BRES2017-0064&495.CALLErZAMPICO • T 0 U
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LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BRES2017-0064
Property Address:
54289 OAK HILL
APN:
775061009
Application Description:
PGA / BITZ / CHANGE OUT (2)SLIDING GLASS DOORS AND (1)WIND6W
Property Zoning:
Application Valuation:
$10,625.00
Applicant:
HOME DEPOT U S A INC DBA THE HOME DEPOT
2455 PACES FERRY RD C-11 HSC
ATLANTA, GA 30339
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
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017 LLit
Owner:
ROY BITZ 4
54289 OAK HILL ¢ O
LA QUINTA, CA 92253 ® o
N <Z1�
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Contractor: Q o
HOME DEPOT U S A INC DBA THE HO E DEV6T in
2455 PACES FERRY RD C-11 HSC ¢
ATLANTA, GA 30339 z
C3
(770)443-8211 Obi
Llc. No.: 602331
---------------------------------------------------------------------------------------------
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 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: B. D12, C-2, C39, C-6 License No.: 602331
Dat / Contractor.
OWNER -BUILDER 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).:
(_) I, as owner of the property, or my employees with wages as their sole I
compensation, will 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 dwner-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 exclusively contracting with licensed contractors
to construct the project. (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 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.).
Lender's Name:
Lender's Address:
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 -insure for workers'
compensation, as provided for by Section 3700 of the Labor Code, for the performance
of work for which this permit is issued.
6_85-t have and will maintain workers' compensation insurance, as required by
ection 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: NEW HAMPSHIRE INSURANCE COMPANY Policy Number:
WCO23102424
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, and agree that, if I should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with those provisions.
.�y'. �
6.i �" Applicantsz//%�
ntl le—J,
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: Application is hereby made to the Building Official for a permit subject to
the conditions and1restrictions 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, and hereby authorize representatives of this city to enter upon the
above-mentioned property for inspection purposes.
Date: 4 / Signature (Applicant or Agente% �"
Application Number_ , ,
_BRES2017-0064
Property Address:
54289 OAK HILL
APN:
775061009
Application Description:
PGA / BITZ / CHANGE OUT (2)SLIDING GLASS DOORS AND (1)WINDOW
Property Zoning:
Application Valuation:
$10,625.00
Applicant:
HOME DEPOT U S A INC DBA THE HOME DEPOT
2455 PACES FERRY RD C-11 HSC
ATLANTA, GA 30339
Date: 4/6/2017
Owner:
ROY BITZ
54289 OAK HILL
LA QUINTA, CA 92253
Contractor:
HOME DEPOT U S A INC DBA THE HOME DEPOT
2455 PACES FERRY RD C-11 HSC
ATLANTA, GA 30339
(770)443-8211
Llc. No.: 602331
Detail: CHANGE OUT (2)SLIDING GLASS DOORS AND (1)WINDOW LIKE FOR LIKE. 2016 CALIFORNIA BUILDING CODES.
Sim
5 m
DESCRIPTION: ACCOUNT CITY
BSAS 561473 FEE 101-0000-20306 0
Total Paid'for. BUILDING STANDARDS ADMINISTRATION BSA:
DESCRIPTION ACCOUNT CITY
SMI - RESIDENTIAL .101-0000-20308 0
Total Paid1for STRONG MOTION INSTRUMENTATION SMI:
DESCRIPTION' ACCOUNT CITY
TECHNOLOGY ENHANCEMENT FEE 502-000043611 .0
Total Paid for TECHNOLOGY ENHANCEMENT FEE:
DESCRIPTION ACCOUNT CITY
DOOR/WINDOWT RETRO/REPAIR,.FIRST 7 101-0000-42400 .0
DESCRIPTION ACCOUNT CITY
DOOR/WINDOW, RETRO/REPAIR; FIRST 7 PC 101-0000-42600 0
Total Paid fo<WINDOW /SLIDING GLASS DOOR/FENESTRATION:
AMOUNT
$1.00
$1.00
AMOUNT
$1.38
$1.38
AMOUNT
$5.00
$5.00
AMOUNT
$63.84
AMOUNT
$62.32
$126.16
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CEC-CFIR-ALT-01-E Revised 09116 CALIFORNIA ENERGY COMMISSION `0�
CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E
Prescriptive Residential Alterations (Page 1 of 6)
Project Name: Date Prepared: �-/+ S • /
A. General Information
Insulation Details — Framed (Section 150.2(b)1)
1
02
01
Project Name:So's
/
02
Date Prepared:
03
Project Location:
S q C50,EZ Hat
04
Building Front Orientation (deg or cardinal); - t°
05
CA City:
/
06
Number of Altered Dwelling Units:
07
Zip Code:
C?
08
Fuel Type: ,' r
09
Climate Zone:
10
Total Conditioned Floor Area,(;ft)"1 w w
it
Building Type:
12
1 Slab Area (ft ): s,% W-5 + w
13
Project Scope:
1
izZ I I -a a'JD
14
Exceptions to Minimum Xg4d)Solar Reflectance
and Minimum Thermal E ittance or SRI:
LAI,I �:.
Building
Insulation Details — Framed (Section 150.2(b)1)
1
02
03
04
OS 0607 08X 11669
10
11
Ta
Tag/ID
�--Assembl T e y yp
Frame
Type
yp
Frame
Depth
(inches)
Proposed
' A'ppendix JA4
Frame Continuous Reference
Spacing Cavity 0Insulation
I (inches) R -value., R-value.s,U#agtor Table- Cell
Required
Comments
I U -Factor
Required
Table
Cellfrom
U,factors
Package A
V rAt
w
s 8
Lia
Note: — Nb �,
• Where insulation is installed above the roofing membrana nor above the layer used to seal the roof from r penetration, the insulation shall have a maximum water absorption of'0.3
NEELpercent by volume when tested according to ASTM(Stadard C272.
�I
Building Insulation Details — Non --framed .
01
02
X03 . 'V
04
05 06'"% 07 68 09
10
11
Ta /ID
Assembly Type
V0
� Assembly
-Materials
V9
Thickness
(inches)
Proposed
Required
Comments
G�oreContinuous
Intion Insulation U -factor
R-value R -value
Appendix JA4
Reference
Required
Table
Cellfrom
U,factors
Package A
V rAt
w
s 8
Lia
t
Registration Number: Registration Date/Time:
CA Building Energy Efficiency Standards - 2016 Residential Compliance
S JInr-
A.FTy
rNt%1 6 l^Ns fRUC
September 2016
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
r
'
_!F j
-EC-CFIR-ALT-01-E (Revised 09116) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CFIR-ALT-01-E
Prescriptive Residential Alterations (Page 4 of 6)
Project Name: �ga t'os'y Date Prepared:
H. Fenestration/Glazing Proposed Areas and Efficiencies — Replace (Section 150.2(b)1B) _
01
02
03
04
05
06
07
08
9
10
1112
13
14
Tag/
ID
Fenestration
Type
Frame
Type,
Dynamic
Glazing
Orientation
N, S, W, E
Area
Removed
(ft')
Area
Added
(ftZ)
Net
Added
Area (ft)U-factor
Proposed
Source
Ad p•�Ad
SHGC
t
So..��r��Ze
Exterior
Shading
Device
Combined SHGC
from
CFIR-ENV-03
ULj--'��
15
Net Added West-facin Fenestration Area
..
16
Is Net Added Fenestration Area <_ 0 for West -Facing Fenestration?
17
Net Added Fenestration Area (all orientations)
18
Is Net Added Fenestration Area S 0 for All Orientations?
19
Proposed Fenestration U -factor (Windows)
20
Required. Fenestration U -factor (Windows)JIRO
-21
Compliance Statement: AN�.
22
Proposed Fenestration SHGC (Windows)
23
Required Fenestration SHGC (Windows)
24
Compliance Statement:
25
Proposed Fenestration U -factor (Skylights)
26
Required Fenestration U factor (Skylights)
ft
27
Compliance Statement: AVO,
28
Proposed Fenestration SHGC (Skyl'ghts)3
29
Required Fenestration U-facto,r(Skghts)
30
Compliance Statement:
„�—
fj0% - V9,
xA0
0
Registration Number: Registration Date/Time: HERS Provider:
CA Building Energy Efficiency Standards - 2016 Residential Compliance September 2016
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
:EC-CFIR-ALT-01-E (Revised 09/16) CALIFORNIA ENERGY COMMISSION I=&'
CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E
Prescriptive Residential Alterations (Page 6 of 6)
Project Name: 0—! (� .1-� Date Prepared: ^ S' -1 _
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Docu ' n tion Author Name::a
CA
DocumeCAu ature: `
Compan
�� �
Signature Date:,A
Address: /
CEA/ HERS Certification Identific'ationf(if'a-p�plliicable): -
L �¢
i1
City/S Zip:
Phone:
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Compliance is true and correct.
2. 1 am eligible under Division 3 of the.Business and Professions Code to accept responsibility fo'rtfie uilding design orsystem design identified on this Certificate of Compliance (responsible
designer). ey
3. That the energy features and performance specifications, materials, components, an' manufactured devicesiRret" building design or system design identified on this Certificate of
n
Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the.Califo Code of Regulation's.
4. The building design features or system design features identified on this CertificaWof Compliance aret'conns'istent with th'e information provided on other applicable compliance documents,
agency for this buildingdpermitspplication.
worksheets, calculations, plans and. specifications submitted to the enforcement approval with
5. I will ensure that a registered copy of this Certificate of Compliance shall be made avall�able�with the building perm�i�{5)alssued for the building, and made available to the enforcement agency.
for all applicable inspections. I understand that a registered copy of this°Cerfificate of4empliance is require' beiincluded with the documentation.the builder provides to the building
owner at occupancy.
Responsible Designer Name: -. '` W
Responsfble Designer Signature:
Company: , ' �" i
'Date Siined:
Address: r
License:
City/State/Zip:Phone:
,. 0
�Fo�ra sistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300
011z�
Registration Number: Registration Date/Time: HERS Provider:
CA Building Energy Efficiency Standards - 2016 Residential Compliance September 2016
Bin .#
Qty Of La Quihta
Building 8L Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La.Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project.Address: aZ �-K lei I r
Owner's Name:.
A. P. Number:
Address: 54;.88
Legal Description:
City, ST, Zip: u Z—, t r, 64 9.;t. 53
d-^om . xki'
p o4 -U-CA. . C
Contrattton/T
Telephone: o�oq�%�3' j7Q�f
Project Description: e p tach a a-f7�a
^•
Address: 3�So 4 ��, 16a -k- Z
City, ST, Zipp:C�• 11ClIGt C�, it q��(o.
do 6 rs / w L:- L61D L3 Iv tJ �`3�
Telephone:0sy- �6,- 4� '7 3
i.,Z f > ^,r Y
/and
%�`�T' p-r-I'f VI -'A' -f-1 p. Cl o 6YS
State Lia # : -646)1?-331
City Lie. #;
avid tv i✓h do Ltd '
Archy Eng., Designee:
(�
Address:
City., ST, Zip: .
Telephone: v r
State Lic. #:
Construction Type: Occupancy:
Project type (circle one). New Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.:#Stories: # Unit$:
Telephone # of Contact Person: 90 4� 3 XZ' 9 / Sj0
I.EstimatedValijeofProject "861-6019
APPLICANT: DO NOT WRITE BELOW THIS UNE
Submittal
Req'd Recd
TRACMG
PERMIT FEES
Plan Sets
Plan Check submitted.
Item Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Calcs.
Called Contact Person
Plan Check Balance.
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
tad Review, ready for correctionsrasue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Pians picked up
SALL
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'^' Review; ready for correctionOssue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
-APR 062017
CITY OF LA QUINTA
COMMUNITY DEVELOPMENT