10-0545 (RER)P.O. BOX 1504.
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
4 4v -Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 10-00000545 Owner:
Property Address: 52280 AVENIDA VELASCO LA QUINTA REDEVELOPMENT
APN: 773-265-002- - - P 0 BOX 1504 .
Application description: REMODEL - RESIDENTIAL LA QUINTA, CA 92247
Property Zoning:. COVE RESIDENTIAL
Application valuation: 4150
_.._......._....--
Applicant: — Architect or Engineer:— CRYSTAL CLEAR MIRROR &
72330 QUARRY TRAIL
THOUSAND PALMS, CA 9227
a� (760)343=1633
Lic. No.: 653336
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
AGENCY
L
Date: 6/22/10
CITY OF I.A
------------------
' LICENSED CONTRACTOR'S DECLARATION - -
- WORKER'S COMPENSATION DECLARATION
. I hereby affirm under penalty of perjury that kam licensed under provisions of -Chapter 9 (commencing with
I hereby affirm under penalty of perjury one of the following declarations: `
Section 7000) of Division 3 of the Businessthd Professionals Code, and my License is in full force and effect.
_ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
- License Class: C17 License No.: 653336
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
Date: �aContractor:
— I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
•
i Code, for the performance of the work for which this permit is issued. My workers' compensation
_ OWNER -BUILDER DECLAR TION
insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
Carrier SOUTERN INS + - Policy Number WS I O 0213 0501
following reason (Sec. 7031.5, Business and Professions Code: Any, city or county that requires a permit to
I certify that, in the performance of the work for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
subject to the workers' compensation laws of California,
person in any manner so as to beect
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
- and agree that, if I show becoto the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
3700 of the Labor od , Ishith comply with t ose provisions
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by.
12
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
Date: 6/OAPPlicant: -
- (_) 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
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
. and who does the work himself or herself through his or her own employees, provided that the
DOLLARS ($100,0001. IN.ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN •.
improvements are not intended or offeredforsale. If, however, the building or improvement is sold within
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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.). -
APPLICANT ACKNOWLEDGEMENT '
1—) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. .
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject_to the
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
conditions and restrictions set forth on this application.
property who builds or improves thereon,.and who contracts for the projects with a contractor(s) licensed
1. Each person upon whose behalf this application is made, each person at whose request and for .
pursuant to the Contractors' State License Law.).
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
(_) I am exempt under Sec. , B.&P.C. for this reason
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. '
Date: Owner:
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
•CONSTRUCTION LENDING AGENCY
permit to cancellation.
- I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
I certify that I have read this application and state that the ab Pe information is correct. I agree to comply with all
- work for which this permit is issued (Sec. 3097, Civ. C.).
city and county ordinances and state laws relating to budding construction, and hereby authorize representatives
ofthiount to enter upon the above-mentioned prop ity f r inspec ' n purp es.
c
Lender's Name:
-
-
r4 1'
XD ate:s %Signature (Applicant or Agent): .
Lender's Address:
LQPERMIT
Application Number . . . . . 10-00000545
---- .Structure 'Information (8) WINDOW/(1)SLIDER CHANGE OUT -
--
'Other struct info -CODE EDITION 2007/-2008
Permit . . BUILDING PERMIT
Additional desc .
Permit Fee 72.00 Plan Check Fee 46.80
Issue•Date Valuation 4150
Expiration Date 1.2/19/10
Qty Unit Charge .Per Extension
BASE FEE 45.00
0'0—_ 9-00007THOU"-BLDG-2--001:=-25-,POO-------
._.....,.....__.__....-.,......_. •27" 00' -..........__....__._._....
-:. Special Notesand Comments
.(8) WINDOW.AND (1) SLIDER CHANGE OUT
:C THROUGHOUT RESIDENCE - 2008 ENERGY.
-". June 22, 2010 9:38:11 AM AORTEGA
_ ----------------------------------
Other.Fees. ... BLDG,STDS ADMIN-(SB1473) 1.00
ENERGY REVIEW FEE 4.68
Fee' summary ._ Charged. Paid Credited Due
-- - - - - - -- - - -- ----- - - - - --
Permit Fee Total -72.00 .00 .00 72.00
Plan Check Total 46.80 .00 .00 46.80.
Other Fee Total 5.68 00 .00 5.68.
Grand:Total .. 124.48 .00 .00 124.48
LQPERMIT - .
Jun 21 10 07:21 p
___ --. _�-.. ....-.v .VV• I IV11
Frescrti five Certificate Of Compliance.- RcsWeatiai
Residential Ahergtians
Prvjett Name: )
At/ -e qLG A l/,Pl 4f660
760-343-1634 p.3
LA UUIJ419 bLUb !ILMI PAGE 02/03
CF -IR -ALT
2 of
climate Tones 15- a of in '
raaieate Ila type oJassem* to tack& NONow Uolt Masonry Walh. $olid Urrit Masonry Solid Concrete lYolls, Etc. Additionaf assetnhlies can
found Reference Jalwt Appendix JA4.
This is rhe U - Factor bared on the WcAmas of thg assembly fa tnc/w,
The IR -value of the inlelaflon ro br added on tie interior m cNertor ofthe wzcln yty,
Tha Calculated R-Volue is tiro R -value ofthe Jared out section of the assenibfv.
-6 The Flnol Assembly ix calmrlo►ed us+lag Spwjien 4-2 or EqupNon I-SoJthe Reference John Appendur JAI, The e"arion is the itrverse e(. Ohn
added to Coltima L Column K is the inverse frame ealumn J.
Regigrotian Number;
2008 Residential Ci
tante Fa�tis &QjMG-j , AFETY DEPT. ,l6Rs rrovider.
AP P RO\OE CJ
BY
A&Rusr ZOOP
Jun 03 10 05:17a 760-343-1634 p.1
CRYSTAL CLEAR MIRROR 6 GLASS
June 2 2010
Proposal
To: R kirk Kirkland GStyof La Quinta
From: Gary Lange
Re: Avenida Velasco ,
White. Vinyl window replacements with Lowe glass
Windows are from Milgard with frill lifetime warranty from Manufacture
35 x 35 north side
35 x 23 north side Obscured temperd.
47 x 47 north side
47 x 47
72 x 8 sliding door Pet , or Vinyl French door by American integrity
47 x 47 Southside
47 x 47 South side '
47 x 59 West side
47 x 59 West side
Total price Installed $.'4150.09
72330 0mrry7rali
D7Aausa 9ZZ76
pwrns
Cafdornla. a. 92276
Phone: 760-343-1633
FaX 760.343-1634
Email:
Jun 21 10 07:21p
R,wideariaf
Project Name.
le
T,� o
760-343-1634
UH U Irt I H M-ua utrr t
r4 I Climate Zone M
p.2
PAGE 83/03
of
7
HERS VERIFICATION SUMMARY rh eaforceawm agency shoaldpayspecial otlenr(on to Sir N$RSAleaaaresspee?red in this
checklis► below. A ewrapleted and signed CF --4R Form fo, ali rhe measures specified shod/ be submitted to rim building (nspech- befort: feral
ins cion.
Duct Sealing & Testing IIERS veryicwian is re"lred jar ehia meor ,"-
G YES 13 NO YES: In Climaoa Zones 2 and 9-16, if more than 40linim feet of new or replacement duces are insWIod in unconditioned
space• the dwU ate to be scaled per 19152(b)1 Oii and the newly insWllcd ducts are to be insulated per 015 k )10.
D EXCEPT ION: Existing do" systema that are extended, wbkb are comtracted. inwbeted or sealed with aobeetos.
13 YES 13 NO YES; to CGmatc Zones 2 and 9-16, if the existing spud -conditioning system (HVAC equipment and duetlng) is replaced, the
ducts are to be scaled per 6152(b) I Di.
(3 YES O NO YES: In Climate Zones 2 and 9- IQ if the cxbdrLg HVAC equipment is replaced (including the replacement of the air handler.
outdoor condensing unit of a soil syslcaL cooling or heating coil. or the furnace but exchanger) the ducts arc Ica be
sealed per § 152(b)1 E.
0 EXCEPTION: Docs systems treat. are documented to have peen IRMiotraly ae$W confirmed tbr000 HERS
verification in accordance wllb procedures in the Reference Residential Appendix RAS -
O SXCEPTTOT4: Dad syslemB witfi leer than 40 linear feet in xatonditiepned spec.
Cl EXCEPTION: Ustiall duet tears conanccted. iraub><ted or sealed with asbdtm.
Refrigerant Cbatrge - Split SYatedl HERS verification is "qu(redfor this maasarv.
O YES i3.14o YE& In Climate Tortes 2 and 3-15. when the aciWn HVAC
handler, outdoor condensing unit of a lits g �� is replaced (including the replacement of the air
118 sp yswa Alt or heat: putnp, cooling or heating coil. or the furnace treat
cxabatt cr) a rsfiiRerun chwAt eaeart mnient shall be vaiGed per §152(b)IF.
Ceattral Pytim Iategmtted (CFI) Ventiladoa System nd Fan Watt Draw
The ventllm9pn of 11 5 e) do not aWy m exi residential homes.
Ducted Split Systeats -Air CoaQiooM and Heat perm A'nflow HERS ver
0 YES ONO p' ificotiort is ►tiquind far dr4 areaaure.
rFS: In Climate Zones 10 through 13, when dte existing space conditierting systm (HVAC equipment arid ductinE
) is
reelaced. the aullow and fat wan draw stall be vtxified 1 b 1 Ci to Int>et 1>ftt roQalt+ctrtetts of 6151(1178-
.w a.c� YanaaOOr %-arO nate doeaeacntation is aeenrate sed COra lets.
,,M L
4r -y s T4 l e- leer M/RR�� o- a o /o
- %� s s
If Applicable O CFA or
City/StatclLip: (Certification A):
Phone:
Responsible Building Desigat 's Dtxhrallon Slattauent
• tam eligible meet 1JfviWrice. 3 of the CeUfamia Ausiness Ord Professions Code to accept responsibitity for ere buildingdcsign identified nn
this Cati6cate.of Ctxnp{lan
• 1 certify thatth en iPe� rfbrm� specaftcations ror the buildatg design identified on this Certificate ofCOMPliance conform
to the tl p f-ofthe. CalifamLa Code of
• Thc build zF trons.
Ing design fcawm, idemified on this Certificum of Compliance are ctmsistent with the infomratioo provided >b document this
building design on the orherapplicebk ianee fmms
�a ener fax Q1Qc�. tatculaions� plm and specifications submitted to the enforcement
.. aMoval with this building permit amlicatien
r:
.5 — % C/.ti,- M 111/7
7� 3 3e, o! rr,� Tr4 ;-/
For assWancae or gwae9fir/td r+gP47vthBalb
f 4mrNv- Number..
2008 Residen/ia! Caneplhtllcr Ac
w -r- .+� i tVDATE
.TCt3G �qj . y r�
FILiq� BY
�'.�. 45-3336
_Zgag
3,91- / 433
772-3360.
DEPT
Provider. —.—_
ArtRrut 2009
Jun 21 10 07:21 p
760-343-1634 p.1
��+ willr1M DLLV
ucrl t1W*- 41/03
Prescriptive Cerflatatt Of Com Baca: Residential CF-tEt-ALT
Residential itUeroNotts e t of
Project Name: t7ppate Zeoe f / of vorles
C/ �� o� LSI viierr/,1
Geaeml lararmstioa
Sift Addrtsa Did l/2 S� Enfareemem AReney; Oatr.
UMiU9 Typc Sim& Family O Mu1:i Family Cimk Ore From Orient tie+c N. E. S. 1Y, or degrees
Conditioned Floor Ars (CFA): Projeet Type O Aherat— 0 Envelope Oferomusikm O Roof O HVAC
—_
Iteplammm or chow Ora O Dud Repbotrimpt D Wout Hamer
ill: lltdsfo m'swet m be WWAr 1Vew CosrmtVed aril orAtrdi'doma
lnsrlaaton Yema For apope Srrjrurt e, F sus the Kms and Fanft Cotmiwflon mblb WOW)
AU9010y Altermlloa
O Opening of fmMee eafy &bee-Abtrartoardrat brvolwe the opening eche iumedearitJofa hall, cdiing orjAwnnat wiml the
wro.�Joq aaleinra>tr inrmkag;n MW Per 1150 for the dared aszeRrbty F10 in Cohonru A -C and enter mmdamry &Mmhdim vahr in Cahmm hi,
O ReplaeemetN of anirr sisembly- AWkmnrm ofa r en&e wdl. "Hbtg; orfloor amen* r equLm the Attaa[wam of Cmt wmw
1' O msodmiow whrer In Table 131-C Fdl is Colwrrar A - J.
a s ue Surface Details Far the lhrrsd rtioaed of Mass Walb ter Fa SWV@ Cwstnefict TaNe bake
A B C D 8 F C >d [ 1
pro as Seaadard Valmes Rom JAd T41e
Ftamiag
Tw Thielae�,, Fnmod Caimmw JAI hwood
Assembly re
U- JA4TaEk Carib inaalatiota Abbr A�sem�y
TD. m T ' are Site orOtlx� factor' Nmnhets p.,"d ea R-Vdnes Cel Valdes U -fader°
AAotr.• Far Jerred otnnrplkr. aa9arNhgla►Carvfrerorr Jnra/oriwr R-+elw, see Irge /Al -3 and b�awtnrr I -t. For cnfcslati� frtrrd Meib aae rAr Alae aw!
i Coaaaecnoarabrebalar.
t. For TaelD 0"Teme the id RvaadW route Ghat -Wobea fe
2. Indreate the Assembly Marne or bre: Rvq#Ce" Wdls, Floors. Slebu•. CrpwJ
Woad Mena( i1lesaf B0i �� �. Doors and etc ... lydlcate the Fraere typo ondS¢t: For
1t6nSL Mast. at4tr 2r4. 2x6 or etc... ser JAI Jbr other paui0k fFarne type asrembfk&
3 F.+raer the mess for masa in iwehes or Spacing beA.rar f ivnsirG ^►ewderi en(er: Id "or?I "OC: or Other for ap edrer wwe'mbly *serlprbn
sot* m Cowvele S®dwirJr Pad Spnn*al Paws(
I. Baatd on drr C/iofase Zer►e; er�fer the Standrd V• Lop Strew Rate Panel
S. Enter the Tolle ►+umber that clomriy rrtenrbhs r'able IS l -8. C w D for each went atae�nbfy Naew a► ryix:
6. Ewter Urr R.rohrr that is be' prvp�osrd assenrb/y.
a{g kwa*d I t dw war ernasy or berweer ow i•t wpw othenvlss• en kr "0
7. Emr b* contoxpsa lnwarfam R-voGor f-0, Proloftdmmm6ly: "0"
8 gurer Un rvw andoohrrma of uc Wacmr vaahae based on Colmm F %bfe Nwmber and enter dw Assembly U -f kcaw in Coham 1
9- Thed A='! Uy afaabr: Cch ms J, imm be equal I. or less tlav» the S'tnndard Ute► in Cohrmn E so comply.
Regisn+atior, Number.• 10-
2008 RC-Tkkmtial COM1.01-ia ee Forrma KERS Prvr:der.
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
AvAusl 20M
6►r1 #
City Of LaQ uinta
Building 8t Safety Dh4slon
P.O. Box 1504, 78-495 Calle Tamplw
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
10.055
Project Address: a $ 6 2 • G Q 5 co
Owner's Name: Q
A. P. Number.
Address:
Legal Description:
City. ST, Zip:
Contractor:
Telephone:. r
Project Description:
Address:
City, ST, Zip: o q ZZ�
n Cl o
Telephone.—� _ X33
"Lic-b 3g
State Lic. # : 3.3 3
Arch., Engr., Designer
Address:
City., ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:G0.
Construction Type: Occupancy:
Project type (circle one): New Add'n Alta Repair Demo
Sq. FL:
# Stories:
# Units:
Telephone # of Contact Person: to t7 — 3 3 —
Estimated Value of Project: ISO'
APPLICANT:
DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Reed
TRACKMG
PERMIT FEES
Plan Sets
P[an Cheek submitted
Item
Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit
.�
Truss Cake.
Called Contact Person
Plan Check Balance
.�
Title 24 Calls.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
.--
Grading plan
2" Review, ready for corrections/issue
Electrical
..
Subcontaetor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.L
r.
H.O.A. Approval
Plans resubmitted
Grading
ITV HOUSE:-
Review, ready for correctionsPissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP.P.
.�
Pub. Wks. Appr
Date or permit issue�a
, 0
.
School Fees
Total Permit Few
112—RA