BRES2015-0055r
Q�i aw
78-495 CALLE TAMPICO D
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BRES2015-0055
Property Address:
79271 HORIZON PALMS CIR
APN:
604100060 .
Application Description:
LA QUINTA HIGHLANDS/EASON/REPLACE (5) WINDOWS (1) DOOR
Property Zoning:
Application Valuation:
$4,305.00
Applicant -
LOS ANGELES, CA 92253
WIN -DOR INC
2220 E ORANGEWOOD AVE
ANAHEIM, CA 92806
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 B iness and Professions Code,
and !^ILic��Psq j lin full force and effect.
Liceri`sisClaSs: /' License No.: 545553
Date Contractor",--
OWNER-BUILDER
ontractor/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 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 ) 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
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
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 w rk f ich this permit is issued.
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 in ce rr�yand Iicyswmber arra
Carrier: _ Policy Number: _ �� 3 7�� �� S C o
I certify that in the performance of the work for which thi 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 I should become subject to the
workers' compensation provisions of Section 3700 o e Labor Co , I shall forthwith
comply with those provisions.
Date:—%a Applicant:
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 Building Official 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 ting to building
construction, and hereby authorize representatives of this city tupon the above-
mentioned property for inspection purposes. ik A/
If
Date: Signature (Applicant or Agent)
Date: 2/18/2015
Owner:
LORETTA EASON
P 0 BOX 352354
�
1�
LOS ANGELES, CA 92253
-
to
o
C I N
~z�
w
ao
g a
Contractor:•"�
LL
5
WIN -DOR INC
m
2220 E ORANGEWOOD AVE
v S
z
ANAHEIM, CA 92806
(714)385-1202 .
Llc. No.: 545553
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 w rk f ich this permit is issued.
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 in ce rr�yand Iicyswmber arra
Carrier: _ Policy Number: _ �� 3 7�� �� S C o
I certify that in the performance of the work for which thi 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 I should become subject to the
workers' compensation provisions of Section 3700 o e Labor Co , I shall forthwith
comply with those provisions.
Date:—%a Applicant:
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 Building Official 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 ting to building
construction, and hereby authorize representatives of this city tupon the above-
mentioned property for inspection purposes. ik A/
If
Date: Signature (Applicant or Agent)
FINANCIAL .••
DESCRIPTION ACCOUNT QTY AMOUNT PAID
PAID DATE
BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00
PAID BY METHOD RECEIPT # CHECK #
CLTD BY
Total Paid forBUILDIN,G STANDARDS ADMINISTRATION BSA $1.00 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
SMI - RESIDENTIAL
101-0000-20308
0
$0.56
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $0.56 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DOOR/WINDOW, REPLACE FIRST 7
101-0000-42400
0
$60.91
$0.00
PAID -BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT-
QTY
AMOUNT
PAID
PAID DATE
DOOR/WINDOW, REPLACE, FIRST 7 PC .
101-0000-42600
0
$110.22
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for WINDOW/SLIDING GLASS DOOR/FENESTRATION: $171.13 $0.00
TOTALS:00
Description: LA QUINTA HIGH LAN DS/EASON/REPLACE (5) WINDOWS (1) DOOR
NAME TYPE
Type: BUILDING, RESIDENTIAL
Subtype: REMODEL Status: UNDER REVIEW
Applied: 2/18/2015 SKH
Approved:
Parcel No: 604100060 Site Address: 79271 HORIZON PALMS CIR LA QUINTA,CA 92253
Subdivision: TR 19903
Block: Lot: 138
Issued:
Lot Sq Ft: 0
Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $4,305.00
Occupancy Type: Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0 No. Unites: 0
Details: CHANGE OUT - (5)WINDOWS AND (1) SLIDING GLASS DOOR [2013 ENERGY]. 2013 CALIFORNIA BUILDING CODES.
CONDITIONS
NAME TYPE
NAME
-ADDRESS1
CONTACTS
CITY
STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT
WIN -DOR INC
2220 E ORANGEWOOD
AVE
ANAHEIM
CA
92806
(
Printed: Wednesday, February 18, 2015 2:22:25 PM 1 of 2 0MV-1YSTEMS
DESCRIPTION
ACCOUNT
QTY
4 AMOUNT.
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
T PAID BY
CLTD
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION
$1.00 $0.00
BSA:
SMI - RESIDENTIAL
101-0000-20308
0
$0.56
$0.00
Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $0.56 $0.00
DOOR/WINDOW,
101-0000-42400
0
$60.91
$0.00
REPLACE FIRST 7
DOOR/WINDOW,
101-0000-42600
0
$110.22
$0.00
REPLACE, FIRST 7 PC
Total Paid for WINDOW/SLIDING GLASS
$171.13 $0.00
DOOR/FENESTRATION:
TOTALS:0•
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULEDCOMPLETED
DATE DATE
RESULT REMARKS NOTES
FINAL"
PARENT pROACTS
ATTACHMENTS
Printed: Wednesday, February 18, 2015 2:22:25 PM 2 of 2
CN?WYSTEMS
Bin.# ..
- •-,' . .. .. ... City of Ld .Uifi f;.Q ,
�C
Building ff Safety .Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address:
Owner's Name:
A. P. Number:
Address: -e.
Legal Description:
City, ST, Zip:GU
Contractor:Q
Address:
�. ::;}«<• :`ci>s .;:.., Telephone:..��
Project Description:
City, ST, Zip: 610L
'e �
Telephone: %/ _.x Vw ........
State Lie. # City Lie. #;
5aow e !
Arch., Engr.,' Designer:
Address:
City, ST, Zip.
Telephone:
State Lie.
Name of Contact.Person:
Construction Type: Occupancy:
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 UNE
#
Submittal
Req'd
Rec'd
TRACING
PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
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 correction&4wue
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 corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
T
• Customer Name: Lo TAg,
�.
Phone:
Custom Window / Door Lay -Out Form or
House Lay -Out Form
/ 61t &%"+ pay s
.
s Xyl
I iUl1 kkeC j Z.on laXv., V%C
Ly
T5 xtit
tr
z xo
sQ� l f i
59 YK1
�c�tat,e
�.•.5 Styq,�- .owc IT
c
LFElY
OVEN �'T.
D "I 1 k.
_FY
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CEC-CF1R-ALT-01-E Revised 06114
`CERTIFICATE OF COMPLIANCE
:Prescriptive Residential Alterations
;Project Name: �u
I
A. GENERAL INFORMATION
01 Project Name: EgSp
d3 Project Location: S .�
OS CA city:
07 Zip Code:
09 Climate Zone: it 9=
B. BUILDING INSULATION DETAILS (Section 1S0.2(b)1)
01 02 1 03 1 04 ns
Frame Frame
Frame Depth I Spacing
Cavity
C. ROOF REPLACEMENT (Prescriptive Alteration, Section 150.2(b)1H)
x O1 02 03 04 OS
Method of Roof CRRC Product ID
!Compliance Pitch Exception Number Product Type
06
Continuous
Insulation
R -value
Date Prepared:
Date Prepared:
Building Front orientation (deg or,
Number of Altered Dwelling Units:
Fuel Type:
Total Conditioned Floor Area (ft2):
Slab Area (W)
07 1 08 { 09
Appendix JA4
Reference.
LI-factorTable Cell
10
CF111-ALT-01-E
(Page 1 of 4�
•l%-ts
11
Comments
06 07 1 08 09 10 11 12 13
R -value Proposed Minimum Required
Deck Initial Solar Aged War Thermal SRI Aged Solar Thermal SRI
Insulation Reflectance Reflectance Emittance (Optional) Reflectance I Emittance I IOotioi
Roof area covered by building integrated photovoltaic panels and solar thermal panels are exempt from the above Cool Roof requirements.
Liquid field applied coatings must comply with installation criteria from section 110,8(i)4.
i
li
i`
i
d
Registration Number: Registration Date/Time: HERS Provider:
CA Building Energy Efficiency Standards .2013 Residential Compliance
June 2014
<f
•
74
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
6EC•CF1R-ALT-0I-E ReWsed 06114
��.y,
CERTIFICATE OF COMPLIANCE
CALIFORNIA ENERGY COMMISSION ,
;Prescriptive Residential Alterations
CF111-ALT-01-E(Page
Project Name:
2 of 4)
l<
Date Prepared: `Z.FZ•t S
'b. FENESTRATION/GLAZING AREAS ALLOWED (Section 150.2(b)1)
•
01 02 03
-
p4
k Alteration Type Orientation Maximum Allowed ft2
Comments
Cr
t
E. FENESTRATION/GLAZING PROPOSED AREAS AND EFFICIENCIES (Section 150.2(b)1)
i01 02 03 04 05 06 07
08 04
10 11 12 13 14 15
Combined
Orientation Area Area
Tag/ Fenestration Frame Dynamic N, S, W, E, or Removed Added
Net Maximum
Added Allowed
Exterior SHGC
Shading from
ID Type Type Glazing Roof ft2 ft2
Area ft2 U-factor
U-factor Source SHGC Source Device CF1R-ENV-03
f w� �5
Z
C
F
z� 22
a Net Added West-facing Fenestration Area
b Existing + Added West-facing Fenestration Area
A-
c Maximum Allowed West-facing Fenestration Area
ii Is West-facing Fenestration Area < Maximum Allowed West-facing Fenestration
(
Area
00
e Net Added Fenestration Area {all orientations)
f; Existing + Added Fenestration Area (all orientations)
SM
g Maximum Allowed Fenestration Area (all orientations)
h Is Existing + Added Fenestration Area < Maximum Allowed Fenestration Area (all
orientations)
i,
N
FI
IF -
F�
-
i
f.
Registration Number: Registration Date/Time:
EA Building Energy Efficiency Standards - 2013 Residential Compliance
HERS Provider:
j
June 2014
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CEC-CFIR-ALT-01•E Revised 06/11 CALIFORNIA ENERGY COMMISSION '=
CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E
Prescriptive Residential Alterations (Page 4 of 4)
Project Name: itu'sp V, Date Prepared: = .(
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Compliance documentation is accurate and complete,.,.
Doculneniat"mn Au Iwt Name, t
0mumerdataan A sisnal
Signatwe D
company:
a
Addresi:
ZZ Zo �91�
IEA/ ITERS Cenif4cation ldentifi atlas tit applicable►: •
b
eny/staleRlp:.
tae:
�e
ti Lk- 3k5—vt'O'L
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certify the following under penalty of perjury, under the laws of the state of Cafiforniai,
1. The Information provided on this Certificate of Compliance is true and correct.
2, 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance (responsible
designer),
3. That the energy features and performance specifications, materials, components, and manufactured devices for the buitding design or system design identified on this Certificate of
Compliance conform to the requirements of The 24, Part 1 and Part 6 of the California Code of Regulations.
4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided an other applicable compliance documents,
worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application.
S. 1 will ensure that a registered copy of this Certificate of Compliance shall be made available with the building permit(si issued for the building, and made available to the enforcement agency
for all applicable inspections, t understand that a registered copy of thii Certifitate-of
Compliance is required to be included with the documentation the builder provides to the building
owner at occupancy,
Responsible bleogner Name; Reiponslble Designs nalm
�t
Company;
Date Signed•
!�
_•�7
Address.
ticeme:
City/Slate/Zlp,,:
\
Pllartt:
� �
US- VWL
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.
a
1
li neglstrahnn Number. Registration Date(Time.: HERS Provider:
{ CA Building Energy Efficiency Standards • 2013 Residential Compliance
June 2014