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10-0170 (RER)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T4ht 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 10-00000170 Property Address: 55705 TURNBERRY WY APN: 767-550-015- - - Application description: REMODEL-- RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 20000 Applicant: Architect o En ineer: 7117/ 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. �se Class: B LicenseNo.: 505442 Date: V 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.). (_) 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 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: LQPER1%11T Owner: SUNSERI JAMES 55705TURNBERRY r" ' LA QUINTA, CA 9 (415)835-0888 Contractor: DURKTON, MARK 69683 PLEASANT CATHEDRAL CITY, (760)328-7276 Lic. No.: 505442 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/08/10 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 EXEMPT Policy Number EXEMPT 1 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 bec o the workers' compensation laws of California, and agree that, if I should beco I o the ers' compensation provisions of Section 3700 of the Labor ode, s forthwith c ply with ye provisions. Date: Applicant: WARNING: FAILURE TO SECURE WORKERS' ERAGE IS UNLAWFUL, A HALL 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 infqjgpaii4erriaee lI agree to comply with all city and county ordinances and state laws relating to buqin c ruction, and hereby awl+ rize representatives of this county to enter on the above-mentioned p o ty action purposes. Date: ature (Applicant or Agem): ' Application Number . . . . 10-00000170 ------ Structure Information EXISTING 3903 SF SFD ----- Construction Type . . . . . TYPE V, UNPROTECTED Occupancy Type . ... . . DWELLG/LODGING/LONG <=10 Other struct info . . . . . CODE EDITION 2007/08 ENERGY # BEDROOMS -----------------------=------------=------------------------ .00 --------------- Permit . . . BUILDING PERMIT - Additional desc . Permit Fee 207.00 Plan Check Fee 134.55 Issue Date . . . . Valuation . . . . 20000 Expiration Date 10/05/10 Qty Unit.Charge Per Extension BASE FEE 45.00 18.00 9.0000 THOU BLDG 2,001-25,000 ---------------------------------------------------------------------------- 162.00 Permit . ... ELECT - ADD/ALT/REM Additional desc . . Permit Fee 15.00 Plan Check Fee 3.75 Issue Date Valuation. . . . . 0 Expiration Date 10/05/10 Qty Unit Charge Per Extension BASE. FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments REMOVE EXISTING SLIDERS W/TRANSOM AND REPLACE WITH NEW 80X10 AND 160X10 SLIDING GLASS DOORS AT REAR ELEVATION.. ADD ONE 10'-INCH.DIA. SOLATUBE SKYLIGHT IN CASITA.2007 CODES, 2008 ENERGY. ---------------------------------------------------------------------------- Other Fees . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 ENERGY REVIEW FEE 13.46 STRONG MOTION (SMI) - RES 2.00 Fee summary Charged Paid Credited -------- ---------- Due ----------------- ---------- ---------- -7 Permit Fee Total 222.00 .00 .00 222.00 Plan Check Total 138.30 .00 .00 138.30 Other Fee Total 16.46 .00 .00 16.46 Grand Total 376.76 .00 .00 376.76 LQPEIh\1IT Bin # , City of La Quints Bttalding 8t Safety Davfsion P.O. Box 1504, 78-495 C l e Tampico La Quanta, CA 92253 - (760) 777-7012 Building Pennit Application and Tracking Sheet Permit # I ' Project Address: Owner's Name: A. P. Number: 176SSM f7_ Address Legal Description: ?j 2 g Z$ 5 p City, ST, Zip: () Contractor: M Address: (0 3��s3 ^ _ Ae` CO� Telephone: Pjj� g g 8 Project Description: . City. ST, Zip: GG ZZ 3 + VL I tz nsl'k, Telophonc:qw GileAe State Lie. #: 'L CityLia #< Arch., Engr K_ 101. Address: City, ST, Zip: Telephone: State Lac. #: Name of Conrad Person: TW3Sq. Constn"on Type: c5' Project type (circle one): New Add'n Alter Repair Demo FL: #Stories: S Units: Telephone# of Contact Person: Q C- Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Plan Sets F"'d Rec'd '7— TRACKING PERMIT FEES Plan Check submitted ✓ item Anwnt Structural Cala Reviewed, ready for corrections! Plan Check Deposit Thus Cala. Called Contact Person�4 Plan Cheek Balance . Title 24 Cala. Plans picked ap 2 Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2'! Review, ready for correctio ere Electrical Subeontaetor List Called Contact Person 41 Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''' Review, ready for correctlonsrasne Developer impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit Issue School Fes Total Permit Fees 37&. 77i0 3-!9 -fid z� _ Ti4f 4 4 Q" P.O. Box 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 92247 BUILDING & SAFETY DEPARTMENT (760)777-7012 FAX (760) 777-7011 Prescriptive Certificate of Compliance: Residential CF -IR -ALT Residential Alterations (Page 1 of 5 Project Name -0&46#44" Climate Zone # AR�� # of Stories & WPW General Information Site Address: 55 �05 ,C1y91C/Za Enforcement Agency: Date: Building Type Mingle Family ❑ Multi Family Circle the Front Orientation: N E S, W, or degrees Conditioned Floor Area (CFA): 3�� Project Type: ❑ Alterations ❑ Envelope ❑ Fenestration ❑ Roof ❑ VAC NFRC or Default Value5 Re lacement or Change Out ❑ Duct Replacement ❑ Water 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 Furring Strips Construction table be Assembly Alteration Opening of framed cavity alone— Alterations that involve the opening of the framed cavity a� lin 11 the mandatory minimum insulation value per §150 for the altered assembly. Fill in Columns a ter�j( ,, r e in Column ❑ Replacement of entire assembly— Replacement of an entire wall, ceiling, orPoor a em reQ l 'inst on n �`� Packa r- D insulation values in Table 151-C. Fill in Columns A —J \� \ - LXIL ' .C1"— -h. _ N FENESTRATION PROPOSED AREAS ' ❑ Replacing window alone — Replacement windows shall meet the U -Factor and SHGC alue requirem nts ackage D in Table 151-C. The Total Fenestration and West facing Area requirements are not applicable. • Q ❑ Adding 50ft2 or less of window area — Newly installed windows shall meet the U -Factor nd�� t egit cements of Component Package D in Table 151-C. ❑ Adding more than 50ft2 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 /51-C. Complete the Altered Fenestration Allowed Area Table on Page 2 of the CF -IR -ALT Orientation A B Fenestration Type and Frame (North, East, PropsedArea' Maximum Window, Glass Door or Skyli ht South, West ft, U -factor , 3 Maximum SHGC2•1, ° NFRC or Default Value5 ?/D [AN— ¢rs .5(o .3 2 �. s0 I-4 TORE Q >;'S 26 Z0 Allowed Existing Fenestration Total Area CFA of Entire % of 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 -ENV 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 -31? Form if a reduced SHGC is calculated with exterior shading. 5.Ifopplicable at this stage enter "NFRC" or NFRC Certified windows or are CEC "Default " valuesfound in Table / 16-A or B. ALTERED FENESTRATION ALLOWED AREAS (Complete if more than 50ftz offenestration is added) A B C D E F G Allowed Existing Fenestration Total Area CFA of Entire % of Fenestration Area Fenestration Allowed Proposed Areae Dwelling CFA Area Removed Area Added A x B) (E -D) + C Total Fenestration Area ftz .20 > West Fenestration Area (Required In .05 >_ CZ'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 the west glazing area removed to the other orientations, input the west glazing area removed in the Total Fenestration Area row, column D. K d� 3. Include the Proposed Area of the West facing fenestration in both Area columns below. 4. To meet compliance, the Pro osed Area must be less than orequal to the Total Allowed Area or BOTH the Total and West Fenestration Areas. 42 11 Documentation Author's Declaration Statement • I certify that this Certificate of Compliance documentation is accurate and com et . Name: 100 A,—' nG Signature: [ L 10 Company :Date: % Address:If 696 43 /�eAJAI-/i" C7QU✓E Applicable ❑ CEA or O CEPE (Certification #): City/State/Zip: e,#4 z-3 23 �- Phone: Responsible Building Designer's Declaration Statement •eligible under Division 3 of the California Business and Professions Code to accept responsibility for the building design ide timed on this Ce of Compliance. • I certify that the ene tures and performance specifications for the building design identified on this Certifi a Compliance conform to the requirements of Title 24,-P and 6 of the California Code of Regulations. • The building design features identified on t i icate of Compliance are consistent with ormation provided to document this building design on the other applicable compliance form , ksheets, calculations s and specifications submitted to the enforcement agency for approval with this building -permit applicatioh. Name: ignatu Company: Address: License: City/State/Zi r Phone: ---For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300. Registration Number: Registration-Date/Time: HERS Provider: 2008 Residential Compliance Forms August 2009 _ ,w