12507 (SFD)44
QUM&
P.O. BOX 1504
Building 78-105 CALLE ESTADO
Address 54-558 Diaz LA QUINTA, CALIFORNIA 92253
Sterling Homes
Mailing
Address P.O. Bax 450
City
Zip
Tel.
La Quinta, CA
92253
564-1866
Contractor
Lendel Ventures, Inc.
Address
P.O. Bax 450
C%y Quinta, CA
Zip 92253
Tel. 564-18666
State Lic.
City
8, Classif. B 638535
Lic. # 859
Arcn., tngr.,
Designer Ur'bina & ASSOCiates
Address Tel.
6370 ANVil La -%C Ave
Stan Diego, CA. zlp 32119 uta 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. t,
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) 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.)
O 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 it the permit 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.
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.
BUILDING: TYPE CONST. OCC. GRP.:
A.P. Number 774-271-003
Legal Description Lot 22 Blo k 278
Project Description SFD
12547
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line y
Side Street Setback from Cen
Side S ck frory_Pt.ODerty One
FINAL DATE ' IN�SPEECTOR
Issued by:—
Validated by:
Validati
Sq. Ft.
Size 1586
No.
Stories
No. Dw.
Units
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
Permit does
not include
block walls
or pool.
Estimated Valuation
�96 0 626 • 00
PERMIT
AMOUNT
Plan Chk. Dep.
250.00
Plan Chk. Bal
278.Ul
Const.
6 . U O
Mech.
49.00
Electrical
131.89
Plumbing
144.00
S.M.I.
9.70
Grading
20.00
Driveway Enc.
.00
Infrastructure
135. 4
TOTAL
o�� •L
\ 3,j �.C�
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line y
Side Street Setback from Cen
Side S ck frory_Pt.ODerty One
FINAL DATE ' IN�SPEECTOR
Issued by:—
Validated by:
Validati
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SO. FT. ® $
UNITS
COLL. AREA
-�
ROUGH PLUMB.
YARD SPKLR SYSTEM
2ND FL. SO. FT.
HEATING (ROUGH)
STORAGE TANK
FORMS /
MOBILEHOME SVC.
BAR SINK
POR. SO. FT. ®
DUCT WORK
ROCK STORAGE
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
HEATING (FINAL)
DRAINAGE PIPING
CAR P. SO. FT.
GAS (FINAL)
TEMP. POLE Z Z --13
WALL SO. FT.
DRINKING FOUNTAIN
GROUT
WATER HEATER
URINAL
SO. FT. ®
FINAL INSP.
ESTIMATED CONSTRUCTION VALUATION $
WATER SYSTEM
WATER PIPING
NOTE: Not to be used as property tax valuation
GRADING
cu. yd.
plus x$
FLOOR DRAIN
MECHANICAL FEES
FINAL INSP. %
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
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.
SO. FT. ® c
BATH TUB
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SO.FT.GAR ® 3/ac
HOUSE SEWER
INSULATION/SOUND �••!
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 s
DERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS /
SEWER
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REIN F. STEEL
GAS (FINAL)
TEMP. POLE Z Z --13
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
$
GRADING
cu. yd.
plus x$
_$
LUMBER GR.
FINAL INSP. %
FRAMING �,.py(�f Cp
FINAL INSP./�a�J
ROOFING
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL 2-7.Z-S'q
LATHING
MESH
INSULATION/SOUND �••!
FINISH GRADING
FINAL INSPECTION _( O--Z�
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL
�.
P.O. BOX 1504 APPLICATION ONLY
Building 78-105 CALLE ESTADO
Address 54550 AVENIDA DIAZ LA QUINTA, CALIFORNIA 92253
Owner STERLING HOMES
Mailing
Address P. O. BOX 450
City Zip Tel.
LA QUINTA 92253 564-1866
Contractor LENDEL VENTURES, INC.
Address
P. O. BOX 450
City Zip Tel.
LA QUINTA 92253 564-1866
State Lic. City
& Classif. B 638535 Lic. # 859
ArchDes g ergr.URBINA & ASSOCIATES
Address 6370 ANVIL LAKE AVE Tel.
