13-0357 (RER)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 13-00000357
Property Address: 79499 HORIZON PALMS CIR
APN: 604-100-005-05 -19903 -
Application description: REMODEL - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 1250
TUV/ 4 4Q*�M
Applicant: Architect /or Engineer:
------------------
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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 icense No.: 683274
Date: • 13 Contractor: -
{ 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
Jany applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 1$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.).
(_ 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 contractorls) 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:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/26/13
Owner:
DAVID & DIANE OTI
79499 HORIZON PA
LA QUINTA, CA 92 �Illl
14AR 2- t1 X011
Contractor: -`�.
MELCO CONSTRUCTION C -11y W �11I�1T.9
PO BOX 141 Fi�A�e� DSP%
THOUSAND PALMS, CA 92276
(760)409-6703
Lic. No.: 683274
-----------------------------------------------
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.
_ 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
insurance carrier and policy number are:
Carrier EXEMPT Policy Number EXEMPT
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 I should become subject to the workers' compensation provisions of Section
'�77
3700 of the Labor Code, I�shall forthwith comp) p' hh those provisions.
Date: '3"&-13Applicant: /' ' 11�•� 0 Y�
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.
1 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 building construction, and hereby authorize representatives
of this county to enter upon the above-mentioned property for inspection purposes. r
Date: 3�Z�. Signature (Applicant or Agent):�,�,�
f
i
Application Number
. . . . . 13-00000357
Permit . . .
BUILDIN_G PERMIT
Additional desc .
Permit Fee . . . .
31.00 Plan Check
Fee
20.15
Issue Date . . . .
Valuation
. . .
. 1250
Expiration Date
9/22/13
Qty Unit Charge
Per
/ Extension
BASE FEE
15.00
8.00 2.0000
HND BLDG 501-2,000
16.00
-------------------------------------------7--------------------------------
Special Notes and Comments
REMOVE AND REPLACE
(1) WINDOW [U -FACTOR
.30, SHGC .30] AND
(1)GLASS DOOR
[U -FACTOR .29, SHGC
.23] AS SHOWN ON
APPROVED SITE PLAN.
2010 CALIFORNIA
BUILDING CODES._
----------------------------------------------------------------------------
Oth'er Fees . .
. . . . BLDG STDS ADMIN -(SB1473)
1.00
ENERGY REVIEW FEE
2.02
Fee summary
Charged Paid Credited
----------
--=------- ---------- ---------- ----------
Due
-----------------
Permit
Permit Fee Total
31.00 .00
.00
31.00
Plan Check Total
20.15 .00
.00
20.15
Other Fee Total
3.02 .00
.00
3.02
Grand Total
54.17 .00
.00
54.17
.
-d
B1n.1>`
Cly}/ O*f La Q[ulhta
-Ba11d1ng.8r Safety 1)Won;
P.O. Box 1504,78-495 Caife Tampico
i a.Qidno, CA 92253 -:(760) 777-7012
Building Permit -Application* and Tracking Sheet
Permit #
Project Address: 7 % `i %9 91Zo A�r
A &S G2
Owner's Name:.
A P. Number.
Address: '7 q — `-f 9 S t- ep_ j Lu.s PA V_5' C Z . •
Legal Description:
City, ST, Zip: L/�- q u N f / a,- (fA
Contractor. C o ' (26-7v s rruc &r_ 0 o
Telephone:
Address: Ems.O P>0 i, I L.1,
PmjectDescription: Re,MAU e. 4 1�e lA-c �
City, ST, Zip: 14.0,,L &A,D PAIm s C—A- `1 z--&7(,
G(ss r-,roe'_ 0)(4-11
Telephone: 760-y6q-670.3;
State Lie. city Lie. M
W'i NOae,j 6,6x-f,*.
Arch., Engr., Designer:
Address:
City., ST. Zip:
Telephone:
State Lic. #: n "
Construction Type:. Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: �, Rost,
Sq. FL: # Stories:
Telephone # of Contact Person:
Estimated Value of Project 1250,
. APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Recd
TRACIMG
PERMfrFEES-
Plna Sets
Plan Check submitted
Item Amount
Structural Calm
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Ca1m
Called Contact Person
Plan Check Balance.
Titre 24 Calci.
t
Plana picked up
Constrnetion
Flood plain plan
Plans resubmitted • .
Mecharilcal
Giuding plan
2'! Review, ready for correctiousliissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
Ak HOUSE:-
''d Review; ready for correcdonsAssae
Developer Impact Fee
Planning Approval.
Called Contact Person
A.LP.P.
Pub. Wks. Appr •
Date of permit issue
School Fees
i
i
Total Permit Fees
Prescriptive Certificate of Compliance: Residential CF -IR -ALT
Residential Alterations • e 1 of
Project Name: Climate Zone N N of Stories
*vin 4 D/A�,t.IE o rl c .I- e
General Information
Slee Address: -1 g—y 99 Enforcement Agency: Date:
201
Building Type Y'SSiogk Family O Multi Family Circle the Front Ori ntatioe t� E, S, W, or degrees
Conditioned Floor Area (CFA): Project Type Altrations ❑ velope O Fenestration ❑ Roof O HVAC
R lsoement or Changa Out AIR5uct Rephoerntnt O Water Heater
1 M neem 1s ant to be «sed or N Cotrsfiudcd &UdE
W or Addidons
Insuladon Vdwes For Opaque Surfaces (for Furring use the Mars std Furri►rg Stripa Consrrwction table below)
Assembly Aheratio*
❑ Opening of framed cavity alone - Alleralions that involve the opening of the framed cavity of a wall, ceiling or floor must instill the
maasdatory miniarum insulation value per §150for the altered assem* Fill in. Column A -C and enter mandatory insulation value in Column H.
O Replacement of entire asscmbty - Replacement of an entire wall, ceiling, or floor assembly requires the installation of Component
P - D insulation values in Table 131-0. Fill iw ral.u......4 _ t
OPaq ere Serfat a Dttails For the fumed porfloged of Masa Walls see FaCoaslractloo Tabk below,
A B C D E F G H I J
Pro Standard Values From JA4 Table
To
ID
Assembly Name
T
Framing Frarned Continuos JA4 Pmposod
Material Specim U- JA4 Table Cavity Insulation Assembly Assanbt�
2
or
and S' fides' Numbers R -value' R -Values Cell Values U-tix�or
More: Forfw7vdazz
Furring Consaroetion none" lies' oocomeft for Comtruroat lnwlation R -value, sec Page JAI -J and Equation 4-1. For caledamW furred wallsae silw Ala r and
sable below.
1. For TaggD indicate the identification want that aratdses the buildingplater.
2. Indicate the Assembly Name or type: RoofCeilittg, Walls.F60 2. 61063. Go"i Oms 'tate the Frame type and Size: For
Wood Metal, Mtlal Buildings. Mass, eater 2x4, 2:r6. or etc... see JAI for other possible frame type assemblies.
I Enter the ducbess for mass in inches or Spacing between framing members enter. 16 "or 24 VC.- or Other Jar all other assnnbly description
such as Concrete Sandwich Panel. Spandrel Pane4 Logs. Straw. Bale Pard and etc....
4. Bored on the Climate Zone; ewer the Slasdard U_faaor from Table 15 1-B. C or D for each different assembly Name or type.
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 " O "
7. Enter the Continuous Insulation R -value Jar the proposed assembly; otherwise. enter "0".
8. Enter the row and column of dee U factor value based an Column F Table Number and enter the Assembly U factor in Column J
9. the Proposed Assembly U factor, Column A must be eaual to or l.cv tl..v a— cv....A_—f ►► r — r._".
Registration Number: Registration Date -Time:
2008 Residential Compliance Forms
HERS Provider:
August 2009
Prescriptive Certificate of Compliance: Residential CF -IR -ALT
Residential Alterations age 2 of
Project Name: Climate Zone N _ 0 of Sjories
D (A*Xe� OTI-s S� i
Mass and Furnns Strips Construcdon ootnotes
1. Indicate the type ofassembly to include; Hollow Unit Masonry Walls, Solid Unit Masonry, Solid Concrete Walls, Etc. Additional assemblies can
found Reference Joint-Appendix.Z44.
2. This is the U -Factor based on the thickness of the assembly In inches.
3. The R -value of the insulation 10 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
aalded to Column I. Column K is the in verse from column J.
