11-0071 (RER)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
Applicant:
<_11-00000071
52475 AVENIDA CARRANZA
773-285-013-1 -000000-
REMODEL - RESIDENTIAL
COVE RESIDENTIAL
3975
T-iht 4 4 0"
Architect or Engineer:
sm
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
CITY OF LA QUINTA
78495 CALLE TAMPICO
LA QUINTA, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Contractor:
CRYSTAL CLEAR MIRROR & GLASS
72330 QUARRY TRAIL
THOUSAND PALMS, CA 92276-
(760)343-1633
Lic. No.: 653336
r
---------7---------------------------------------------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
- WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under 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 Business and Professionals Code, and 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: C17 License No.: 653336
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
Date: ontractor: i >'
issued.
I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
Code, tot 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 SOUTHERN INS CO Policy Number WSIO02130502
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 permit 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 manner so as to become subject to the workers' 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 should become subject to the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
3700 of the Labor Code, I shall forthwith comply with those provisions.
that he or she is exempt therefrom and the basisfor the alleged exemption. Any violation of Section 7031.5 by
,y
3 �'/
any applicant for a permit subjects the applicant to a civic penalty of not more than five hundred dollars IS5001.:
Date: pplicant:
1 _ 1 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and
v
the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The
WARNING: FAILURE TO SECURE WORKERS' 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 ($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.).
1 1 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.).
(_ ) 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:
LQPERMIT
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 andstate laws relating to building construction, and hereby authorize representatives
of �th'-cJounty to enter upon the above-mentioned property for inspection purposes.
Date: / S/ // Si ature (Applicant or Agent):
Application Number
Permit . . .
Additional desc . .
Permit Fee . . . .
Issue Date . . . .
Expiration Date . .
. . . . 11-00000071
BUILDING PERMIT
63.00 Plan Check Fee . . 40.95
Valuation . . . . 3975
7/19/11
Qty
Unit Charge Per
Extension
BASE FEE
45.00
2.00
9.0000 THOU
BLDG 2,001-25,000
18.00
----------------------------------------------------------------------------
Special Notes and Comments
REPLACE 9
WINDOWS AND 1 SLIDING GLASS
DOOR WITH
MILGARD STYLELINE
VINYL
PRODUCTS.
2010 CODES.
-----------------=----------------------------
Other Fees
. . . . . . . .
------------------------------
. BLDG STDS ADMIN (SB1473)
1.00
ENERGY REVIEW FEE
4.10
Fee summary
-----------------
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
LQPERMIT
Charged, Paid
63.00 .00
40.95 .00
5.10 .00
109.05 .00
Credited Due
.00 63.00
..00 40.95
.00 5.10
.00 109.05
Jan 03 11 03:06p
CRYSTAL CLEAR MIRROR & GLASS
January 3, 2011
Proposal
To: R Kirk Kirkland Cityof La Quinta
From: Gary Lange
Re: 52-475 Avenida Carranza
Milgard Styleline vinyl sliding windows and door.
2 @ 4o X 5o windows tempered
4@ 4o X 4o windows
1@ 20 X 20 window
1@ 3o X 3o window
1@.3o X 20 window obscured glass tempered
1@sdf 6o X 610 sliding door
Total price Imstalled $ 3,975.00
760-343-1634 0.1
72330 Quarry Trail
Thousand Pahm
Caftrraa. 92276
Pnore 760.3431633
Farc 760.343-1634
Emait
V
Jan 21 11 11:25a 760-343-1634 p.2
-- - ---- - . �� • .... LJ4 Uuxrvtea tx-tAJ utrl PAGE 03/05
Prescriptive Certificate or con : Residential C -IF -IR -AL's
Re5L*4rlal Ak¢ratlentr . n e Z or
Projeet Num e: Clrrmme Zone K R rf Stories
L indicate the type of assenNy to Include; Hollow Unit Masonry W4/14 Saud Unit Masonry: Solid Concrete Walks. FJc. Ad&jl&wl assemblies can
befound RefereneehfntAppeptAkJA4.
1. This is the EI -Factor bared on rite thiclaress ofthc assambly in inches.
I The R -valve ofthe imatm on to be added an the inferfe r or e:eterfor of the armaebty.
!. The Cakidared R - Value is the X whee ofthe furred oat ,action of the a wembly.
S. 6. i'Tee Final Assembly it calculated using Fquarion 4-2 or Equation 4-4of the Reference Joint Appendrx JM. The equation is the /reverse of Column
Q added to Cafumn 1. Column K is the beverse fipne rntamn J.
FEINIESTRATION PROPOSED AiREA5
C Repladag.window alone - Replacemew windows shall meet the U -Farrar and SHGC Value regtaiemants of Car pammytt Package 0 in
Tob1e 131-0. The Totaf fenestrotien and 1Nest facing Area requirements arse not appileable.
❑ Adding SOW or lea ofwindow area - New1
y iaetatled..=ndnwt sheafl rarer ehr U -Factor and SHGC Valueretfeeiraaeenrs njComponent
Package D in Table 1 f! -C.
❑ Addfag more urea 50f efWiodew alta - Newfy Installed windows shelf meet the U.Factor SOW. valne Feneatrathon
and and the
Area requirements of Component Packagt D to Table 151-C Complete the Altered Fenestrarton Allowed Area 414 on Pglte 1 QrdN CF iR-ALT
Fentstratioa Type turd Frame
OricnlatioR
(NoTOL Fast
PrapscdAma'
Maximum
M I inutn NFRC or Default
endow Glace or ti
Soulk West
fll
U-bCM11- s
SNGC,- e. s value'`
U S //d>rirr+�
9. include die Proposed Area of the West facing fenesirMian in both urea eolrmns Maw.
Lf0
3S-
a S -
4 G
o I/dfi�r w:,y�/�ws
Sous
Yl
.3
a s l�alr' /t
S�T�i
c
3
B 3.
I
1. Fenestration ores is the area ojtotnl glared prndaecr (i. e. glaze plan frames. Erceptlon: When a door is fess i0% glart. the ftwx"fion
area may be Mie gfen area pinc a -2 j"eh frame - around the grmra.
2. F -Ver volae Jrant C ompnnear Package D Regrrireaeeals In T0b1e IS! -C •
3. Acura! fememartan prodreye installed and as indicated in CF-dR-&4V Form, sha/f be equivalent to or harp a ip rep I) -factor and/or a lower
SHGC valaee than that specified on the CF -1R ALT Farm
4. Sttbmle a completed R'S -3R Form ifa mdacedSlfGC Is cialcvkfed with wermrshadbig.
S. / kable at thin tt enter "NFRC" or NFRC CurAriedwfMdOws crepe CEC "De 11" values owed In Table 116-A ors.
ALTERED FENESTRATION ALLOWED AREAS ' nacre urate a � f
A
B C
D
E
F
G
Allowed Existing Fer=lratian Totil Arae
CFA of Entire % or Fenestration Arae Fen eso ation 4awcd Pnaposed Area=
Dwlln CFA Arce Removed Arra Added I XB)—
Total Fenesttslion Area el
W .20
WeSt Fenestration Area
(Required fn
.05
CZ's, Z 4 & 7 -15
1. West Feneetratron Arun includes west tlopingsWigM and arvvsky 4 hu wilk oPilch lets than 1:12.
Z Weal far: ing -
"Counted " I
glazing area removed cannor bQ twie:+e. In wder tOart►iribute flee wrsTt glasfng arenare M Nee OthK atlBnlations
Aleut the —W 81a-ing area mmoved in the Tocol Fenestration Area row. colwme Q
9. include die Proposed Area of the West facing fenesirMian in both urea eolrmns Maw.
J. Ta resect c fiance. the Pr owedApea mutt be Isar Nim► or 19 the Tataf Allow if Aren or BOTH rhe T t o.d Weal FeRestratioa Arens.
