RER (13-0606)51615 Avenida Martinez
13-0606
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Tlihf 4 VOICE (760) 777-7012
FAX (760) 777-7011
BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Application Number: 13-00000606
Property Address: 51615 AVENIDA MARTINEZ
APN:. 773-141-007-7 -000000-
Application description: REMODEL - RESIDENTIAL
Property Zoning: COVE RESIDENTIAL
Application valuation: 350
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 3 of the Business and Professionals Code, and my License is in full force and effect.
License Class: B Lic nse No.: 926128
S` 7'
Contrac
?a+i.I-uYGy K 2 CoKQ „NvLL GC—
Date. 1 1 tor
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 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 [hereon,
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 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: ` (1
Lender's Address: A 1 1 jK
I.QPERLMIT
Date: 5/13/13
Owner:
JBRE
70600 COUNTRY CLUB DRIVE
RANCHO MIRAGE
LA QUINTA, CA 92253
Contractor: IFE
DANTOR MARTINEZ CONSTRUCTION
81057 AVENIDA ROMERO MAY 3 2013
INDIO, CA 92201
(760)702-6209
Lic. No.: 926128 CITY011; 11N?A
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.
1'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 STATE FUND INS Policy Number 1960997
_ 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 1 should become subject to the workers' compensation provisions of Section
/,t® 3700 of the Labo?de, I,sh1alll foorthwith co ply wi1th those provisions.
Date JJ Applicant. T ' ./r.f 1 In
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 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 buildin construction, and hereby auth rize representatives
of this county to enter upon the above-mentioned property inspection purp es.
Date; 9' 3-13 Signature (Applicant or Ag
Application Number
. . . . . 13-00000606
Permit . . . . .
. BUILDING PERMIT
Additional desc .
Permit Fee . . .
. 15.00 Plan Check Fee
9.75
Issue Date . . .
. Valuation . . .
. 350
Expiration Date
11/09/13
Qty Unit Charge
Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and
Comments
REMODEL- REPLACE 2
WINDOWS, 1 -SOUTH
FACING U-FACTOR=.33,
SHGC=.23 1- NORTH
FACING U-FACTOR=.33,
SHGC=U-FACTOR=.23.
2010 (2008 ENERGY)
CALIFORNIA BUILDING
CODES.
----------------------------------------------------------------------------
Other Fees . . .
. . . . . . BLDG STDS ADMIN (SB1473)
1.00
ENERGY REVIEW FEE
.98
Fee summary
-----------------
Charged Paid Credited
----------------------------------------
Due
Permit Fee Total
15.00 .00 .00
15.00
Plan Check Total
9.75 .00 .00
9.75
Other Fee Total
1.98 .00 .00
1.98
Grand Total
26.73 .00 .00
26.73
LQPERMIT
Bin. #
City of La Qu' to
Bulldim a Safety Division
P.O. Box 1504,78-495 Calle Tampl o
14.Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Ul
Project Address: S' / to Q
Owner's Name:.
A. P. Number.
Address: ."7 c.) O
Legal Description:
City, ST, Zip:
Contractor. Q h r a :il
Telephone: `i e<7 G S ,
Address: 8 !Q % q k,._ o
Project Description:
City, ST, Zip: G
e
Telephone: 7,60 7,0-7-4 • q
State Lia # : 9 2 QJ City Lir #:
! Lti S i+L.4
Arch., Engr., Designer.
Address:
City., ST, Zip:
Telephone:
State Lic. #:
Construction Type:. Occupancy:
) type (circle one): New Add'n Alter Repair Demo
_
Name of Contact Person:
Sq. Ft: # Stories:
# Units:
Telephone # of Contact Person:
Estimatod Value of Project: 3 r'o
APPLICANT: DO NOT WRITE BELOW THIS LINE
*
Submittal
Req'd
Rec'd
TRACING
PERMIT FEES
Plan Sett
Plea Check submitted
item Amount,
Structural Calm
Reviewed, ready for corrections
Plan Check Deposit. .
Trust Cala.
Called Contact Person
Plan Cheek Balance,
Title 24 Calci.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanic
Grading plan
Z'! Review, ready for correctiiontlissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plant picked up
SM.L
U.O.A. Approval
Plant resubmitted
Grading
IN HOUSE;-
Review; ready for correttionslissae
Developer Impact Fee
Planning Approval
Called Contact Person
w
AJ.P.P.
Pub. Wks. Appr
Date of permit Issue
School Fees
Total Permit Fees
I
Prescriptive Certificate of Compliance: Residential CF -IR -ALT
Residential Alterations a e 1 of
Project Name: Climate Zone K N of Storks
General Information
Site Address: v Enforcement Agency:
Building Type O.S k Family O Multi Family Circle the Front Orientation: NQ9 S, W, or degree
Conditioned Floor Area (CFA): Project Type: O Aherations O Envelope O Fenestration O Roof O HVAC
Replacement or Change Out ^Duct Replacement O Water Hater
: arm is !tot to be !TM—,for N Cotatntded BaUdbW or Addhlens
Insulation Velma For Opaque Surfaca Or Faring use the Mau and Fwring Snot Construction table below)
Assembly Aheratioa
O Opening of framed cavity alone - Alterations that involve the opening of the framed cavity of a wall, ceiling, or floor mutt install the
mandatory minimum mmkdwn valve per J150for the altered assewrbly. Fill in Columna A -C and enter mandatory itsssrdatiorn value in Column H.
O Replacement of entire assembly- Replacement of an entire wall. ceiling, orJloor a sembly requires the installation ofConponent
P - D knndwkn values in Table /SI -C. Fill u r'ntu...... i _ t
Opaque Surface Details For the fined of Mass wells see Fn Cowmcdon Tabk belrw.
A B C D E F G I H I 1 J
Pro Standard Valva From JA4 Table
T
ID
Assembly Name
Framing
Material
T6*wss, Framed Coatintwtu JA4 Proposed
Spacing, U- JA4 Table Cavity Insulation Assembly Asaanbt
or T
and Sixc=
a Otber' factor' Numbe3 R-valuev R -Value? Cell Value! U -fetor
I G I H I J I K
Added Interior or Exterior Insulation
in Furring Space from Reference
Joint peadix Table 43.13
r
V
Assembly
Mass Name or JA4 Table g
Thickness' --112S! Number' < >
"
C
b u
.. „Final
$ ii _g a
J,
It 2S < > LU
Assembl
U -f Cornrtitnt
Nae: FarJinrd arsen.bties0'1 CpMtwoYi Insulation R-valmre• see P.ege JA! -J and fgraoon 4- 1. For cntedott> fused wat4 rets tMs Jdasi and
F Conrmuetion aaUe below.
1. For Tog/lD indicate the identiJicntion name than matches the building plans.
2. Indicate the Assembly Name or type: Roof lCeilbe Walls,cote the Frame type and Size: For
Wood Metal. Metal Buildings. Mass, enter 2W, 2x6, or etc... see JAI for otter po sible flame type assemblies.
3. Enter the thicAness for mass in inches or Spacing between framing members enter: 16 "or 24 -0C. or 0dierlior all other assembly description
such as Conemle Sandwich Panel. P n &vl Panel, Logs. Straw Bale Panel and etc....
I. Based on the Climate Zone: enter the Statrdard U -factor fom Table 15 1-B. C or D for each different assembly Name or type.
S. Enter the Table number drat closely resembles the proposed assembly.
6. Enter Ove R -value that is being installed in the wall cavity or between die f wminRg: otherwise. enter "0
7. Enter the Continuous Insulation R -value for the proposed assembly. odw wise, enter -0 ,
8. Enter the row and column of the U -Jailor value based on Column F Table Number and enter the Assembly U factor in Column J
9. The Proposed Assembly U Jailor, Column J. must be eaual to ew bee a...,..s— c......w_-w m r f— - I', -L.- - r . _..m..
Registration Number: Registration Date.Timc
2008 Residential Compliance Forms
HERS Provider:
August 2009
Furri2g Stips Construction Table.for Mass Walls pal
A B I C D I
Proposed Properties of Masonry and Concrete
Walls From Reference
JolntAp radix Table 4.3 43.6 4.3.7
E
F
I G I H I J I K
Added Interior or Exterior Insulation
in Furring Space from Reference
Joint peadix Table 43.13
L M
V
Assembly
Mass Name or JA4 Table g
Thickness' --112S! Number' < >
"
C
b u
.. „Final
$ ii _g a
J,
It 2S < > LU
Assembl
U -f Cornrtitnt
Registration Number: Registration Date.Timc
2008 Residential Compliance Forms
HERS Provider:
August 2009
Prescriptive Certificate of Compliance:
Residential
CF -IR -ALT
Residential Alterations
Maximum
U -factor;;
Maximum
SHGC2' h• 4
age 2 of
Project Name:
O.a
Climate Zone q
S of Stories
1. Indicate the type of assembly to include; Hollow Unit Masonry Walls, Solid Unit Masonry, Solid Concrete Walls, Etc. Additional assemblies can
found Reference Joins Appendix JA4.
2. Thus 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. litre Final Assembly is calculated using Equation 4-2 or Equation 4-4of the Reference Joint Appendix JA4. The equation is the inverse of Col
added to Column 1. Column K is the inverse from column J.
7. Insert the auculated U- actor value on to the Opaque Surface Derails to Column J
FENESTRATION PROPOSED AREAS
JELR—eplacing window alone — Replacement windows shall meet the U -Factor and SHGC Value requirements of Component Package D in
Table ISI -C. The Total Fenestration and West facing Area requirements are not applicable.
Adding 50or less of window area —Newly installed windows shall meet the U-Factor"and SHGC Value requirements of Component
Package D in Table I51 -C.
Q Adding more than 50ft' 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 -IR -ALT
Orientation
Fenestration Type and Frame (North, East, PropsedArea'
indow, Glass Door or S 1" t -South,West) (fi)
Maximum
U -factor;;
Maximum
SHGC2' h• 4
NFRC or Default
Values
' I 5 t^
O.a
0, 2-1
G
CFA of
Allowed
Existing
Allowed
Entire
% of
Fenestration
Area
Fenestration
Area
1. Fenestration area is the area of total glazed product (i.e. glass phisframe). Exception: When a door is less than 50% glass, the fenestration
area may be the glass area phis a "2 inch frmne " around the glass.
2. Enter value from Component Package D Requirements in Table 151-C.
3. Actualfenestration 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 -IR 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 Certified windows or are CEC "Default " values found in Table I I6 -A or B.
ALTERED FENESTRATION
ALLOWED AREAS
(Co de 1 more than S offenestradon is added)
A
B
C
D
E
F
G
CFA of
Allowed
Existing
Allowed
Entire
% of
Fenestration
Area
Fenestration
Area
Proposed Areal, 4
Dwell'
CFAz'
Area'
Removed'
Area Added
(A x B
D + C -
Total Fenestration
Area ftz
West Fenestration Area
(Required In
CZ's 2 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% when West fenestration is being installed in Climate Zones 2, 4, cF 7-I5. 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, 7-15, no more than 5% of the CFA is allawed 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.
5. Enter the fenestration removed as part of the alteration if any in column D.
6. Enter the Fenestration area that is being added as part of the alteration.
2008 Residential Compliance Forms March 2010
Prescriptive Certificate of Compliance: Residential CF -IR -ALT
Residential Alterations
age 5 of
Project Name:Q
Climate Zone q
q of Stories
!—
G (Certification #):
City/State/Lip:
Phone:
HERS VERIFICATION SUMMARY The enforcement agency shouldpay special attention to the HERS Measures specified in this
checklist below. A completed and signed CF -4R Form for all the manures specified shall be submitted to the building inspector before final
ins ctioa
Duct Sealing & Testing HERS verification is required for this measure.
❑ YES ❑ NO YFS: In Climate Zones 2 and 9-16, if more than 40 linear feet of new or replacemenf ducts are installed in unconditioned
space, the ducts are to be sealed per §152(b)IDH 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 ONO YES: In Climate Zones 2 and 9-16, if the existing spaoe-conditioning system (HVAC equipment and ducting) is replaced, the
ducts are to be sealed per §152(b)lDi.
AYES ❑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)1 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 duct system constructed,insulated or sealed with asbestos.
Refrigerant Charge- Split System HERS verification is
requiredfor this measure.
❑ YES ❑ NO YFS: 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 beat
ex r) are ' erant chaMe measurement shall be verified per § 15 1 F.
Central Fan Integrated (CFI) Ventilation System and Fan Watt Draw
The ventilation requirements of § 1 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 ❑ NO YES: In Climate Zones 10 through 15, when the existing space -conditioning g system (HVAC equipment and dulling) is
replaced, the airflow and fan watt draw shall be verified per § 152 1 Ci to meet the requirements of §151(07B.
Documentation Author's Declaration Statement
• I certify that this Certificate of Compliance documentation is accurate and co tete.
Name: 0ni
Signature: [2, j
Company
Date:
u c -!C-- 7-- ) ?
Amoss' If Applicable UCEA or L3CEPE
G (Certification #):
City/State/Lip:
Phone:
G G'r 760 7 0 2 -6
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.
• I 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
agencyfor royal with this building rmit application.
Name:
Signature:
Company:
Date:
Address:
License:
City/State/Zip:
Phone:
. r wau.unve or quesuons regaraing the Cnergy Standards, contact the Energy Hotline at: 1-800-772-3300.
2008 Residential Compliance Forms March 2010
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