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12-0024 (RER)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: Applicant: e�.•+.tElt. C&hf 4 a VQ" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 12-00000024 77305 CALLE COLIMA 774-112-001-24 -000000- REMODEL - RESIDENTIAL COVE RESIDENTIAL 1500 Architect or Engineer: LICENSED CONTRACTOR'S DECLARATION I herebyaffirmunder 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: License No.: • Date: 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 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.). <t _) 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.). 1 _ ) I am exempt under Sec. , B.&P.C. for this reason X Date: Owner: %. . V 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 Owner: THE ENTRUST GROUP, INC. FBO SCOTT OSTLUND 555 12TH STREET #1250 OAKLAND, CA 94607 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date:. 1/09/12 Contractor: Owner 1 JAN 14 201,21. 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 Policy Number 14-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 700 of the Lab gr Co I shall forthwit amply with those provisions. CDate: Applicant, WARNI : FA LURE 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. I agree to comply with all city an county ordinances and state laws relating to building construction, and hereby authorize representatives th of ' to y o e ter upon the above-mentioned pr pt y for inspection purposes. Pate: Signature (Applicant or Agen / Application Number 12-00000024 ------ Structure Information (2) WINDOW/(1) SLIDER CHANGEOUT ----- Other struct info . . . . . CODE EDITION -------------------------------------------------------- : 2010 PERMIT INV FEE Additional' desc . Permit Fee •70.00 Plan Check Fee 22.75 Issue Date . . . Valuation 1500 Expiration Date 7/07/12 Qty Unit Charge Per Extension BASE FEE 30.00 10.00 4.0000 HND BLDG 501-2,000 40.00 ---------------- ----------------------------------------------------------- Special Notes and Comments (2) WINDOW AND (1) SLIDING GLASS DOOR CHANGE OUT AT SOUTH SIDE•OF RESIDENCE [2008 ENERGY].THIS PERMIT DOES NOT CLEAR PROPERTY OF CODE COMPLIANCE CASE NUMBER: 10-4720.[GM] BUT DOES PERMIT ROOMS TO BE .USED FOR SLEEPING PURPOSES. ***INVESTIGATION FEE ASSESSED PER 2010 CALIFORNIA RESIDENTIAL CODE CHAPTER 1 §108.6 FOR WORK COMMENCING BEFORE PERMIT ISSUANCE*** 2010 CALIFORNIA BUILDING CODES. January 9, 2012 4:43:08 PM AORTEGA ----------------------------------------------=------------------------------ Other Fees . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 ENERGY REVIEW FEE 2.28 Fee summary Charged Paid Credited ----------------- ---------- ------------ --------- Due ---------- - Permit Fee Total 70.00 .00 .00 70.00 Plan Check Total 22.75 .00 .00 22.75 Other Fee Total 3.28 .00 .00 3.28 Grand Total 96.03 .00 .00 96.03 'LQPERMIT Jan 0512 02:54p Michael B. Arnold, Esq i t ' 9496461851 p.2 sh' # Citiy of La Quina 8ddmg ar Safety Damon . P.O. Box 1504,-78-495 Catle Tampico 14.QdntA, CA 92253 -'(760) 777-7012 Building Permit Application'and Tracking Sheet permit # ►'1 •001 Project Ad&=- ' ' G 5 A " -- ' `U MIA • Owner's Name:. A. P: Number 'T ri y �- �; Op/�� Address �, ti ,4 z;/+ nz e J/ Legal Description t. 1 1( J /' City, ST, Zip: ' ICi C C� Contractor Telephone: Pmject Description: � S"p fU� ` j 'r'/ ron A i Address: t� Z(. t J. City, 5T, Zip: ffil. V lC4au. ► 1/1 t'i 1 Telephone: - � Vm • nib 13 1 ti'tki-1 ti State Lia 4: Arch., Eagr., bad 6faMA,6 DC -S'S' - GJ Address City, ST, Zip. /�,k` � � S� I�GZn-1 V Lel C Telephone: Cansbudion Type Oocogatrcy: State Lia#: Project type (esrcle one): New Add'n Alter Repair ' Demo Name of Contact Person: S4 Ft : A Stories # Utiw Telephone 4 of Coatatt Person: Estiniatcd Value of ProjI. APPLICANT: 1)0 NOT WRtTE BELOW THIS UTNE is Submittal ReWd Reed TRAOUNG PERbHTFM- Plan Sets Plan CAeck submitted l Amoant Itcal Structural Cates Reviewed, ready for eorrecdons Plan Check Deposit. . Truss Catcs. Called Contact Person Plan Check Balance - Title 24 Calfa. Pians picked up Cpastrnctton Flood plain plan Plans resubmitted.. Machatiical Giading plan 2'! Review, ready for eorrecfiouslissue Electrical Sutcontaetor List Called CoatactPerson Ptutnblag GmatDced Plans pidoed up S.?vLL H O.A. Approval Plans resubmitted Grading IN HOUSR:- Review; ready for eorrec@onsrwuc D evdaper Impact Fee Planning Approval' Called Contact Person AXP.Y. Pub. R7b&. Appr ' Date of porta it issue School Fees ' Total Permit Fees , Jan 0512 02:54p Michael B..Arnold, Esq 9496461851 p.3 From LinFax Thu Dec 29 15:04:41 2011 Page 1 of 1 Madison Window Products Inc - 1111 o 1'd 1114 E. Locust S£, Ontario, CA 91769 Majls,on. Please checkUpon receipt of signed quotation and your P.O. number, we will release this order. and fax ycu a --onfLzmation. 