Ragijraliem Number: ReRistratlore Date/Ttem: HF,R$ Prow a!e►:
2008 Rmlderttial Compliawe Forms Augusr 2009
Jan 21 11 12:48p 760-343-1634 p.1
01121IZI611 1Z:Ov
HERS VEXIFICATION SUMMARY The etOrcemsemt agency shmddpgy special attention to the HFRS Afeas+ves specified in cult `
checklist below. A completed ond'sigrted CF -0 Fora, f*r at/ the mcwsweei spec#wd shat[ he subinfrted ro the building inspector bejorw frnal 1i
Duct Seadeg & Testing KM verilkatfon taregWred for this wiraxure.
Q YES ONO YE9: Its Climate Zones 2 artd 9-16. if more than 40 linear feet of new or replaoancm ducts air installed in uneonditioncd
space: the duos ase to be sealed per §152(b)i Dii and the newly installed duets era to be insulated per 1151 M10.
is EXCEPTION: Existing duet systans that are extended, which are eottstracted. iusulstled or sadrd WtM s bestos.
13 YES 01110 YIE& in Climate 7Anes 2 and 9-1& iftitc existing space -conditioning sysocm (HVAC equ'tpMatV aced dt►eting) is tepisced, the
ducts are to be sealed per § 152(bl1 pi.
17 YES O NO YES: in Climate: Zones 2 and 9-16. if the cxisting HVAC equipment is replaced littdadit Etc tcpiacanem of the air handler.
outdoor condensing tm+t of a Rtllt systtim sooting or heeding coil. of the fumace heat excimtger) the ducts are to tae
scaledper 015Z(b)M
O EXCEPTION: Duct systems i*st are documented to stave been previassly setkd Confirmed tirougi HERS
verilirieon in aeeordAttee with preeedam is the Rere.— Reddintial Appendix RA 3.
13 EXCEPTION: Dart sy"n3 wit► less than 40 linear beet in uncondittosed tpaee.
Re&igerant Charge- Split System MERS recoicattan is regrired fw dds omasare.
Q YES 0 No. YES. in Climate Zones 2 and x-15, whey tic existing HVAC equipment is replaced (including she replacemm of the air
handla. outdoor condensing unit of a split sys0an AJC or beat ptaap. Conning or beslinit Coil. or the furnace (teat
Central Fso Integrated (CFI} Ventilation System and Fan Watt Draw
The ventilatiiaa iranasb of 1 S o do not to e:i tesidentitl homes.
meted Split Systems -Air Conditioners and Heat Pttmps: Airflow NE2Sverjficatit7rr is ntgucirodjor this tssrastar.
13 YES O NO YES: In Climuc Zattcs 10 th otSh 15. vrben the exhiiag spaes-condkicrrin6 system (HVAC equipment and ducting) is
rcvlaccd. the airflow and fan watt draw shall be verified per 4152(b)lCi to meet tie eo uiremesus of 151 7B.
fimarratton Number: kegbtrarim Dote.—Th": _ HERS provider:
2008Residerttial Compiiumv Faros A"t 2009
Bin #
City Of La Quinta
Building & Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
'
Permit #
t
"
Project Address 7,1 Q,ue
Owner's Name:
A. P. Number: FT
Address: g- q -q6
Legal Description:
City, ST, Zip• ' 4�, CA gzz53
Contractor:
h ne:O0 —7000 D
e %Z
Address: aZ l�j
Project Description:
City, ST, Zip: � f a-�'!'4s u"/
I
Telephone: h ne
P
State Lie. # : 33 (7
City Lie.
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone: h n
e
........................
Constructionn Type: Occupancy:
cY
State Lie. #:
Project typeicircle one): New Add'n Alter Repair
DemoLl
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project: 75
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cafes.
Called Contact Person
Plan Check Balance
Title 24 Cafes.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
rd. Review, ready for correctionslissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'" Review, ready for correctionslissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees