appliance categories fisted below are the actual equipment installed. Note that
Ina efficiency and type of the appliance installed must be equivalent or boner than the appliance specified on the Certificate of
Compliance (CF•1R). This ceMicate (or as equrvalara) shall be prepared and signed by the person(s) assuming overall
responsibility for the appliance installation.
I, the undersigned, verily that the equipment fisted in the category above my signature is the actual equipment installed and
that the equipment meets or exceeds the requirements of the Appliance Efficiency Standards. In addition, I have verdied that
the equipment is equivalent to or more efficient than the equipment specified on the Certificate of Compliance submitted to
demonstrate compliance with the Energy Efficiency Standards for residential buildings.
. i
HVAC SYSTEMS
Note: Hydronic boiler information is entered here. Other hydronic or combined hydronic equipment is listed
under.
• Water Heating Systems. .
Heating Equip.' CEC Certified Actual Distribution
Duct or Heating Load
Heating
Type (furnace,.•. Manuf. Maksi • .' • ` Eftblency.: Type and.
Piping "" Before Over-
Equipment-
hsatpump, etc.) ' Model Number. (AFUE, etc.) Location
R-VValue Sizing (Btuh)
Capa%j (Btuh)
HEAT PUMP' RHEEM 48 MAX -0 HSPF 8.85 UP FLOW FAU
R-4.2
50,000 HEATIN
40,000 COOLIN
CEC Certified
Cooling Equip." ComprssaorUnit Actual Distribution
Duct or
TyPe (air pond., Manuf. Makes ., •, 'Efficiency Type and .
Piping
haat pump, etc.) Modsl Number _� ' (SEER) Location
R-Valus
HEAT PUMP" RHEEM RPNA-048 • 12 HEAT PUMP
R-4.2
„ . JA:.. DUCTING
. (SEE ABOVE)
The building design fisat loss and design`heat gain rate have been determined using a method specified in Section 150(h) of
the Energy Efficiency Standards. and are two of the crhoha used for equipment sizing and selection.
LENDEL VENTURES, INC.
S�gnaare Date • - HVAC Subontraaor (Cc. Name) or General Contractor or Owner
A. P... , II. • PRESIDENT
.LENCH
WATER HEATING SYSTEMS '
"
Energy'
External
Water Heating CEC Certllled Rated' Tank
Factor or
Tank
System Type S Manut. Maks i input (kW Capacity
Recovery Standby'
Insulation
(storage gas, etc.) Model Number or Btuh) (gallons)
Etticlancy Loss (SG)
R -Value
ELECTRIC 'A.O.. SMITH EES -40 •4500 40'GAL
.89 .89
R-16
(EXCEEDS)_._
1. For small gas storage- (rated trout S 75.000 Stu/hr). eloctrlc resistance and Mat pump water heaws. list Energy Factor.
For large gas storage water hestsrs (rated input z-75.000 Btwtr), fist Rated Input, Rucovery Efficiency and Stsndoy Loss.
For Instantaneous gas water heaters. list Rated Input and Recovery Efficiency.
For Instantaneous electric water healers. lett Rated Input.
FAUCETS i SHOWER HEADS
All faucets� n, 1d h erheads Insta rs listed in the Commission's Directory of Candied Faucets and Showerheads,
pursuanj/jTit ti �G, Pan 6, Siapte 2, Section 11 t.
P. LENCH,
Revised January 119112
PRESIDENT
�j LENDEL VENTURES, INC.
Date " Plumbing Subcontractor (Co. Name) or General Contractor or Owner
G'
Ir'c�Tr!}�a•.Av°�i.X�.'et
not ,
XAVI8R URBINA,:ARCHITECT'' }4�``� 4
33 a 6 9. 316 8.
m
LIV. %h1.PM. Vi ; X r.4 •= $dot ;
1 ryi
w
0 �' �� ( r
_ � of � 1.� rV �, �, � ., • : -
' O7
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(BIZ •ix�o - �ao2O' . ;ti��►p IZzI�,�� 13t,. b t
v�.