0 M -Z MISC H OSTLUND EQUITIES REDENTIAL 909-923-7091 L 91761 1 951.479.8025 12/29/11 qUOTATIObT 50001 12/29/11 0 P 951.344.0046 TERMS 14:96:44 p T 0 CIA CMUR CK OR $ORD 12/29/11 12/29/11ILA QUINTA I ANA FLORE3 00-00-001 WILL CALL/RANCHO * * QUOTATION ONLY * * 078355 it VALID FOR 30 DAYS W 101 4800W WHITE BELLAVISTA VINYL SLDR D/G-NAILON I 1 5.0 X 4.0 XO CLEAR LOW -E 3/366 414.00 61.0 161.46 NET UNIT SIZE = 59 5/B X 47 5/8 1 53 5/8" X 4.0 XO CLEAR LOW -E 3/366 414.00 61.0 161.46 NET UNIT SIZE = 53 5/8 X 47 5/8 1 INSTALLATION EA 1 NEW CONSTRUCTION WINDOW 1 600.00 600.00 ABOVE INSTALLATION WITH EXTERIOR STACCO AND DRY WALL (NO PAINT WORK IS INCLUDED. PLS CHECK ORDER/QUOTE FOR ACCURACY. SIGN 6 FAX BACK WITH P.O. TO AUTHORIZE: ORDER. Autho ized signature: ** O O 174 FAX 909-947-4639 OAYB AFTER RECEIPT OF ENIPME NT. NO RETURNS CAN 0E .ACCEPTED NRTRCUT OUR PERMI®ON. ALL ClAUM MUST BE MAGE WRHIN S OiTEREBT ahkROE ADDED TO ALL PASTLOUE ACCOUNTD AT I I(M PER MCNTN OR IM PER ANNUM. PVRCRAIIERR?.M EBTO PAY ALL COSTS OF COLLECTION, REASONAELT ATTORNEY FEES AND DOURT COSTS V"CH MAY BE INCURRED BY SELLER 70 ENFO RCE '71.53 994.45 COLLECTION. NOT REBPONBIELE FOR ORDERS RELD OVER 70 DAYS. I v ��T �T JELDF FWEN El NFRC Thermal Ratings - Vinyl Windows and Patio Doors W 1 N 1) 0 W S K 1) 0 0 It S N 0 N iy The performance information listed is fur new pruducts and is intended to be us cd for reference only, and is not complete. Depending on the cumponena, accessories, and.plions ahoscn, the actual rating, could vary. Prinfirtn rating for Qn specific product3 with your supplier or JELD-WL•N sales representative. -0 5 OD E GLAZING U -FACTOR CR Builders No Grids SHGC Vinyl VT Flat GBO, Narrow Contour 080 U -FACTOR SHGC VT Wide Contoured Grids U -FACTOR SHOC Vr SERIES Clear 0.49 42 0.60 D.G3 0.49 0.54 n.66 0.49 0.54 0.56 LoW-E 272 0.35 51 0.32 0.65 0.35 0.29 0.49 0.37 0.29 0.49 Low E 272 Argon 0.32 54 0.32 0.55 0.32 0.29 0.49 0.34 0,29 0.49 LOWE 366 0.35 52 0.21 0.49 0.35 0.19 0.44 0.37 0.19 0.44 Double Tilt Low -E 366 Argon 0.32 55 0,21 0.49 0.32 0.19 0.44 0.33 0.19 0.44 -Hung DP 20 Energy Sever Plus 0.30 59 D.21 0.49 0.30 D.19 0.44 0.31 0.19 0.44 Energy Star northern qualified 0.30 59 0,21 0.49 D.30 OAS 0.44 0.31 0.19 U.44 Energy Star north central qualified -0.32 56 0.21 0.49 0.32 0.19 0.44 0.33 0.19 0.44 Energy Star south central qualified 0.35 52 0.21 0.49 0.35 0.19 0.44 0.37 0.19 0.44 Energy Star southern qualified 0.35 52 0.21 0.49 0.35 0.19 0.44 0.37 0.19 0.44 Clear 0.49 42 TO 0.63 0,49 0.54 0.56 0.50 0.54 0.56 Low -E 272 U.36 51 0.32 0.55 0.38 0.29 0.49 0.37 0.29 0.49 Low -E 272 Argon 0.32 54 0.32 0.55 D.32 0.29 0.49 0.34 0.29 0,49 Double -Hung Tlll DP 50 Low -E 356 0.35 52 0.21 0.49 0.35 0.19 0.44 0.37 0.19 0.44 Low -E 366 Argon 0.32 54 0.21 0.49 0.32 0,19 0.44 0.33 0.19 0.44 Energy Saver Plus 0.3D 58 0.21 0.49 D.30 0.19 0.44 0.32 0.19 0.44 Energy Star northern qualified 0.30 58 0.21 0.49 0.30 DAD 0.44 0.32 0.19 D.44 Energy Star north Central qualified 0.32 54 0.21 0.49 0.32 0,19 0.44 0.33 0.19 0.44 Energy Star south central qualified 0.35 52 0.21 0.49 D.35 0.19 0.44 0.37 0.19 0.44 Energy Star southern qualified 0.35 52 0.21 0.49 0.35 0.19 0.44 0.37 0.19 0.44 Clear 0.49 42 0.60 0.63 0.49 0.54 0.56 0,49 0.54 0.50 LovtiE 272 0.35 51 0.32 0.55 0.35 0.29 0.49 0.37 0.29 0.49 ' Low -E 272 Argon 0.32 54 0.32 0.55 0.32 0.29 OAS 0.34 0.29 0.49 Low -E 366 0.35 52 0.21 0.49 0.35 0.19 0.44 0.37 0.19 0.44 Low -E 366 Argon 0.32 55 0.21 0.49 0.32 0.19 0.44 _ 0.33 0.19 0.44 ' Double -Hung Poekel DP 20 Energy Saver Plus 0.30 59 0.21 0.49 0.30 Me 0.44 0.31 0.19 0.44 Energy Star northern qualified 0.30 69 0.21 0.49 0.30 0.19 0.44 0.31 0.19 0.44 Energy Star north centthl queligeo 0.32 56 0.21 0.49 0.32 0.19 0.44 0.33 0.19 0.44 Energy Star south central qualified 0.35 52 0.21 0.49 0.35 0.19 0.44 0.37 0.19 DA4 Energy Star southern qualified 0.3S 52 0.21 0.49 0.35 0.19 0.44 0.37 0.19 0.44 Clear 0.49 42 0.50 0,83 0.49 0,54 0.58 0.50 0.64 0.56 Lo* -E 272 0.36 51 0.32 0.55 0.36 0.29 0.49 0.37 0.29 OAS Luw-E 272 Argon 0.32 54 0.32 0.65 0.32 0.29 0.45 0.34 0.29 0.49 Double -Hung Pocket DP 50 Low -E 366 0.35 52 0.21 0.49 0.35 0,19 0.44 0.37 0.19 0.44 Low -E 366 Argon 0.32 54 0,21 0.49 0.32 0,19 0.44 0.33, 0.19 0.44 Energy Sever Plus 0.30 68 0.21 0.49 0.30 0.19 U.44 0.32 0.19 o.44 Energy Star northern qualliled 0.30 58 0.21 0.49 0.30 0.10 0.44 0.32 0.19 0.44 Energy Star north central qualified 0.32 54 0,21 0.49 0.32 9.19 0.44 0.33 0.19 0.44 Energy Star south central qualifiedl 0.35 62 0.21 0.49 0.35 0.19 0.44 D.37 0.19 D.44 Energy Star southem qualified 1 0.35 52 0.21 0.49 0.35 0.19 0.44 0.37 0.19 0.44 5 OD E ,v 0 w N N 6 (TI (71 SERIES Builders No Grids Vinyl Flat GBG, Narrow Contour GBG Wide Contoured Grids GLAZING U -FACTOR CR SHGC VT U.FACTOR SNOC V7 U -FACTOR bHGC VT Double -Hung Picture CIP.er 0.47 42 0.69 0.72 0.48 0.62 0.65 0.48 0.62 0.65 Low -E 272 0.32 52 0.37 0.63 0.34 0.33 0.67 0.34 , 0.33 0.57 Low -E 272 Argon 029 54 0.3G 0.63 0.31 0.33 0.57 0.31 0.33 0.57 Low -E 366 D.31 62 0.24 0.57 0.33 0.22 0.51 0.33 0.22 0.51 Low -E 366 Argon 0.29 54 0.24 0,57 0.30 0.22 1 0.51 0.30 022 0.51 Energy Sever Plus 0.29 54 0.24 0.57 0.30 0.22 051 0.30 0.22 0.51 Energy Star northem quefified 029 54 0.24 0.67 U.30 0.22 0.51 0.90 0.22 0.51 Energy Star nor0i central qualified 0.31 52 0.24 0.57 0.33 0.22 0.51 0.33 0.22 0.61 Energy Star south central qualified 0.31 52 0.24 0.57 0.33 0,22 0.51 0.33 0.22 0.61 Energy Star southern qualified 0.31 52 0.24 0.57 0.33 0.22 0.51 0.33 0.22 0.S1 Clear 0.48 4D 0.66 0.69 0.48 0.59 0.02 0.49 0.59 0.62 Low -E 272 0.34 49 D.35 0.60 0.34 0.32 0.54 0.34 0.32 0.64 Law -E 272 Argon '0.30 50 0.35 0,60 0.30 0.32 0.54 0.30 0,32 0.54 Shrgle-Hung Tilt LOW -5 365 0.33 52 0.23 0.54 0.33 0.21 0,49 0.33 0.21 OAS LoWE366Argun 0.29 55 0.23 0.54 0.29 0.21 0.49 0.29 0.21 0.49 Energy Sever Plus 0.29 55 0.23 0.54 0.29 0.21 0.49 0.29 0.21 0,49 Energy Star northern qualified 0.30 50 0,35 0.50 0.30 0.32 0.54 0.30 0,32 0.54 Energy Star north central quallned 0,30 50 0.35 0.60 0.30 0.32 0.54 0.30 0.�12 0.54 Energy Star south central qualffied 0.33 52 0.23' 0.64 0.33 021 0.49 0.33 0.21 0.49 Energy Star southern qualified 0.33 52 0.23 0.64 0.33 0.21 0.49 0.33 0.21 0.49 Single -Hung Side -Load Clear 0.48 40 0.67 0,69 0.48 0.60 0.62 0.49 0.60 0.62 Low -E 272 0.33 49 0.36 0.80 0.33 0.33 0.54 0,33 0.33 0.54 Low -E 272 Argon 0.30 52 0.36 0.60 0.30 0.32 0.54 0.30 0.32 0.54 Law•E 386 0.33 50 0.24 0.64 0.33 022 0.49 0.33' 0.22 D.49 Low -E 366 Argon 0.29 55 0,23 0.54 D.29 0.22 0.49 0.29 0.22 0.49 Energy Saver Plus 0.29 55 0.23 0.54 0.29 0.22 0,49 0.29 0.22 0.49 Encrgy Star northern qualified 0,3n 52 0.36 0.80 0.30 0.32 0.54 0.30 0.32 U.54 Energy Star norlh central qualffied 0.30 52 036 0.60 0.30 0.32 0.54 0.30 0.32 0.64 Energy Star south cenU91gUa0fied 0.33 50 0,24 0.54 0.33 0.22 0.49 0.33 0.22 0.49 Energy Star soulhem quallned 0.33 5o 0.24 0.54 0.33 0.22 0.49 0,33 0.22 0.49 Horizontal Slider Clear 0.49 40 0.66 0.69 0.49 0.60 0.62 0.49 OX0 0.62 Low•E 272 0.34 49 0.36 0.60 0.34 0.32 0.54 0.36 0.32 064 Low•E 272 Argon 0.30 62 0.35 0.00 0.30 n.32 0.54 0,30 0.32. 0,54 Low -E 386 0.33 50 0,24 0.54 0.33 0.22 0.49 0.33 0.22 0,49 Low -E 366 Argon 0.29 52 0.23 U,54 0.29 0.21 0.49 0.29 0.21 0.49 Energy Sever Plus 0.30 52 0.23 0.64 0.30 0.21 0.49 0.31 0.21 0.49 Energy Star northern qualified 0.30 62 0.35 O.BD 0.30 0.32 0.54 0.3D 0,32 0.54 Energy Star north central quallned 0.30 52 0.35 0.6U 0.30 0.32 0.64 0,30 0.32 0.64 Energy Star south central qualifiedl 0.33 50 0.24 0.54 0.33 0.22 0.49 0,33 0.22 0.49 Energy Star southern qualified 1 033 60 0.24 0.54 0.33 0.22 0.49 0.33 0.22 0.49 ,v 0 w N N 6 (TI (71 Rev, 11116/11 RELIABILITY for real life' ,1 c - v. CD w N O N 6 G1 -a Q S O N D 3 O Q m rn .p rn rn o0 cn m SERIES GLAZING U•FAGTOR CR Builders No Grids SHGC Vinyl VT Flat GBG, Narrow Contour GBG U -FACTOR SHGC VT wide Contoured Grids U -FACTOR SHGC VT Fbred. Sloped SUI Clear Dal 43 0.69 0.72 0.47 0.62 0.65 0.48 0.61 0.64 Low -E 272 0.32 54 0.37 0.63 0.33 0.33 0.67 0.33 0.33 0.57 Low -E 272 Argon 0.28 58 0.36 0.63 028 0.33 0.57 0.28 0.33 0.56 Low -E 366 0.33 55 0.24 0.57 0.33 0.22 n.51 0.33 0.22 0.51. Low -E 366 Argon 0.28 58 0.24 0.57 0.28 0.22 0,51 0.29 0.22 0,51 Energy Saver Plus 0.28 68 0.24 0,57 0.28 0.22 0.51 0.29 0.22 0.51 Energy Star northern qualifled 0.28 58 0.36 0.63 U.28 0.33 0.67 0.28 0.33 0.56 Energy Star north central qualified 0.28 58 0.36 0.63 0.28 0.33 0.57 0.28 0.33 0.56 Energy Star south central qualified U.33 65 0,24 0.57 0.33 0.22 0.51 0.33 0,22 0.51 Energy Star southern qualified 0.33 55 0.24 0.57 0.33 022 0.51 0.33 0.22 0.61 Side6le I Transom Clear 0.46 43 0.6U U.63 0.46 0.64 0.56 0.47 0.54 0166 Low -E 272 0,33 54 0,33 0.65 0.33 0.29 0.49 0.35 0.29 0.48 Low -.E 272 Argon 0.30 57 0.32 0.55 0.30 0.29 0.49 0.31 020 OA l.ow-E 366 9.33 55 0,22 0.49 0.33 0.20 0.44 0,34 0.20 0.44 LowE. 366 Argon 0.29 59 0.22 0.49 0.29 0.20 0.44 0.31 0.20 0.44 Energy Sever Plus 0.29 56 0.22 0.49 0.29 0.20 0.44 0.31 0.20 0.44 Energy Star -> 112 lite 0.29 58 0.22 0.49 0.29 0.20 0.44 0.31 020 D.44 Sliding Patio Door Clear 0.47 42 0.65 0.66 0.47 0.57 0.60 0.46 0.67 O.GO Low -E 272 0.33 51 0.35 0.60 0.33 0.31 0.62 0.35 0.31 0.52 Low•E 272 Argon 0.29 54- 0,35 0.60 0.29 0.31 O.G2 0.31 0.31 0.52 Low -E 366 0.32 52 0,23 0.54 0.32 0.21 0.47 0.34 0.21 0.47 Low E 366 Argon 0.28 55 0.23 0.54 0.28 0.20 0.47 0.30 0.20 0.47 Energy Sever Plus 0.28 55 0.23 0.54 0.28 0.20 0.47 0.30 0.20 0.47 Energy Star - > 1/2 lite 0.32 52 0.23 0.54 U.32 021 0,47 0.34 0.21 0.4T Rev, 11116/11 RELIABILITY for real life' ,1 c - v. CD w N O N 6 G1 -a Q S O N D 3 O Q m rn .p rn rn o0 cn m Prescri tive Certificate of Compliance: Residential j CF-.I.R-ALT Residential Alterations I Page I of 5 Project Name- 77305 Calle Colima, La Quinta, CA 92253 Climate Zone #,�` # of Stories General Information f Site Address:77305 Calle Colima, La Quinta, CA I& Enforcement Agency:Building &Safety Date:1/7/12 Building Type ®x Single Family ® Multi Family Circle the Front Orientation: N, E, S, W, or degrees._... I Conditioned Floor Area (CFA): 1439 Project Type: Alterations M EnvelopcE Fenestration Roof HVAC Replacement or Change Out Duct Replacement Water Heater NOTE: This form is not to be used for Newly Constructed Buildings or Additions Insulation Values For Opaque Surfaces (for Furring use the Mass and Frying Strips Constntclion table below) M Assembly Alteration Opening of framed cavity alone -Alterations that involve the opening oflhe framed cavity ofa wall, ceiling, orfl i r must install the mandatory minimum insulation value per §150for the altered assembly. Fill in Columns A --C and enter mandatory insulation value in Column H. Replacement of entire assembly - Replacement of an entire wall, ceiling, orfloor assembly requires the installation of Component Package- D insulation values in Table 151-C. Fill in Columns A -J. 1. Opaque Surface Details For the furred portioned of Mass Walls see FurrinR Strips Construction Table below. A BI C D E F G I H I J I'roposedNote Standard Values From JA4 Table Framing Thickness, Framed Continuous JA4 Proposed Tag/ Assembly Name Material Spacing, U- JA4 Table Cavity Insulation Assembly Assembly ID' or T 2 and SizeZ or Other factor° Numbers R valueb R -Valuer Cell Value8 U -tactor Note: For furred assemblies, accoundngjor Continuous huulation R -value, see Page JA4-3 and Equation 4-1. For calculatingfurred walls use rhe Mass and Furring Construction table below. t 1. For Tag/ID indicate the identification name that matches the building plans. 2. Indicate the Assembly Name or type: Roof/Ceiling, (Valls, Floors, Slabs, Crawl Space, Doors and etc... Indicate in column G the Frame material and Size: For Wood Metal, Metal Buildings, Mass, enter 2x4, 2x6, or etc... see JA4 for other possible frame type assemblies. t 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.... i 4. Based on the Climate Zone, enter the equivalent Ufactor found in JA4 Table based on the R -Value from Table 151-B, C, or D 5. Enter the Table number that closely resembles the proposed assembly. f 6. Enter the R -value that is being installed in the wall cavity or between the framing• otherwise, enter "0". k 7. Enter the Continuous Insulation R -value for the proposed assembly, otherwise, enter "0 8. Enter the row and column of the U factor value based on Column F Table Ntmrber and enter the Assembly U factor in Column J 9. The Proposed Assembly Ufactor, Column J, musl be equal to or less than the Standard U factor in Column E to comply. Furring Strips Construction Table for Mass Walls Onl A B 1 C D I E F G u I J I K L M Proposed Properties of Masonry and Concrete Added Interior or Exterior Insulation Walls From Reference in Furring Space from Reference Joint Appendix Table 4.35 4.3.6 43.7 Joint Appendix fable 43.13 G7 O V N _ C ..�.. jr` u a o a� A H FinalAssembly Nameor JA4 Table -a a ? a . c N a E g AssenbMass z > -Ter Ufalor '7Thickness Comment I l: - -. LEI ttr 9 _ Registration Number: ......... Registration Date/!Time: �— HERS.Provider: 2008 Residential Compliance Forms August 2009 Prescriptive Certificate of Compliance: Residential j CF -IR -ALT Residential Alterations age 2 of 5 Project Name: 77305 Calle Colima, La Quinta, CA 92253 Climate Zone #11 11 # of Stories 1. 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 JA4. ..This is the U- Factor based on the thickness of the assembly in incites. 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. -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 added to Column 1. Column Kis the inverse from column J. 3 7. Insert the calculated Ufactor value on to the Opaque Surface Details in Column J ` FENESTRATION PROPOSED AREAS ED Replacing window alone — Replacement windows shall meet the U -Factor and S11GC Value requirements of Ctm ponent Package D in Table 15.1-C. The .Total Fenestration and West facing Area requirements are not applicable. ® Adding 50ft2 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. I Q Adding more than 50fe 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 -1 R -ALT Orientation Fenestration Type and.Frame (North, East, PropsedAreal Maximum Maximmn NERC or Default (Window Glass Door or Skylight)South, West (ttZ I1 -factory a SHGCZ i Values Window South 5.0 X 4.0 .30 .21 ! NFRC Window South 5.0X4.0 .28 .231 NFRC Sliding glass door out 6.8inches X 6.0 .28 .23 } NFRC i f 1. Fenestration area is the area of total glazed product (i.e. glass plus frame). Exception: When a door is less than 50n 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-.F_NV Form shall be equivalent to or have a lower U factor and/or a lower SHGC value than that specified on the CF IRA.LT Form. 4. Submit a completed WS -3R Form if a reduced SHGC is calculated with exterior shading. 5.1fapplicable at this stage enter "NFRC" or NFRC Certified windows or are CEC "Default" values found in Table X16 -A or B. ALTERED FENESTRATION ALLOWED AREAS (Complete if more than 5 'offenestralion 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 Total Fenestration Area 20 > West Fenestration Area (Required In .05 ' >_ CL's 2, 4&7-15 1. West Fenestration Area includes west -sloping skylights and any skylights with a pitch less than 1:12. 2. West facing glazing area removed cannot be "counted" twice. " In order to distribute lite 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 ProposedArea must be less than orequal to the Total Allawed Area or BOTH the Total and West Fenestration Areas. Registration Number: _ Registration Date/Time: 2008 Residential Compliance Forms HERS August 2009 Prescriptive Certificate of Compliance: Residential CF -IR -ALT Residential Alterations: Pa e 3 of 5 Project Name: Climate Zone # # of Stories 77305 Calle Colima, La Quinta, CA 92253 ill i 1 ROO:HNG PRODUCTS (COO:L ROOFS) §15.1(1)12 When the area of exterior roof surface to be replaced exceeds mote than 50% of the existing roof area, or morethad1,000ft, whichever is less, the new roofing area must meet the roofing product "Cool Roof' requirements of §152(b)1 Hi, I52(b) IMM or 152(b)WRL Check applicable alternative or exception below if the roofalteration is exempt from the roofing product "Cool Roof' requirements. Note: !f arty one of the alternatives or exception below is checked, the Aged Solar Reflectance and Thermal Emittance requirementsifor roofing products in §118(1) are not applicable. Do not fill table below. Cool Roofs Not Required in Climate Zones 1-12,14, and 16 with a Low Sloped. Less ur 2:12 pitch. ool Roofs Not Required in Climate Zones 1 through 9 and 16 with a Steep -Sloped Roofs (pitch greater than 2:12) and product unit weight less than 51bW. Alternatives to §152(b):1Hi and §152(b)Hii, Steep -slope roof (pitch > 2:12) Q Insulation with a thermal resistance of at least 0.85 hrf? °F/Btu or at least a 3/4 inch air -space is added to the roof deck- over an attic; or C] Existing ducts in the attic are insulated and sealed according to §151(f)10; or i In climate zones 10, 1.2 and 13, with 1 f? of free ventilation area of attic ventilation for every 150 fl of attic floor area, and where at least 30 percent of the free ventilation area is within 2 feet. vertical distance of the roof ridge; or Building has at least R-30 ceiling insulation; or Q Building has radiant barrier in the attic meeting the requirements of. §151(1)2; or :Building has no ducts in the attic; or in climate zones 1.0, 11, 13 and 14, R-3 or greater roof deck insulation above vented attic. Exception to §152(b)1Hiii, Low -slope roof (pitch 5 2:12) 1 E Building has no ducts in the attic. Other Exceptions i Roofing area covered by building integrated; photovoltaic panels and solar thermal panels are exempt from the below Cool Rool' criteria rl Roof constructions (fiat have thermal mass over the roof membrane with at least 25 lb/112 is exempt from the below Cool Roof criteria Note: If no CRRC-1 label is available, this compliance method cannot be used, use the Performance Approach to show' compliance, otherwise, Check the applicable box below if Exem t from the Roofin Products "Cool Roof" :Re uircment: i Roof Slope Product Weight Product Aged Solar I Thermal CRRC.Product ID.Number� < 2:1.2 >2:12 < 5lb/ft _? 51b/fe T 2 Reflectance'' i Emittance S SRI Q ® El © EJ 0 0 1. TTre CRRC Product ID Number can be obtained from the Cool Rooj.RatingCouncil's Rated Product Directory at www, coalt»o s.nrg/nrnducts/searchx n 2. Indicate the type of product is being used for the rooftop, i.e. single -ply roof, asphalt roof, metal roof, etc. 3. If the Aged Reflectance is not available in the Cool Roof Rating Council's Rated Product Directory then use the Initial Reflectance value from the same directory and use the equation (0.1+0.7(pinivat — 0.2) to obtain a calculated aged value. Where p is the Initial Solar Reflectance. . Check box if the Aged Reflectance is a calculated value using the equation above. r S. Calculate the SRI value by using the SRI- Worksheet at h_pt :/hvww.ener¢y.ca movltille14/ and enter the resulting value in the SRI Column above and anach. atopy of the SRI- Worksheet to the CF -1R. To apply Liquid Field Applied Coatings, the coating must be applied across the entire roof surface and meet thedry mil thickness or coverage commended by the coatings manufacturer and meet minimum performance requirements listed in §118(i)4. Select the applicable coating: Aluminum -Pigmented Asphalt .Roof Coating Cement -Batted Roof Coating Other x Registration Number: _^ Registration Datell'ime: HERS Provider: 2008.Residential Compliance Forms August 2009 Prescriptive Certificate of Compliance: Residential CF-.lR-ALT Residential Alterations Page 4 of 5 Project Name: 77305 Calle Colima, La Quinta, CA 92253 Climate Zone #� # of Stories 1 TIVAC SYSTEMS - REATING i gas or propane fired Ilot water pipe insulation from the Df/W heater to the kitchen(s) and on all underground hot water pipes is required in all Minimum Duct or Piping i. Configuration Heating Equipment Eliiciency Distribution Insulation Thermostat I (Central, Split, Type and C aci AFIJE or HSPF Type and Location° R -Value Type Space, Package or H •dronic Distribution Type Number In i Energy ['actor or insulation Type, I. Indicate heating Type (Central Furnace, Wall Furnace, Heat pump, Boiler, Electric Resistance, etc.) 2. Electric resistance healing is allowed only in Component Package C, or except where electric heating is supplemental (i.e., if total capacity < 2 KW or 7,000 Btu/hr electric heating is controlled by a time -limiting device not exceeding 30 minutes). See §151(6)3 exception. 3. Refer to the HLRS Verification section on Page 4 of the CF=1 R -ALT Form for additional requirements and check applicable boxes. 4. Indicate Type or Location (Ducts, Hydronic in Floor, Radiators, etc.) HVAC SYSTEMS - COOLING I Minimum i Efficiency Duct or .Piping Configuration Cooling Equipment (SEER/EER or Distribution Insulation Thermostat (Central, Split, Type and Capacity"' COP) Type and Location' R -Value Type Sp, ace, Package or H dronic l 1. Indicate Cooling Type (A/C, Heat pump, .Evap. Cooling, etc) 2. Refer to the HERS Verification section on Page 4 of the CF- I R -ALT Form for additional requirements and check applicable boxes. 3. IndicateType or Location (Ducts, H drone in Floor, Radiators, etc.)l WATER HEATING hist water heaters and boilers for both domestic hot water (1)111f') heaters and hydronic space heating. Individual dwelling DHW heaters must be gas or propane fired Ilot water pipe insulation from the Df/W heater to the kitchen(s) and on all underground hot water pipes is required in all pacwjes in ol1 climate zones. .component t External Tank Water Heater?ype/Fuel Distribution Type Number In Tank Energy ['actor or insulation Type, (Standard, .Recirculati)2 System Capacity (al) Thermal Efficien R -Value' i i 1.1ndicate Type (Storage Gas, fleat Pump, butantaneous, etc.) 2. Recirculating systems serving multiple dwelling units shall meet the recirculation requirements of §150(n). The Prescriptive requirements do not allow the installation of a recirculating water heating system for single dwelling units. 3. The external water heating tankand i es shall be insulated to meet the requirements of§150 SPECIAL FEATURES The enforcement agency should pay special attention to the Special Features specified in this checklist below. These items may require written i sti rcation and documentation andspecial vert rcatiom i NEW ROOF ASSEMBLY - Radiant Barrier �. The radiant barrier requirement of § 151. 2 does not apply to roof alterations. Slab Edge (Perimeter).lnsulation YES NO YES: 1n Climate Zone 16 in Component Packages D, R-7 insulation is required. Heated Slab insulation YES QNO YES: Slab edLe insulation required for all heated stabs in all Climate Zones. See details in Table 118-A of the standards. Raised Slab insulation LJYES © NO I YES: in Climate Zones 1 2, l I, 13, 14 & 16, R-8 insulation isrequired; in Climate Zones 12 & 15, R-4 is required under component Pack -age D. Thermal Mass To obtain Compliance Credit for the installation of thermal mass, use the Performance Approach. i Registration Number: Registration DatelNme: HERS.Provr'der: 2008 Residential Compliance Forms ' August 2009 Prescriptive Certificate of Compliance: Residential CF-.I.R-ALT Residential Alterations age 5 of 5 Project Name:77305 Calle Colima, La Quinta, CA 92253 Climate Zone #11 # of Stories 1 HERS VERIFICATION SUMMARY The enfurcemeni agency should pay special attention to the HERS Measur,'es speeded in this checklist below. A completed and signed CF -41? Form for all the measures specified shall be submitted to the building inspector before final ins ecuon. } Duct Sealing & Testing HERS verification is required for this measure. E) YES Q 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. ® EXCEPTION: Existing duct systems that are extended, which are constructed, insulated or sealed with asbestos. YES [3 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)1Di. I n 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)IE. I 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 RAX' ® EXCEPTION: Duct systems with less than 40 linear feet in unconditioned space. EXCEPTION': Existing ducts stems constructed, insulated or sealed with asbestos. Refrigerant Charge -Split System !HERS verification is required for this measure. 3 ® 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 heating coil, or the furnace heat exchanger) a refrigerant charge measurement shall be verified per ' 152(b)l F. Central Fan .Integrated (CFI) 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 far this measure. YES Q NO YES: In Climate Zones 10 through 15, when the existing space -conditioning system (HVAC equipment and ducting) is replaced, the airflow and tan watt draw shall be verified per ' 152(6):1 Ci to meet thereuirements of § 151(1)7B. Documentation Author's Declaration Statement # • I certi.fy that this Certificate of Compliance documentation is accurate and c925e= l Name:Scott Ostlund Signature: I Company :Owner Date`01 /09/2012 I Address: 3535 Inland Empire Blvd If Applicable. ,CEA or CEPE (Certification #): City/State/Lip:Ontario, CA 91764 Phone:951/756-4999 I. 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. 4 • 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 I and 6 of the California Code of Regulations. t • 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 rmit application. Name: Signature: Company: Date: Address: License: i City/State/Zip: Phone: For assistance or questions regarding the Energy Standards, contact the Energy Hotline at. 1-800-772-3300. Registration Number: _ Registration Date/Time: 2008 Residential Compliance Forms 11 a HERS Provider: August 2009 Li P.O. Box 1504 LA QUINTA., CALIFORNIA 92247-1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT PROPERTY O VNER' S PACKAGE (760) 777-7012 FAX (760) 777-7011 Disclosures & Forms for Owner -Builders Applying for Construction Permits 4—MM& ANIZ NQTIC_� 12ncx>►r�Tu QTR Lear Property Owner: An. application for a buildingg permit has been sub , your name listing yourself as the budder of the property improvements specified at We are ps+avidmg You with an Owner -B c edgment-and Infotmatien Verifieation Foam to make you awam of your respensibilitios and possible tisk you may incur by having this, permit -meed in your name as the Owner -Budder. We will not issue a building until you -have read, initialed your. understanding of ead►'Provision, signed, and returned this form to 'us at our official address indicated. An agent of the owner cannot execute tbis-notice unless you, the property owner, obtain the prior approval of the permitting authority. DAW*ITVNS Bead and rail d earn to signify you arrd+eistand or derma this information. �1. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner -Builder' building permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as an Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person and his or her employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers on ray, ply. 2. I understand building permits are not required to be signed by property owners unless they are responsible for the construction and are not hiring a Licensed Contractor to assume this responsibility. ZS T3. I understand as an "Owner -Builder" I am Elie responsible party of record on the permit. I understand that I may protect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my. own. 4. I understand Contractors are required by law to be licensed and bonded in California and to List their license numbers on permits and contracts. �- 5. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer" under state and federal law. a- 6. I understand if I am considered an "employer" under state and federal law, I must register with the state and federal government, . withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment compensation for each "employee." I also understand my failure to abide by these laws may subject me to serious financial risk- 7. isk7. I understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential structures cannot .legally build them with the intent to offer them for sale, unless all work is performed by licensed subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed under contract with a licensed general building Contractor. 8: 1 understand. as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable for any financial or personal. 4uries. susEatined by any subsequent owner(s) that result from any, latent 'construction defects. in the workmanship or. materials. � 9. I understand I may obtain more.information regarding my obligations as an "employee" from die Intemd Itewnuo Service, the United States Small Business Administration, the California Department of Benefit Payments, and the California Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (C3LB) at 1- 800-321-CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors. � 10. 1 am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the L party legally and financially responsible for: proposed construction activity at the following address: l L I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all pplicable lbws and requirements that govern Owner -Builders as well as employers. _4LL 12: 1 agree to notify the issuer of this form immediately of any additions; deletions, or chez beg to any of the information I have provided on this form Licensed contractors are regulated by laws designed to protect the public. If you contract with someone who doess not have a liewse,.fhe Contractors' State License Board may be unable to amt you with any 6nanciat loss you may sustain as a result of a complaint Your only remedy against unlicensed Contractors may be in,civil vourt It is- also important for you to understand that if ala uulioonsed Contractor or employce of that individual•Or Ihm is in umd while working on your property; you may be held Hallie for damages. If you obtain a permit as Owner -Builder and wish to hire Contractors, you with be mspousiblo for vaiPjing vAictim or not those Contractors are pmpedy licensed and rite s%tus of their wo>icers' compensation insurance coverage. Before a building permit can be issued, this form must be completed and signed by the property owner mud returned to the Agency responsible for issu.iu&.flw.per=lL Noxi A copy of the prop. erV owner's dkiveesiADOMsw f m not4*art"4n4 or other verification acceptable to the agency is required to be presented when the permit is inueit to verify the pr'opeM owner's signature. A Signature of property owne>s� .11 Date: Note: 77re following Authorization Form is •required to be completed by the property owner only when designating an agent of the property owner to apply for a construction permit for the Owner -Builder. .