7. Insert the calculated U- actor value on to the QLWue Surface Details in Column J
FENESTRATION PROPOSED AREAS
Replacing window alone — Replacement windows shall meet the U -Factor and SHGC Value requirements of Component Package D in
Table 151-C. The Total Fenestration and West facingArea requirements are not applicable.
0 Adding 50ftor less of window area — Newly installed windows shall meet the U -Factor and SHGC Value requirements of Component
Package D in Table 151-C.
Q Adding more than 50ft1 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,
indow, Glass Door or Skylight) South, West)
Propm Area'
(ft 1.
MaximumMaximum
U -factor; 3 SHGC�' 3•'
NFRC or Default
Values
Gi.-AsS con'
Sit (P
; L9 -Z3
. Sy
w 1� So A -4-k
30 So
Allowed
Existing
Allowed
Entire
%of
Fenestration
Area
Fenestration
Area
1. Fenestration area is the area of total glazedproduct r.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.
5.1 applicable at this stage enter "NFRC" or NFRC Certified windows or are CEC "Default " valuesfound in Table I I6 -A or B.
ALTERED FENESTRATION
ALLOWED AREAS
(Co de If mare than S offenessration is added)
A
B
C
D
E
F
G
CFA of
Allowed
Existing
Allowed
Entire
%of
Fenestration
Area
Fenestration
Area
Proposed Area'•'
Dwelling
CFA; 3
Area'
Removed'
Area Added
(A x B
D+ C
Total Fenestration
Area
West Fenestration Area
(Required In
CZ's 2 4&7-15
1. The Proposed West Fenestration Area includes West -sloping skylight ariea and arty 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 courted 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 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 a e 5 of
Project Name: Climate Zone # # of Stories
'Dkk)104 DItee: 0Tl
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 beforefinal
inspection.
Duct Sealing & Testing HERS verification is required for this measure.
0 YES 0 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)1Dii and the newly installed ducts are to be insulated per §151(1)10.
O EXCEPTION: Existing duct systems that are extended, which are constructed, insulated or sealed with asbestos.
O YES ONO YES: In Climate Zones 2 and 9-16, if the existing space -conditioning system (HVAC equipment and ducting) is replaced, the
duds are to be sealed per §I52(b)IDi.
OYES ONO 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 duds are to be
sealed per § 152(6)1 E.
0 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.
[3 EXCEPTION: Duet systems with less than 40 linear feet in unconditioned space.
EXCEPTION: Existing duct systems constructed,insulated or sealed with asbestos.
Refrigerant.Charge - Split System HERS verification is required for this measure.
0 YES ONO 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 beating coil, or the furnace heat
exchanger) a re ' erant charge measraem rit shall be verified per §15 I F.
Central Fan Integrated (CFI) Ventilation System and.Fan Watt Draw
The ventilation requirements of 6150(o) do not apply to existing residential homes.
Ducted Split Systems - Air Conditioners and Heat Pumps: Airflow HERS verification is required for this measure.
0' YES ONO YES: In Climate Zones 10 through 15, when the existing space -conditioning system (HVAC equipment and dulling) is
replaced, the airflow and fan watt draw shall be verified per § 15 1Ci to meet the requirements of § 151(07B.
Documentation Author's Declaration Statement
• I certify that this Certificate of Compliance documentation is accurate and complete.
Name: EL Signature,
�bSE ure
Company:
p.�
Date:
Ate'
� g (� �
,�i O 6�C
If Applicable CEA or CEPE
City/S ip:
(Certification #):
pm w`s CX . 9
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.
• 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 I and 6 of the California Code
of Regulations.
• The building design features identified on this Certificate of Compliance are consistent with
building design on the other applicable compliance forms,
the information provided to document this
worksheets, calculations, plans and
agencyfor approval with this building rmit application.
specifications submitted to the enforcement
Name: M swat"
F 2 o % `
^
Company:
e0
Date:
Address:
.v R O
1�
License: �?
7
City/State/Zip:
n f
o --q v 9 —(111 76 3
...»u."rice of questions regarding the Energy Standards, contact -the Energy Hotllne a!: 1-800-772-3300.
2008 Residential Co» wlianee Forms March 2010
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