11-0219 (RER)n �s
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Tiht 4 4 Q"
Application Number: C:f 1,000_0021
Property Address: 49839 COACHELLA DR -
APN: 646-250-005-5
-4275 -
Application description: REMODEL - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 20062
Applicant:
Architect or Engineer:
-----------------
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
License Clas : (Bj License No.: 928697
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 1$500).:
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 offered for sale. If, however, the building or improvement is sold within
one year of completion, the owner -builder will have the burden of proving that he or she did not build or
improve for the purpose of sale.).
1 _ 1 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 _ 1 I am exempt under Sec. , B.&P.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name: _
Lender's Address:
LQPERMIT
Owner:
HARRINGTON JIM
49839 COACHELLA DRIVE
LA QUINTA, CA 92253
(
Contractor:
ALLIANCE CONSTRUCTION
PO BOX 587
SANTA YSABEL, CA 92070
(760)705-6450
Lic. No.: 928697
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/02/11
-----------------------------------------------
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 STATE FUND Policy Number 713026738
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 ould become subject to the workers' compensation provisions of Section
37700 of the L or Co' I shall forth ril/tth1� comply
yytwith those provisions.
rDate: JLq Applican
WARNING: FAILURE TO SECUREW RKERS' 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 and county ordinances and state laws relating to b ' ing on ucti n, and hereby authorize representatives
of this ccoouunnit toenlfter upon the above-mentioned pro rty for trio purposes.
Date: V� O 1 Signature (Applicant or Agent):
Application Number . . . . . 11-00000219
Permit . . .
BUILDING PERMIT
Additional desc . .
Permit Fee . . . .
216.00
Plan Check
Fee
140.40
Issue Date . . . .
Valuation
. . .
. 20062
Expiration Date
8/29/11
Qty Unit Charge
Per
Extension
BASE FEE
45.00
19.00 9.0000
THOU BLDG 2,001-25,000
171.00
----------------------------------------------------------------------------
Special Notes and Comments
RETROFITTING - CHANGE
OUT (6) PATIO
DOORS & 4 WINDOWS PER
APPROVED PLANS &
PER A.J.
----------------------------------------------------------------------------
Other Fees . . . . .
. . . . BLDG STDS ADMIN (SB1473)
1.00
ENERGY REVIEW FEE
14.04
Fee summary Charged
Paid
Credited
----------
Due
---------------------------
Permit Fee Total
----------
216.00
----------
.00
.00
216.00
Plan Check Total
140.40
.00
.00
140.40
Other Fee Total
15.04
.00
.00
15.04
Grand Total
371.44
.00
:00
371.44
LQPERMIT
Prescriptive Certificate of Compliance:
Residential
CF -IR -ALT
Residential AWadons
Conditioned Floor Area (CFAs
Projed Type Alterations O arvelope/d Fenestration O Roof O HVAC
"
law I o!
Project Name: j _, Qom^ ` w
f _61C�U O l.W 5 CYrJ
Climate Zone 9
1i of &orf s
CUIn(lnu )1 (`X'Gi M N )V
General information
Site Address: Q Enfomemest Agency: Date: C8U2
Building "Type O Single Family O Maki Family
Circk the Front Orientation: N, E, S. W, or degrees
Conditioned Floor Area (CFAs
Projed Type Alterations O arvelope/d Fenestration O Roof O HVAC
"
Added Interior or Exterior Insulation
to Fardag Spsee from Rellumce -
Joist Table 4..3.13
gcpla or Out Mod Re laoemenit O Wafer Heater
NOTP<: M form is no to be used or Newly Conawtated Bufldiags or Additions
Insulation Valuer For OpataeSurfeaes ffor Furring use the Mass and FwrWS&W Cotte Crticdon.table below)
Assembly Alteration
❑ Opening of Mused cavity alone - A/mations dot involve die opiming ojdrfianiedcaiity of a waft cei ft or floor aunt bWaU the
marrcJatory mfmimran irrsedaKiort volae 1 SO the adtasd assure Fill to Colonna A -Card antler ira+xlateo+r value fir C,ohrsrvr H.•
.
❑ Replaeenrieniof gttfrs aasevtbly- Repfaxaeent of an entire watt ceiling: or floor assembly +equi-res dr butd/adan of Cononen!
Package- D insulation values in Tabk ISI -G Fill in CWunvu A -J.
Opaque Surface Details For the Tarred of Mass Walla we Furring Ships Conutructim Table beiaw.
A B C I D E F G F H I I J
Standard Values From JA4 Table
Froping Thickness, Framed Continuous JA4 Proposed
Ta$ Assembly Flame M(eferial Spacing, U- JA4 Table Cavity Insulation Assembly Assort
ID or TYpC1 and Size? or Odxzr factor Numbers R -values R-Valoe CeU a
Note: For fraud ot-ar hhM aacooftT for Cagmi ons hahlamom R-vdmm me Pop JA4-3 and EgaKlaa 4-I. For catarlaar{gfWred walls we dw Afars old
F Coeur voioa table below.
1. For T4r?D iniAtate dee h*nt y aation tame that nhatdrs the bid&Ung, pl won
2. J -Scare dee Aszerably Nowa or tape: Roof r-itirng, Walls, Floors~ Stades, C.14%wo, Doors and we ... In&cate the Fraate type and Sire: For
W004 Me* Metal Biahh :g Minx eater 2x4, 2K or etc..: see JA4fav odierpossiblefirms type asse nhliex
J. Enter the t/sid—= for mnaas fir inches a *acft M-weentfivinft mambas etga; I6 -or 24"OC. or Oderfor all odea assmWy drA *don
such as Conct+ete Sadwwh Panes 4wmdtul Pa WA Logi Straw Bale Panel and etc....
4. Biased on the a-zwe Zorn; anter the Standrad U from Table 15 l -A C or D far each d;fferent assew* Marie or type.
S. Eater the Table nroaber that closely resembles the pngoosed assembly.
6. Enter the R -mdse that is &gn9'iutcdlad in dee wall cavity or between the framb , odierwfsr, ager "0"
7. Firtrr the Contimhoas fiardatfowr R-uairr jbr the proposed atseatbty,- od, wire, enter 'ip'
8. Enter the row 4"d-1-- of the UJacilar rdae based on CM=n F Table Number ad atter she Assembly U factor in Collum J
9.77u Proposed Arse ,* Ufaatar. Cohmar J, meat be equal to or less that the Standard Ufactor in Cohoan E to comply.
Fuffing Stri s Construction Table for Mass Walls
A B IC DI E
F I G I H I I. .J I K
L
M
Proposed Properties of Masonry and Concrete
Walls From Reference
Joint A' Table 43 4.3.6 43.7
Added Interior or Exterior Insulation
to Fardag Spsee from Rellumce -
Joist Table 4..3.13
.Final
Assam
U- r
Comment
Assembly
Mau Name or
Thickness' T
JA4 Table
Number'
j
gs
2
< >
' F
s
o g E
'e X e
Fo
o a
E g
t'
v 3- >'b
_
t> y ->
g >
Regis"tion AWnber: Registration Dkrtelme: KERS Provider:
2008 Restalerrttol Compliance Fomes August 2009
Prescr five Certificate of Compliance: Residential CF -IR -ALT
ResidenWAlleratfons
(Page 5 of
Project Name:
Climate Zone #
# of Stories
v Q (sur�dOtiU G�1CinC wt
HERS VERIFICATION SUMMARY The enforcement agency should pay spedd attention to the HERS Meanm specijted in this
checklist below: A completed and signed CF -4R Fo►m for all the measures specified shall be submitted to the builAv inspector before final
iWection.
Duct Sealing &Testing HE/LS verifncaRion is required for this measure
O YRS 13 NO YES: In Climate Tones 2 and 9-16, if more than 40 lineal• feet of new or veplaarnent duds ate Mailed in unconditioned
space, the ducts are to be sealed per §152(b)lDii and the newly installed ducts are to be insulated per §1 51(f)10.
13 EXCEPTION: Fa bfmg duct systems that are extended, whirl are constructed, insubted or sealed with asbestos.
13 YES E3 NO YES: In Climate Zones 2 and 9-16, if the existing space-oonditioaing system (HVAC equipment and ducting) is replaced, the
ducts are to be sealed per §152(b)IDi.
M YES 13 NO IFS: 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 exp) the duds ate to be
_...:._....._..........._... __ .-----sealed.per.j-152(b)IE•--•--------._..---•---.._._..--- ---- ---- ---- — ------- ------ _
13 EXCEPTION: Duet systems that are documented to have been previously sealed confirmed through HERS
verification in accordance with procedures In the Refumee Reddeatial Appendix RA3.
0 EXCEPTION: Dud systems with less than 40 Gaear feet in useoaditimied spate. .
❑ EXCEPTION: Existing dad systems constructed, insubded or sealed with asbestos.
Refiigetant Charge - Split System HERSverykau n is req"d jar dus measure.
O YES 13 NO YES: In Climate Zones 2 and 8-15, when the existing HVAC equfpmed is replaced (including the replacernent of the air
handler, outdoor condensing unit of a split system A/C or beat puma cooling or heating coil, or the- furnace heat
exchanger) a refrigerant charge meuorewmis shall be verified I F.
Central Fan Integrated (CFQ Ventilation System and Fan Wats Draw
The ventilation requirements of j i o) do not M& to caning residential homes.
Dueled Split System -Air Cogs and Heat Pumps: Airflow- HERS verglem an is regained for this measure -
0 YES D NO YE3: In Climate Zones 10 throttgtt 15, when the existing spacaomdiuionmg system (HVAC equipment and dn17L13J
replaced, the airflow mud fan watt draw shall be vermeil 1 1Ci tomeetthe of 1
Documentation Author's Declaration Statement
e I tertffy that this Certitieste of Coin ranee doaaoentatioo is accurate and complete,
Name:�Y Dd(c- c� a
Sig : -
A C1flX (bn3+YWhbV/\ fns . 1n C.
Date: 03(021
Address:R) SOX
If Applicable CI CEA or O C(
(Certifcation #):
j� p
City/State2ip:WY� � ' J� CO q 20-70
Phones: M (c0) J J
Responsible Building Desi en's Deckratioo Statement
• I am eligible under Division 3 of the California Butsincss and Professions Code to adapt responsibility for the building design identified on
this Certificafe of Compliance.
• I certify that the energy features and performance specifications for the binding desiga identified on this Certificate of Compliance conform
to the requirements of Title 24, Parts I and 6 of the Calfl'ornia Code of Regulations. -
• The building design features WentifW on this Catficaft of Compliw= are consistent with the infotmatio.in provided to document this
building design on the other applicable eompliance forms, wmishect calculations, pleas and specifications sulimitted to the ciarcement
for apmuveJ with this btulding permit aMication.
Name:
Signatw e:
Company:
Date:
Address:
License:
City/Stateizip:
Phone:
For arsistattce or ques&m rggmWW the EneW &mda>rls, centael the EnerV Hotlute at 1-8OX772-3300.
Registration !dumber: Registration Date/ rune: HERS Provider.
2008 Residential Compliance Forms August 2009
rrescri tive Certificate of Cam nce: Resideatiial CF -IR -ALT
Residen"Altemdons e 2 of 5
I- Project Name: Climate Zooe h n e-) ti of stories
Mars and F Cwn&mcdon
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 inches.
3. The R -value of the insulation to be added on the interior or exterior of the assembly.
. The Calculated R Value a the R vahw of the furred out section of the assembly.
-6 The Final Assembly is calculated using Equation 4-2 or Equation 44of the Reference Joint Appenda JA4. 77te equation is the inverse 0
added to Column I Column X is the inverse from column J.
7. Insert the calculated U - actor value on to the Opaque Surfim Details in Column J
FENESTRATION PROPOSED AREAS
_�.Replacing_window_titre.=�-uz+sfa�slralE+aeet-die-U-Fartarand-SfKsC-Yatve-regodtenrentrafCompaneRt-PacAuge•D•tn-•---- -
rable !S1 -C 77.te rota/ Fuusirwion and West facttg Area requirements arc rotgViiatMe
❑ Adding SW or less ofwindow arca - Newly histalled windows shall menet the 11-Facior and SHGC Value -requirements of Co gmwnt
Package D in Table 151-C
❑ Adding more than WO of window area - Newly installed wamdmw shall meet d6e U Fatxorard SIIGC Vahw and.the Fenestration
Area requirements of ComporwW Package D in Table 15 1-C. Complete the Altered Fenestration Allowed Area Table on Page 2 of the CF- IR -ALT
D
Orientation.
F
0.22
G
c)Windou-)
Fenestration Type and Frame
(North, East,
ftopwdAtea'
Ma7dtnum
Maximum
NFRC or Default
iudow, Glass Door or
Sout!>, West
. t1-facto� r
SHCiC; z's
Valucs
to r- 6 b ► Fr4Tt4
Fenesuation
Allowed
Proposed Area?
N c'
Dwelliu
CFA
x
ZQI
CA
tIA V7 P_ C,
1, « (,
-D + C
Total Fenestration Area
C).
I , Liv► m 3
' `1-7. -78
.2
, r1
r _C
.20
1. Fenestration area is the area of total glazed product r e. glass phisframe). Fxcepttow When a door is leas than 50% glass.. the fiumoation
area may be the glass arra plus a "2 tach frame" amend the glaze.
Z Etter value from Component Packap D Requirements in Table 151-0
3. Actual fens ation products nsttalled and as indiicated in CF -6R -ENV Form shall be -equivalent to or have a lower U factor and/or a lower
SHGC value than that s w4fied on the CF -JR ALT Form.
4. Submit a completed WS -3R Farm tf a rieAxeed SHGC is calculated with exterior shading
S. If applicable at this stay enter "NFRC". for NFRC C&VIed windows or are CBC 'Default" vahm fmd in Table I I6 -A or B.
ALTERED FENESTRATION ALLOWED AIt1;AS
(Con V AeMe if nose ulnare
of Is ad"
CJ .16
A
B
C
D
E
F
0.22
G
c)Windou-)
0)
Allowed
Existing
Fenestration.
Total Area
CFA of Entire
% of
Fenestration
Area
Fenesuation
Allowed
Proposed Area?
Dwelliu
CFA
Area
Removed
Ates Added
A x B
-D + C
Total Fenestration Area
W)
.20
>
West Fenestration Ates
(Required in
.05
_>
CZ's 2,4&7 -LS
1. West Fenestration Area includes west -sloping skylights and any skylights with a pitch leas than 1:12.
2. West facing glazing area removed cannot be counted" twice. " In order, to datribwe die west glatetrg area removed to the other orientations,
input the west glazing area removed in the Total Fenestration Arra row, column D_
3. lnrhede the PrgpwodArea ofthe /rest fackgfdruasatfon in botkArea cahrums below.
4 To meet co tine- the PropusedArea must be less than or equal to the Total Allowed Area or BOTH the Total and Wr4i Fenestration Areas.
LAW endowC
Registration
�)
42 X�-
CJ .16
o . 22
N�
I, k bD"hhm�
(Z)
4q 012.
0t�B
0.22
c)Windou-)
0)
t6)(115
0,2IF5
22
C,) .22-
Registration Number: Registration Date?ime: HEMProvider:
2008 Residential Complume Fortes August 2009
Bin #
City of La Quinta
Built tug 8r Safety Division
P.O. Box 1504, 78495 Calle Tampico
La Quinta, C4 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: 4'1:V2)9 bdb Dr.
Owner's Name: V I �1 Howinalun
A. P. Number:
Address: 4"1 �n CwchdDY
Legal Description:
City, ST, Zip: (Ru Q 225
Contractor: `l� Ce n t r ?C ,
g.
Telephone: a<}„, '" •
Prqject Description:
Address: O if�pi
City, ST, Zip: (
-11 1 —
Telephone:
;,tax
State Lic. # : G 2- $�Q
City Lia C
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
i x< ;..: t;.: - !
Construction Type: Occupancy:
State Lic. #:
{;' ' '�-'�? Project type (circle one) New Add'n Alt epai Demo
7«:-- � : vim''-`�� � �„•
Name of Contact Person: C�C� t1e
Sq. FL:
# Stories: 1 # Units:
QQ ((
Telephone # of Contact Person: lz U "t
Estimated Value of Project
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'4
TRACMG
PERMTT FEES
Pian Sets
Plan Cheek submitted
Item
Amount
Structural Coles.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cales.
Called Contact Person
Pian Check Balance
Title 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
24 Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M L
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''' Review, ready for comctionsassue
Developer Impact Fee
Planning Approval
Called Contact Person
ALP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
=
Total Permit Rees
.. N.
P'