RER (11-0023)53425 Avenida Madero
11-0023
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 1-00000023, j
Property Address: 153425-AVENIDA •MADERO
APN: 774 -033 -019 -11 -000000 -
Application description: REMODEL RESIDENTIAL
Property Zoning:. COVE RESIDENTIAL
Application valuation: '1027
Applicant:
a
Architect or Engineer:
VOICE 760 777-7012
FAX (760) 777-7011
BUILDING & SAFETY DEPARTMENT , PECTIONS (760) 777-7153
BUILDING PERMIT D n --
at 1/ F1
Owner: J)`,
MCMANUS TIMOTHY F JH O f
53425 AVENIDA MADERO ZGiy
LA QUINTA, CA,92253 L.
il r LA Ot ij'u,
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that Iam,licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect..
License Class: B ,License No.: 818261
Date: — ontractor:
OWNER -BUILDER DECLARATION
1 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 heor she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5by
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5.00).:
(_ 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
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.).. '
(_) I, 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.).
(._ 1 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: f A
1
LQPERMIT
Contractor: -
THREE D CONST
320 E. STUART AVENUE
REDLANDS, CA 92374
(909)335-4846
LiC. No.: 818261
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 the work for which this permit is
issued.
) tIave 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 SOUTHERN INS CO Policy Number WS1001852202
I certify that, in the performance of the work for which this permit is issued, 1 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 -
3709 of the Labor C901, I shall forthwith comp with those provisions.
/
ate: ✓V I1 plicant-
WARNING:. FAILURE TO SECURE ORKER 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 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 co ty ordinances and state laws relating to buildin onstruction, and hereby authorize representatives -
of thi unty/to ent r upo the above-mentioned propett r inspection pur
Date: gnature (Applicant or Agentl:
Application Number . . . . 11-00000023
Permit BUILDING PERMIT
Additional desc
Permit Fee 27.00 Plan Check Fee
17.55
Issue Date _Valuation . . . .
1027
Expiration,Date . 7/05/11
Qty Unit Charge Per.
Extension
BASE FEE -
15.00
e 6.00 2.,0000 HND BLDG -501-2,000
12.00
-. --_--Special Notes and Comments
INSTALLATION OF 2 RETRO-F.IT WINDOWS.
2010 CODES.
-------------------------------------------------------------------
Other Fees BLDG STDS.ADMIN (SB1413)
1.00
ENERGY REVIEW FEE
1.76
Fee'summary Charged Paid Credited
-- ---------
Due
-------------------------- ..
Permit Fee Total 27.00 .00 00
27:00 '
Plan Check Total 17.55 .00 .00
17.55
Other Fee. -Total 2.76 .00 .00
2.76
Grand Total 47.31 .00 .00
47.31.
LQPERMIT -
-
—Prescriptive Certificate of Compliance: Residential CF -IR -ALT
Residential Alterations age 1 of
Project Name: .mak Climate Zone N N of Stories
I
mof hV C Ma1105
General Information
Site Address: 53U;7 V f1
Enforcement Agency:
Date: 6 - I
Building Type Single Family ❑ Multi Family
Circle the Front OrientationnNN E. S, W, or degrees
Conditioned Floor Area (CFA):
Project Type: ❑ Alterations 0 Envelope M Fenestration O Roof O HVAC
Comment
Replacement or Change Out O Duct Replacement ❑ Water Heater
NOTE: This form is not to be used for Newly Constructed Buildings or Additions
insulation Values For Opaque Surfaces (for Furring use the Mass and Furring Strips Construction table below)
Assembly Alteration
O Opening of framed cavity alone -Alterations that involve the opening of the framed cavity of a wall, ceiling, or floor. must install the
mandatory minimum insulation value per §150 for the altered assembly. Fill in Columns A -C and enter mandatory insulation value in Column H.
O Replacement of entire assembly - Replacement of an entire wall, ceiling, or floor assembly requires the installation of Component
Packs e- D insulation values in Table 151-C Fill in Columns A -J
Opaque Surface Details For the furred rtioned of Mass Walls see Furring Strips Construction Table below.
A B C D E F G I H 1 1. J
Proposed SftO1e Standard Values From JA4 Table
Framing
Ta / Assembly Name Material
iD or Type' and Size'
Thickness, Framed
Spacing, U- JA4 Table Cavity
or Othe? factor° Numbers R -value°
Continuous JA4 Proposed
Insulation Assembly Assembly
R -Value' Cell Value? U -facto?
Added Interior or Exterior Insulation
in Furring Space from Reference
Joint Appendix Table 4.3.13
Final
Assemb
U -factor
Comment
Mass
Thickness'
Assembly
Name or
Type'
V
.°
JA4 Table
Number' ¢ >
L
N
`v y
o C t li' M a
° 0,2 F- F- `o m ;,
v ° -'a
c x c '
w
> ^„
.y v A
'
< > ad
Note: For furred assemblies, accounting for Continuous Insulation R -value, see Page JA4-3 and Equation 4-1. For calculating furred walls use the Mau and
Furrin Construction table below. '
1. For Tag/1D indicate the identification name that matches the building plans.
2. Indicate the Assembly Name or type: Roof/Ceiling, Walls, Floors, Slabs, Crawl Space, Doors and etc... Indicate the Frame type and Size: For
Wood, Metal, Metal Buildings, Mass, enter 2x4, 2x6, or etc... see JA4 for other possible frame type assemblies.
3. Enter the thickness for mass in inches or Spacing between framing members enter; 16 "or 24 "OC; or Other for all other assembly description
such as Concrete Sandwich Panel, Spandrel Panel, Logs, Straw Bale Panel and etc....
4. Based on the Climate Zone; enter the Standard U factor from Table 151-B, C or D for each different assembly Name or type.
5.Enter the Table number that closely resembles the proposed assembly.
6. Enter the R -value that is being installed in the wall cavity or between the framing; otherwise, enter "0 ".
7. Enter the Continuous Insulation R -value for the proposed assembly; otherwise, enter "0 ".
8. Enter the row and column of the U factor value based on Column F Table Number and enter the Assembly U factor in Column J
9. 77re Proposed Assembly U factor, Column J, must be equal to or less than the Standard Ulactor in Column E to comply.
Furring Strips Construction Table for Mass Walls Onl
A I B I C I D I E
-F G I H 1 J K
L
M
Proposed Properties of Masonry and Concrete
Walls From Reference
Joint Appendix Table 4.3.5,4.3.6.4.3.
Added Interior or Exterior Insulation
in Furring Space from Reference
Joint Appendix Table 4.3.13
Final
Assemb
U -factor
Comment
Mass
Thickness'
Assembly
Name or
Type'
V
.°
JA4 Table
Number' ¢ >
L
N
`v y
o C t li' M a
° 0,2 F- F- `o m ;,
v ° -'a
c x c '
w
> ^„
.y v A
'
< > ad
Registration Number:
2008 Residential Compliance Forms
Registration Date:Time: HERS Provider:
August 2009
Prescri tive Certificate of Compliance: Residential CF -IR -AL's'
Residential Alterations. Page 5 of 5
Project Name: i Climate Zone # # of Stories
® ma S
HERS VERIFICATION SUMMARY The enforcement agency should pay special attention to the HERS Measures specified in this
checklist below. A completed and signed CF -4R Form for all the measures specified shall be submitted to the building inspector before final
inspection.
Duct Sealing & Testing HERS verification is required for this measure.
❑ YES ❑ NO YES: In Climate Zones 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)IDii and the newly installed ducts are to be insulated per §151(f)10.
❑ EXCEPTION: Existing duct systems that are extended, which are constructed, insulated or sealed with asbestos.
❑ YES ❑ NO YES: In Climate Zones 2 and 9=16, if the existing space -conditioning system (HVAC equipment and ducting) is replaced, the
ducts are to be sealed per § 152(b) I Di.
❑ YES ❑ NO YES: In Climate Zones 2 and 9-16, if the existing HVAC equipment is replaced (including the replacement of the air handler,
outdoor condensing unit of a split system, cooling or heating coil, or the furnace heat exchanger) the ducts are to be
sealed per § 152(b) I E.
❑ EXCEPTION: Duct systems that are 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.
❑ EXCEPTION: Existing ducts stems constructed, insulated or sealed with asbestos.
Refrigerant Charge - Split System HERS verification is required for this measure.
❑ YES ❑ NO YES: In Climate Zones 2 and 8-15, 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 heating coil, or the furnace heat
exchanger) a refrigerant charge measurement shall be verified per § 152(b)I F.
Central Fan Integrated (CFI) Ventilation System and Fan Watt Draw
The ventilation requirements of § 150 o do not apply to existing residential homes.
Ducted Split Systems - Air Conditioners and Heat Pumps: Airflow HERS verification is required for this measure.
❑ YES O NO YES: In Climate Zones 10 through l5, when the existing space -conditioning system (HVAC equipment and ducting) is
replaced, the airflow and fan watt draw shall be verified per § 152(b)1Ci to meet the requirements of § 151(f)7B.
Documentation Author's Declaration Statement
• 1 certify that this Certificate of Compliance documentation is accurate and c lete.
Name:
pti t 1U,,,.
Signatur
b )-
Company: n
P Y 1_ • c _ U Ci
Date:
Address: 3.2bIf
E• S f V ark- c-
Applicable ❑ CEA or [3CEPE
{%
(Certification #):
City/State/Zip:
OLn,-3 C-R, qz3
Phone:
qaa-33s-1Z
Responsible Building Designer's Declaration Statement
• I 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 with the information provided to document this
building design on the other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the enforcement
agency for approval with this building permit application.
Name: v n C ` /
U l
I
Signature:
Company:
/
rh r --1% 1 5 r (JGf t 0 Zi
Date: _ 6 --
Address: 32 , S. fL) 4,/-f A, , V f
License:81 `
6
City/State/Zip:
e, IQnds CAr 23 -
Phone:
0 335— 2
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.
Registration Number: Registration Date/Time: HERS Provider:
2008 Residential Compliance Forms
August 2009
.Prescriptive Certificate of Compliance: Residential CF -IR -ALT
Residential Alterations (Page 2 of 5
Project Name: Climate Zone ti # of Stories
:ZIMDAY ACMaI105 1
Mass and Furring Strips Construction(footnotes)
1. Indicate the type of assembly to include: Hollow Unit Masonry Walls, Solid Unit Masonry, Solid Concrete Walls, Etc. Additional assemblies can
befound Reference Joint Appendix J44.
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.
. The Calculated R- Value is the R -value of the furred out section of the assembly.
[7'.
-6. The Final Assembly is calculated using Equation 4-2 or Equation 4-4of the Reference Joint Appendix J44. The equation is the inverse of Column
added to Column I. Column K is the inverse from column J.
Insert the calculated U- actor value on to the Opaque Surface Details in Column J
FE ESTRATION PROPOSED AREAS
Eh Replacing window alone —Replacement windows shall meet the U -Factor and SHGC Value requirements of Component Package D in
Table /51-C. The Total Fenestration and West facing Area requirements are not applicable.
❑ Adding 50fI2 or less of window area — Newly installed windows shall meet the 0 -Factor and SHGC Value requirements of Component
Package D in Table 151-C.
❑ Adding more than 50ft2 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 151-C Complete the Altered Fenestration Allowed Area Table on Page 2 of the CF -1 R -ALT
Orientation
Fenestration Type and Frame. (North, East,. PropsedArea" Maximum Maximum
window, Glass Door or Sk light) South, West(ft) U-factorz• 3 SHGC'-1.4
NFRC or Default
Value5
ry 50V D B3 o
s;
A
B
C
D
E
F
I. Fenestration area is the area of total glazed product (i.e. glass plus frame). Exception: When a door is less than 50% glass, the fenestration
area may be the glass area plus a "2 inch frame " around the glass.
2. Enter value from Component Package D Requirements in Table 151-C.
3. Actual fenestration products installed and as indicated in CF -6R -ENV Form shall be equivalent to or have a lower U factor and/or a lower
SHGC value than that specified on the CF -JR ALT Form.
4. Submit a completed WS -3R Form if a reduced SHGC is calculated with exterior shading.
5. I(applicable at this stage enter "NFRC" for NFRC Certified windows or are CEC "Default " valuesfound in Table 116-A or B.
ALTERED FENESTRATION ALLOWED AREAS
(Complete if more than 50f12 of fenestration is added)
A
B
C
D
E
F
G
Allowed
Existing
Fenestration
Total Area
CFA of Entire
% of
Fenestration
Area .
Fenestration
Allowed
Proposed Areae
Dwelling
CFA
Area
Removed
Area Added
JA x B)
(E -D) + C
Total Fenestration Area
ft2
.20
>
West Fenestration Area
(Required In
OS
>
CZ's 2, 4 & 7 -15
I. West Fenestration Area includes west -sloping skylights and any skylight's with a pitch less than 1:12.
2. West facing glazing area removed cannot be "counted " twice. " In order to distribute the west glazing area removed to the other orientations,
input the west glazing area removed in the Total Fenestration Area row, column D.
3. Include the Proposed Area of the West facing fenestration in both Area columns below.
4. To meet compliance, the Proposed Area must be less than orequal to the Total Allowed Area or BOTH the Total and West Fenestration Areas.
Registration Number:
2008 Residential Compliance Forms
Registration Date;Time: HERS Provider:
August 2009
1
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WINDOW PERMIT WORKSHEET
Bin #
City of LQ Quinta
Building 8T Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet •
Permit # n/}
Project Address: j 3 ve
Owner's Name: T1 /Vt
A. P. Number:
Address: 53 — W Z47 Ven / d a mads l o
Legal Description:
City, ST, Zip: L, p, Q L j /I Q,
Contractor: rct- _ O 0 1)5 u
Telephone: 6 6
Address: 3 E, 5 +'L) Q
Project Description:
City, ST, Zip: G Q C • 9 2 3
' I rD - l 6 /l(
o q - 335 _x ;:>: ; h----
Telephone: — I ,.i S• i• , ...y :
State Lie. # : -2 'City Lie. #: 06
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone: `..
State Lie. #:S :: i' `.na %i '' • • >
•, ,r ai 5 .
Name of Contact Person:
Construction Type: 1C Occupancy: 5 ! R k -A At,iv
,
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:
#Stories:
#Units:
Telephone # of Contact Person:
Estimated Value of Project:O
APPLICANT: DO NOT WRITE BELOW THIS LINE
H
Submittal
Req'd
Recd
TRACKING
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
2°" Review, ready for corrections/Issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:
3 d Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees