11-0546 (RER)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253.
_ `110)
Applicant: Architect or Engineer:
Application Number: 11-00000546
Property Address: 77550 CALLE CH AHUA
APN: 773-323-013-14 -00 '0. 0 -
Application description: REMODEL - RESIDENTIAL
Property Zoning: COVE RESIDENTIAL
Application valuation:
4 4Q"
ING & SAFETY DEPARTMENT
LDING PERMIT
n p
Owner:
< CATHY POTTER
C 77550 CALLE CHIHUAHUA
l 0� LA QUINTA, CA 92253
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 f force and effect.
Lice Class: C6 License No.: 846973
Date:r ontractor: i f
r
I 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 te 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, 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 contractors) 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
Contractor:
OLD SCHOOL INSTALLATIONS
9781 LUTHERAN WAY
SANTEE, CA 92071
(619)448-6610 .
Lic. No.: 896973
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/25/11 (
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
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' comation p ions of Section
3700 of the or Co s a orthwi ply with os r isions
ate:oZf plicant:
WARNING: 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 and county ordinances and state laws relating to ' ding c tion, and hereby a or ize re sentatives
of this county to enter upon t e above-mentioned ope f inspec n pu S.
e:—_.29fS' ature (Applicant or A
Application Number . . . . . 11-00000546
Permit . . . BUILDING PERMIT
Additional desc .
Permit Fee . . . . 37.00 Plan Check Fee
24.05
Issue Date . . . . Valuation . . .
. 1576
Expiration Date 11/21/11
Qty Unit Charge Per
Extension
BASE FEE
15.00
11.00 2.0000 HND BLDG 501-2,000
=
22.00
---------------------------------------------------------------------------
Special Notes and Comments
INSTALL 6 NEW WINDOWS, SEE ATTACHED.
2010 CODES.
+
----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00.
ENERGY REVIEW FEE
2.41
Fee summary Charged Paid 'Credited
---------------------------------------------------------
Due
Permit Fee Total. 37.00 .00 .00
37.00
Plan Check Total 24.05 .00 .00
24.05
Other Fee Total 3.41 .00 .00
3.41
Grand Total 64.46 .00 .00
64.46
LQPERMIT
LA Quo ri T -A CA
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OF LA QUINTAING &SAFETY DEPT-
OPR®VEOR CONSTRUCTION`= -i t BY
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Mass and Furring Strips Construction(footnotes)
1. Indicate the type of assembly to include: Hollow Unit Masonry Walls, Solid Unit Masonry. Solid Concrete Walls. Etc. Additional assemblies can
befound Reference Joint Appendix J44.
2. This is the U -Factor based on the thickness of the assembly in inches.
The R -value of the insulation to be added on the interior or exterior of the assembly.
The Calculated R -Value is the R -value of the furred out section of the assembly.
-6. The Final Assembly is calculated using Equation 4-2 or Equation 4-4of the Reference Joint Appendix JA4. The equation is the inverse of Colum
added to Column L Column K is the inverse from column J.
7. insert the ealculatedactor 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 of Component Package D in
Table 151-C. The Total Fenestration and West facing Area requirements are not applicable. _
❑ Adding 50ft2 or less ofwindow area —Newly installed windows shall meet the U -Factor and SHGC Value requirements of Component
Package D in Table 151-C.
❑ Adding more than 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 151-C. Complete the Altered Fenestration Allowed Area Table on Page 2 of the CF- IR -ALT
Orientation
Existing
Fenestration Type and Frame
(North. East.
PropsedArea' .Maximum Maximum NFRC or Default
Window, Glass Door or Sk li ht
South, West(ft)
U -factor" StiGCZ' 3' ° Values
t,S N IS taw
s r
r "3,6 0 3 0
Lj I N %,)
I a? 5 7-
`f .30
LAY ► ^rD a•>,.f
krr"
2`I - 3o 3 0
10 r -4U01,0
154,s r-
21t "50 .3o
LN
1. Fenestration area is the area of total glazed product (i. e. glass plus frame). Exception: When a door is less than 50.16 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 -ENI' Form shall be equivalent to or have a lower (i factor and/or a lower
SHGC value than that specified on the CF -1 R ALT Form.
4. Submit a completed WS -3R Form if a reduced SHGC is calculated with-exterior-shadiL.n .
5. ffapplicable at this stage enter NFRC` " or NFRC Certified windows or are CEC "Default " values found inlable 116-A or B.
ALTERED FENESTRATION ALLOWED AREAS (Con vlere ifnwre than 50th ottenestradon Is added)
Registration Humber:
2008 Residential Compliance Forms
Registration Date'Time: HERS Provider:
August 200
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
ft2
.20
West Fenestration Area
(Required in
.05
I
CZ's 2, 4 & 7 -15)T..
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 Tota! Fenestration Area row, column D. .
3. Include the Proposed Area of the West facing fenestration in both Area columns below.
4. To meet compliance. the Proposed Area must be less than orequal to the Total Allowed Area or BOTH the Total and West Fenestration Areas.
Registration Humber:
2008 Residential Compliance Forms
Registration Date'Time: HERS Provider:
August 200
Preesci-i ttve Certificate of C
Residential Alterations
P.Oi"t Name•
JCA T7,4�
Residential CF -IR -ALT
a el -of
Ciima a Zane 4' k of Stories
opaque Surface Details For the furred portk ed of Mass Wails see Furring Strips Constmcdon Table below.
A B C D. E F G H 1 J
Pre Standard Values From JA4 Table
Tag/
ID
Framing Tbidtasss. Framed Couwmous JA4 Proposed
Assembly Name Material Spacing U- JA4 Table Cavity Insulation Assrotbty AssemblX
or T and Size or Oda) factor4 Numbers R-valueb R-Value1 Cell Yaltter U -factor
H
1
d K
L M
Proposed Properties of Masonry and Concrete
Wails From Reference
Joint ndiz Table 43 43.6 43.7
Added
in
o g G
r 2
Interior
Furring
Joint
L
Nae: For fiord asseerblim axv=aVfOr Ca iftwags hssdar _ R•+daa are Pogo I.tI-3 ad Egraaoe 4- 1. For catc�at6Sg jio►cd walls use rhe Man and
F C,osntrtiaMan table odor. .
1. For TaglID hugatte die idenocation mate drat matrakes dre btdtdrrtg plum
2, huUcate flee Assembly Name or type: RooflCeilin& Wally Floors. Slabs; Crow! Sp=e. Doors and etc --- lrtdicate dse France type and Sire: For
Wood Metal Metal Btdldfnrgs, Mass, enter 2r4, 2x6. or etc_ see JA4 for odser possible frame type assemblies
J. Enter the thicbsess for mass in bwhes or Sparaag between fimsring memb t= suer, 16 "or 24 OC: or OtM.r for all other assembly descriPtion
such as Conarte Sondividr Panel Sir! Pasre4 Logs; Snow Bale Panel and etc....
4. Bared on Ow Climate Zone. enter the S7andasd U factor from Table 151-8. C or D for each d fferent assembly Name or type.
S. Enter the Table morber drat clawly resembles the prepondawean*
'6. Enter the R- value that is being installed in the wall cavity or between the f►amir&- odserwise. enter "0"
7. Enter the Condnutous Insulation R -value for the proposed assembly; odserwis , enter "0"
8. Enter the row and col nin of the Ufactor value based on Calumn F Table Number and enter the Assembly Ufactor in Colrmur J
9. The Proposed Assembly U fatxor, Coltmtn !, rust be equal to or leu than the Standard U fades in Colman E to ovn{Pty.
Furring Strips Construction Table for Nhss Walls Only
A
B t C D
E
F
G
H
1
d K
L M
Proposed Properties of Masonry and Concrete
Wails From Reference
Joint ndiz Table 43 43.6 43.7
Added
in
o g G
r 2
Interior
Furring
Joint
L
or Exterior
Space
`
t- o
U.g3
from Reference
Table 4.113
m
T
fosalation
�:� >: g
< >
Final
Assetnbl
U -facto' Comment
Mass
Thickness'
Assembly
Name or
T
m
4.
U.
i_ j
JA4 Table B
Neaabe� < >
Registration Nwnber.
2008 Residential Compliance Forms
RegbVistion Date•Time:
HERS Provider:
August 2009
X
Prescriptive Certificate of Compliance: Residential CF4WALT
Residential Alterations age 5 of 5
Project Name: Cl a�ate'Zone 11 it of stones
GAT-afy--PoT2S_c1a�% �2> e5 - 1-
HERS VERIFICATION SUMMARY The enfmwmeid tigency should pay special attention to the HERS Measures specified in this
checklist below. A completed and signed CF --4R Form jar all the measures specified shall be submitted to the building inspector before final
inspection.
Duct Sealing & Testing HERS verification is required for this measure.
YES O NO YES: In Climate Zones 2 and 9-16, if more than 40 linear feet of new or mplacema►t ducts are installed in unconditioned
space, the ducts, are to be sealed per §I52(b)IDii and the newly installed ducts are to be insulated per §1.51(f)10.
❑ EXCEPTION: Existing duct systems that are extended. which are constructed. insulated or sealed with asbestos.
Q YES ❑ NO YES: In Climate Zones 2 and 9-16, ifthe existing space -conditioning system (HVAC equipment and ducting) is replaced, the
ducts are to be sealed per §152(b)IDL
13 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)l E.
O EXCEPTION: Duct systems that are documented to have been previously sealed confirmed through HERS
verification in accordance with procures in the Reference Residential Appendix RA3.
O EXCEPTION: Duct systems with less than 40 linear feet in unconditioned space.
13 EXCEPTION: Existing dud systems constructed insulated or sealed with asbestos.
Refrigerant Charge - Split System HERS veriyzc&on is required for this measure.
O 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
ex are t meammmmm shdi be verified tF.
Central Fan Integrated (CFI) Ventilation System and Fan Watt Draw
The ventilation requirements of § I o do not apply to existing residential homes.
Ducted Split Systems - Air Conditioners and Hat Pumps: Airflow - HERS very1mariwr is required for dis measure.
O YES O NO YES: In Climate Zones 10 through 15. when the existing space -conditioning system (HVAC equipment and ducting) is
the airflow and fan wan draw"be vtaified per §152(b)ICI to meet thercquu=neats of 151( 7B.
Documentation Author's Declaration Statement
I certif
y that this Certificate of Compliance docurnentatfoe is accurate and complete.
Name:
Company:Date:
t *C COL t .v
Address:'� •� - If Applicable ❑ CEA or 13 CEPE
CH �w'T
6 W (Certification #):
City/StaterZi : Phone:
av i
Responsible Building Designer's Declaration Statement
• I atn eligibie under Division 3 of the California Business and Professions Code to accept responsibility for the building design identified on
this Certificate of Compliance.
• 1 certify that the energy features and performance specifications for the building design identified on this Certificate of Compliance conforn
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 tate enforcement
agen5X for approval with this building it application.
Name:
Signature.
Company:
Date:
Address:
License:
City/State/Zip: Phone:
For assistance or questions rerardinar the Fnernv Standarsdc cnntmv th.- F_wirov Nndine at- 1-900-772-3300.
Registration Number:
2008 Residential Compliance Forms
Registration Date Mme:
HERS Provider:
Bin #
City of La Qu►nta
Building 8L Safety Division LQ
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit # '1-
GJ''c
Project Address: CAL"-
'Owner's Name: CA
A P. Number:
Address:l�t�,d
Legal Description:
Contractor: O L6 S �H 1 APS7-444�YTS
City, ST, Zip: LA N7 -A CA
Telephone:
Address: Ct% ID l�L4_- ,� r�1
Project Description: fe Ti2v - Fc T
City, ST, Zip: ' SA .v r� �-' A 2_4>-7 1
Y rV 57 -AL -A-MO >v .
Telephone: lv 19 ''IY told
State Lic. # : "C -r'-5
City Lie. #,
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone: •:ra> ^ :.;: 3 s '»<i
State Lic. #:
Name of Contact Person:
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:" # Stories: # Units:
Telephone # of Contact Person:
Estimated Value of Project: % 5-76,,6110
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Reed
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
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.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''d Review, ready for correctlonstissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees