12245 (SFD)Building 54-960 RUBIO
Address
Owner
STERLING HOMES
T4tyl 4 4 Q"
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
Mailing
Address P 0 BOX 450
City
Zip
Plan Chk. Bal.
LA QUIH?A.,
92253
•
Contractor
LEHDEL VEWTURES, INC.
Address
P. 0• BSS% 450
City LA QUIH?A
Zi42253
Te564-1866
State Lic.
City
& Classif. $_638535
Lic. # $S9
Arch., Engr.,
Designer URBINA & ASSOC.
Address
Tel.
6370 AHVILL LAKE AVE.
564-1866
City
Zip
State
SAH DispO, CA
r
Lic.#_,..0--13,339
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed unddr provisions of'Chapter 9 (commencing with Section
�7pp1�00) of Div sionL��33� t�o�f���t/hrye�B,�sirr��eess a d'Professions Code a d mR license is ijn full force and
Tfect.Ap-. t jtz.ab.. tfF'I`1 rz . �RFiG`�fir� . -.-&
Tel.
564-1l3�i6
Sq. Ft. 1586 No. No. Dw.
Size - - Stories. Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
PERMIT DOES NOT INCLUDE BLOCK MALL OR
POOL •r .
Estimated Valuation $96,626.0
% Jr OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractor siticense Law for the following
reason: (Seca 7031.5, Business and Professions Code: Anyjcity or county which requires a
permit to cdnstruct, alter, improve, demolish, or repair any Structure, prior to its issuance also
requires tllerapplicant 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, 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, 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
Date Owner
WORKERS' COMPENSATION DECLARATION i
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
OuG py 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 th? 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 1 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. 12245 -
BUILDING: TYPE CONST. OCC: GRP.
A.P. Number 716-292-011 -
Legal Description LOT 14 OF BLOCK 278
Project Description SINGLE FAMILY
0
PERMIT
AMOUNT
Plan Chk. Dep. _ $250.00
Plan Chk. Bal.
Y •
Const.
•
Mech.
y .
Electrical
3
Plumbing
4
S. M.I.
9. . u
Grading
zu, 00
Driveway Enc.
Infrastructure
d , 13a .'aV
> p-cil to as
- 3 . 00
TOTAL 3,6 t1..2
$3,42U. 4
REMARKS I
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
i
Side Setback from Property Line
FINAL DA1
Issued by:.
Validated t
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING'FESS
1ST FL. SQ. FT. ® $
*
2ND FL. SQ. FT.
POR. SO. FT. ®
GAR. SQ. FT. ®
CARP. SQ. FT.
WALL SQ. 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
STORAGE TANK
FLOOR DRAIN
MECHANICAL FEES
DUCT WORK
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
REINF. STEEL
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRYTRAY
AIR HANDLING UNIT CFM
FINAL INSP.
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
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
FIRE ZONE ROOFING
SQ.FT.GAR ® 3/<c
HOUSE SEWER
FIREPLACE
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
GROUND PLUMBING ERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB. BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF. r
GAS (ROUGH) METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL) TEMP. POLE gp
GROUT
WATER HEATER SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
_ $
LUMBER GR.
FINAL INSP. —_23— T
FRAMING / f1
FINAL INSP,LL / ;,L
0�)0
ROOFING _ L�
REMARKS:
VENTILATIONj�
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL/—W /
LATHING I —--O/!y[.b
MESH
INSULATIONISOUND
FINISH GRADING
FINAL INSPECTION -- 0 --' Gf
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
f DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway 111
NOTICE: Indio, CA 92201
Document Cannot Be Duplicated 619-775-3500
Date 10/5/93 Type of Permit I La Quinta
No. 112467 Permit #
Owner Name Sterling Homes Log
No. 54690 Street Avenida Rubio
City La Quinta Zip 92253 Study Area 110
APN # Tract # Lot # 0 Square Footage 11586
Type of Development I Single Family Residence No. of units 0
Comments
At the present time, the Desert Sands Unified School District does not collect fees on
garages/ carports, covered patios/ walkways, residential additions under 500 square feet,
detached accessory structures or replacement mobilehomes. It has beer. determined
the above-named owner is exempt from paying school fees at this time due to the
following reason:
EXEMPTION NOT APPLICABLE
This certifies that school facility fees imposed pursuant to Government Code 53080
in the amount of 1.65 x 1586 or $ 2,616.90 have been paid to D.S.U.S.D. for
the property listed above and that building permits and/or Certificates of Occupancy for
this square footage in this proposed project may now be issued.
Fees Paid By Sterling Homes Telephone
Name on the check
By
Dolores A. Ballesteros
Superintendent
Fee collected /exempted by Vickie J. Durrett
Signature ��-
Payment Received
Check No. 1644
Collector: Attach a copy of county or city plan check application form to district copy for all waivers.
Embossed Original- Building Dept:/Applicant Copy - Applicant/Receipt Copy-' Accounting
STERLING RAYMARC 615 560 7173 P.01
RECORDING REQUESTED Pv .
f `l
AND WHEN RECORDED MAIL THIS DEED AND. UNLESS OTHER- 0 -
WISE SHOWN BELOW, MAIL TAX STATEMCNTS "TO:
Uj
NAMR Sterling }tomes - -
U.-WADDRE99 P.O. Box 8249 U.
CITY e
La Jolla, CA. 92038
00 Q�"'p
W-4 a. STzip a. H d fi
U .
ZIP L
J
itle Order No. 554564 Escrow No. 13912 F Uj
----CE ABOVE THIS I..IrYE FOR RECORDER'S USE �
GRANT DE
Zt• Theundersigned declares that the documentary transfer to is $.p..00
................................................................. and is
EN computed on the full value of the interest ur property co xe�rl�r is
❑ computed on the full value less the value of. liens- or encumbrances remaining thereon at the time of sale. The land,
1 tenerueuts or realty is located in
.1� ❑ unincorporated area ] city of La..QAinta..................................................
.........._..........,., and
'FOR A VALIJABLE . CONSIDERATION, receipt of which is hereby acknowledged,
WILLIAM R. RILEY, AN UNMARRIED MAN
hereby GRANT(S) to.
STERLING HOMES, A CALIFORNIA PARTNERSHIP
the following described real property in the City of La Quint:a
county of Riverside , state of California:
LOTS 13 AND 14 IN BLOCK 278 -OF UNIT N0. 25 OF SANTA CARMELITA AT VALE LA QUINTA,
AS PER MAP
RECORDED ID N BOOK.19-PAGES 50 AND 51 OF MAPS, IN THE OFrTCE OF
THE COUNTY RECORDER OF SAID COUNTY
Dated March 23, 1993
API R. RILEY
STATE OF CALIFORNIA
COUNTY OF Rjversj(te S.S.
d
On _ May 4, 1993 before me,
x Cindy Miller
oa Notary Public in and for said County and State, personally appeared
W William R. Riled
H
u
F personally known to me (or proved to me on the basis of satisfactory
evidence) to be the person(s) whose name(s) is/are subscribed to the
within instrument and acknowledged to me that helshelthey executed
the same In his/her/their authorized capacity(ies), and that by hislher/their
5 slgriature(s) on the instrument the person(s), or the entity upon behalf
1 of which the persoo(s) acted, executed the instlumenl.
FOR NOTARY SEAL 08 STAMP
`♦1���1�1��♦++�6�6lO�bbbObP4*!lOtRb`
AF'Et�(AL SF:At.
CINDY Mliu-,R
• •4n 1 , NOTARY PLOLIC—CAutoarylA "
��
NOTARY IBONO FILED IN
IitVEf Sft Coutay a
Installation Certificate: Residential CF -611
Us• of this form to satisfy the requirements of the Administrative Code Is optional, but the Informatlon must be provided and posted.