City Zip State
SAN DIEGO 92119 Lic. # C-13333
// 0CENSED CONTRACTOR'S DECLARATION
I hereby affirm that'(°am licensed under provisions oGChapteV9 (commencing with Section
7000) of Djvigr�3 otFae Brrad r fsioCidan my license its in fp121 for cg a9n3
effect. l.r LVJ)j U / /
If OWNER=BUILDERDECLA)1ATION
I hereby affirm that I am exempt from the ConV5ctors License Law for the following
reason: (Sec�7031.5. Business and Professions Cole: Any city or county which requires a
permit to coS�����ittsssssslrucL alter, improve, demolish, or reps any structure, prior to its issuance also
requires thpplicanf for such permit to file a signed statement that he is licensed pursuant to
the provisi s of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Code, or thathe 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.)
1 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 contractors) licensed pursuant to the Contractor's License Law.)
1 I am exempt under Sec. B. 8 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
C7 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 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 it work thereunder is suspended for 180 days.
I certify that I have read this application and state that the above information is correct.
1 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
11LDING: TYPE CONST. OCC. GRP
P. Number 774-271-003
gal Description LOT 22 BLOCK 270
Project Description SFD
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.
Size
No. No. Dw.
Stories Units
New ❑ Add ❑
Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation
PERMIT
AMOUNT
Plan Chk. Dep.
2 -
Plan
Plan Chk. Bal.
Const.
Mech.
Electrical
Plumbing
S.M.I.
Grading
Driveway Enc.
Infrastructure
TOTAL
REMARKS
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DA
Issued by:
Validated
Validation
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
A.C. UNIT
COLL. AREA
SLAB GRADE
FL. SO. FT, $
UNITS
HEATING (ROUGH)
1ST @
FORMS
ti
2ND FL. SQ. FT, @
DUCT WORK
YARD SPKLR SYSTEM
FOUND. REINF.
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. @
OTHER APP./EQUIP.
REINF. STEEL
GAR. SO. FT.
POWER OUTLET
ROOF DRAINS
GROUT
DRAINAGE PIPING
CAR P. I S0. FT. Gp
FINAL INSP.
WALL S0. FT. 0
WATER SYSTEM
DRINKING FOUNTAIN
SO. FT. @
=$
URINAL
ESTIMATED CONSTRUCTION VALUATION $
FINAL INSP.
WATER PIPING
NOTE: Not to be used as property tax valuation
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
FIRE ZONE ROOFING
LAUNDRY TRAY
AIR HANDLING UNIT CFM
FIREPLACE
KITCHEN SINK
ABSORPTION SYSTEM. B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE,TEMlPERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. @v c
BATH TUB
MESH
SQ, FT. Q c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SU. FT. RESID @ 114 c
SEWAGE DISPOSAL
SO.FT.GAR @ ?4c
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
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 SIGNATURES/INITIALS
GARDEN WALL FINAL
DESERT SANDS UNIFIED SCHOOL DISTRICT
82-879 Highway 111
NOTICE: Indio, CA 92201
Document Cannot Be Duplicated 619-775-3500
Date 11/29/93 Type of Permit I La Quinta
No. 112546 Permit #
Log
Owner Name Sterling Homes
No. Street See Below
city La Quinta zip 92253 Study Area 113
APN # I Tract # Lot # 0 Square Footage 14758
Type of Development I Single Family Residence No. of units 0
Comments 51440 Avenida Rameriz 1586 Study Area 113
53415 Avenida Obregon 1586 Study Area 112
.q4qq(1 Avani(la T)ia7. 181; I;fi1d Araa 11 (1
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 been 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 4 758 or $ 7,850.70 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
it
j r• ✓ ,•
Fee collected /exempted by Vickie J. Durrett r, .� -,7
Payment Received ` -
Signature
t
TCheck .-Na .1698
t,,.ti
Collector: Attach a copy of county or city plan check application form to district copy for'a9ll waivers.
Embossed Original- Building Dept./Applicant Copy - Applicant/Receipt Copy - Accounting
MOW
' COACHELLA VALLEY WATER DISTRICT rr
. ' CASH RECEIPT DETAIL 4 Q Z 3
Recelve Fro Date
Address: �• �Q 1�
' Account N t(s) �
Service Address
XMeter(s)
3/,
AServlce(s) • r ` •
❑ Backflow(s)
❑ House Lateral(s) -
❑ DetectorCheck(s)
❑ Meter Surcharge
Sanitation Capacity Charas
❑ W.S.B.F.C.
❑ Temporary Construction Meter' ' r
❑ Turn on Charge
❑ Uncollected Account - Name
❑ Inspection Fee - Tract - s N '
Fee -
❑ Plan Check Fees Water! Sewer '
Tract =
❑ Bond Payment - A.D. - - Bond '
Assmt. '
❑ Customer Deposit
❑ Other
Remarks: /(
h
❑Copy to: _
ract
G.A. Code
$ �2 G
TOTAL $
• 1 v:uo� �
438(11/88)
STERLING RAYMARC
RECORDING REQUESTED BY
CF)IC6,Ci0 -n 1'
ND WHEN RECORDED MAIL THIS DEED AND,
NL E$S OTHERWISE SHOWN BELOW, MAIL. TAX
Cjo TATEMENTS TO:
STERLING HOMES
P.O. BOX 450
LA QUINTA, CALIFORNIA 92253
L
ESCROW NO. 01 -1145 -NM
TITLE ORDER NO. 608539
J
619 560 7173 P.03
3C4:i rjY
LU '� r.•,
cccc
} -5
SPACE ABOVE THIS LINF. FOR RECORDER'S USE Gj
GRANT DEED
The undersigned grantor(s) declare(s)-
Documentary transfer tax is $ 30.80 A.P.N. 774-281003-7
( X ) computed on full value of property convoyed, or
( ) computed on full value less value of liens and encumbrances remaining at tine of Salo.
( ) Unincorporated area: ( X ) City of LA OUINTA ,, and
By this instrument dated EIGHTH DAY OF JULY, 1993 , for a valuable consideration
PINSON BROTHERS & ARROYO A CALIFORNIA PARTNERSHIP
hereby GRANTS to
STERLING HOMES A CALIFORNIA GENERAL PARTNERSHIP
the following described real property in the CITY OF LA QUINTA
County of RIVERSIDE , State of CALIFORNIA
,LOT 22 OF BLOCK 270 OF SANTA CARMELITA AT VALE LA QUINTA UNIT NO. 25 AS PER MAP
RECORDED IN BOOK 19 PAGES 50-51 OF MAPS IN THE OFFICE OF THE COUNTY RECORDER OF
RIVERSIDE COUNTY, CA.
STA7t OF CALIFORNIA RIVERSIDE S.S.
COUNTY OF
JULY 14th; 1993 before me,
1` On - -
THE UNDERSIGNED
e Notary Public In End for Said County and Slate, personally appeared
RAUT. ...:PTNSf111 Li`l ►gDT-�•
�ATSTf117AT. dj�jj,Q.y�.
personally* known to me (or proved to me on the basis of satisfactory
evidence) to be the person(s) whose name(s) Islare subscribed to the
within Instrument and acknowledged to me that he/she/they executed
the same In hlslher/their authorized capacily(les), and that by hi0her/their
signature(s) on the Instrument the person(s), or the entity upon behalf
of which the per6on(3) acted, executed the instrument.
WITNESS my hand and olllclei soar
Signature aZ l'�'� /
PINSON BROTHERS & ARROYO
A CA .�l�NIA P� `lam RSHIP
$Y:A z-
BY:
FOR NOTARY SEAL OR STAMP
MAIL TAX STATEMENTS TO PARTY SHOWN ON FOLLOWINQ LINE; IIP NO PARTY TS SHOWN, MAIL AS DIRECT'E'D ABOVE.
Natno Strcct Addrou. • City & Stato
OFF"IC.!AL NOTARY
NANCY
A.
