10-1267 (RER)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Ti'!t44'9"
Application Number: 10-00001267
Property Address: 54155 AVENIDA RUBIO
APN: 774-201-021-9 -000000-
Application description: REMODEL - RESIDENTIAL
Property Zoning: COVE RESIDENTIAL
Application valuation: 1500
Applicant: Architect or Engineer:
I�
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
----------------------------------- ---------------
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 Bus' as and Profe 'onals Code, and my License is in full force and.effect.
License Class: C17 License No.: 733837
I' to
Date: Cont
f$ rector.
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 (5500).:
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
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 offeied 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 contractor(s) licensed
pursuant to the Contractors' State License Law.).
(_ 1 I am exempt under Sec. , BAP.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: V—
LQPERMIT
Owner:
MARIO.HERNANDEZ
54-155 AVENIDA RUBIO
LA QUINTA, CA 92253
Contractor:
HENRY'S GLASS
79919 COUNTRY
INDIO, CA 9220
(760)360-2800
Lic. No.: 7338
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/18/10
-----------------------------------------------
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 TRUCK INS EXCH Policy Number 2246
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
3700 of theme or a, I shall fo h 'th comply with those provisions.
Asf 811tiII10 the A V.4. -
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 (5100,000). 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.
I certify that I have read this application and state that the above information is correct. 1 agree to comply with all
city and county ordinances ands tF: laws relatiytobu mg construction, an ereby authorize representatives
of this c ty to enter upon t above-rn t!.' rtefor inspectionpurA� I D !�' nature (Applicant or Age
Application Number . . . . . 10-00001267
Permit . .
. BUILDING PERMIT
Additional desc .
Permit Fee . . .
. 35.00 Plan Check
Fee
22.75
Issue Date . . .
. Valuation
. . .
. 1500
Expiration Date
5/17/11
.Qty Unit Charge Per
Extension
BASE FEE
15.00
10.00 2.0000 HND BLDG 501-2,000
20.00
---'-------------------------------------------------------------------------
Special Notes and
Comments
INSTALL NEW WINDOWS & DOORS-, LIKE FOR -
LIKE. 2007 CODES.
SPECS TO BE APPROVED
IN FIELD - AJ.
----------------------------------------------------------------------------
Other Fees . . .
. . . . . . BLDG STDS ADMIN (SB1473)
1.00
ENERGY REVIEW FEE
2.28
Fee summary
Charged Paid Credited
Due
-----------------
Permit Fee Total
------------------------------
35.00 .0.0
----------
.00
35.00
Plan Check Total
22.75 .00
00
22.75
Other Fee Total
3.28 .00
.00
3.28
Grand Total
61.03 .00-
.00
61.03
LQPERMIT
��- VSs ��,;ate �u�►a
S vp
o t 6
l-�J ivW
CITY OF LA QUINTA
BUILDING -SAFR:V DEPT.
APPROVED
I UK CONSTRUCTION
DATBY-i� r41
oK N
u� 1�
Prescriptive Certificate of Com liance: Residential
Residential Alterations
\ t� _ Project Name: �
� a r t a 1t11�• V' Vldvb� Z
Climate Zone N ` s
CF -IR -ALT
a eIof
N of Storks
General Information
Site Address: St{ _ S S kph �d k �Ub l o Enforcement Agency:
Date: 11111817-0(o
;Fr:--,nmg
Assembly Nameterial
Size
Building Type �1 Single Family O Muhi Family Circle the Front Orientation: N. E, S, W, or degrees
Conditioned Floor Area (CFA): 1100 So. Project Type: O Allerations O Envelope Fenestration Roof O HVAC
- Replacement or Change Out O Duct Replacement O Water Heater
• 7irJs forth is nope be used or lviw Conttlriicfid Ball --- s or Addldons - - - - - -- -
Insulation Vataes For Opaque Surfaces (for Furring use the Mass and Furring Strips Construction table below)
Assembly Alteration
O Opening of framed cavity alone - Alterations that involve the opening of the framed cavity of a wall, ceiling or floor must install the
mandatory minimum insulation value per §1 S0 for the altered assembly. Fill in Columns A -C and enter mandatory inssdatlonvolar in Column H.
O anent of entire assembly
_Replacement of an entire wall, celltng, orJloor assembly requtres the Insralladon of Component
Package-
ka - D insulation values in Table IS/ -C Fill i„
Opaque Surface Details For the furred gartioned of Mass Walls see Furring S Construction Table below.
A B C DE F G H I. J
ProStandard Values From JA4 Table
Tag!
;Fr:--,nmg
Assembly Nameterial
Size
.
Spacing., U- JA4 Table
or Others factor' Numbers
Framed Continuous JA4 Proposed
Cavity Insulation Assembly Assembit
R -value° R -Value' Cell Values U -factor
L
Proposed Properties of Masonry and Concrete
Added Interior or Exterior Insulation
Walls From Reference
in Furring Space from Reference
Joint A
radix Table 4.3.5 43.6 4.3.7
Joint APpendix
Note: For fumd assemblies, accounting far Continuous 14ndation R -value, see PaV JAI -3 and
Ferri Cavtrmion table below. E9 ton I-1. For oaltwlanrtg fiorcd waAa use the Alas talc
1. For Ta9/1D indicate the identification name that matches the building plans.
2.11cate the Assembly Name or type: RooJiCeiling, Walls, Floors, Slabs. Crawl Space, Doors and etc ... Indicate the Frame type and Size: For
Waor( Metal, Metal Buildings, Mass, enter 2x4, 2x6, or etc... see JA4 for other possible frame type assemblies.
3. Enter the thicbwm for mass in inches or Spacing between framing members enter; 16 "or 24-"0C. or Other for all other assembly description
such as Concrete Sandwich Panel, Spandrel Panel, Logs, Straw Bate Panel and etc....
4. Bared on the Climate Zone: enter the Standard U factor 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 thassembly.
6. Enter e R -value that is being installed in the wall cavity or between the framing; otherwise, enter "0 ".
7. Enter the Continuous lnsulation R -value for the proposed assembly; otherwise, enter
8. Enter the row and column of the U factor value based on Column F Table Number -aid enter the Assembly U factor in Column J
9.7he Proposed Assembly U factor, Column J, must be eatal to or /PTT than rib -V-4-1 1 c .,. ---h.
bring Strips Construction Table for Mass Walls Onl
A
B I C I D I
E
F
I G I
H I [ I J I K
L
Proposed Properties of Masonry and Concrete
Added Interior or Exterior Insulation
Walls From Reference
in Furring Space from Reference
Joint A
radix Table 4.3.5 43.6 4.3.7
Joint APpendix
Table 4.3.13
V
`o
u
U
Assembly
u.
c
t
~
ii
' V .
F-
3
Final
Mass
hickr�ess
Name or 1A4 Table �'
°
Y
t
e
Assent
T Numbers < >
a
>
>
Q > � w
U -facto;
Registration Number: Registration Date,?ime: HERS Provider:
2008 Residential Compliance Forms
Comment
August 2009
- -' 1PrescOOtive Certificate of
Residential Alterations
Project Name: A A
a
i-Regidential- _ "CF -IR -ALT
age 2 d 5
Climate Zone #(� # of Stories
*,•%
Mass and Furrhw Strips Construction(footnotes)
I. indicate the type of assembly to include; Hollow Unit Masonry Walls, Solid Unit Masonry, Solid Concrete Walls, Etc. Additional assemblies can
found Reference Joint Appendix J44.
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.
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 J44. The equation is the inverse of Colum
--added to Column -L Column K is the inverse from column J.
7. insert the calculated U- actor value on to the Opaque Surface Details in Column J
FENESTRATIONPROPOSED AREAS
PReplacing window alone - Replacement windows shall meet the U -Factor and SHGC Value requirements of Component Package D in
able 151-C The Total Fenestration and West facing Area requirements are not applicable.
❑ Adding 50ft2 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 50ft? ofwindow area - Newly installed windows shall meet the U -Factor and SHGC Value and the Fenestration
Area requirements of Component Package D in Table 151-0. Complete the Altered Fenestration Allowed Area Table on Page 2 of the CF -/R -ALT
Orientation
Fenestration Type and Frame (North, East,
PropsedAreal
Maximum
Maximum NFRC or Default
Window Glass Door or Skylight)South. West
ft U
-factor' 1
SHGC2-'-' Values
.� ws - c
25,3L
3
.28
Area
Fenestration
Allowed Proposed Area?
G� Sa
gt, o
.HD
.32
s SvuctL,
u . f2 ►
. 3 S
1. Fenestration area is the area of total glazed product (i.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-FJVV 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.i licable at this stage enter "NFRC" for NFRC Certified windows or are CFt' ^not....lt" vnlupe u.,,..d i.. T„hto 11 &.4 ..r R
ALTERED FENESTRATION ALLOWED AREAS (Co etc If more than S offenestradon is adder)
A
B
C.
D
E
F G
—
Allowed
Existing—
_ Fenestration_.
Total Area
CFA of Entire
% of
Fenestration
Area
Fenestration
Allowed Proposed Area?
DwellingCFA
Area
Removed
Area Added
A x B E•D + C
tratio
Total Fenesn Area
ft
.20
>_
West Fenestration Area
(Required In
05
>
CZ's 2, 4 & 7 -15)-
- - -- •-•-••�� a,VF#r#X sRyugnis ana any sKyugnts wan a pitch less than 1:11.
2. West facing glazing area removed cannot be -counted " twice. - in order to distribute the west glazing area removed to the other orientations,
input the west glazing area removed in the Total Fenestration Area row, column D.,
3. include the Proposed Area of the West facing fenestration in both Area columns below.
4. To meet compliance, the Proposed Area must be less than or equal to the Total Allowed Area for BOTH the Total and West Fenestration Areas.
Registration Number:
2008 Residential Compliance Forms
Registration DaleiTime:
HERS Provider:
August 2009
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.
Duet 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
spage,_the ducts_are..to.be se.aledper.§_152(b),IDii.and.the newly_ installed_ducts.are.ta-be insulated.per.§154010.
0 EXCEPTION: Existing duct systems that are extended, which are constructed, insulated or sealed with asbestos.
0 YES 0 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) I Di.
0 YES O 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)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.
13 EXCEPTION: Duct systems with less than 40 linear feet in unconditioned space.
0 EXCEPTION: Existing duct systems constructed, insulated or sealed with asbestos.
Refrigerant Charge- Split System HERS verification is requiredfor this measure.,
0 YES 0 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 masurement shall be verified per §152(b)IF.
Central Fan Integrated (CFI) Ventilation System and Fan Watt Draw
The ventilation requirements of § 15 o do not apply to existing residential homes.
Ducted Split Systems - Air Conditioners and Heat Pumps: Airflow HERS verification is required for this measure.
17 YES 0 NO YES: In Climate Zones 10 through 15, when the existing space -conditioning system (HVAC equipment and ducting) is
mplamd, the airflow and fan watt draw shall be verified per § 152 b lCi to meet the requiranents of § 15l 7B.
Documentation Author's Declaration Statement
• I certifX that this Certificate of Compliance documentation is accurate and m le
Name:
Qr�o rnctv�G Z
Signature:
Company:.
C6
Date:
Date:
V. ( 8 (2010
Address:r
- q i el
C[ 6 6A..
If Applicable 13 CEA or [ 3 CEPE
�.Ay"n- V
(Certification #):
City/State/Zip: Q Phone:
L"(LmvAr2r C I ZZ�3 (76o)36b - ?— 0t>
Responsible Building Designer's Declaration Statement
• _ 1 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 this building permit application.
Name:
Signature:
Company:
-
Date:
Address:
License:
City/State/Zip:
Phone:
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at. 1-800-772-3300.
Registration A'umber:
2008 Residential Compliance Forms
Registration Date/Time: HERS Provider:
August 200
Bin #
Qty Of La Quinta
Building 8i' Safety Division
P.O. Box 1504, 78-495 Calle Tampico •
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Penult # ��
I
Project Address: r1.t - ( C S vi, -&A (�IXbt O
Owner's Name: a,r`, I-r1d�r��L' Z
A. P. Number:
Address: 1 q - l 11� WU.V%+r CA LA.6 bp .
Legal Description:
Contractor: .,� S AS -
City, ST, Zip:�J�� (1- C� �122v3
telephone: �
Project Description: R0�
Address: -glqO'cY.&Y4,f'�110 UL.
City, ST, Zip:��u�s � 4z2c�3 .
► tx�ws 'F S( ld, (Acs 1�aa
Telephone(-%C), 3(P - 2 -so
State Lie. #
City Lie. #•:
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone: '� ? ti
State Lie. #:
Name of Contact Person: 4�v-� O
Construction Type• Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:
#Stories:
# Units:
Telephone # of Contact Person: 53 S ' 49 7L
Estimated Value of Project: 1500 vv
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cities.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Tide 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2i. Review, ready for correctionVissue
Electrical
Subeontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:
31 Review, ready for correctionslissue
Developer Impact Fee
Planning Approval
Called Contact Person
A,LP.P,
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees