11-1258 (RER)J .
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
11-00001258
54195 AVENIDA VELASCO
774-214-021-9 -000000-
REMODEL-- RESIDENTIAL
COVE RESIDENTIAL
2800
Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT "
------------------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under, penalty of perjur that I am licensed'under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Bt s• ess and Professionals Co , and my License is in full force and effect.
License Class: B Lice a o.: A926190
�( Date: It —Z2_ 1•Iontractor
1 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 Cade: 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 hot more than five hundred dollars ($500).:
(_ 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 ISec. 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 notintendedor 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 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.).
(_ ) 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:
JOE ARSANTO
52700 AVENIDA ALVARADO
LA QUINTA, CA 92253
Contractor:
HUITRON CONSTRUCTION
50427 RIGO COURT
COACHELLA, CA 92236
(760) 398-3227
LiC. No.: 926190
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/21/11
--------------7----------------------------------
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 0013718-2010
1 certify that, in the perfor °once 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 s becomes bject to the wo ' co ensation provisions of Section
3700 of the Labor C shall fo with comply i hose rovisions P"
xDate: j�.. u=11 Applicant: .�
WARNING: FAILURE TO SECURE ORKERS' 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 b e information is correct. 'I a ee to omply with all
city and county ordinances and state laws relating to buil n onstruct on, and hereby t rize presentatives
of this county to enter upon the above-mentioned prope or inspecti n purposes.
L6ate: I Z—f Signature (Applicant or Agent):
LQPERMIT
Application Number . . . 11-00d01258-
------ Structure Information WINDOW CHANGE OUT'- (9) LOCATIONS
-----
Other struct info CODE. EDITION 2010
---------------------------------------------------------------------------
Permit . . . BUILDING PERMIT
Additional desc .
Permit Fee 54.00 Plan Check Fee :
35.10
Issue Date . . . Valuation
2800
Expiration Date 5/19/12
Qty Unit Charge Per
Extension
BASE FEE
45.00
1.00 9.0000 THOU 'BLDG 2,001-25,000
9.00
-----------------------------------------------------------------------
Special Notes and Comments
WINDOW CHANGE OUT AT (9) LOCATIONS -
REPLACING WINDOWS ALONE. THIS PERMIT
DOES NOT•INCLUDE ALTERATIONS TO THE
BUILDING FRAMING. 2010 CALIFORNIA
BUILDING CODES.
November 21, 2011 2:14:00 PM AORTEGA
-------------------_------------------------------------------
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
C0640 -4 -
Bin #
City Of La QUInta .
Building &r Safety. Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
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Project Address: ✓� L 1-1a, S to
Owner's Name: •-�-
�d3 Swh
A. P. Number: .
Address: . � Z"Toc�
Legal Description:
City, ST, Zip:,r
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Contractor: d,j-jaTelephone:
'4,34'-b4
:y'11v'r':iii'}:i:::}'%•':.:l::i`ij}S:if::iW
ri> :»> '"?>..<..i:;::;:>:X>i: •....
Address: 66L?.
Project Description: t � t_ 2 1' ✓l9l 0�
City, ST, Zip: c V 1 I ?��
f ZI 11
Telephone.
'iini
City Lic.
State Lic. # : O
Arch., Engr.,' Designer:
Address:
City, ST, Zip:
Telephone: .::.::::.:':.aksi:s:><$s;:<:� ^�;�:t•.
State Lic. #: x� ,x. :c:<4.::..>;..> .
Name of Contact Person:Sq.
Construction Type: Occupancy:
' Project type (circle one): New Add'nter Repair Demo
Ft.: #Stories: # Units:
Telephone # of Contact Person:
Estimated Value of Project: a
APPLICANT: DO NOT WRITE BELOW THIS LINE
#,
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
ZIl I
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
r+
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
.n
Grading plan
21" Review, ready for corrcctionsfissue
Electrical •
!`
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Gradin g
IN HOUSE:-
'"' Review, ready for corrections/issue
Developer Impact Fee
r'
Planning Approval
Called Contact Person
A.I.P.P.
.-.�
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
3.
111141 %U • %IS
P.:
Prescriptive Certificate of Compliance;
Residential Alterations
Project Name:
54 t9S• J.
Residential CF IR -ALT
a eIof
Climate Zone N1� Y of ;torics
to,
5 (_.0
1
General loformation'
Site Address:
Enforcement Agency: Date:
Building Type Single Family O Multi Family
Circle the Front ntation: NOS, W. or degrees
Conditioned Floor Area (CFA):
Project Type: Alterations O Envelope -0 Fenestration O Roof O HVAC
Reptamment or Change Out O Duct. Re placement 'Q Water Heater
NOTB: T his form is not to be usedfor Newly Constructed &II& gs or Ad&dons
Insulation Values For Opaque Surfaces (for Faring use the Mass and Furring Strips Construction table below)
Assembly Alteration
O Opening of framed cavity alone - Alterations that involve the opening of the framed cavity of a wall, ceiling or floor must install the
mar lidatory minimum kndation valw per §l S0 for the altered assembly. Fill in Columns A -C and enter mandwory insulation v ahoe in Column H.
O Replacement of entire assembly - Replacement of an entire wall, ceiling, or floor assembly requires the installation of Component
Poeta e- D insulation values in Table 15 1 -C. Fill in Columns A - J.
O a ,ue Surface Details For the famed portioaed of Mast Wal :te.Farria S CQattracttoa Table low.
A B C I) E F G H I J
Pro
StandardValues From IA4 Table
aaaring Thictatess Framed Continuous lA4 Proposed
Tai/ Assembly Name Mtrterial Spacing, U- 1A4 Table . Cavity Insulation Assembly Assembl
ID or Type'
'
and Sizer or Otber' factor' Numbers R -value° R -Valuer Ceti Valuer U-lacwr
Note: For fined assemblies aorohat ng for Commom lw /anon R -valga, see Page JAI -J and Fquadon 4-1. For calcvda ft fwred watts we floe Moss and
Farnng. Construction table blow.
1. For Tag.'/D indicate the identifreation fatale that matches the building plans.
2. Indicate the Assembly Name or type: RooflCeiloW. Walls. Floors. Slabs, Crawl Space, Doors and etc... Indicate the Frame type and Size: For
Wood Metol, Metal Buildings, Mass; enter Tart, 2x6, or etc... see JA4 for other possible frame type assemblies.
i. Enter the duciness for mass in inches or Spacing between framing members enter: 16 "or 24 "OC: or Other for all other, assembly d-CAPtion
rude as Concrete Sandwich Panel, Spandrel Panel, Logs, Straw Bide Panel and etc....
4. Based on the Climate Zone; enter the Standard U factor from Table 151-8, Cor D for each different assembly Name or We.
S. 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
8. Enter the row and column of the U factor value based on Column F Table Number and enter the Assembly Ufactor in Column J
9. The Proposed Assembly U factor, Column J. must be equal to or less than the Standard U factor in Column E to comply.
Furring S Construction Table for Mass Walls Orel
A B C U E F G 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
Tabk 43.13
.
>
Assemb
H
-Final
Mau
Name orJA4
—�''
E
$
t
± Assemt
Thickness'
T pe= Number' < >
s
a . f 2
x
?
< > U -facto
Registration Number: nee Registration �te.Time:
2008 Residential Com i ts---
HERS Provider:
August 21
1. Indicate the type of assembly to include: Hollow Unit ,Nasonry Walls. Solid Unit .Nasonrv. Solid Concrete Walls, Etc. Additional assemblies can
e found Reference Joint Appendix JA4.
. This is the U -Factor based on the thickness ofthe assembly in inches.
3. 4. The R -value of the insulation to be added on the interior or exterior ofthe assembly. 1
The Calculated R-I'alue is the R -value ofthe furred out section ofthe assembly.
E.-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 Column
added to Column 1. Column K is the inverse from column J.
7. Insert the calculated (Y -factor value on to the Opaque Surface Details in Column J
FE RATION PROPOSED AREAS
Replacing window alone - Replacement windows shall meet the U -Factor and SHGC I slue requirements of Component Package D in
Table 151-C. The Total Fenestration and West facing Area requirements are not applicable.
❑ Adding 50R2 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
O Adding more than SOW 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
Fenestration Type and Frame (North. East. PropsedArea Maximum Maximum NFRC or Default
Window Glass Door or Skylight) south" West) U-factorL t SHGCx 3' 4 Values
-51
I. Fenestration area is the area of total glazed product /i. e. glass plus frame). Exception: When a door is less than N)'/ 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. Actualfenestration products installed and as indicated in CF -6R -ENI' Form shall be equivalent to or have a lower U factor an&Or a lower
SHGC value than that specified on the CF -I R ALT Form.
4. Submit a completed WS -3R Form if a reduced SHGC is calculated with exterior shading.
S./ applicable at this stage enter "NFRC" for NFRC Certi ted windows or areCEC "De Ault " values ound inlable 116-A or B.
ALTERED FENESTRATION. ALLOWED AREAS (E!ffiere! mare Man 5V offenestradon Is a&4
A B C D E F G
Allowed Existing Fenestration Total Area
CFA of Entire % of Fenestration Area Fenestration Allowed Proposed Ar
Dwelling CFA Area Removed Area Added A x B) (E -D) + C
Total Fenestration Area
ft')
.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 glaring area removed to the other orientatio
input the west glo=ing area removed in the Total F nestration Area row,.column D
3. Include the Proposed Area of the II'est facing fene trcftion in both Area edumns"below•. �►�
4. To meet compliance. the Proposed Area must be I sXtwil or` equal totthFTonilAyllowed Area or BOTH the Total and West Fenestration Ai
.1 1.j—, t t -.t 10-k .j is 0
. 01
Registration Number: t--Registration-Date�Time: - - HERS Provider: _
2008 Residential Compliance Forms August
Prescri &e.CertiQicate of.Co.
Residential Alterations
Project. Nit m e:
m fiance:. Residential CF 1R -ALT
Pa eSofS
Climate Zone # # of Stories
.HERS VERIFICATION SUMMARY The enforcement agency should pay special attention to the HERS Measures specifted in this
checklist, below. A completed and signed CF -JR 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.
D YES 13 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 §152(b),IDii and.the newly installed ducts are to be insulated per § 151(f)10. .
D EXCEPTION: Existing duct systems that are extended. which are constructed, insulated or sealed with asbestos.
0 YES E3 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 § 152(b)1 Di.
17 YES D 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)1 E.
13 EXCEPTION: Duct systems that are documented to have been previously seated confirmed through HERS
verification in accordance with procedures in. the Reference Residential Appendix RA3.
(3 EXCEPTION: Duct systems with Im than 40 linear feet in unconditioned space.
O EXCEPTION: Ex4dog ductsystems coastntcted insulated or seated with asbestos
Refrigerant Charge - Split System HERS verification is required for this measure.
D YES ' D NO YES: In Climate Zones 2'and &15, when the existing HVAC oquipment 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 ref i Brant charge measurement shall be verified pq § l 52(b) I F.
Central Fan Integrated (CFI) Ventilation System and Fan Watt Draw
The ventilation rcqvirements of § 15 o do not apply to existing residential homes.
Ducted Split Systems - Air Conditioners and Heat Pumps: Airflow HERS verification is required for this measure.
D YES D NO YES: In Climate Zones 10 through 15, when the existing space -conditioning system (HVAC equipment and ducting) is
replace(L the airflow and fan watt draw shall be verified per 152 b ICi to meet the requircrnents of 151( 7B.
Documentation Author's Declaration Statement
• I certify that this Certificote f Com .liaace documentation is accurate and eo
Name: Signature:
—Company:'9LLC�� Lao, 4 -cut -0 L0.1 Date:
Address:d ��' if Applicable O CEA or O CEPS
#):
O (Certification
City/State/Zip: n Phone:
!�
Responsible Building Designer's Declaration Statement
• 1 am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the building design identified o
this Certificate of Compliance.
1 certify that the energy features and performance specifications for the building design identified on this Certificate of Compliance confo
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,_vsoresheets, calculations, plans and specifications submitted to the enforcemer
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 ;,'umber: Registration Date:Time: HERS Provider:
2008 Residential Compliance Forms Augus