12-0566 (RER)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 12-00000566
Property Address: 77595 CALLE CHIHUAHUA
APN: 774-052-001-24 -0000007
Application description: REMODEL - RESIDENTIAL
Property Zoning: COVE RESIDENTIAL
Application valuation: 3000
Applicant: Architect or Engineer:
alP,
4 �wQ�rw
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
---------------------------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Divisio�ractor:
f -the ' ess and Pr essionals ode, and my License is in full force and effect.
License Class: B Li nse No.: 92266128 /�
Date: C r^�Q V 1p y, tz �.
OW ER -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 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 cont(actor(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:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
\5/22/12
Owner:::
LA QUINTA COVE PROPERTIES
77595 CALLE CHIHUAHUA
LA QUINTA, CA 92253
O
Contractor: 9yC��y
DANTOR MARTINEZ CONSTRUCTION pPG
81057 AVENIDA ROMERO
INDIO, CA 92201
(760)70 /
Lic. No..:: 926 926128
-----------------------------------------------
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 NTL INS Policy Number 19609972011
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 become subject to the workers' compensation laws of California,
and agree that, if I uld become subject to the workers' compensation provisions of Section
3700 of the labor o , I shall fort rith comply ith those provisions.
ate: A (cant: '
WARNING: FAILLE TO SECURE WORKE ' COM ENSATION COVERAGE S UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP 0 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 willsubject
permit to cancellation.
I certify that I have read this application and state that the be information is correct.. 1 agree to comply with all
city and county ordinances and state laws relating to buil n construction, and h eby authoriz representatives
of this county to enter upon the above-mentioned propert fo inspection purpose
afJ te: Sig lure (Applicant or Agent):
J
Application Number . . . . . 12-00000566
Permit . . . . . BUILDING PERMIT
Additional desc .
Permit Fee . . 54.00 Plan Check
Fee
35.10
Issue Date . . . . Valuation
3000
Expiration Date 11/18/12 .
Qty Unit Charge Per
Extension
BASE FEE
45.00
1.00 9.0000 THOU BLDG 2,001725,000
9.00
------------------------------------------------ .=-------------------
Special Notes and Comments
---------
REMOVE ALL WINDOWS & REPLACE WITH VINYL
RETROFITTED WINDOWS (10) & 2 SLIDING
GLASS DOORS. 2010 CODES.
-------------------------------------------------- --------------------------
Other Fees . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
ENERGY REVIEW FEE
3.51.
Fee summary Charged Paid Credited.
Due
Permit Fee Total 54.00 00
.00
54.00
Plan Check Total 35.10 .00
.00
35.10
Other Fee Total- 4.51 .00
.00
4.51
Grand Total 93.61 .00
.00
93.61
LQPERMIT
Prescriptive Certificate of Compliance: Residential CF -M -ALT
Residential Alterations age 1 of 5
Project Name: Climate Zone # # of Stories
0(,dovo 0-aLkl-Lal I
General Information
Site Address: i kLlLa�\W
Enforcement Agency:
Date:
Building Ty ISingle Family ® Multi Family
Circle the Front Orientatioro?E, S, W, or degrees
Conditioned Floor Area (CFA):
Project Type: Alterations Envelo,peZI 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 Furring Strips Construction table below)
Assembly Alteration
® Opening of framed cavity alone— Alterations that involve the opening of the framed cavity of a wall, ceiling, or floor must install the
mandatory minimum insulation value per §150 for 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, or floor assembly requires the installation of Component
Package- D insulation values in Table 151-C. Fill in Columns A — J. '
Opaque Surface Details For the furred portioned of Mass Walls see Furring Strips Construction Table below.
A B C D E F G H I J
Proposed ee Note Standard Values From JA4 Table
Framing Thickness, Framed Continuous JA4 Proposed
Tag/ Assembly Name Material Spacing, . U- JA4 Table Cavity Insulation Assembly Assembly
IDI or Type 2 and Size or Other' factor' Numbers R-value6 R -Value? Row/Col' U-factor9
Note: For furred assemblies, accounting for Continuous Insulation R -value, see Page JA4-3 and Equation 4-1. For calculating furred walls use the Mass and
Furring Construction table below.
1. For Tag/ID indicate the identification name that matches the building plans.
2. Indicate the Assembly Name or type: Roof/Ceiling, Walls, 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.
3. Enter the thickness for mass in inches or Spacing between framing members enter; 16 "or 24 "OC; or Other for all other assembly description
such as Concrete Sandwich Panel, Spandrel Panel, Logs, Straw Bale Panel and etc....
4. Based on the Climate Zone; enter the equivalent U factor 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.
6. Enter the R -value that is being installed in the wall cavity or between the framing; otherwise, enter "0".
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 Number and enter the Assembly U factor in Column J
4. The Proposed Assembly U factor, Column J, must be equal to or less than the Standard U factor in Column E to comply.
Furring Strips Construction Table for Mass Walls Onl
A 1 B T C I D T E
F G I H 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 4.3.5 4.3.6 4.3.7
Joint Appendix Table 4.3.13
d o
d
Assembly j
r :L W > �,
Final
Mass
„
Name or JA4 Table
,�a, y. c F a
AssemblY7
Thickness
T Number' ¢ >
B Q >
U-factorG
Comment .
Fr.�;, Y`•
e i ti er: a 'stratio , • at ime ovider:
2008 Residential Compliance Forms March 2010
Prescriptive Certificate of Compliance: Residential CF -IR -ALT
Residential Alterations age 2 of 5
Project Name: Climate Zone # # of Stories
and
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.
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 JA 4. The equation is the inverse of Colum
radded to Column 1. Column K is the inverse from column J.
7. insert the calculated U- actor value on to the Opaque Surface Details in Column J
F
i
FENESTRATION PROPOSED AREAS 64,VVC A %o ►.LI If ►ti
epla ing window alone — Replacement windows shall meet the U -Factor and SHGC Value requirements of Component Package D in
Table I5l -C. The Total Fenestration and West facing Area requirements are not applicable.
❑ Adding 50112 or less of window area — Newly installed windows shall meet the U -Factor and SHGC Value requirements of Component
Package D in Table 151-C.
❑ Adding more than 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 /S/ -C. Complete the Altered Fenestration Allowed Area Table on Page 2 of the CF -IR -ALT
E
Orientation
Allowed
Fenestration Type and Frame
Window Glass Door or Skylight)
(North, East,
South, West(ft)
PropsedArea� Maximum
U-factorz' 3
Maximum
SHGC2' 3' 4
NFRC or Default
Values
CFA of Entire
%of
Fenestration
Area
Fenestration
Allowed Proposed Area
ujes = 2
Dwelling
CFA
Area
Removed
Area Added
A x (E -D) + C
Total Fenestration Area
ft)
.20
1. Fenestration area is the area of total glazed product (i.e. glass plus frame). Exception: When a door is less than 50'0 glass, the fenestration
area may be the glass area plus a "2 inch frame " around the glass.
2. Enter value from Component Package D Requirements in Table 151-C.
3. Actual fenestration products installed and as indicated in CF -6R -ENV Form shall be equivalent to or have a lower U factor and/or a lower
SHGC value than that specified on the CF -IR ALT Form.
4. Submit a completed WS -3R Form if a reduced SHGC is calculated with exterior shading.
5.ffapplicable at this stage enter "NFRC" or NFRC Certified windows or are CEC "Default" valuesfound inlable 116-A or B.
ALTERED FENESTRATION ALLOWED AREAS (ConWide if more than 50y? of fenestration
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 (E -D) + C
Total Fenestration Area
ft)
.20
7
West Fenestration Area
(Required In
.05
7
CZ's 2, 4 & 7 -15
I. 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. " /n 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.
•3. Include the Proposed Area of the West facing fenestration in both Area columns below.
4. To meet compliance. the Pro osedArea must be less than orequal to the Total Allowed Area or BOTH the Total and West Fenestration Areas.
Registration Number: Registration Date Time: HERS Provider:
2008 Residential Compliance Forms August 2009
-Prescriptive Certificate of Compliance: Residential CF -IR -AUT
Residential Alterations. Page 5 of 5
Project Name: Climate Zone # # of Stories .
-77 - 5 9S C .Q,lc. /s
HERS VERIFICATION SUMMARY The enforcement agency should pay special attention to the HERS Measures specified in this
checklist below. A completed and signed CF -4R Form for all the measures specified shall be submitted to the building inspector before final
inspection.
Duct Sealing & Testing HERS verification is required for this measure.
❑ YES E3 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 §I52(b)IDii and the newly installed ducts are to be insulated per §151(f)l0.
❑ EXCEPTION: Existing duct systems that are extended, which are constructed, insulated or sealed with asbestos.
13 YES 17 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 § l 52(b) I Di.
❑ YES ❑ NO YES: In Climate Zones 2 and 9-16, if the existing HVAC equipment is replaced (including the replacement of the air handler.
outdoor condensing unit of a split system, cooling or heating coil, or the furnace heat exchanger) the ducts are to be
sealed per § 152(b) I E.
❑ EXCEPTION: Duct systems that are documented to have been previously sealed confirmed through HERS
verification in accordance with procedures in the Reference Residential Appendix RA3.
13 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.
13 YES 13 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
exchanger) a refrigerant charge measurement shall be verified per t52(b)l F.
Central Fan Integrated (CFI) Ventilation System and Fan Watt Draw
The ventilation requirements of § l5 o do not apply to existing residential homes.
Ducted Split Systems - Air Conditioners and Heat Pumps: Airflow HERS verification is required for this measure.
E3 YES 13 NO YES: In Climate Zones 10 through 15, when the existing space -conditioning system (HVAC equipment and ducting) is
replaced, the airflow and fan watt draw shall be verified r' 152 b lCi to meet the requirements of § 151 7B.
Documentation Author's Declaration Statement
1 • I certify that this Certificate of Compliance documentation is accurate and complete. I
N
Si re:
Co any :
v1 �o v- ay- V t ►ti2L c� c e
Date:
s- 2 2 1 'Z
Addre s:
If Applicable ❑ CEA or ❑ CEPE
nk G {4- V Q
(Certification #):
City/State/Zi
CQc , q 220
hone:
`7b2 r -b 2C
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.
• I certify that the energy features and performance specifications for the building design identified on this Certificate of Compliance conform
to the requirements of Title 24, Parts 1 and 6 of the California Code of Regulations.
• The building design features identified on this Certificate of Compliance are consistent with the information provided to document this
building design on the other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the enforcement
agency for approval with this building permit application.
Name:
Signature:
Company:
Date:
Address:
License:
City/State/Zip:
Phone:
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.
Registration Number: Registration Date/Time:
2008 Residential Compliance Forms
HERS Provider:
August 2009
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-CITY OF: LA QUINTA,
BUILDING & SAFETY DEPT.:
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1 F6R CONSTRUCTION
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City Of % QUi(1td
I;U[ rlg at Safety Division
P.O. Box 1504,•78-495 Calle Tampico
ta.QWnta, CA 92253 -:(760) 777-7012
Building Permit Application'and Tracking Sheet
Perinit #
Project Address: 77 5q C W ht(Q h uA.
Owner's Name:.l�oL atkl N %q & Ve- 1' O t4'
A. P. Nlunber
Address: .
Legal Description:
City, ST, Zip;
Contractor. L1 QH d
Telephone:
Address:
Project Description:
City, ST, Zip: "
Telephoneif'o6 ;q' ; r '
-r
w K.l r' �-ro ' Oa
I ® W tr o 1 'J,1 -,dous
State Lia #!M I Z City Lie. C.
Arch., Engr., Designer:
t.1 CL, e—v V--5-
Address:
City., ST. Zip:
Telephone:
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
State Lia #:
Name of Contact Person:
Sq. Ft : # Stories: # Units:
Telephone # of Contact Person:
Estimated Value of Project Qt'75 Q
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Rcq'd
Recd
TRACKING PERMIT FEES
Plan Sets
Plan Check submitted Item Amount
Structural Cales.
Reviewed, ready for corrections Plan Check Deposit • .
Truss Cates.
Called Contact Person Plan Check Balance.
'Title 24 Calcs.
Plana picked up Construction
Flood plain plan
Plans resubmitted.'. Mecharilcal
Grading plan
Z'� Review, ready for correetionemue Electrical
Subeoutactor List
Called Contact Person Plumblog
Grout Deed
Plans picked up
H.O.A. Approval
Plans resubmitted Grading
IN HOUSE:-
''" Review; ready for correcdonsAssue Developer Impact Fee
Planning Approval
Called Contact Person A.I.P.P.
Pub. Wks. Appr "
Date of permit issue
School Fees
Total Permit Fees