11-0696 (MECH)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Applicant:
. .. LICENSE
• I hereby affirm under penalty. 'ury, tha ' a' " r
Section 7000) of Division 3' f the in%ei. fan Pr
Lice ssgCllassss:.'C20-C36
ntractor•
BUILDING & SAFETY DEPARTMENT
BUILDING. PERMIT
Owner:
DENNIS_REMSING
56678 PALMS DRIVE
LA QUINTA, CA 92253
IN
Confractor:— L
Architect or Engineer: J ANTHONY -PLUMBING EAT/IR
72216 NORTH''SHORE `STREET,E
THOUSAND -PALMS, CA 92276
(760)3'43-2-121
Li- No 777794
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760)'771-7153
Date: 6/27/11
q cl
{{L d
c- n � ,,UbNTA
-
--------------------
CTOR'S DiCLARATION. - - WORKER'S COMPENSATION DECLARATION . .
er provisions of Chapter 916ommencing with I hereby affirm under penalty of perjury one of the following declarations:
Zee
nd my License is in full,force and effect. I have and will mainiain'a certificate'of consenftoself insure for workers'. compensation, as provided
. 777794 for by Section3700'of the Labor.Code;.for the.performame of the work for which this permit is
issued. `a
V� I
his
ave will maintain workers' compensation insurance, as required: by Section 3700 of the Labor
I h k f h' -h h' •t • • d M 'workers' com tinsation
Application Number:
1"1-,000'696
Property Address:
56.6,78 PALMS DR
APN:,
764-020-004- - -
Application description:
MECHANICAL
Property Zoning:..
LOW DENSITY RESIDENTIAL
Application valuation:
2900
Applicant:
. .. LICENSE
• I hereby affirm under penalty. 'ury, tha ' a' " r
Section 7000) of Division 3' f the in%ei. fan Pr
Lice ssgCllassss:.'C20-C36
ntractor•
BUILDING & SAFETY DEPARTMENT
BUILDING. PERMIT
Owner:
DENNIS_REMSING
56678 PALMS DRIVE
LA QUINTA, CA 92253
IN
Confractor:— L
Architect or Engineer: J ANTHONY -PLUMBING EAT/IR
72216 NORTH''SHORE `STREET,E
THOUSAND -PALMS, CA 92276
(760)3'43-2-121
Li- No 777794
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760)'771-7153
Date: 6/27/11
q cl
{{L d
c- n � ,,UbNTA
-
--------------------
CTOR'S DiCLARATION. - - WORKER'S COMPENSATION DECLARATION . .
er provisions of Chapter 916ommencing with I hereby affirm under penalty of perjury one of the following declarations:
Zee
nd my License is in full,force and effect. I have and will mainiain'a certificate'of consenftoself insure for workers'. compensation, as provided
. 777794 for by Section3700'of the Labor.Code;.for the.performame of the work for which this permit is
issued. `a
V� I
his
ave will maintain workers' compensation insurance, as required: by Section 3700 of the Labor
I h k f h' -h h' •t • • d M 'workers' com tinsation
LQPERMIT
Code;. for the performance o t e wor or w is tis perms is issue y. p .
OWNER -BUILDER DECLARATION .:
insurancecarrierand policy number are: '
I hereby affirm under penalty of.perjury that I am exempt -from the Contractor's State License Law for the
-Carrier STATE FUND' - . Policy Number . '1932451-2011 '.
following_ reason (Sec. 7031.5, Business and Professions.Code: Any city or county that requires a permit to
_ 1 certify that, in the performance of the 6rk for which thispermitis issued, I shall hot employ any
alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
arson in any manner so as to•bec me s, '- to the workers' compensation laws of California,
_construct;
' permit to file a signed statement that he or she is licensed pursuant to the,provisions of the Contractor's State
and agree that if I should co- su ' o e.workers' compensation p ions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 ofthe Business and Professions Code) or
..3700 of the' b -Code he fo_ w, 'c p w' hose provisions.
that Ite of 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).:
at plicam. '
(_ 1 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 coffered for'sale (Sec. Business and Professions Code: The
WARNING: FA RE TO SECURE WORK S' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License taw does not- ,apply to an owner of property who builds or improves thereon,
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES'UP TO ONE HUNDRED THOUSAND
and who does the work himself, or -herself through his or her own employees, provided that the
DOLLARS:($100,000)..IN ADDITION TO THE COST OF COMPENSATION,,DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If, however, the building -or improvement is sold within
SECTION. 3706 OF THE LABOR CODE, INTEREST', AND ATTORNEY'S FEES.
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.).
APPLICANT ACKNOWLEDGEMENT
(_) 1, as owner of'the property, am exclusively contracting with licensed contractors to construct the project (Sec.
IMPORTANT Application ishereby .made to the Director of Building and'Safety for a permit subject to the
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
conditions and restrictions set forth on this application.
' property who builds or improves thereon, and who contracts for the projects.with a contractor(s) licensed
1 . Each person upon whose behalf this application is made, each person at whose request and for
pursuant to the Contractors' State License Law.).
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
(_ 1 I am exempt under Sec. .. '; B.&P.C. for this reason
the owner, and the applicant, each agrees to, and shalldefend, indemnify and hold harmless the City
of LaQuinta, its officers,agents and employees for any act or omission related to the work being
performed under or following'issuance of this permit.
' Date: Owner:
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, cessation of work for 180 days will subject
CONSTRUCTION LENDING AGENCY
permit to cancellation.
. I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
I certify that I'have read this application and state that the above for is corre . 1"7gree to comply with all
work for which this permit is issued (Sec. 3097, Civ. C.).
city and county ordinances and state laws r ' g to build! ,ns ctio ,. her y authorize representatives
.
of this county to enter upo a above -menti e - open .f i - acts p
Lender's Name: -
Da gnature (Applicant or A e
Lender's Address: 91�
.
LQPERMIT
..Application Number 11-00000696
Permit . . MECHANICAL
Additional desc .
Permit Fee 31.50 Plan Check Fee
7.88
Issue Date Valuation . . . .
0
Expiration Date 12%24/11
Qty. Unit Charge Per
Extension
BASE FEE
15.00 K
1.00. 16..5000 EA_ -MECH B/C >3-15HP/>100K-500K$TU
16.50
Special Notes.and Comments
k, .. I•NSTALL--NEW~ 2 TON. -CONDENSING, .UNIT.-- 2010
-- -- ------------------------------------------------------
iOther :Fees 'BLDG. SIDS ADMIN -14 7,3
1..00 f
' - •F.ee summary Charged ..Paid Credited `
Due
Permit <Fee Total 31,;5.0:^ 00 ; •• . .00 .,
31. 50
Plan'Check• Total:. 7:88i00
OthersEee Total 1.-00 00,
• Total
4Q.3$
...Grand
LQPERMIT
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-lR-ALT-HVAC
Climate Zones 10 - 15
Site Address:
Enforcement Agency:
Date:
Permit #:
56678 Palms Dr La Quinta, CA 92253
City of La Quinta
]un 24, 2011
Duct insulation
Conditioned Floor
Equipment Typel
List Minimum Efficiency2
requirement
Area
Thermostat
❑ Package Unit
❑ Furnace
23 Indoor Coil
❑ AFUE
Q SEER 13.0
❑ COP
❑ HSPF
O R 6 (CZ 10-13)
❑ R 8.(CZ
Served by system
800 sf
0 Setback
If not already present, must be
0 Condensing Unit
❑ EER
E] Resistance
14-15)
installed)
❑ Other
1. Equipment Type: Choose the equipment being installed; if more than one system, use another CF -IR -ALT -HVAC for each system.
2. Minimum Equipment Eficiencies: 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 -611 and registered CF -411
forms (no hand filled CF-4Rs allowed) are filled out and signed.Beginning October 1, 2010, a registered copy of the CF -1R
and CF -61R shall also be on site for final inspection.
® 1. HVAC Changeout
Required Forms:
. All HVAC Equipment
CF -611 forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS
replaced
CF -411 forms: MECH-21 and (for split systems) MECH-25
. Condenser Coil and /or
. Indoor Coil and /or
CF -611 forms: MECH-04, MECH-2I-HERS and (for split systems) MECH-25-HERS
. Furnace
CF -411 forms: MECH-21 and (for split systems) MECH-25
For Split Systems: Duct leakage < 15 percent; RC, CCA <_ 300 CFM/ton (Minimum Air Flow Requirement), TMAH
POF PaSkagS
Exempted from duct leakage testing if:
❑ 1. Duct system was documented to have been previously sealed and confirmed through HERS verification, or
® 2. Duct systems with less than 40 linear feet in unconditioned space, or
❑ 3. Existing duct systems are constructed, insulated or sealed with asbestos
❑ 4. The system,will not be Ducted (ie System)=(Also:Exempt-from,Refrigerrant-Charge)
�Ductless.Mini-Split
❑ 2. New MVAC System
Required Forms:
. Cut inlor,Changeout with'
new ducts: (all new
41 /yI I i j I ,l,,i
CF -6R s MECH-20#HERS�Iand (for split syltems) MEC\22 HERS, and MECH-25-HERS
ducting and all new
,fo ,MECH-04,
CF -4R MECH 20, and (for split systems) MECH-22, and MECH 25'
1 , e.
11-
equipment) �.+
4110 \ r � _.� _�i J i > ) " - /,.
For Split Systems: Duct leakage r6'percent;"RC, CCA >_ 350 CFM/ton, FWD, TMAH STMS, and either HSPPyoi�PSPP.'`
For Packaged Units: Duct leakage < 6 percent
❑ 3. New Ducts with/or without
Required Forms:
Replacement
. Includes replacing or installing all new ducting
and/or outdoor condensing unit and/or indoor
CF -611 forms: MECH-04, MECH-20-HERS, and (for split systems) MECH-25-HERS
coil and/or furnace. No or some equipment
CF -411 forms: MECH-20 and (for split systems) MECH-25
changed.
For Split Systems: Duct leakage < 6 percent; RC, CCA >_ 300 CFM/ton, TMAH
For Packaged Units: Duct leakage < 6 percent
El 4. New Ducting over 40 feet
Required Forms:
. Includes adding or replacing more than 40
CF -611 forms: MECH-04, MECH-2I-HERS
linear feet of duct in unconditioned space.
CF -4R forms: MECH-21
For split system or packaged units: Dud leakage < 15 percent
❑ EXCEPTION: Existing dud 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: Kevin Robinson Signature: Kevin Robinson
Company: J ANTHONY PLUMBING HEATING & AIR CONDITIONING Date: ]un 24, 2011
Address: 72216 NORTH SHORE ST #101 License: 777794
City/State/Zip: THOUSAND PALMS / CA / 92276 Phone: (760) 328-8096
Reg: 211-A0030765A-00000000-0000 Registration Date/Time: 2011/06/24 13:19:12 HERS Provider: CalCERTS, Inc.
2008 Residential Compliance Forms July 2010
Y
Bin # • .
,,
City of La Quinta
M '
Building 8t Safety Division `--',F-.
_ P.O Box 1504.78405,Calle.Tamplco
La;Qu►nta`CA 92253 (760) 777 7012
Building'Perm�t Application and- racking Sheet
Permit #
Project Address: �� ,R .S
: Owner's'Name:��
A. P. Number:
Address: g ,/
Legal Description:
,
CST"Zip,
Contractor•
.
n 7. Z
Address: Y7
` i!�>.. A,)e S _ .
Project Descripttiio�n
City, ST, Zip:. 225
1/�L i
Tele hon .
Y:.. :>.'r
jiyiil:v::24
City. Lia #.: ®
.i
_
State Lic. # : y
"
Arch., Engr., Designer:
Address:
City., ST, Zip:.
i
Telephone:
State Lic-
� A.wf
' «>:<. h tY
..:.:.......,.. r....::... r ...... .......,
Construcion: .
Type:. Occupancy:
Pro�ect,type.( ircle one): New Add'n . Alter Repair Demo.
...
Name of Contact Person: -
,.Sq.'ft:
#Stories:
#Units:
Telephone # of Contact Person:,
Estimated Value of.Project:
APPLICANT: DO NOT WRITE'BELOWTHIS LINE-
#
Submittal
Req'd
Recdv
(RACKING ' _
v PERMIT FEES
Plan Sets
Plan Check.submitted
Item
Amount
Structural Cates.
Reviewed, ready for corrections
4,
;Plan Check Deposit
Truss Calcs.
'Called :Contact Person' • ,
:.
:Plan Check Balance ,
Title 24 Cates.
Plans picked up
Construction
Floodplain plan
Plans resubmitted
;Mechanical
Grading plan
20° Review, ready for correctionsrssue ' :,
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''d Review', ready_for correcdonsrssue
.
;Developer.Impact Fee
Planning Approval
Called Conteet PersonA.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
r
Total Permit Fees
e
RealQuest.com ®'- Report Page 1 of 1
Property Detail `Report CoreLogtc`
For Property.Located At ; RedIQUeSProfessional
56678 PALMS 'DR, •LA QUINTA, CA 92253-8751
.Owner Information:
Y / 1 Foundation: Quality:
Owner Name:
`REMSING, FAMILY 2004 TRUST
Mailing Address:
.22781'BERGANTIN;•MISSION VIEJO`CA 92692A201-0007 (NdWail)
Phone Number:
C
-'Vesting Codes hI:PT
Location Informatiamm
Legal Description:.26ACRES
IN LOT 4 MB 285/076.'TR 28983
County,
RIVERSIDE, CA
APN': 764 020-004
Census Tract / Block:
456.03,/ 3'
Alternate AP N': 764=020-004
Township -Range -Sect:
Res/Comm Units:
Subdivision:
Legal Book/Page:
TYPE
UNKNOWN
MapReference: / 5530735
Legal Lot:
4
Tract
Legal Block:
TYPE
UNKNOWN
School District: COACHEL'LA VLY
Market Area:
Munic/Township:
Neighbor Code:.
Total Value:
Owner Transfer Information:
Assessed
2010';: ,"
Recording%Sale-Date:
"Price:
04/15/2010 / 02/18/2010
Deed Type:'" QUITCLAIM DEED
Sale
"Year:
Improved %: " .
1st Mfg Document #: "
Document #:
1.73731
Improvement Value:
Last Market Sale -Information:
Tax Year:
Recording/Sale Date:
02/26/2010 /.01/22/2010
1st Mtg Amount/Typb: $417;000 % CONV
Sale. Price:
$595;000
1st'Mig Int. Rate/Type: /
Sale Type:
FULL
1st Mtg Document #:' - ." 90947
Document#:
90945
2nd'Mt6-Amo6nt/Type: /
Deed Type:
GRANT DEED
2nd:Mtg:Int. Rate/Type:
Transfer Document #:
Price'Per"SgFt: " $191:26
New Construction:
Multi/SplitSale:
Title Company:
TI COR TITLE
Lender:
JP MORGAN CHASE BK
Seller Name:
SIMON TRUST
Prior Sale Information::
Prior Rec/Sale Date:
11/16/2004 / 10/22/2004.
FIRST CAP MTG
06orLender:. CORP
Prior Sale Price:
$850,000
Priorst Mtg Amt/Type: $6501000 / CONV
Prior Doc Number:
910151. '
Prior`lst:Mtg Rate/Type: 4:88IADJ .
Prior Deed Type::
GRANT DEED
Property Characteristics:
Gross Area:
3,584 Parking:Type:
ATTACHED
GAR_ AGE Construction: -
Living, Area: "
3;111 Garage Area: ''
. 473 Heat Type:.. CENTRAL
Tot Adj Area:::
3,111 Garage, Capacity:• Exterior wall:.:'
Above Grade:
Parking Spaces,
" . Porch Type: :•
Total Rooms:
Basement Area:
- Patio Type:
Bedrooms:
4 Finish: Bsmnf"Area: 'pool: POOL
Bath(F/H):
3 / 1 Basement Type:
Aii,Cond: CENTRAL
"Year Built%vEff ""°`2001 / Roof Type.
Style:
Fireplace: -
Y / 1 Foundation: Quality:
# of Stories:
1.00. Roof: Material: TILE Condition:
Other Improvements:
_ADDITION
Site Information:
C
Zoning:
Acres:
6.20 -
County Use:
SINGLE FAM
RESID (R1)
Flood Zone:
C
Lot Area:
8,712.
State Use:. ;
R01001 "
Flood Panel:
06024523006
. Lot Width/Depth:
x
Site Influence:
Flood Panel Date:
03/22/1083
Res/Comm Units:
1'/'
Sewer T :
Type:
TYPE
UNKNOWN
Land Use:
SFR
Water Type:
YP
TYPE
UNKNOWN
Tax Information:.
Total Value:
$696;000
Assessed
2010';: ,"
,.. .Property Tax:
$8,972.58
Land Value:
$244;000
"Year:
Improved %: " .
R' 65%
Tax Area:
20147
Improvement Value:
,$452;000
Tax Year:
•2010 -
Taz Exemption:
Total Taxable Value:
$696,000
http://pro.realquest.com/jsp/reportjsp?&client=&action^ confirm&type .getreport&recordn... 7/14/20.1-1