13-1277 (MECH)P.O. BOX 1 504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
4 e(P-Quia
Lz) -BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number:
13-00001277
Property Address:
78287 SCARLET CT
APN:
604 -025 -035 -
Application description:
MECHANICAL
Property Zoning:
Application valuation:
5900
Applicant: Architect or Engineer:
------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am,licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 5 of the Bus ness and Professionals Code, and my License is in full force and effect.
License Clpss: C20 r." LicenseNo.: 906115
Contracto��-.,
.,U, LDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the.
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
that he or she 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).:
1, as owner of the property, or my employees with wages as their sole compensation, witl do the work, and
the structure is not intended.or offered for sale (Sec. 7044, Business and Professions Code: The
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
and who does the work himself or herself through his or her own employees, provided that the
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 or she did not build or
improve for the purpose of sale.).
1, as owner of the property, am exclusi�ely�contracting with licensed coh i tractors to construct the project (Sec.
7044, Business and ProtessionsCode: The Contractors' State Licens'e Law does not apply to an owner of
property who builds or improveg thereon, and who contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
I am exempt under Sec. , B.&P.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
work for which this permit is issued (Sec. 3097, Civ. C.I.
Lender's Name:
Lender's Address:
LQPERMIIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/08/13
Owner:
FRANKLIN & PATRICIA
1161 MT. VIEW BLVD.
WALNUT CREEK, CA 945
08
Contractor:
HYDES 0 LA
42949 MADIO STREET ��FYINAFNC'E
INDIO, CA 92201
(7.60)360-2202.
Lic. No.: 906115
------------------------------------------------
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self-insur.e for workers' compensation, as provided
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
'I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
Code, for the performance of the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier NORGUARD INS Policy Number CEWC468841
I certify that, in the performanceof the work for which this permit is issued, I shall not employ any
person in any manner so as to become subject to the workers' compensation laws of California,
and agree that, if I should becom e subi!cl e wo,ke* compensation provisions of Section
3700ofPh, Labor Code, 1_50�f.,thwi om v th those provisions.
Data: Apl: licant.
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Applibation is hereby made to the Director of Building and Safety for a permit subject to the
conditions and restrictions set forth on this application:
1 . Each person upon whose behalf this application is made, each person at whose request and for
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
of La Quinta, its officers, agents and employees for any act or omission related to the work being
performed under or following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is not commenced
within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that the above information is correct. I agree to comply with all
city and county ordinances and state laws relating to building construction, V hereby authorize representatives
of tlhis_�� ez -mentioned property for.,�Ctic ms,
in the above
Date: gnature (Applicant or Agent): —1
LQPkRMIT
Application Number . . . . .. 13-00001277
Permit MECHANICAL 2013
Additional desc
Permit Fee . . . . 71.50 Plan Check Fee
.00
Issue Date Valuation
0
Expiration Date 4/06/14
Qty Unit Charge Per
Extension
1-00 35.7500 EA MECH FURNACE
35.75
1.00 35.7500 EA MECH CONDENSER/COMP
35.75
----------------------------------------------------------------------------
Special Notes and Comments
HVAC CHANGE OUT - 13 SEER/78 AFUE, 3 TON
'SPLIT SYSTEM [2008 ENERGY] CARBON
MONOXIDE ALARM -(S) TO BE INSTALLED PRIOR
TO FINAL INSPECTION. 2010 CALIFORNIA
BUILDING CODES.
7 --------- 7 -------------------------------------------------------------
Other Fees . . . . . . . . .. BLDG STDS ADMIN (SB1473)
1.00
PERMIT ISSUANCE M/P/E
90.57
PLAN CHECK, MECHANICAL
47.66
Fee summary Charged Paid Credited
---------- ------- -- ----------
Due
----------------- ----------
Permit Fee Total 71.50 .00 .00
71.50
Plan Check Total .00 .00 .00
.00
Other Fee Total, 139.23, .00 .00
139.23
Grand Total 210.73 .00 .00
210.73
LQPkRMIT
Bin #
GtY of La Quinta
Buflding.4-Safety Msion
P.O. Box 1504, 78-495 CaHe Tainpito
La Quinta, CA 92253 - (760) 777-7012
Building Penn! Application and Tracidng Sheet,
Pennit
ProJect Address-' Owner's Name:
5?-- 2 5� 7 _yj c_,,e)
-77,
A. P. Number Address -7 5,7-;_LL7
Legg Deswiption: City. ST. Zip:
P-A f1i'd C�44- _5./q45M5' "Yj"
COntr&Mr. It jelePhOnr-
Address:. Pwjed Damiption:
Nt . 1'V$
City, ST, Ci
Zip 4
Telephone -
State Lie. #: q C7C LLe
Cw Lc, #:
Arcb, Fjw., Designer
Addrew.
