12-1352 (RER)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
d•
Application Number: 120000_13.5.2
Property Address: 0952740 AVENIDA OBREGON
APN: 773-285-012-11 -000000-
Application description: REMODEL - RESIDENTIAL
Property. Zoning: COVE' RESIDENTIAL
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
1
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
DENA FELD
52740 AVENIDA OBREGONfizz
LA QUINTA, CA 92253
Date: 11/15/12
Application valuation: 400 P9��±�/ u
_Contractor: U19�/ 9 1 �.201z
Applicant: Architect or Engineer: L & D CUSTOM WORK
84419 ROSAL AVENUE Ctry
COACHELLA, CA 92236 Fl��Al it UI�Ti�
(760) 578-8.606 EPP `
OI-Lic: No.: '814095"
LICENSED CONTRACTOR'S DECLARATION - WORKER'S'COMPENSATION DECLARATION
I hereby. affirm under penalty.of perjury that 1'6m licensed unde J provision' Chapter 9 (commencing with . I hereby affirm under penalty. of;perjury one of the following. declarations:
Section 7000) of Division 3•of the Busine nd;P,rofessionals Code;.and.my.License is in full force and effect. _ I have and will maintain a certificate'of consent toself insure for workers' compensation, as provided
License'Clams .B` nse No.: 814095 - for by Section 3700 of the Labor Code, for the performance of•ihe work for which this permit is
- - issued.
ontractor. , I have and will maintain workers' compensationinsurance, as required by Section 3700 of theiLabor
/Date -
_y - Code, for the performance of the work for which this permit is issued. My workers' compensation
OWNER -BUILDER DECLARATION - insurance carrier and 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 9000594
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for whichAhis permit is issued, 1 shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance„also requires the applicant for the person in any manner`so as:to become subject to the workers' compensation laws of California,
permit to file signed statement.that he.or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I sh 1 become subject to the workers' compensation provisions of, Section
License Law (Chapter 9,(commencing with Section 7o00) of Division 3 of the Business and Professions Code) or 3700 of the Labor de, shall forthwith coI wiih those provisions.
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): Date; ptican
(_ 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 offered for sale (Sec. 7044, Business and Professions Code:The WARNING: FAIL ETO SECURE WORKERS' COMPENSA N COVERAGE IS UNLAWFUL, AND SHALL
Contractors” State License Law 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 thepurpose of sale.). -' APPLICANT`ACKNOWLEDGEMENT
(_ 1 I, as owner of the property, am exclusively contracting with licensed. contractors to construct the project (Seca - IMPORTANT Application is hereby 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 onthis 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 Seca , BAP.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
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: t
LQPERMIT
of La Quinta, its officers,'agents and employees for anybetor 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 to laws relating to buildin construction, an .reby authorize representatives
offhis county to enter upon [ above-mentioned propert o inspection pur ose .
Date: ature (Applicant or Agent):
Application Number . . . . . 12-00001352
Permit . .
. BUILDING PERMIT
Additional desc .
.
Permit Fee . . .
. 15.00
Plan Check
Fee
9.75
Issue Date . . .
.
Valuation
. . .
. 400
Expiration Date
5/14/13
Qty . Unit Charge Per
Extension
BASE FEE
15.00
----------------------------------------------------------7-----------------
Special Notes and
Comments
REPLACE EXISTING WINDOW WITH 72"X 80"
GFRENCH DOORS. 2010 CODES.
'----------------------------------
------------------------------------------
Other -Fees . . .
