10-0220 (RER)1
d�
a
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: , 10-00000220
Property Address: 53710 AVENIDA RUBIO
APN: 774-113-010-15 -000000-
Application description: REMODEL - RESIDENTIAL
Property Zoning: COVE RESIDENTIAL
Application valuation: 4600
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.
Licensee Class: C17 License No.: 653336
K Date:3 2-3 AU 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, atter, 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).:
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
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 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 Low.).
(_ 1 I am exempt under Sec. , B.&P.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
1 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: 3/18/10
Owner:
LA QUINTA REDEVELOPMENT AGENCY
78495 CALLE TAMPICO
LA QUINTA, CA 92253
D - 1�
t
Contractor: h�rlt
CRYSTAL CLEAR MIRRORG SS
72330 QUARRY TRAIL CITY0'
THOUSAND PALMS, CA 922 6 r.►r:�?:f"`
(760)343-1633
Lic. No.: 653336
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 SOUTERN INS Policy Number WSIO6213050.1
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 I should become subject to the workers' compensation provisions of Section
1 - 3700 of the Labor Code, I shall forthwith comply with those provisions.
Xpate:3 c%G 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 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 Ouinta, 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 building construction, and hereby authorize representatives
of this county to enter upon the above-mentioned property for inspection purposes.
XDate:3 9310 Signature (Applicant or Agent): ff
s
Application Number . . . . . 10-00000220
------ Structure Information WINDOW/SLIDING DOOR CHANGE OUT -----
Other struct info . . . . . CODE EDITION 2007/2008
-----------------------------------------------------------------------------
Permit . . . BUILDING PERMIT
Additional desc .
Permit Fee . . . . 72.00 Plan Check Fee
46.80
Issue Date Valuation
4600
"E Expiration Date 9/14/10
Qty Unit Charge Per
Extension
BASE FEE
.45.00
3.00 9.0000 -THOU BLDG 2,001-25,000
27.00
----------------------------------------------------------------------------
Special Notes and Comments
REPLACEMENT VINYL WINDOWS FOR ENTIRE
RESIDENCE - ( 9 ) WINDOWS AND (1) SLIDING
GLASS DOOR. 2007 BUILDING/2008 ENERGY
CODES.
March 18, 2010 2:47:03 PM AORTEGA
----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
ENERGY REVIEW FEE
4.68
Fee summary Charged Paid Credited
-----------------
Due
----------------------------------------
Permit Fee Total 72.00 .00 .00
72.00
Plan Check Total 46.80 .00 .00
46.80
.Other Fee Total 5.68 .00 .00
5.68
Grand Total 124.48 .00 .00
124.48
M
LQPERMIT
Mar 18 10 08:55a
760-343-1634 P.1
�.r, w�ii• i h nLut7 ur-r r 1"1*3t_ 131/01
Prescriptive Certificate of Compliance: Residential CF -IR -ALT
Rt!sit[ets<ra1 A11e>•aleo►ts
-age 1 of S
Project Nam e:j f j Climate Zone# #ofS ries
Generallnformation Gr
Site Address: -7/Q ll G'Nlc(A Enforcement Agency: Date: 3 9-2 cs
SuilAing Typc Single Family o Multifamily Circle the Front Orientation: N. F. S. W. or degrees
Conditioned Flvor Area (CFA); ProjcctType: ❑ Alterations ❑ Envelope VFenestFation ❑ Roof ❑ HVAC
Rc lacement or Change Out ❑ Dust Replacement ❑ Water Beata
NOTE: 7hisfarm is not to be usedforNewfy COnsnsreted BwTea vg Additions
!osculation Valuer Ftrr Opaque Surfaces (far Furring use the Mass and Furring Serym Construct Ion table below)
Assembly Alteration
O Opeoing of Framed cavity alone- Alterations that involve the opening ofthe framed cavity ofa wall, ceiling, orfloor mast Imfoll rhe
mandatory minimum insulatina value per , 130 fnr the altered assembly. Fill to Columns A -C and enter mandalmy insulation value In Column H.
❑ Replxcement of entire assembly- Replacement of an entire wall, ceiling, orfloor assemhly requires the installation of Component
Packs c-0iasu/ationvahresinTableISI-C, FillinColumnsA-J.
O ue Surface Details For the furred portioned of Mass Walls see Forriva Strips Construction Table below.
A a C I D
E F I G I B I I i J
Pro osed ''¢ n1e
Standard Values From JA4 Table
Framing Thickness,
Framed Continuous JA4 Proposed
Tag/ Assembly Namc Mmerial Spacing.
Id or Typc, and Size? or Other'
U- JA4 Table Cavity insulation Assembly Assembly
factor' Number` It.•vaiuc6 R -Value' Cell valuce U -factory
Joint Appendix Table 4.3.5 43.6 4.3.7
Joint A endi7 Table 4.3.13
i
V
Nnter Farjumed aacemblies. occowringfor Contimrous Insulation R -value, acro PaitrlA4-3 and Equaiian 4-l. For cafculadrWfnrred wafts use Nie Marr and
Furan Cnmrruuionlableb6cle,
1. For Tag/1,0 indicate the identheation name that marches the building plans.
2. lndicare rho A.Rembly Name or type; .RooX..elling, Walls, Floors, S/six,, Crawl Spacr.. Doors and etc... Indicate the Frame tyre and Sire: For
tt' ood. Metal, Mctal Au ddinos, Mass, enter 2z4, 1x6, or etc... see JA4 jar other passible frame type assemblie¢
3. Fater the thlchneas jar mass in irwhes or Spacing between finnthig members enter: 1 G "or 24 "0C, or Other jor all other assembly dcseripdon
such nt Concrete Sandwich Panel. Spandrel Panel, yoga, Straw Bale Panel ondetc....
J. Based an the Chmare Zone: enter the Standard U factor from Table !SI -B, C or D for each diljerent assembly Name or rype.
5. rnrer Clue cable member that ciasely resembles the proposed easembly
6. Enter the R -value that is being installed 1n thewail cavity or between the framing; otherwise. enter "0",
7. Enter the Continuous Insulation R -value for the proposed owemhly. otherwise, enter "0 ".
.9, Enter the row and column of the U;(aeror value based on Column F Table Number and enter the Assembly U jaetor in Column J
9. The Pmpowd Assembly U-Joaor. Column .1, mast be tat to or fess than the Srandasd ii -factor in Column E to comply.
Furring Strips Construction Table for Mass WaUs ON
A 1 a F C I D I E
F I G I R I I
Proposed Properties of Masonry and Concrete
Added Interior or Exterior Insulation
Walls From Reference
in Furring Space from Reference
Joint Appendix Table 4.3.5 43.6 4.3.7
Joint A endi7 Table 4.3.13
i
V
V
1� U
U
r
4 O o
�`�
final
Mess
Name or
JA4 Tab re
<>
a
e 2
-
z A
Asscmbl
Thickness
T
mumbac
><
U -factor° Gmnmcnt
Registralion Na,mber:
2008 Residential Compliance Former
APPROVED
FOR CONSTRUCTION
a'rl," r h?!lH
DATE BY
_ IfERS Provider,
• Rtt;%az 2009
s�
Mar 22 10 06:51a
Prescriptive Certificate of Compliance: Residential
Residential Alterations
Project Name:
i
i
760-343-1634
Climate Zome h
PA
CF -IR -ALT
ne 2 of
# of Stories
i
ass and Furring - ' s Construction(footnotes) '
J. Indicate the type of assembly to include; Hollow Unit Masonry Walk, Solid Unit Masonry, Solid Concrete Walls, Etc. Additional assemblies can
be found Reference Joint Appen iix JA4.
2. This is the U-Foi:tor based on the thickness ofthe assembly in inches.
3. The R -value of the insulation to be added on the Interior or exterior of the assembly.
d. The.Calculated R.. Value is the R -value of theft rred out section of the assembly.
6. The Fiiwl Assembly is calculated using Equation 4-2 or Equation 4-4of the Reference JoinlAppendixJA4. The equation is the inverse of Column
D added 1a Column 1. Column Kis the inverse from column J
7'. Insert the calculated U- actor.value on to the Opaque Surface Details in Column
FENESTRATION PROPOSED AREAS
Iff Replacing window alone — Replacement windows shall meet the U -Factor and SHGC Value requirements of Component Package D in
Toble 151-C: The Total Fenestration and West facing Area requirements are not applicable.
❑ Adding SOW' or less ofwindow 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 ofwindow 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 t f the CF -IR -ALT
Orientation
Fenestration Type and Frame
(North, East,'
PropsedArca! Maximum Maximum
NFRC or Default
indoor Glass DoorarSkylight)
South, West)
U -factor-' SHGC2-3.0
Values
Gtr rt e�.s 1
Air -
ti 3.5- 0-30
t --RC
Fenestration
41 It 0-3 0-91
GRe-
r
G..eb
S(v G a 3 3r 0 .3/�
c
Fenestration
Area
- 0-35 0. 3
1, R
ups
��t�t
o -
Dwelling
1. Fenestration area is the area of total glazed product ili.e- glass plus fromej. F.rception: When a door is less than 50% glans, the fenestration
area may be the gloss 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 incllcated in CF -6R -ENV Farm shall be equivalent to or have a lower U factor and/or a lower
SHGC value than that specified on the CF -11R ALT Form.