City, ST, Zip:
Telephone- - Constrwtion Type: Occupancy:
State Lic, ProJeCt tYpe (circle one-): New Add'u Alter Repak' Demo
Name of Contaa pers= _T# Units.
Ft: # Storier.
Telephone # of Conlaa Persom.
Estimated Value offroject
APPLICANT: DO NOT WPM BELOW THIS LINE
#
Submittal
Reqld
R,<d
TRACIMG
PERbGT FEES
Plan Sets
Plan Check submitted
item
Amount
Stmd" CaIcs.
Reviewed, ready for correebons
Plan Check Deposit
Truss Coles.
Called -Contact Pdrson
Plan . CheckBalan"
Energy Calcs.
Plans bicked up
Constimction
Flood plain plan
Plans resubmitted
MeCIISMIC21
Gradingplaw
2" R&iew, ready for coffecdomsrome
Electrical
Subcontactor List
Called Contact Person
Plumbing
Gmat Deed
Plans picked up
&KL
ELOA_ Approval"
Plans resubmitted
GmdIng
IN HOUSE,
Review, ready for ciorrectionsirissue
-1-Mvelpr.lpactlFee
Planni Approval
Called Contact Pawn
AMP.P.
-Pub. Wks. Appr
Date of Wmk issue
School Fees
LTotaldl
Permit Fees
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-111-ALT-HvAp
Climate Zones 10 - 15
Site Address:
Enforcement Agency:
ate:
Permit #:
78-287 Scarlett Court La Quinta, CA 92253
City of La Quinta
Oct 7, 2013
Duct insulation
Conditioned Floor
Equipment Typel
List Minimum Efficiency2
requirement
Area
Thermostat
[3 Package Unit
Furnace
AFUE 78%
0 COP
13 R 6 (CZ 10-13)
Served by system
IM Setback
Indoor Coil
9 SEER 13,0
[3 HSPF
E3 R 8 (CZ 14-15)
1200 sf
If not already present, must be
0 Condensing Unit
E3 EER
0 Resistance
installed)
0 Other
I
I
I
I -
1. Equipment Type: Choose the equipment being installed; if more than one system, use another CF -1R -ALT -HVAC for each system.
2. Minimum Equipment Efficiencies: 13 SEER, 78% AFUE, 7.7HSPF for typical residential systems.
HERS VERIFICATION SUMMARY Listed below are FOUR HVAC alteration Options. The installer decides what work is being done
and picks one of the appropriate Options. Each Option lists the HERS measures that must be conducted. A copy of the forms shall
be left on site for final inspection and a copy given to the homeowner. At final, the inspector verifies that the work listed on this
form was in fact the work completed by the installer. The inspector also verifies that each appropriate CF -6R and registered CF -4R
forms (no hand filled CF-4Rs allowed) are filled out and signed.Beginning October 1, 2010, a registered copy of the CF -1111
and CF -6111 shall also be on site for final inspection.
1. HVAC Changeout
Required Forms:
All HVAC Equipment
CF -6R forms: MECH-04, MECH-21-HERS and (for split systems) MECH-25-HERS
replaced
CF -4R forms: MECH-21 and (for split systems) MECH-25
Condenser Coil and /or
Indoor Coil and /or
CF -6R forms: MECH-04, MECH-21-HERS and (for split systems) MECH-25-HERS
Furnace
CF -4R forms: MECH-21 and (for split systems) MECH-25
I
For Split Systems: Duct leakage,,� 15 percent; RC, CCA:5 300 CFM/ton (Minimum Air Flow Requirement), TMAH
FeF Pacl(aged Unitsm Duet leakage 4 15
pei:GeRt
Exempted from duct leakage testing if:
[] 1. Duct system was documented to have been previously sealed and confirmed through HERS verification, or
[3 2. Duct systems with less than..40 linear feet in unconditioned space, or
0 3. Existing duct systems are constructed, insulated or sealed with asbestos
4. The system will not be Ducted (ie. Ductless Mini -Split System) (Also. Exempt from Refrigerant _Charge)
0 2. New HVAC System
Required Forms:
Cut in or Changeout with
CF-6R.for . his: ME -CH -04, MECH-20-HERS, an . d (for split systems) MECH-22-HERS, and
new ducts: (all new
MECH-25-HERS
clucting and all new
equipment)
CF -4R forms: MECH-20, and (for split systems) MECH.-22, and MECH-25.
— . .. . I . w
For Split Systiems;: Duct leakage-< 6 -percent; RC, CCA 350 CFM/ton, FWD,, TMAH, STMS, and' either, HSPP or PSPP.