. . . . . . BLDG STDS ADMIN (SB1473)
1.00
ENERGY
REVIEW FEE
.98
STRONG
MOTION (SMI)
- RES
.50
Fee summary
Charged Paid Credited
Due
Permit Fee Total
15.00•
.00'
.00
15.00
Plan Check .Total
9.75
.00
.00
9.7;5
Other Fee Total
2.48
.00
.00
2.48
Grand Total
27.23
.00
.00
27.23
LQPERMIT
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760 -2SS 0 S2-:53
Prescriptive Certificate of Compliance: Residential CF -IR -ALT
Residential Alterations age l of
Project Name:
Climate Zone k 0 of Stories
General information
Site Addrcss:_57,2 ' 1/e 0. gel Enforcement Agency:
Date:
Building Type O Single Family 21 Multi Family Circle the Front•Orientstion: N. E, S, W, or degrees
Conditioned Floor Area (CFA): Project Type: O Alterations O Envelope O Fenestration O Roof O HVAC
Replacement or Change Out O Duct Ropkoement O Water Heater
1m orm is am to be ksod)or N Contruded Bulldhqx.or Addklons
insulation Values For Opaque Surfaces, (for Fwring use the Mass and Furring"Str4pis Construction table below)
Assembly Alteration
O Opening of framed cavity alone - Alterations that involve the opening of the framed cavity of o wall, ceiling; or floor must install the
mrmrdatory minitnun insulation value per f 1 JO)6r the altered assembly. Fill in Cahama A -C and enter mandatory, irenilation value in Col wmn H.
O Replacement of eadre assembly - Replacement of
an entire wall, ceiling, or floor assembly requires the installation of Component
Package- D insulation values, in Table I31 -C. Fill in Column" A - _t
O a ere Surface Detall3 For'tYe furred pnilonett of Mass Walls see Fa CONArvetbn T.abk below.
G H I J
A B C DOfactorA
Pro Values From JA4 Table
Ts�/
iD
Assembly Name
or T
Framing
mdww
and Sine?
Ibidcne; Framed Coatiawtrs JA4 Proposed
Spaanble Cavity Inwlation Assembly At bt�
or Otbers R-valuev R -Values Cell Values U -feasor
'Proposed Properties
of Masonry and Concrete
Added Interior or Exterior losulatioo
Wails From Reference
in Fuming Space from' Reference
Joint
adi: Table 4.34 43.6 43,7
Note: Fa f—vd aue=Ukx om°"°' *for Cantbot m ixndatwn R-raim. ice Page JAi-3 and Epinion I -l. For catcatating fwrnd ngAa was alts plats and
Fwrw Conseaalom sable below.
1. For TWD inwfiewe the identiJtcation sumac that nratdres the building piers. .
2. lndicnte the Assembly Name or type: RogpCeiling Walls. cute the Finnan type ordSiu: For
Woad Mud, Meta Buildings. Macs, enter 2x4, 2s6, or etc... see JA4for other posiible frame type assemblies.
3. Enter the ddobuss for mass in inches or Spocfng between frmning members enter. 16 "or 24 VC. or Other for all • other assembly description
such as Concrete Sandwich Panel. Spandrel pow4 Logs. Straw Bole. Panel and etc....
4. Based on the Climate Zone. utter the Staniland U)baw from Table 1.5 l -A C or D for each different aswm* Nunn or type.
J. Enter the Table number that dawly resembles the proposed assembly.
6. Enter the R-vahle that is being installed in the wall cavity or between theJandng: otherwise, enter "0"
7. Enter the Continuous Insulation R -►alae for the proposed assembly. otherwise, enter "0"
8. Enter the row and column of the U factor value based on Column F Table Nuunber and enter .the Assembly Ufaetor in Column J
9.1)ae Proposed Assembly U factor, Column J.mwst be equal to ar less than the Stawderd ll-fartnr in rnlvnen F in .ri.nly
Furring Strips Construction Table -for Mass Walls Only
A I
B C D
E
F
G H l J I
K
L M
'Proposed Properties
of Masonry and Concrete
Added Interior or Exterior losulatioo
Wails From Reference
in Fuming Space from' Reference
Joint
adi: Table 4.34 43.6 43,7
Joint Dendix Table43.13
�
I
Mass
Assembly
Name or
1A4 Table 7
4
° O
IL w
i` � S u ` -
g
> ^
Final
Assembl
Thickness'
T
Number' < >
' < >
'
y�
Comment
U -factor'
Registration Number:
2008 Residential Compliance Forms
Registration DateTime:
HERS Provider:
August 2009
,/
Prescriptive Certificate of Compliance: Residential CF -IR -ALT
Residential Alterations a e3 of
Project Name: Climate Zone 11 # of Stories
Mass and Furring Strips Construction(footnotes)
1. indicate the type of assembly to include; Hollow Unit Masonry Walls, Solid Unit Masonry, Solid Concrete WaUs, Etc. Additional assemblies can
found Reference JointAppen &x JA4.
