BRER2017-0028Bin # Qty of L Q uin td
Building &r Safety Division
Permit # - 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-701,2
Building Permit Application and Tracking Sheet
Project Address: 7 9%) O rA V 1, 10 Owner's Name: �Q M 14 o L G On7
A. P. Number:L100w
Address:tl
y 9T"'r£RRAeF to �(o
Legal Description:
City, ST, Zip: C/T , MQ 6y/la
Contractor: ui STi /Q
PA G i �v
�F G Ra 0 F
T -
ele hone: 6 /
P 6 aS
8' 9
6 8'
... .......................
Address: 3 Y G A LA C'q^" 1P -4/V' w R
Project Description: T LL/<'S R F A-fD JE
City, ST, Zip: �f% L r2 $ �iQl NQS. (J4. 9ao�
s f%Nli- %�Lf SL1 /9Si Jl �i✓srA t
#
tTelePhone-7by/6 �0G �c E
wo L y
State Lic. #:a 35' 7 I
City Lie. #;( D �
2 �✓ C/,T G S T/iv Tj L £ f[�FT
Arch.,'Engr., Designer:
-
City, ST, Zip:
Co A7
Telephone:
_
.....; .:::.:.::::Construction-
00
Type: R� it ` Occupan c y:
a
t Li
L c. c.#•
• -ProJ•ect
type one • New Add'n e ai r Demo
Name of Contact Person:
4170
Sq. Ft.: OO
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project: 3 Q , �, pis Q 0
APPLICANT. DO NOT WRITE BELOW THIS LINE
N
Submittal
Req'd
Rcc'd
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
Floodplain plan
Plans resubmitted
Mechanical
Grading plan
2'' Review, ready for correctionslssue
Electrical .
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN If OUSE:-
Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School tees,
I
Total Permit Fees
l
NATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS.
CFC-CF1 R_AI T-ni-F lRovisorl nRHdl -
CERTIFICATE OF COMPLIANCE
CF113-ALT-0.1-E
Prescriptive Residential -Alterations £ , /1 00 f
(Pagel of 4) .
Project Name: 7,0 M. H 0 G C0^-4 R E S 1.0 jr N G �, Date Prepare
- a -/
A. GENERAL INFORMATION
n'.150.2(b)1H)
44,
02
01
Project Name: OM O G GO -t £.t //2E./ G E
02
Date Prepared:
p0;.7 08 09 10 1
03
Project Location: ] 7 70 ,q V (/-E L 0
04
Building Front Or.ieritatlon (deg or cardinal : .
Frame
Depth
p
(inches)
05
CA City: L q Q u, N Y 9
06
'Number of Alf fedgOnkelling Units:
Comments
07
Zip Code: 'oZ
08
Fuel Type:..
/J
09
Climate Zone:
10
Total Con" I:tioned Floor Asea (ft2)ip
11
Building Type .
12
Slab•Ae (ft2)
13
Project Scope: STA LATi yO Ali.vNArot-Iq .*f
OG 69f.4
ov
S V ST'S
6. BUILDING INSULATION DETAILS (Section -15.0.2(b)1)
n'.150.2(b)1H)
01
02
03
04
05 06 ° i"07 1 084109
10
p0;.7 08 09 10 1
11
Tag/ID
Assembly Type. _
Frame
Type
Frame
Depth
p
(inches)
Fr posed
'Y
Frame., ontinuous
Spacing Cavity
p g ylnsulation
(inches) R -value R-valueetgUj ctor
Proposed
Required
'1 nitial Solar
Reflectance
Comments
ppendixJA4
Reference
U Factor
Table, Cell
NOTES � ��
• Roof area covered b. bullas smtegrate. phoSovoltalcpanels and solar thermal panels are exempt from the above Cool Roof requirements.
i- • Liquid field appliedl atingsKust comply wlt ri� tallation criteria,from section 110,.8(i)4.
/J
I
C. ROOF REPLACEMENT (Prescriptive Alteration; Seal
n'.150.2(b)1H)
01
02
03.
04 , V P
OSk06
p0;.7 08 09 10 1
12 13 '
Method of
Compliance .
Roof
Pitch
Exception
`W.
CRRC Product ID
Number
i�-N � - D I (�
T
0 R -value �s
Deck.
/r�rodIct Type In3ulahrin
_°. - G/c
Proposed
inimum Required
'1 nitial Solar
Reflectance
Aged Solar
Reflectance
!Thermal SRI Aged ola
ittance (Optional) Reflec a c
/O
Thermal SRI
Emittance (Optional)
NOTES � ��
• Roof area covered b. bullas smtegrate. phoSovoltalcpanels and solar thermal panels are exempt from the above Cool Roof requirements.
i- • Liquid field appliedl atingsKust comply wlt ri� tallation criteria,from section 110,.8(i)4.
/J
Registration Number. Registration Date/Time:
H RS rovider:.
8 -TATE OF CALIPORNIA
kEsibENTIAL ALTERATIONS
CEC-CFIR-ALT-01-E Revised 06/14
CALIFOR IA NERGY COMMISSION
.CERTIFICATE. OF COMPLIANCE
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
V
CF1R-ALT-01-E
Prescriptive Residential Alterations
Documents on Author Name:
Documentation gn .�
T
(Page 4 of 4)
.,Project Name:, 0! t (7 L.GO/it
A F- S I /J. iwcCl' ' ..
Date Prepare
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT , 4
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documents on Author Name:
Documentation gn .�
T
Company: t
S e Date
Address: 7
i4�
CEA/ HERS Certification Id e lcat' p' if appllc ible)i '
0..
City/Stat ip: M S
Ptiane:.
i
RESSPPONSIIBLE PERSON'S DECLARATION STATEMENT`
\
I certify the following under penalty of perjury, under the laws of the State of CaliforniaF •'' `�'
1. The information this Certificate Compliance
provided on of is true and correct.
2. 1 am
eligible under Division 3 of the Business and Prof essions'Code,to accept responsibility for the building'deslY or system design identified on this Certificate
designer).K
of Compliance
(responsible
3.- That the energy features and performance specifications, materials,. components, and manufactur d4d'eviees+for the building design or system design identifiedon
his Certificate of
Compliance conform to the requirements of Title 24; Part 1 and Part 6 o the al fornia Co a of, ,
P q CM� � gal's'dons.
4, The building design features
orsystem design features identified tin tl�s.Crtificate ofCompli,ncer re consAistentw�j'e information provided on other applicable
worksheets, calculations, plans and specifications submitted 1<o tfleforcement agenyforaproval with th(butJrfPng permit application.
compliance documents,
5.. I will ensure that a registered copy of this.Certificate of Corr Ila ce shall be made avarjab`le with the buiIdir permits) issued for the building, and made avails
for all applicable inspections. I understand that a registe GbP;y of this CertiflcCompliance is ir'e'be with
let
the enforcement agency
tite re to included the documentation the builder
provides
to the building
owner at occupancy.
Responsible Designer Name: "fi%
s'Re§" p`o`gsibie Designer Signature:
Company
r {
Data Signed:
Address: �a� 5• � N N4.
License:
City/State/Zip: s �.
Phone:
For assistance drquestions regarding.the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.
Registration Number: Registration Date/Time:
H RS rovider: