12-0769 (RER)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 12=070"0`00769
Property Address: 5-44-5'5—AVENIDA RUBIO
APN: 7747234-030710 -000000=
Application description:' REMODEL - RESIDENTIAL
Property Zoning: ' COVE RESIDENTIAL
ADDlication valuation. 300
Architect or Engineer:
1_ 1,4
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 Business and Professionals Code, and my License is in full force and effect.
L '' nseClass: C39 LicenseNo.: 683894
e� s
Date: c Lr 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).:
(_ 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 contractorls) licensed
pursuant to the Contractors' State License Law.).
1 _ ) I am exempt under Sec. , BAP.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
Owner:
PATRICIA RINGOLD
54455 AVENIDA RUBIO
LA QUINTA, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/12/12
Contractor: D
DEPINHO ROOFING INC
2832 NORTH OLIVE AVENU
ORANGE, CA 92865 JULU 202
(714)632-7663
LiC. NO.: 683894
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.
Y` 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 CA INS Policy Number 73826990103
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 the Labor Code, shaall,ffoortthwith comply ith tAose provisions.
Date: Dlicant:
V
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.
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 and state laws relating to building construction, and hereby authorize representatives
of thi cou/nttJy to enter upon the above-mentioned property inspection p rposes.
ate: `/ �r Signature (Applicant or Age 0.
Application Number
. . . 12-00000769
Permit . .'.
BUILDING PERMIT
Additional desc
"
Permit. Fee
15.00 Plan Check
Fee
9-.75
Issue Date . . .
. Valuation
.
. 300
Expiration Date
1/08/13
Qty Unit Charge
Per
Extension
BASE FEE
15.00.
Special Notes and
Comments
INSTALL SOLAR TUBE
SKYLITE IN
CONJUNCTION WITH RE
-ROOF PERMIT #12-763.
2010 CODES.
-
Other Fees . .
- -------------------------
: . . . . BLDG STDS ADMIN (SB1473)
1.00
ENERGY REVIEW FEE
.98
Fee summary
Charged ,Paid Credited
Due
Permit Fee Total
15.00 .00
.00
15.00
Plan Check Total
9.75 .00
.00
9.75
Other Fee Total
1.98 .00
.00
1.98
Grand Total
26.73 .00
.00
26.73
LQPERMIT
Total Permit Fees
ts►n ff
City Of La Quinta
Building W Safety Division
Permit #.
P.O. Box 1504, 78-495 Calle Tampico -
1 n .
0'
La Quinta, CA 92253 - (760) 777-7012
B uilding Permit Application and Tracking Sheet
X
Project Address: 57 Y <55 Jre
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A. P. Number:
FAddesT
iSS �PZ ��
Legal Description:
: 6
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Contractor.
,
elephone:
Address:
Project Description: (
-�
City, ST, Zip:
G
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Tele P h on e.
State Lic. # :
City Lic. #
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
Construction stru
ch on Type: e. an
Occupancy:
cY�
•
.State
e i
Lc.#�
.
Project '
ec
t (circle le
one
type New Add'n .Alter Repair Demo
Name of Contact Person:
Telephone
Sq. Ft.:. # Stories: # Units:
# of Contact Person:
Estimated Value of Project: Ao
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal Req'd
Rec'd TRACKING
• PERMIT FEES
Plan Sets
Plan Check submitted Item
Structural Calcs.
Amount
Reviewed, ready for corrections
Plan Check Deposit .
Truss Calcs.
Called Contact Person - Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2nd Review, ready for corrections/issue Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.NII. 1.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''d Review, ready for corrections/issue Developer Impact Fee
Planning Approval
Called Contact Person
A. L P. P. .
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
General loformation
Site Address:
Enforcement Agency:
Dat.::
Building Type O Single Family O Multi Family
Circle the Front Orientation: N, E, S, W, or degrees
Conditioned Floor Area (CFA):
Project Type: O Alterations O Envelope O Fenestration O Roof O HVAC
Replacement or Change Out O Duct Replacement O Water Heater
lbls orm Is not to be used or Newly COM&Uded Buildings or AddWons
Insulation Values 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 §I S0 for the altered assembly. Fill in Columns A -C and enter mandatory insulation value in Column H.
O Replacement of entire assembly- Replacement of an entire wall, ceiling, or floor assembly requires the installation of Component .
Package- D insulation values in Table 131-0. Fill in Columns A -J.
Opaque Surface Details For the furred p2rtloned of Mass Walls see Furring Strips Construction Table below.
A B C D E F G a 1 7-7--1
Proposed bft Raft Standard Values From JA4 Table
Ta�/ Assembly Name
ID or Type'
Framing
Material
and Size'
Thiclrness, Framed Contnruous JA4 Proposed.
Spacing, U- JA4 Table Cavity I Inw1ation Assembly. Assembl�
or Other' factor Numbers R -value° R -Value' Cell Values U -factor
Assembly
Nameor
T r
V
°^ 4
j
JA4 Table
Number' < >
Note: For furred assemblies, accounting for Condinow insulation R -value, see Page JAI -3 and Equation 4-1. For caledawW frond wags use rhe Mass and
FWring Construction table below. -_--._
1. For T0911D indicate the identification name that matches the building plans.
1. Indicate the Assembly Name or type: RoofiCeiling, Walls, e- lndiacue the Frame type and Size: For
Wood Metal, Metal Buildings, Mass, enter 2x4, 24 or etc... see JA4 for other possible frame type assemblies.
3. Enter the thickness for mass in inches or Spacing between framing members enter; 16 "or 24 "OC. or Other for all other assembly description
such as Concrete Sandwich Panel, Spandrel Panel, Logs, Straw Bale Panel and etc....
4. Bared on the Climate Zone; enter the Standard U factor from Table 131-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-
nter " 0 ".
7.
7. Enter the Continuous Insulation R -value for the proposed assembly, otherwise, enter 110 ".
8. Enter the row and column of the U factor value based on Column F Table Number and enter the Assembly U factor in Column J
9. The Proposed Assembly U factor, Column J. must be equal to or fess than the Standard U factor in Column E to comply.
Furring Strips Construction Table for Mass Walls Onl
A I B C I D I E
F G H I J K. M
Proposed Properties of Masonry and Concrete
Walls From Reference
Joint Appendix Table 4.3.5 4.3.6 43.7
Added Interior or Exterior Insulation
in Furring Space from Reference
Joint A endix Table 4.3.13
0 = ii'2 a
° g. F H g u^ > ;, lFinal
AThickness'
k 2 a < > ' U-omment
Mass
Assembly
Nameor
T r
V
°^ 4
j
JA4 Table
Number' < >
Registration Number:
2008 Residential Compliance Forms
Registration Date.Time: HERS Provider:
August 2009
Prescript ive Certificate of Compliance: Residential CF -1R -ALT
Residential Alterations age 2 of.
Project Name: (� OV Climate Zone # (� # of Stories
I. Indicate the type of assembly to include; Hollow Unit Masonry Walls, Solid Unit Masonry, Solid Concrete Walls, Etc. Additional assemblies can
be found Reference Joint Appendix JA4.
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.
4. The Calculated R- Value is the R -value of the furred out section of the assembly.
5.-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 Colum
D added to Column 1. Column K is the inverse from column J.
7. Insert the calculated U- actor value on to the Opaque Surface Details in Column J
FENESTRATION PROPOSED AREAS
® Replacing window alone _ Replacement windows shall meet the U -Factor and SHGC Value requirements d'Component Package D in
Table 151-C. The Total Fenestration and West facing Area requirements are not applicable.
P�Adding 50fe or less of window area — Newly installed windows shall meet the U-Factor'and SHGC Value requirements of Component
Package D in Table 151-C.
® Adding more than 50ftx 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 15 I -C. Complete the Altered Fenestration Allowed Area Table on Page 2 of the CF -1 R: ALT
Orientation
Fenestration Type and Frame (North, East, PropsedAreal Maximum Maximum
indow, Glass Door or Skylight) South West ft U-factorl• 3 SHGC 3.4
NFRC or Default
Values
J ke,s-
A
B
C
D
1. Fenestration area is the area of total glazedproduct (i.e. glass plus frame). Exception: When a door is less than. 50'0 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 CX I R ALT Form.
4. Submit a completed WS -3R Form if a reduced SHGC is calculated with exterior shading.
5.1 a licable at this stage enter "NFRC" or NFRC Certified windows or are CEC "Default " valuesfound in Table 116-A or B.
ALTERED FENESTRATION
ALLOWED AREAS
(Complele if more than 50f? offenestration is added)
A
B
C
D
E
F
G
CFA of
Allowed
Existing
Albwed
Entire
%of
Fenestration
Area
Fenestration
Area
Proposed Area' .4
Dwelling
CFAZ- 3
Area
Removeds
Area Added6
A x B
-D + C -
Total Fenestration
Areal ft
West Fenestration Area
(Required In
CZ's 2,4&7-15
I. The Proposed West Fenestration Area includes West -sloping skylight area and any other skylight area with a pfteh 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 allowedfenestration can only be 5% of the CFA as indicated in Column F. Column G must be equal r7 or less than Column F.
3. In climate zones 2, 4, 7-1S, no more than S% of the CFA is allowed for west facing glazing.
4. Existing Fenestration area must be counted toward the maximum allowed 15% or 20% of the whole building and calculated in Column G. The
Proposed Area must be Tess 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.
sXS•X%iilji)✓t%i� �.l�x l`iij30��7 p 1¢ r
it
ll: Residential Compliance
Prescriptive Certificate of Com liance: Residential CF -IR -ALT
Residential Alterations age 5 of
Project Name: Climate Zone # # of Stories
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.
® YES ® 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(f)10.
13 EXCEPTION: Existing duct systems that are extended, which are constructed, insulated or sealed with asbestos.
®YES ®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)IDi.
®YES ®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) I E.
13 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.
® EXCEPTION: Duct systems with less than 40 linear feet in unconditioned space.
EXCEPTION: Existingduct stems constructed,insulated or sealed with asbestos.
Refrigerant Charge - Split System HERS verification is required for this measure.
® YES ® 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
exc er) a refrigerant charge measurement shall be verified per § 152 1F.
Central Fan Integrated (CF1) Ventilation System and Fan Watt Draw
The ventilation requirements of §150(o) do not apply to existing residential homes.
Ducted Split Systems - Air Conditioners and Heat Pumps: Airflow HERS verification is required for this measure.
® YES ® NO YES: In Climate Zones 10 through 15, when the existing space -conditioning system (HVAC equipment and ducting) is
replaced, the airflow and fan watt draw shall be verified per § 152 1Ci to meet the requirements of § 151 7B.
Documentation Author's Declaration Statement
• I certify that this Certificate of Compliance documentation is accurate and
Name: f ,,,,,,,, ��
Si
`.
l
Company: I
Date:
Address-
If Applicable CEA or CEPE
(� V �- t/�--�
(Certification #):
City/State/Lip: Q n ( l
Phone: 7/ 7 [lam
Responsible Building Designers 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.
• 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.
�'t3��' •� � 5�.1,•Y� � ,._ •�' ;:_., .,.:�,z '.._ : - l��d%!'%t�.�(®�:1�:rI9tX� -:� �.; � _� ;, �5��. P��� : -
2008 Residential Compliancei-.I
Hassle -free daylighting
enjoy all of the benefits of a traditional
skylight with the savings and versatilit•l
of a flexible tubelight!
eek, Low-fmfile Design
ends in with any roof type and
a great improvement over traditional
Ime-shaped tubelights.
tegrated Roof Flashing ,
id Flexible Tube
low for easy, single person installation.
axible tube extends to 8 ft so it'can be
stalled justabout anywhere!
c
ar'i? 1ti r
i
O N
'Optional Light Kit adds convenient
receptacle for evening light
Perfect for replacing traditional recessed light
fixtures. Simply add on the Light Kit to utilize
house -powered lighting in the evening.
For Installations Over 8 ft.
'Optional Rigid Tube Kit
is Available
Go to our website for
Recommendations on the Correct
Length of Tube ForYour Situation.
`To order any SkylightTube accessory,
please call 866-446-0966
or visit our website at
www.ussunlight.com
A
`4' 40.
Perfect replacement
for dome shaped
tubelights!
nFRC
0U
1^
Alternative energy for everyday Ills
SKYLIGHTTUBE'
National Faieatradm
Romig c ded a
Product Type:
Flexible solar tubelight
ENERGY PERFORMANCE RATINGS
U -Factor (O.SJI-P)
Solar Heat Gain Coefficient
0.30
0.25
ADDITIONAL PERFORMANCE RATINGS
p,
Air Leakage (U.SJI-P)
wrtutwurer supinates W these rdOrps mnfogn m applkaMe NERC procedures for determirbq whole
Product perfortrwce. NRC mtiro are detemwled or a toed set of emmonmemal cgoitiors and a
specific product sire. NFRC does not recornmeM arty product and does not warmrd de Suitability of any
product for arry specific use CormrN rrerndadmrer's Iterddim for odw product palamrem edormador.
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Hassle -free daylighting
enjoy all of the benefits of a traditional
skylight with the savings and versatilit•l
of a flexible tubelight!
eek, Low-fmfile Design
ends in with any roof type and
a great improvement over traditional
Ime-shaped tubelights.
tegrated Roof Flashing ,
id Flexible Tube
low for easy, single person installation.
axible tube extends to 8 ft so it'can be
stalled justabout anywhere!
c
ar'i? 1ti r
i
O N
'Optional Light Kit adds convenient
receptacle for evening light
Perfect for replacing traditional recessed light
fixtures. Simply add on the Light Kit to utilize
house -powered lighting in the evening.
For Installations Over 8 ft.
'Optional Rigid Tube Kit
is Available
Go to our website for
Recommendations on the Correct
Length of Tube ForYour Situation.
`To order any SkylightTube accessory,
please call 866-446-0966
or visit our website at
www.ussunlight.com
A
`4' 40.
Perfect replacement
for dome shaped
tubelights!
nFRC
0U
U.S. SUNLIGHT CORP®
Alternative energy for everyday Ills
SKYLIGHTTUBE'
National Faieatradm
Romig c ded a
Product Type:
Flexible solar tubelight
ENERGY PERFORMANCE RATINGS
U -Factor (O.SJI-P)
Solar Heat Gain Coefficient
0.30
0.25
ADDITIONAL PERFORMANCE RATINGS
Visible Transmittance
Air Leakage (U.SJI-P)
wrtutwurer supinates W these rdOrps mnfogn m applkaMe NERC procedures for determirbq whole
Product perfortrwce. NRC mtiro are detemwled or a toed set of emmonmemal cgoitiors and a
specific product sire. NFRC does not recornmeM arty product and does not warmrd de Suitability of any
product for arry specific use CormrN rrerndadmrer's Iterddim for odw product palamrem edormador.
' wwwtdre.orp