RER (12-0403)P.O. BOX 1504 VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT .
Date: 4/13/12
Application Number: 12-00000403 Owner: t
Property Address: 51675 AVENIDA NAVARRO RW REAL ESTATE, INC
APN: 773-144=021-9 -000000- 52705 AVENIDA ALVARADO
Application description: REMODEL - RESIDENTIAL LA QUINTA, CA 92253
Property Zoning: ' COVE -RESIDENT IAL
Application valuation: 1000 D
Contractor:
Applicant: Architect or Engineer- HUITRON CONSTRUCTION f 1�
50427 RIGO COURT
COACHELLA, CA 92236 CITY OF LA
1,V'/wT (760) 398-3227 FII19A CE13 �o
Lic. No.: 926190
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed and provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the B s ass and Profession ode, d. my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License Class: B nse N .: 926190 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
Z issued.
Date: t�ontractor:. '� - _ I 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
OWNER -BUILDER DECLARATION insurance carrier and policy number are:
I hereby affirm under penalty of p rjury that I am exempt from the Contractor's State License Law for the_ Carrier STATE FUND Policy Number 0013718-2011
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 which this ermit is issued, I 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 manne o as to become subject to the w rkers' compensation laws of California,
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 s u become subject to the w=comp provisions of SectionLicense Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor C , I shall f hwith comply
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: 1 -2-Applicant:
1 _ 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: FAILURE TO SECURE RS' COMPENSATION 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 1$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 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 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 on this application.
property who builds or improves thereon, and who contracts for the projects with a contractorls) 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 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:
LQPERMIT
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 abov informat n is correct. I a ee to c ply with all
city and county ordinances and state laws relating to buildi g nstructi ,and hereby a rize re esentatives
of this county to enter upon the above-mentioned property o i specti purposes.
Date. �' ✓ —"Signature (Applicant or Agent):
. 4.
Application Number . . . . . 12-00000.403
---- Structure Information (5) WINDOW CHANGE OUT - REPLACEMENT ONLY-----
Other struct info . . . . CODE EDITION
----------------------------------------------------------------------------
2010
Permit . . . BUILDING PERMIT
Additional desc .
Permit'Fee . . . . 25.00 Plan Check Fee
16.25
Issue Date Valuation
1000
Expiration Date 10/10/12
Qty Unit Charge Per
Extension
BASE FEE
15.00
5.00 2.0000 HND BLDG 501-2,000
10.00
----------------------------------------------------------------------------
Special Notes and Comments
(5) WINDOW•.CHANGE OUTS (REPLACEMENT
ONLY] THIS PERMIT DOES NOT INCLUDE
ALTERATIONS TO EXISTING FRAMING OR
WINDOW OPENINGS. 20.10 -CALIFORNIA
BUILDING CODES.
April 13, 2012 1:17:19 PM-AORTEGA
----------------------------------------------------------------
Other Fees . . . . . BLDG STDS ADMIN (SB1473)
------------
1.00
. ENERGY REVIEW FEE
1.63
Fee summary_ Charged Paid Credited
Due
Permit Fee Total 25.00 .00 .00
25.00
Plan Check Total 16.25 .00 .00
16.25
Other Fee Total 2.63 .00 .00
2.63
Grand Total 43.88 .00 00
43.88
LQPERMIT
PlacriiDtive Certificate of Com liance: Residential
CF -1R -ALT
e tial Alterations 47- age 5 of
ect Name: Climate Zone #. # of Stories
ki
e
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)1 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)IE.
13EXCEPTION: Duct systems that are documented to have bees previously sealed confirmed through HERS
verification in accordance with procedures in the Reference Residential Appendix RA3.
Q EXCEPTION: Duct systems with less than 40 linear feet in unconditioned space.
EXCEPTION: Existing ducts stems constructed, insulated or sealed with asbestos.
efrigerant 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) IF.
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.
ONES ®NO YES: In Climate Zones 10 through 15, when the existing space -conditioning system (HVAC equipment and ducting) is
replaced, the airflow and fan watt draw shall be verified per § 152 I Ci to meet therequirements 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 CEA or CEPE
(Certification #):
City/State/Zip:
Phone:
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
agency for approval with thi building rntit application.
Name:
^
Signattue:
-may � , '
Com • jg;i' �
Date:
t
Ad �: � ,
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License: (� 2 6 i
I —1 O
City/wk/Zip: , •
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Phone:
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For aFsQrt nce or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.
st•war -
2008 Residential Compliance Forms March 2010
W
x
Prescri. five Certificate of Coni liaace: Residential CF -IR -ALT.
Residential Alterations a e 1 of -5)
Project Name: 7Climate Zone # # of Stories
General Information
Site Address:
Enforcement Agency:
Date:
Building Ty Single Family Q Multi Family.
Circle the F nt Orientation: N, , W, or degrees
Conditioned Floor Area (CFA):
Project Type: Alterations nvelope Fenestration U Roof HVAC
Replacement or an2e Out Duct Rp lacement QWater 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
0 Opening of framed cavity alone -Alterations that involve the opening of the framed cavity ofa 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.
Replacement of entire assembly -Replacement ofan entire wall, ceiling, or floor installation
assembly requires the ofComponent.
Package- D insulation values in Table 151-C. Fill in Columns A -J.
O a ue Surface.DetailS For the furred portioned of Mass Walls see Furring Strips Construction Table below.