For Packaged Units: Duct leakage < 6 percent
0 3. New Ducts with/or without
Required Forms:
Replacement
Includes replacing or installing all new
clucting and/or outdoor condensing unit
CF -6R forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-25-HERS
and/or indoor coil and/or furnace. No or some
CF -4R forms: MECH-20 and (for split systems) MECH-25
equipment changed.
For Split Systems: Duct leakage < 6 percent; RC, CCA �: 300 CFM/ton, TMAH
For Packaged Units: Duct leakage < 6 percent
4. New Ducting over 40 feet
Required Forms:
Includes adding or replacing more than 40
CF -6R forms: MECH-04, MECH-21-HERS
linear feet of duct in unconditioned space.
CF -4R forms: MECH-21
For split system or packaged units: Duct leakage < 15 percent
[3 EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos.
Contractor (Documentation Author's /Responsible Designer's Declaration Statement)
• I certify that this Certificate of Compliance documentation is accurate and complete.
• I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the design identified on this Certificate of
Compliance.
• I certify that the energy features and performance specifications for the design identified on this Certificate of Compliance conform to the
requirements of Title 24, Parts 1 and 6 of the California Code of Regulations.
• The design features identified on this Certificate of Compliance are consistent with the information documented on other applicable compliance
forms, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with the permit application.
Name: Mark Hyde Fsignature: Mark Hyde
Company: CERTIFIED COMFORT SYSTEMS INC Date: Oct 7, 2013
Address: 42-949 MADIO STREET License: 906115
1Phone:
lCity/State/Zip: INDIO / CA / 92201 (760) 360-2202
Reg: 213-AO076295A-000000000-0000 Registration Date/Time: 2013/10/07 16:15:21 HERS Provider: CalCERTS, Inc.
2008 Residential Compliance Forms July 2010
Property Detail Report Page 1 of 1
Property Detail Report for: PRGDTRS MARIa orsaM�
78287 SCARLET CT, LA QUINTA, CA, 92253-3845
Owner Information:
Owner Name:
THORNBURGH, FRANKLIN J & PATRICIA J
Mailing Address:
1161 MT VIEW BLVD, WALNUT CREEK, CA, 94596-6122
Vesting Code:
HUSBAND AND WIFE
Phone Number:
Location Information:
Legal Description:
UNIT 270 CM 080/022 INT IN COM IN LOT 13
County:
RIVERSIDE FIPS Code: 06065
Census Trct/Blk: 045215 / 4
APN:
604-025-035 Alternative APN:
Map Ref: G7-819
Twnshp-Rnge-Sect:
- - Legal Book/Page:
Tract No:
Legal Lot:
270 Legal Block:
Subdivison:
Last Market Sale Information:
Sale Date:
5/5/2009
Sale Price:
1st Mtg Amount:
$
Sale Doc No:
2009-0223328
Price Per SgFt:
$177
1st Mtg Int Type:
Transfer Doc No:
2009-0223328
Price Per Acre:
$1,687,500
2nd Mtg Amount:
$
1st Mtg Doc No:
2"d Mtg Int Type:
Sale Type:
FULL AMOUNT COMPUTED
Deed Type:
GRANT DEED/DEED
OF TRUST
Title Company:
NONE AVAILABLE
Lender:
Seller Name:
TSOW, MARGARET
Property Characteristics:
Building Area:
763
Total Rooms:
Construction:
Living Area:
763
Bedrooms:
1
Heat Type:
CENTRAL
Garage Area:
Baths:
1
Air Cond:
CENTRAL
Basement Area:
Fireplace:
Roof Type:
Parking Type:
No of Stories:
1
Roof Material:
GRAVEL/ROCK
Yr Built/Effective:
19891
Quality:
Style:
Pool Code:
Tax and Value Information:
Assessed Value:
$100,000
Assessed Year:
2012
Est Market Val:
$140,666
Land Value:
$22,000
Property Tax:
$1,616
Assessor Appd Val:
Improvement Value:
$78,000
Improvement %:
78
Total Taxable Value:
$1
Tax Exemption:
Site Information:
Assessor Acres:
0.08
Zoning:
Land Use Code:
112
Assessor Lot SgFt:
3,485
No of Buildings:
Land Use Desc:
CONDOMINIUM
Lot W/D:
/
Res/Comm Units:
1
County Use Code:
R02
Calculated Acres:
0.0176
Sewer Type:
Calculated Lot SgFt:
767
Water Type:
http://dc l .parcelstream.com/GetByKey.aspx?dataSource=%24%28ACCOUNT_NAME%2... 10/8/2013