/ l i
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00Z
uj
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f i
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XAVIER iURB7[N.Aj,,AR,C; 469-3168.
04
I,4144 Z
Date: 4/7/1'3'323
T,ab1e: )f Contents"..for. Title .24...:Repo rt
Cover.
Page
........... ...... ..... ... ...
1
Table
of Contents
., .. ... . .. .............
Farm
CF-1R
Certificate of. Compliance: Resident,kal ;.. .:'..............
S
Form
MF-1R
Mandatory Mea.slir,es Checklist Res.ide`nti a.1 .....:...
Form
C-2R
Compi_tte,r . Met .hod .S�immary ..... .... .........
7.
Form
P-2R
Point .System .Summary ........... ...... .............
1��
CERTIFICATE OF COMPLIANCE: Residential (part 1 of 2) CF -1R page 3
of 10
Prc , je c t Name: CZERANSk::I'-
Date: 417/1993
Address: 54-190 OBREGON
•_
' -----------------
LA.OUINTA , CALIFORNIA -Building Permit
No
Designer:
'Check:ed by / Date--
Documentation: JOHN H.."HACk"ER '?<
ASSOCIATES.. : GOMPLY 24 User
2655
GENERAL INFORMATION
Compliance Method:
COMPL.,Y 'c4 version 4.10
Climate Zone:
1c ;
Co nditioned Floor Area:.
1688. sgft
Building Type:
SingLP ::Fam:` Det
Building Front Orientaton:70
Ni_imber of. Dwelling Unit's:
Floor Cc�nstr�_�cti��n,.Type:
S1ab.;on: Grade
BUILDING.SHELL INSULATION'
Component .. U -Val ue...,-Loc_ation/Comments .
R-1.1 Wall (W. 11. :4..1.6)
C).7i).96- 1ST FLOOR :.._
R -SS. Roof (R.38.'2 1.4,. -.LG)
0.028 1ST.•FLOOR
Slab Perimeter .w/R-C).
o.,-360: 1 S FLOOR
:Slab Perimeter w/R-0, 0
0.7'0 . 1 -S -T FLOOR .
FENESTRATION..
Shading.Devices
Frame
Orient. Area U. -Val Type
Interior.,. Exterior OH SF
Type
Left (N) 60.0 U. 655--, 'D
Light. Blind.. Standard Bug Scr Y N
Metal
BacF: (E) 23.0 0:65 D rutile
Lkght 1B,,1 ;nd St'a,ndard ;.BLtg Scr Y N
Metal .
Right (S) 40..0 0.65.:0bi1b1�e'
. Light 'Blind. Standard "Bug Scr Y N
Metal
Front (W) 4o,.O 0..-65 Dbl' ble ,
Li"tit.'Blind Standard `'Bug . Scr Y N.
Metal
THERMAL MASS
Area Thick:._
Type Covering
( o
_sf) (in) Locat n/Des°cription
Concrete, Heavyweight Exposed
3'.1 ~50 ST.ab• on`� Grade ..
Concrete, . Heavywe .ght Covered
8683 3.ZO S`l:abon. Grade. _
Tile in Mortar Expbsed
880 1°.50 1ST ,FLOOR/.In't.'Mass
7 77.7 -
Project jectName:. C•ZERANSKI •, . 'Date: 4./7/1993
3
D� �cl_(mentation: JOHN H.:.,.HACKER : & ASSOCIATES COMPLY 24 User 3650.
HVAC 'SYSTEMS' Minimuim . Dstrib Type D�_�.ct. TSLat
System Type Effic*ien`cy, and Lc-cgticri, RVa1 Type Location/Comments
------------------------------
.Furnace 8C)Ci;:'A.FUE'DLicts' in Attic,:` —.4.2 Se.tbcF::.WHOLE 'HOUSE
SpltAirCc ndl(_).,0(-)o. SEER Ducts `i"n Attie 4. 2 Set Dek
Water Nc . Tank: Ext.
.WATER HEATING. SYSTEMS": Heater :in Energy:Size Insu1
System Name Distributic �n Type Type Sys Factor (gal) ' R -Val
Meets CEC Standard
•AFUE
WATER HEATER EQUIPMENT=`DETAh'L /Rec Rated` :.Stdby Tank: PiIot
System Name' System Type. Eff InPat Less R -Val Light
SPECIAL FEATURES/REMARk::S
---------------------------
_COMPLIANCE STATEMENT
-This Certificate -of Compliance lists::the " building' featLwes and performance
specifications. needed. to :comply.wi.th'Ti,t,le 24:, ,Pants A &'S of the Califor-.
nia Cade cif Reg�_(latic�n. and t`h _:adminis:t•rati.ve,* regulati�_�ns to implement
them. This- cert.if-l' has-been signed by'- the 'ind vidual .wi'th. c�.veYal.l
design respcinskbi.l ;t•y. When,`thiss .:Cert fica.te:-cif compli_ane:e is submitted for"..
a single' b1sildi.ng pl-an trj..•bbui1t :ib. mLi.hti:phe: car entats��ns,.. any. shading
featLire that is varied..is.,indicated' in the Spe-.cial,--Fea't1_(res/Remark-s section
DESIGNER.Or OWNER DOCUMENTATION.AUTHOR
(Per Business & Pr.afessic ins'• Code)' JQAN.. WACk'ER.
JOHN ':H. HACKER :& ASSOCIATES
4tOl E.' Sunny Dune Rd. Suite'.0
?PALM' SPRINGS', CALIFORNIA 9264
L i c .:# ------ ( 619) 3227'-456t--.
------ 1
(signat�_rre�--
--------- -- (date)
Csi atu.r'e) (date).
ENFORCEMENT AGENCY.
Name: ----------------------=--------
Title:
--------
-----=Title:-------- ---=--- - ---- .
-- ----- --
Age.nc.y:---------
- ------------------------------ ------ ------
Telephone:(signature/stamp)
(date)
MANDATORY MEASURES CHE;CKL'L'.ST,(p.ar,�_�:f.
: 1 MF -1 R'; page 5 of 10
Pry � ject . Name: CZERANSKI :nate:: 4/7/19931
D� �cu.Mentation: JOHN H. HACKER ?< ASSOCIATES. :'COMPLY 24 User 22655
`.NOTE: Lowrise residential-. buildings:'su .;.)e-ct ;the.Stand'ards must contain
these measuresregardless .cif. ttie:cc mplance;. appr�-�ac;f� used;. Items marked
with an asterisk: ('.*7 mays+_ipe.rsee: str°inge.n;t `compliance
requirements: listed. on.the Certificate :..--,,f ..Cc,-mpli,a'nce.:.. When.'this checF::list
is incorporated into: t:he.-.permit. 'd• �cumentt. 'the._features n ted shall be
considered by, all parties'as .bi.nding-mi nimum 'cbmpb1nen:t:'perfo.rmance
specifications for the .mandatory measures<:whether... they'ar,.`e shown elsewhere
in the documents o�r 'on..this, checF::1 ist on.1y,
BUILDING ENVELOPE MEASURES Enforcement
o Sec. 15C) (a) Minimum R-19 ceiling. insi_tla;tion:.
o.Sec. 150(b):. Loose fill ins�_ilation,.man�_�fact�_�rers
labeled R -Value.
Sec. 150(c).-: Minimum.R-13 wal.1 insulati� gin, din framed`. wal ls,
(does not apply to exterior mass walls).
o Sec. 150(d): Minimum. -R-13' raised: f10-br. ins,_ilation in':framed
floors; Minim�_rm R-8 i.n .cf-n.crete raiised ��
f,aors: % .
.0, Sec. 150 (1) : Slab. edge- insulation water abs -r.pti6n? :rate
nit, greater, than 0. 3J.,.:: wager. vap� �.r transm'issi� �n 'rate n,
greater than 2.0 perm/i'ncti:. --------------
c,
-------o Sec.. 118: 'InSUIatit_,n- specified .or installed rrieet3s 'Ca 1:1fc1rnia
Energy. Commission qul-ali,tY.stAndards I"ndica,te'Type :°< f6r'm'.`
. r_• Sec:. 1.1E-117: Fenestration Prod.ucts,-,•Ext..Doors '<"Inf 1'/Exfi1 Controls
a. Doors and windows between cond tip Wined end . unconditioned
spaces desi;ghed: to . 1imit.'air leas a,ge
b. Manufactured; fenestration pr��d�_ict5 have' label
�_�.w/certified U-Val1_te
c. Exterior doors and -wi:ndows :weattierstripped:; all joints
and :penetrations caulked :and seal'ed.. -----------
o .Sec. 150(g): Vapor barriers mandatory in. Climate . Z.ones 14
and lb .only. -- ----
o Sec. 150(f) Special` infiltration barrier installed to
comply with ;Sec.. 151- meets Commission gUality .standa.rds.
o -.Sec. 150(e): InstaIlatio.n'of Fireplaces, 'De:corat1ve`Ga's3
Appl iance.s`'`and : Gas Logs
1. Masonry and factory -built firepla.cea .:haver"
a.. Cl oseab'le.'metal or :glass.. door
b. Outside: ai=r intal::e with damper . and c� �ntrcl
c. Flue damper and xon.tr.ol .
3. No continuous burning gas pilots "allowed.
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MANDATORY MEASURFS CHECk:L IST . `part V`� �_�•fi: �:�' '' MF�1 R 6 6f 10
Project Name: CZFRANSKI" Date: 4/7/19'33
D� �cumentation: JOHN H. HACKER & ASSOC:I,ATES. :COMPLY 24 User 2555
SPACE CONDITIONING, WATER HEATING AND `PLUMBING SYSTEM -MEASURES Enforcement
o Sec. 110-13: HVAC equipment, water hOmeters, snc iw,erfi.eads
ied b
and faucets certif`
y' thelc ammissi� n,.
o Sec. 150(i).- Setback: thermostat on 'a applicable.
heating systems.
o Sec. 1500): Pipe and Ta'nE InsuI'a' ti.6n:
1. Indirect hot wader._tarik:s deg 6inf=irec st�_�rage` tank. s.. �`r
backup solar fiot.-water •tank:s)` have insi'i1,ation baan`ketr
(R-1' or greater)" or combined .inaeri`l_r/ex ter1ation
(R -1E or greater).
2. First 5 feet c•f pipes c<1sest <t�" wa-ter ;hreater tanE:',
non-recircu at:ion systems, .inGv-lat"ed.. (R•-4.or grea.t.er.
3. All buried or .exposed.. pipinq, insulated ..in recircu11'ation
sections of he �t water, system`:+:
4. C�moling. system piping -be -Low 55 :F insulated.
5. Piping "insulated between., ,eating:.solarce and ind�ire.ct hot
water tank:.
o Sec. 156(m) Ducts.and 'Fans
1. Ducts constructed, `installed ith
UMC Sections, 1,0027' and" 10.04;,,ducts nsulated to a minimum
R-4.2 or duets.. encI used entirely within:- conditioned space.
2. Exhaust systems have back:draft.or, automatic dampers.
3. Gravity ventilating systems:'serving•` conditioned "'spa_c'e Have
either .automatic .or readily accessible. Mari i_t'a11y operated
dampers.
o Sec. 114: Pool and Spa• Heating Systems -and E'r 1pment'. t,
1. System is certified`with. 7:8� ther,ma.l efficiency; c•n-off
switch,, ..wea,tt!erprocif;.'r_ipe.ratinq„'instr:i-'tct`i'iins;,. "n�-, .elec.tric
resistance <hea'tinq and nopil6t'light.
.2. System• is insta.11ed:.,_.with:
a. At least 36"_ p pe'',between 'fiater and .heater 'f �r f_�ature .
sojar heati:ng..
b. Ci �ver•:'for ojii'door .spas.
3. Pool sy=stem.•has directional inlets•, and a cir.cu-hation
pump time switch:.. -----------
o Sec. 115: Gas-fired -ce:nt•ra1 furnace-.:poolheater,:spa heater
or household. cooking ing appl i'ance have- n� occontin:��_�us y.-
burning pilot light. (E ceptir_1n zNnn-ele.ctrical: .cooking
'
appliance -with -pilot
.-----------
LIGHTING MEASURES
o Sec. 150(k:): Lighting -.40 lumeris/wa.ta car greater- for
general lighting in .-.itchens.and rooms wwater closets;
and recessed ceiling fi t—ures IC ' (insulation cover) --approved.
COMPUTER METHOD SUMMARY. (part 1'.)-
f,. C' =2R page 7 of 1C?
,Projg-ct Namez CZERANSN::L. ..'Date: 4/7/1993
DOcumentation: JOHN` H.• HACKER & ASSOCI.ATES` :.y. -,:COMPLY 24 User 2655
POINT .SYSTEM.' -COM. PLIANCE :SUMMARY
Proposed. Design Point S'cre # Pwints *E{.�_i.i;1d'i,ng Cc-mplies_*
Budget Compliance Print G�ia.l, O P0rs"-
:GENERAL INFORMATION.
Compliance Method: COMPLY 24- version - 10
Climate Zane.:
Conditioned Floor Area;: 1888'"•sgft .
Building Type:. S.ingle,- Fam Det:
Building Front Orientation: 270 -deg (W)
Number of Dwelling Units: 1
Number of Stories: 1
Flor-r C� �nstructiOn Type Slab- on•.Grade.
Total. Conditioned. Vol:i.ime: 13504. c.uf'a:
Conditioned Footprint Area:1688;-sgft
Ground Floor Area: iS88 sgft'
BUILDING ZONE INFORMATION
Flc�o.r Vent
Zone Name Area V6Iu '6,�.Units Zone Type TStat Type Hgt Area
WHOLE HOUSE. 1688. 1^5��4 1;. C>i=i C.�_�nd-i=tip-�ned Setback: n/a
OPAQUE SURFACES Act Solar
Type Area U -Val Azm. Tilt -Gains Form .3 Reference L� �ca.t.i� �n/Comments
ZONE NAME =.WHOLE HOUSE
Wall 2'ES 0.09B.270 ..90 Yes , ,R-11 ,Wall (W. 11.::•2;A'AG—)"" 1ST FLOOR
Wal l 8 4 Q. osie :: G fir?. . Yes. R-11 4a 1 ,'CW 1.,1 .'2V4'. ,18? 1ST:.FLOOR
Wall 313.. 0.098 90 .90 Yes R-1.1 F'Wal 1 -'(W 1.1., 2L;4:..1E) LST FLOOR
Wall 344 0.098:`1E30 0 :;Yes R-11 "Wall (''W 11- 1ST FLOOR .
Roof 1688 0.028 27G ' ' Ye's:.:.R-38 Rhe_ -,f (R".: Z8 2x14.1.6)IST. FLOOR
COMPUTER METHOD SUMMARY (part -2 f? C-R page 8 of 10
P, -
------------- ------ r----==-----------------------------=------------------
Rroje•ct Name: CZE;RANSk.`.I'-
f Date: 4/7/19'3
D ocI_tmentation: JOHN H. HACKER• !< ASSOCJATES . COMPLY 24 User- 6JJ
-----------------------
-----------------------------------
PERIMETER LOSSES..:.. F Insu1at:ion
Type: Length Fa.ctc,r R=Va1 :D'bPth. Lo ation%Comments
ZONE NAME _ WHOLE HOUSE.
!Exposed 1 ea. 0. , . 0.30 6.. 0 0 ..i n •1'ST •F,LOOR
Covered 160. C) .:. 0. 72 n.. in .1ST.. •FLOOR
FENESTRATION SURFACES SC
A:ct . GIas's
# Type Area. Fr.ame.;•Dv U -tial :Atm Tilt Only L•+c°atic-n/Comments
----
ZONE NAME-= WHOLE HOUSE
1 Wdw Front (W) 40.0. Me.ta.l No 0.',65 2;7b go o. 88 1ST- FLOOR
Wdw Left (N) G0.0 Metal No Ea. '0* 90 0..ee :1'ST FLOOR
O Wd-w Back:: (E) C:.0 Metal. No 0.65 902 SCS:,., ��::88.1ST5:FLOOR
i
4 Wdw Riqht (S) 40. 0 M'e:ta1 N• � .0i, E5 18��. `. 88 .1ST` FLOOR
INTERIOR .& EXTERIOR SHADING
# Type Interior Shade. Type SC::. ; E te;ric -'r Shade Type SC
1 Wdw Liaht Blind .: 0.581 - St ndar,:d Es!_�q Screen: i>,87
c Wdw Light Blind ii,58.. Standard B'u Screen o.87
Wdw Light Blind Ci:_5e . 'S`tand.ar&.B'ug" Screen o. e7
4 Wdw Light Blind 0.58 Standard �B'1Ag` Screen ti, 87
COMPUTER METHOD SUMMARY 'C'part 3 of 3) C -2R page 9 of 10
------------------- ---.---
:Date• 4/7/1993
Project Name: CZERAN5KI
Doc)_imentation: JOHN.H. .HACKER &.. ASSOCIATES .:COMPLY 24 User 4-------------------------------------------------
b55
------------------------------
OVERHANGS/SIDE FINS-
Window=.------Dverh�anq - =Left Fin - - ----Right Fin--
#- Type -Ht-: -Wd- Len_-Ht_.LExt REY:t Dist Len._Ht_: Dist Len_ -Ht-
1 Wdw 4.0 4.0 -.6 Q. 11' .0 24.0
L Wdw 4. 0 4.0 it .. 0. 1 2. 0
Wdw 4.0 4.0 _.0 0.1 2.0
4 Wdw 4.0 4.0 -.0 � 1 2.0 .0
:THERMAL MASS Area Thick- :,Heat..::, -.Inside Location
Type (sf) Cin) Cap Cond.Form 3 ,Refer.ence; R -Val.. Comments
ZONE. NAME = WHOLE HOUSE
Exposed Slab 880 3. 50 0.98 n/a. 0
Covered Slab BOB 3::50 ; : 8 0. 99 n/a,
Interior Mass 880 1.50 '24 0.67..n%a. 0
HVAC SYSTEMS Minimum Dist:rib. Type Duct TStat
System Type Efficiency and -Location RVa:l, Type Location/Comments
Furnace 0.800 AFUE Ducts .in Attic 4 ,2 Se'tBcE:: WHOLE HOUSE
SpltAirCond10.000 SEER, Ducts. in Attic '.-2:- SetBcd
Water: N� �... Tank: Ext.
WATER HEATING SYSTEMS Heater in Energy Size Insu1
System Name Distributirin Type .,! Type Sys :Fatter (gal) R -Val
7 7
Meets CEC Standard .'
- ----- -----
-=----------------------------------- -------- --- -----
AFUE.
WATER HEATER EQUIPMENT DETAIL /R@.0 Rated. St,dby Tank: Pilot
System Name ,System Type Eff Input Less R -Val Light
SPECIAL FEATURES/REMARKS
PONT SYSTEM. SUMMARY
P.�- 'R page 10
of 1C� .
Project Name:- CZERANSK"I :':::.
'Date: 4/7/1'3'3S
Documentation: JOHN H.. HA'Ck;ER °<'
:ASSOCIATES
.,'COMPLY 24 User
2655
BUILDING DATA
Conditioned Floor Area 1688' sgft' ''`
NLimt+er'• of
Stories 1
Occupancy Type, S.ing1e,Fam.Det
SCORE CARD
MEasu.re';..
Points
,-- t
1, Roof Insulation
c_i 028":'.- -.
'(L1 Val'ue.)
0
2. Wall Insulation
.0.0978
CU-VaT�_ie:�
_•�
G. Raised Floor Insu1'ation
O 0000,-
YU Valued
8a. Controlled Vent Crawlspace
0.0
CR-Va1ue)
4.. Slab Edge .Insulation
0 8153.
Cf� .fact; r')
;... .. .
5. Infiltration
St'and'ard '...
C>
6. Glass .Heat .Lass
0.5
9.:7%:
." 4
:
Sum 1-6
-6
7. Fenestration ,Heat. Gain.
SC'
Orientation Area ✓.: Glass
,Open
•Eff. %
SER
North 60. Cr 3. E
° 0.77 :_ .
�.7.., -Ci.
6:4 1
East �5.. c:� 1.4.
, CY. E8
0; 57 .
South 4C�.,0 .4.
-' �? E4 '_
15
0.48 1
West 40.'.0 2, 4
ti: :,Cf E5 =
J. G.
0. 59
5k:yligh�t n, C). c�;�>
r :; 0
C�,D
(Y,.C�o 0
8. Interior Thermal .Mass
4:51.
3
9. Exterior Wall!Mast.
0.00..:
:., 0
Sum 7-9
9
10. Heating. System
1
Zonal .Cbnt-ro-l:,.No .
.11. Cooling System
0
12. Water Heating
=.
0
Point Total:
4
` , ,y, •F3' r J
DESE-RT:'SANDS` UNIFIED .SCHOOL .DISTRICT
82 879 Highway.111:` .
NOTICE: ;Indio; CA 92201 ,
Document Cannot Be Duplicated . 619-77573500
Date1./19/94, Type of.Permt I.La,Quinta .
No. ` 12622 "Permit #
Log
Owner Name Hank-.Czeranski
No. 54-700. ., 'S.treeV.Avenida.Obregon i
City; . La Quinta Zip 92253: Study, Area 110
APN # Tract # Lot # 0 Square' Footage 11648
Type of,:Development Single ,:Family, Residence No; of units 0
Comments `
At the present time, the De" serf Sands Unified School District does .not collect fees on
garages/carports, covered patios/walkways; residential additions under 5.00 square feet,
detached accessory structuresIor replacement mobiiehomes 'It has',been. determined
the above-named owner: is- exempt from paying school fees at this, -t me due to the
following reason:
EXEMPTION NOT APPLICABLE .
This certifies that school facility fees imposed pursuant- to, Government_:Code 53080
in the amount of L65 x -1648. ,.or $ 2;719.20 have been paid ki D.S.U.S:D. for
the. property listed'above and that buldmg'permits arid%or Cerhficates'of Occupancy for
this square footage in this proposed project may,now be`issued:''
Fees Paid By Hank Czeranski Telephone 322=8085
Name on th .-:check
By Dolores- A. ,Ballesteros r.
Superintendent
Fee collected /exempted by Vickie J. Durrett . f n
Payment Received
Signature `J -C- 2457
CF eck No.
Collector: Attach a.copy'of county or city plan check apphcatron form'#o district copy fo`r.:all waivers. -
Embossed Original- Building Dept./Applicant Copy Applicant/Receipt Copy Accounting