A B I C I D E F G1 H I I J
Pro osed O1 Standard Values From JA4 Table
Framing Thickness, Framed
Tag/ .Assembly Name Material Spacing, . U- JA4 Table Cavity
ID1 or Type' and Size' or Othe? factor° Numbers R-value6
Continuous JA4 Proposed
Insulation Assembly Assembly
R -Value' Row/Cole U -factor"
Proposed Properties of Masonry and Concrete
Added Interior or Exterior Insulation
Walls From Reference
in Furring Space from Reference
Note: For furred assemblies, accounting for Continuous Insulation R -value, see Page JA4-3 and Equation 4-1. For calculating furred walls use the Mass and
Furring Construction table below.
1. For Tag/ID 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 in column G the Frame
material 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 [Hass 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 equivalent U factor found in JA4 Table based on the R -value from Table 151-B, C, or D
S. 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. The Proposed Assembly U factor, Column J, must beequal to or less than the Standard U factor in Column E to comply.
Furring Strips Construction Table for Mass Walls Onl
�► B C DI E
F I G I H I J I K
L
M
Proposed Properties of Masonry and Concrete
Added Interior or Exterior Insulation
Walls From Reference
in Furring Space from Reference
Joint ADDendix Table 4.3.5 4.3.6.4.3.7
Joint ADDendix Table 4.3.13
.
O
T
.,j •� y
h
Assembly
vi td
c � .
co :� fG c
°'
�
m ;, > ;,
Final
Mass
Thickness'T
Name or JA4 Table
Numbed
�'
Q
_
°'
QAssemb
'
>
U -factor
Comment
-
- C�,�r�%,tY�z�trtr�,sarr�
M
Prescriptive Certificate of Compliance: Residential CF -IR -ALT
Residential Alterations age 2 of 51
Project Name: Climate Zone # # of Stories
ass and Furring Strips Construction(footnotes)
1. indicate the type ofassembly to include; Hollow Unit Masonry Walls, Solid Unit Masonry, Solid Concrete Walls, Etc. Additional assemblies can
e found .Reference Joint Appendix 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 4-4of the Reference Joint Appendix JA4. The equation is the inverse of Column
D added to Column I Column K is the inverse from column J.
7. Insert the calculated U factor value'on to the Opaque Surface Details in Column J
IFE19STRATION PROPOSED AREAS
Vble
eplacing window alone — Replacement windows shall meet the U -Factor and SHGC Value requirements of Component Package D in
151-C. The Total Fenestration and West facing Area requirements are not applicable.
13Adding 50ft2 or less of window area — Newly installed windows shall meet the U -Factor and SHGC Value requirements of Component
Package D in Table 151-C.
Adding more than 50fe 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 -JR -ALT
Orientation
Fenestration Type and Frame (North, East, PropsedArea� Maximum Maximum NFRC or Default
indow, Glass Door or Skylight) South, West ft U-factot� ; SHGCZ ; ° Values .
k o 0
1. Fenestration area is the area of total glazedproduct (i.e. glass plus frame). Exception: When a door is less than 50.1 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 -IR ALT Form.
4. Submit a completed WS -3R Form if a reduced SHGC is calculated with exterior shading.
5.1fapplicable at this !2Le enter "NFRC" or NFRC Certified windows or are CEC "Default " valuesfound in Table 116-A or B.
ALTERED FENESTRATION
ALLOWED AREAS
(Complete if more than 50jtz ojjenestration is added)
A
B
C
D
E
F
G
CFA of
Allowed
Existing
Allowed
Entine
% of
Fenestration
Area
Fenestration
Area
Proposed Area'..'
Dwelling
CFA2.3
Area°
Removeds
Area Addedb
A x B
-D + C
Total Fenestration
-
Area Z• ft
West Fenestration Area"
(Required In
>1CZ'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, & 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, 7-15, 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.
5. Enter the fenestration removed as part of the alteration if arty in column A
6. Enter the Fenestration area that is bei2& added as part of the alteration.
�tl�!{�y{r/iffrl/n��F1>L''�ti�:tr +i<3L.�4f�ifSt/)[i DliSa,JR'�uifi. +i/�%i�a!� �'•ii�i/i/di'
2008 Residential Compliance. I I
Bin. #
City. OVLa
Budding 81 Safety Division
P.O. Boy. 1504,78-4 95 Gaffe Tampico : -
La.Quinta, CA 92253 - (760) Y77-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: 7 5 �� r� � V A "-' D Owner's Name:.
A. P. Number. Address: .Jl� . �\��� Allp0
Legal Description: l o`i� tt./ City, ST, Zip:
r
t
Contactor. J SJb ^ Telephone: �b l
Address: Q m L Project Description:
City, ST, Zap: : d ¢,� `\�ar. ! , q`Q•— `n .J 5 �� 1n� .
Telephone:'i O O
State Lic. #: p City Lic, C.
Arch., Eng., Designer.
Address:
City., ST, Zip:
Telephone:Conslrudion Type:. Occupancy: �,N�
State Lic. #: Project type (circle one): New . Add'n Al Repair Demo
Name of Contact P n:`J S v ,d Ft.: 1, S # Stories:. \ #Units:
Telephone # of Conte Person: . fl -LF Slq •p Estimated Value of Project
APPLICANT: DO NOT WRITE BELOW THIS UNE
# Submittal Req'd Recd TRACIMG PERMIT FEES
Plan Sets
Pian Check submitted Amount
Structural Cales.
Reviewed, ready for corrections Plan Check Deposit. .
Truss C21cs.
CaUed Contact Person Pian Check Balance
Title 24 Cales.
Plans piekcd up Construction '
Flood plain plan
Pians resubmitted.. Mechanical
Grading plan
2'! Review, ready for correctionsimue Electrical
Subcontaetor List
Called Contact Person Plumbing
Grant Deed
Plans picked up g,
ILOAL Approval
Plans resubmitted Grading
IN HOUSE:-
''" Review; ready for correcdonslissuc Developer Impact Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit Issue
School Fees
Total Permit Fees 3 .