2. This is the U -Factor based on the thickness of the assembly in inches.
3. The R -value of the insulation to be added on the interior or exterior of the assembly.
4. The Calculated R- Value is the R -value of the furred out section of the assembly.
-6. The Final Assembly is calculated using Equation 4-2 or Equation 4-40f the Reference Joint Appendix JA4. The equation is the inverse of Col
radded to Column l. Column K is the inverse from column J.
7. Insert the calculated U- actor value on to the Qpaque Surface Details in Column J
FENESTRATION, PROPOSED AREAS
13Replacing window alone — Replacement windows shall meet the U-Factor.and SHGC Value- requirements of Component Package.D in
Tab e 1 SI -C. The Total Fenestration and West facing Area requirements are not applicable.
Adding 50fe or less of window area —Newly installed windows shall meet the U -Factor and SACC Value requirements of Component
Package D in Table 151-C
Adding more than 5OW of window area — Newly installed windows shall meet the U -Factor and SHGC Value and the Fenestration
Area requirements of Component Package D in Table 1.51-C. Complete the Altered Fenestration Allowed Arca Tdble on Page 2 of the CF -IR -ALT
Fenestration Type and Frame
(Window.. Glass Door or Skylight)
Orientation
(North, East, PropsedAreal
So West ye).U-factor=
Maximum Maximum
SHGC;"
NFRC or Default
Values
Oat
E
S
-fee I X_<
CFA of
Allowed
Existing
.'Allowed
Entire
% of
Fenestration
Area
Fenestration
Area
1. Fenestration area is the area of total glazed product (i.e. glass plus frame). Exception:, Whena door is less than 50•rb glass, the fenestration
area may be the glass area plus a 'T inch fra me " around the glass.
2. Enter, value from Component Package D Requirements in Table 151-0.
3. Actual fenestration products installed and as indicated in CF-6R-ENY Form shall be equivalent to or have a lower U factor and/or a lower
SHGC value than that specified on the CF -1 R ALT Form.
4. Submit a completed WS -3R Form if a reduced SHGC is calculated with exterior shading.
5.1 applicable at this stage. enter "NFRC" for NFRC Certfied windows or are CEC "Default " values"ountd in Table II6-A or B.
ALTERED FENESTRATION
ALLOWED AREAS
(Co de 1 nieore"Than 5 t' pffenestradon is added)
A
B
C
D
E
F
G
CFA of
Allowed
Existing
.'Allowed
Entire
% of
Fenestration
Area
Fenestration
Area
Proposed At= 1.4
Dwell'
CFAz°'
Area'"
Removed'
Area Adde-0
A x B
D + C -
Total Fenestration
Area;
West Fenestration Area
(Required In
CZ's= 4&7-15
1. The Proposed West Fenestration Area includes West -sloping skylight area and any other skylight area with a pitch less than 1:12.
2. Enter 20% when no West orientation restriction or 15% 4,hen West fenestration is being installed in.Climate Zones 2, 4, & 7-15. Note that the
maximum allowed fenestration can only be 5% of the CFA as indicated in Column F. Column G must be equal to or less than Column F.
3. In climate zones 2, 4, 745, no more than 5% of the CFA is allowed for'west facing glazing.
4. Existing Fenestration area must be counted toward the maximum allowed 15% or 20•/ of the whole building and calculated in Column G. The
Proposed Area must be less than or equal to Column F.
S. Enter the fenestration removed as part of the alteration if any in column D.
6. Enter the Fenestration area that is being added aspart of the alteration.
2008 Residential. Compliance Fotinhs March 2010
4
Prescriptive Certificate of Compliance: Residential CF -IR -ALT
Residential Alterations
age 5 of
Project Name:
Climate Zone #
# of Stories
HERS VERIFICATION SUMMARY The enforcement agency should pay special attention to the HERS Measures spec f ed in this
checklist below. A completed and signed CF -4R Form for all the measures specified shall be submitted to the building inspector beforefinal
inspection
Duct Sealing & Testing HERS verification is required for this measure.
YES ❑ NO YES: In Climate Zoites 2 and 9-16, if more than 40 linear feet of new or replacement ducts are installed in unconditioned
space, the ducts are to be sealed per §152(b)1Du and the newly installed ducts are to be insulated per §151(010.
Q EXCEPTION: Existing duct systems that are extended, which are constructed, insulated or sealed with asbestos.
YES ONO YES: In Climate Zones 2 and 9-16, if the existing spaoe-conditioning system (HVAC equipment and ducting) is replaced, the
duds are to be sealed per § 152(b)1 Di.
AYES ONO YES: In Climate Zones 2 and 9-16, if the existing HVAC equipment is replaced (including the replacement of the air handier,
outdoor condensing unit of a split system, cooling or beating coil, or the furnace heat exchanger) the duds are to be
sealed per §152(b)IE.
0 EXCEPTION: Duct systems that aro documented to have been previously sealed confirmed through HERS
verification in accordance with procedures in the Reference Residential Appendix RA3.
[] EXCEPTION: Duct systems with less than 40 linear feet in unconditioned space.
11 EXCEPTION: Existing duct systems constructed insulated or sealed with asbestos.
Refrigerant Charge --Split System HERS verification is required for this measure.
OYES 0 NO YES: In Climate Zones 2 and &15, when the existing HVAC equipment is replaced (including the replacement of the air
handler, outdoor condensing unit of a split system A/C or heat pump, cooling or beating coil, or the furnace heat
"changer) a re ' erant charste measurement shall be verified per §1 S 1 F.
Central Fan Integrated (CFn Ventilation System and Fan Watt Draw
The ventilation requirements of § 1 o do not apply to existim residential homes.
Ducted Split Systems - Air Conditioners and Heat Pumps: Airflow HERS verification is required for this measure.
Q YES Q NO YES: In Climate Zones 10 through 15, when the existing space -conditioning system (HVAC equipment and ducting) is
laced, the airflow and fan watt draw shall be verified per § 152 1 Ci to meet the requirements of § 151 7B.
Documentation Author's Declaration Statement
• 1 certify that this Certificate of Compliance documentation is accurate and complete.
Name:
Signature:
Company:
Date:
Address:
If Applicable UCEA orL3CEPE
(Certification #):
City/State2ip:
Phone:
Responsible Building Designer's Declaration Statement
• 1 am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the building design identified on
this Certificate of Compliance.
• 1 certify that the energy features and performance specifications for the building 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 building design features identified on this Certificate of Compliance are consistent the information document
with provided to this
building design on the other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the enforcement
agencyfor approval with this building rmit application.
Name:
Signature:
Company:
Date:
Address:
License:
City/State/Zip:
Phone:
ror assistance or quesnons regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.
2008 Residential Compliance Forms March 2010
Bin. #
Perinit #
���
City: ofla a Qd jop
Sull ft q Safety D4.*On'.
P.O. Box 15641.;78-495 Calle:Tampico .
1.a.Qulnta, CA, 92,253 -;(760) 77770,12
Building Permit -Application and Tracking .,Sheet
Project Address:lti l
Owner's Name:.
A. P. Number.
Address:. yd `Ue V
Legal Description:
Contractor.
City, ST, Zip. t`
Telephone: . •rsa `
Address:
Project Description: —7k f
City, ST, Zip:
•"
Telephone:
State Lic. # : O CityLic. C
Arch., Engr., Designer:\.
Address:
City., ST, Zip:
Telephone:
Y a
Construction Type:'. Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft-;
#Stories:
#Univ:
Telephone # of Contact Person:
Estimated Value of Proi 60
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Rec'd
TRACMG '
PERMIT FEES
Pian SetsPlan
Check submitted
Item Amount
Structural Cabs.
Reviewed, ready for corrections! -
:Plan Check Deposit. .
Truss Cates.
Called Contact Person
Plan Check Balance.
Tide 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted. _
Mechanical
Grading plan
Z`' Review, ready for correctionsrwue
Electrical
Subcoutactor List
Called Contact Person
Plumbing,
Grant Deed
Plans picked up
S M.I.
H.O.A. Approval
Plans resubmitted
Grading
ll t HOUSE:-
'^' Review, ready for correetionsfissue
Developer Impact Fee'
Planning Approval
Called Contact Person
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permiffees