.4. Submit a completed WS -3R Form if a reduced SHGC is calculated with exterior shading.
5. tic able a1 this stage enter 'NFRC" for NFRC Crani ted windows or are CEC "De au It" values found in Table II6-A or B.
ALTERED FENESTRATION ALLOWED. AREAS (Coifnmre than 50f.1 offenesiradon is added �
A
B
C
D
E
F
G .�
Allowed
Existing
Fenestration
Total Area
CFA of Entire
%of
Fenestration
Area
. Fenestration
Allowed
Proposed Area
Dwelling
CFA
Area
Removed
Area Added
A x B
(E -D) +C
Tota! Fenestration Area
(ft
.20
>
West Fenestration Area
(Required In
.05
>
CZ's 2,4&7-15)
—
i
1. West Fenestralion Area includes west -sloping skylights and any skylights with apitch less than 1:12.
2. Wert facing gla ing area removed cannot be "counted" twice. " In'arder to distribute the west glaring area removed to the other orienrari ,
inpul'the well glazing area removed in the Total Fenestratian Area row, column D,
3. Include the Proposed Area of the West facing fenestration in both Area cohanns below.
4. To meet compliance. the Pro osed Area must be less than orequal to the Toral Allowed Area or BOTH the Total and West Fenestration Ar as.
Registration Number: _ Registration Data late:
2008 Residential Coil pliance Forms
HERS Provider:
August 2009
Mar 17 10 06:05p
- -- ---- _ _- -- ------
760-343-1634 p.5
qu V V J, U V J
Prescri tive Certificate of Compliance: Residential CF -IR -ALT -
Resideidial Alterations e 5 of
Project Name:_ Climate Zane # 1t of Stories
HERS VERIFICATI0N SUMMARY The enforce mew agency should pay special atteruion to the HERSMeas wvs speetfred in this
checklist belo* A completed acrd signed CF -4R Fawm for all the measures specified shaU be submitted to the building bwee w beforefnal
inspectip-
Puct Sealing & Testing HERS ver/fuation is regsdredfw ddr measrene.
13 YES II NO YES: In Climate Zones 2 and 9-16, if nose than 40 liner fcd of new or mplaccma►t ducts are installed in unconditi6ned
space, the ducts are to be sealed per §152(b)lDii and the newly installed ducts are to be insulaied per §151(f)10.
EXCEPTION: Existing duet systems that are extended, which are constructed, insulated or scaled with asbestos.
❑ YES E3 NO YM In Climate Zones 2 and 4-16, if the existiagspace omnditioniag system (HVAC equipment and ducting) as replaced, the
ducts are to be sealed per §152(b)IDi
12 -YES 13 NO YES: In Climate, Zones 2 and 9-16, if the existing HVAC equipment is replaced ('innluding the replacemerd of the air handle,
outdoor condensing unit of a split system, cooling or heating toil, orlhc furnace treat exchanger) the ducts ars to bre
scaled per § 152(b)IE
0 EXCEPTION: Dud systems that ars documented to have been previously sealed confirmed through HERS
verification is accordance with procedures in the Reference Residential Appendix RAI
0 EXCEPTION: Duct systems with less than 40 linear feet in unconditioned space.
D• EXCEPTION: gxiqting dad construe insulated or sealed with asbestos
Refriger,.mt Charg'e - Split System HFMverifteation i regained jo dds mean M
❑ YES ONO YEAS: In Climate Zones 2 and 8-15, when the existing FJVAC equipment is replaced (including the teplacetmentof the air
handier, outdoor condensing unit of a split system A/C or beat pump, cooling or heating coil, or the furnace beat
taeh8n a iefri eraut charge mcannes unxshall be verified pa §t52(b)IF.
CeukW Fan Integrated (CF1) Ventilation System and Fan Watt Draw "
The ventilation EMBincinents off IS o) do not to existing residential }tomes,
Ducted Split Systems -Air Conditioners and Heat Pumps: Airflow - HERSver#koion is tequinedfor this meanoe.
O YES [] NO YES: In Ginnie Zones IO tbrougp l5, when theexisting spacerconditioamg system (HVAC egpiprnent and ductiiW is
feplacied, the airflow and fan watt draw shall be verified Ea § 1 1Ci to meet the requiremcrAs of -151 7B.
Documetitetion• Author's Declaration Statement
• Ice 0 that this Certificate of Compliance documeatatlon is accurate and complete.
Name: L7A � - Lam• N �
Stgnattue-
Company : CR Ys dem /4sS
per:
o/a
Addre_cs:
W-334, Td -4i
If Applicable 0 CFA or D CEPS
(Certification #):
City/Stale2ip:
C-4
Phone:
3 y3 /(03 3 .
Responsible Building Designers Dedaratiion-Statement
• l am eligible under Division 3 of the Calfformia Bisincsi 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 ideatitied on this Certificate of Compliance conform
to the requirements of Title 24, Parts 1 and 6 of the Califamia Code of Regulations.
• The buildingdesign features identified on this Certificate of Compliance are consistent with the information provided to document•this
buil0ing design on the other applicable compliance forms, worksheets calculations, plans and spe iEcations submitted to the enforcement
agency forapproval with this building permit application,
Name:Signature:
Company
Date:
Add=.
License:
City/3tateizip:
Phone:
.., ,.. �.,...... .,. val"aw.rs regunung tae r-m7V J1anaff riT, conrmt Me Ell
elgy HoWne at. 772-330(!.
Registration Number.• RegistradonDat row: HERS Provider:
2008 Residential Corxpliance Forms '
August 2009
t'
Iviar vi lu uo:jip
tbU-343-1 b34 p.1
To: Kirk Kirkland City of La Quinta
From: Gary Lange
Re: 53710 Avenida Rubio
Vinyl window replacements
Apprvx Window Sizes
95 x 58 xox temperd safety glass ~M& M *W
70 x 46 xo A -r Sd✓cVl
46 x 38 xo 14c wUMA
72 x 80 sliding door WS& tAW
46 x 16 xo obscured glass W*Mta SnO ISWr
96 x 80 Sliding door gfp C*Vt
46 x 16 xo obscured glass "of WKI� tjo"*
70 x 3 &xo /Warn
45 x 58 xo j p W6st
45 x38xo ( SwIg
Windows come with full Lifetime Warranty From Manufacture Is Milgard Windows & Doors
U Value 0.35 DoorsU Value 0.34
SHGC 0.30 SHGC 0.29
VT 0.57 VT 0.54
Thank vow Total Cost $4600.00
Approved:
72330 OuarryTrail
Thowana Pawns
Califomia. 92276
Phone: 760-343-1633
Fac 760.343.1634
&nail:
I
Bin #
City of La Quinta
Building a Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012 1
Building Permit Application and Tracking Sheet
Permit #
[0-0220
Project Address: 5 3 _, La ,4 e . R u-Jb l o
Owner's Name:C` A o L-..0 RDA .
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
r
Contractor: C� ,
Telephone:
Address:
Project Description:
City, ST, Zip:
t /
Telephone::
..a;• ycsas.
State Lic. # : j `�j �j
City Lie.
Arch., Engr., Designer.
Address:
City, ST, Zip:
Telephone: ..;.
anVf 4�v. h
A: v vC
State Lic.
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: (;ia- C, L-(31-1
Sq. FL:
# Stories:
# Units:
Telephone # of Contact Person: - 3 - (e -3'3 Estimated Value of Project: to oo -
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Plan Sets
Req'd
Reed
TRACKING PERMIT FEES
Pian Check submitted Item Amount
Structural Calcs
Reviewed, ready for corrections
Plan Check Deposit
Truss Cala.
Called Contact Person
Plan Check Balance
Tldc 24 Cila.
Pians picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical �-
Grading plan
2" Review, ready for correctionsrusue
Electrical
Subcoutactor 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. poll
Pub. Wks. Appr
Date of permit issue .
School Fees
Total Permit Fees
APR. 13. 2010 12:21 PM GUY EVANS N0. 3067 P. F-
INSULATION CERTIFICATE
i his is to certify that Insulation has been installed in conformance with the current energy
regulation, California Administrative Code, Title 24, State of California, in the building located at:
53-710 Avenida Rubio La Quinta, Ca 92253
CEILINGS:
T PE: BLOW .MANUFACTURER: KNAUF Thickness: R.19
WALLS.
PE: N/A MANUFACTURER: Thickness:
GENERAL CONTRACTOR: CITY OF LA QUINTA BUILDING AND SAFETY LICENSE #
BY: TITLE:
MASCO CONTRACTOR SERVICES.OF CALIFORNIA, INC. LICENSE # 221517
B TITLE: ACCOUNT REPRESENTATIVE DAT
E. 04/09/2010