54-960 AVENIDA RUBIO 12245
Site Address Permit Number
An installation cendicale is required to be posted at the building she prior to the issuance of.. the occupancy permit. This form
may be used to most these requirements. All appliance categories listed below are the no tel equipment installed. Note that
the efficiency and type of the appliance installed must be equivalent or better than the appliance specified on the Certificate of
Compliance (CF -1R). This cendicate (or As equivaleru) shall be prepared and signed by tha person(s) assuming overall
responsibility for the appliance installation.
I, the undersigned, verily that the equipment fisted in the category above my signature is tha actual equipment installed and
that the equipment meets or exceeds the requirements of the Appliance Efficiency Standarjs. In addition, I have verified 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.
MVAC SYSTEMS
Note: Hydronic boiler information is entered
here. Other hydronic or combined hydronic equipment is listed under
Water Heating Systems.
CEC Grilled
Rated'
Tank
Heating Equip. CEC Certilled
Actual
Distribution Duct or
Heating Load Heating
Type (furnace,. ManUf. Make &
Efflclency
Type and P�ping
Before Over- Equipment
heat pump etc) Model Number
(AFUE etc.)
Location R -Valu•
Sizing (Bluh) Capacity (Btuh)
HEAT PUMP RHEEM 48 MAX -0
HSPF 8.85
UP FLOW FAU R-4.2
50,000 HEATI
4500
40 GAL
.89
40,000 COOLI
CEC Conif led
CoolingEquip. Compressor Unit Actual Distribution Duct or
Type (alr gond., Manuf. Maks i Efflclency Type and Pipping
heat pump, etc.) Model Number (SEER) Location R llafus
HEAT PUMP RHEEM RPNA-048 12 HEAT PUMP R-4.2
JA DUCTING
(SEE ABOVE)
The buildin asgn heat loss and design rats have been determined using a msflhod specified in Section 150(h) of
the Energ fticiency Standards, an a two of th cmeria used for equipment sizing and selection.
LENDEL VENTURES, INC.
S+gna Date HVAC Subontraaor (Co. Nave) or General Contractor ar Owner
A LENCH ,II PRESI NT
W ER HEATING SYSTEMS
1. For small gas storage (rated input S 75.000 Stulhr), electric resistance and heat pump water %eaters. list Energy Factor.
For large gas storage water hasten (rated input s75.000 B:iyhr), list Hated Input, Rtrcovery Etticiency and Standoy Loss.
For Instantaneous gas water heaters. Yst Rated Input and Recovery Etkiency.
For instantaneous electric water hestera, lat Rated Input.
FAUCETS & SHOWER HEADS
All faucets,ind showerheads installed are listed in the Commission's Directory of Certified' Faucets and Shows rheads,
pursuant Title 24, Pan 6, Subchapier 2 Semon 111.
P. LENCH, II P
sed January 1992
DENT
LENDEL VENTURES, INC.
Date plumbing Subcontractor (Co. Name) or General Contractor or Owner
IEnsrgyl
External
Water Heating
CEC Grilled
Rated'
Tank
Factor or
Tank
System Typo
Manut. Maks &
Input (kW
Capacity
Recovery
Standby/ Insulation
(storage gas. etc.)
Model Number
or Btuh)
(gallons)
Efficiency
Loss R -Value
ELECTRIC
A.O. SMITH EES -40
4500
40 GAL
.89
.89 R-16
—�
(EXCEEDS)
1. For small gas storage (rated input S 75.000 Stulhr), electric resistance and heat pump water %eaters. list Energy Factor.
For large gas storage water hasten (rated input s75.000 B:iyhr), list Hated Input, Rtrcovery Etticiency and Standoy Loss.
For Instantaneous gas water heaters. Yst Rated Input and Recovery Etkiency.
For instantaneous electric water hestera, lat Rated Input.
FAUCETS & SHOWER HEADS
All faucets,ind showerheads installed are listed in the Commission's Directory of Certified' Faucets and Shows rheads,
pursuant Title 24, Pan 6, Subchapier 2 Semon 111.
P. LENCH, II P
sed January 1992
DENT
LENDEL VENTURES, INC.
Date plumbing Subcontractor (Co. Name) or General Contractor or Owner