MAIL TAX STATEMENTS TO PARTY SHOWN ON FOLLOWINQ LINE; IIP NO PARTY TS SHOWN, MAIL AS DIRECT'E'D ABOVE.
Natno Strcct Addrou. • City & Stato
a
T4 of 14 a oututa IH
luttbt , 'dub $dfe 3tht�tuu I, ►;
This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building! I.
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.
H1
BUILDING ADDRESS 54-550 Diaz,,
Use Classification SFD12507
B.Idg. Permit No.
V
Group R3. Type Construction VN Fire Zone Use Zone SR
Owner of Building StPY i nq 'T-TnMkn-q Address P 0 Bax4 c;O
City La Quinta, Ca. 92253
Lonnie Day,
By
Date;, April 18, 1994
Building Official POST IN A CONtPICUOUS PLACE
6
Installation Certificate: Residential CF -611i
,.
/ Use of this form to satisfy the requirements of the Administrative Cods Is optional, but the Information must be provided and posted.
( 54550 AVENIDA DIAZ= LA OUINTA- CA 92253 125`67
Site Address Permit Number
An installation cortilicate is required to be posted at the building site prior to the issuance of the occupancy permit. This form
may be used to most these requirements. All appliance categories listed below are the tactual 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 condigts (or as equivalent) shall be prepared and signed by the person(s) assuming overall
r: responsibility for the appliance installation.
I, the undersigned, wordy 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 vordied 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.
;{ HVAC,SYSTEMS
Note: Hydronic boiler information is entered here. Other hydronic or combined hydronic equipment is listed under
Water Heating Systems. "
Hosting Equip. CEC Conlifled ,' '. Actual Distribution Duct or Heating Load Heating
Type (furnace,-: Manuf. Make i•'-, ", Efficlerxy -Typo and. • Piping Before Over- Equipment
•
haat pump, etc.) • Model Number "(AFUE, etc.) Location R• slue Sizing (Btuh) Capachy (Btuh)
HEAT PUMP RHEEM 48 MAX -0 HSPF 8.85 UP FLOW FAU R-4.2 50,000 HEATI
40,000 COOLI
, e
'CEC Certified
Cooling Equip. Compressor Unit Actual Distribution Dud or
Type (air gond., Manuf. Make i „ • EHiclsncy Type and Piping
host pump, etc.) Model Number (SEER) Location R -Value
HEAT PUMP RHEEM RPNA-048 12 HEAT PUMP R-4.2
JA DUCTING
(SEE ABOVE)
The building design heat loss and design heat gain rats have been determined using a method specified in Section 150(h) of
the Energy Efficiency Standards, and are two of the criteria used for equipment sizing and selection.
LENDEL VENTURES, INC.
Signawre a>`, Date HVAC Sutwnva= (Co. Name) or General Convacwr or Owner
A. P.. LENCH ,II.. PRESIpENT
WATER HEATING SYSTEMS
Energyt External
Water Heating CEC Conffied " ' Rated' Tank Factor or Tank
System Type Manuf. Maks A Input (kW Capacity Recovery Standby' Insulation
(storage gas, etc.) Model Number or Btuh) (gallons) Efficiency Lose (SG) R -Value
ELECTRIC A.O. SMITH EES -40 4500 40 GAL .89 .89 R-16
(EXCEEDS)
1.. For small pas storage (rated etput s 75,000 Biulbr), electric resistance and Mat pump water heaters. list Energy Factor.
For large gas storage water heaters (rated input a75,0oo Buwtq, list Rated Input, Recovery Etnciency and Stanooy Loss.
For Instantaneous gas water heaters, list Rated Input and Recovery Efficiency.
For Instantaneousdectrlc water heaters, let Rated input.
tAUL:t15 6,MWWtH 1'1tAL71
All taut is a showerheads in d are listed in the Commission's Directory of Candied Faucets and Showerheads,
purs,ui it to vtle 24. Pan 4e ubchapt r 2. Section 111.
P. LENCH, I
Revised January lett!
PRESIDENT-
�� LENDEL VENTURES, INC.
Date Plumbing Subcontractor (Co. Name) or General Contractor or Owner