05-2171 (AR)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
"`&-t!t'44*Q"
I _J
Application Number: 05-00002171
Property Address: 440657TIARA PL
APN: 604-141-005-5. -23269 -
Application description: ADDITION - RESIDENTIAL
Property Zoning: LOW DENSIIIY.IRESIDENTIAL
Application valuation: Q 00
Applicant: D Architect or Engineer:
JAN 15 2��5
...r[ OF ►p'nPT A
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 Division 3 of the Business and Professionals Code, and my License. is in full force and effect.
License Class: License No.:
Date: Contractor:
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).:
(_ 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 (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 theburden 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 contractor(s) licensed
pursuant to the Contractors' State License Law.).
1 1 I am exempt under Sec. , B.&P.C. for this reason
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 ISec. 3097, Civ. C.).,
Ladder's Name: _
Lender's Address:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/14/05
Owner:
CULLEN MICHAEL C
340 CALLE MAYOR
REDONDO BEACH, CA 90277
Other struct info . . . . . C
Contractor:
Owner
DITION 2001 CBC
-----------------------------------------------
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 NO 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' compensation provisions of Section
3700 of the Labor C , I shall forthwith comply wi hose pr 'sions.
Date:'�� Applicant. -
WARNING: FAILURE TO SECU WORKERS' CO ENSATION.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 building construction, and hereby authorize represe lives
of thissccounty to
enter upon the above-mentioned propert for inspectionpu/rJB�os�es.
Dat.& �9-0,9ignature (Applicant-or-Agenq���J�
Application Number . . . . . 05-000.02171
Permit BUILDING PERMIT
Additional desc .
Permit Fee 25.00 Plan Check
Fee
16.25
Issue Date Valuation
. . .
. 1000•
Expiration Date 12/11/05
Qty Unit Charge Per
Extension
BASE FEE
15.00
5*.00 2.0000 HND BLDG 501-2,000
10.00
Permit . . ELECT - ADD/ALT/REM
Additional desc .
Permit Fee . . . . 18.75 Plan Check
Fee
•4.69
Issue Date -Valuation
0
Expiration Date 12/11/05
Qty 'Unit Charge Per
Extension
BASE FEE
15.00
5.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20
3.75
-----------------=----------------------------------------------------------
Special Notes and Comments
REMOVE FIREPLACE AND ADD NEW WINDOWS
AND DOOR.June 14, 2005 11:34:38 AM:
JJOHNSON
----------------------------------------------------------------------------
Other Fees . . . . . ENERGY REVIEW FEE
1.63
STRONG MOTION (SMI)
- RES
.50
Fee summary Charged Paid Credited
Due
Permit Fee. Total 43.75 .00
.00
43.75
Plan Check Total 20.94 .00
.00
20.94
Other Fee Total 2.13 .00'
.00
.2.13
Grand Total 66.82 .00
.00
66.82
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CITY OF LA QUINTA
DEPT.
BUILDING & SAF M
APPROVED.
N qj1Q,
FOR
[qQ
DA
C+
All construction shall comply with the 2001 California Building, Plumbing, Mechanical,
"Provide a non -removable backflow
Electrical, and Enekgy Codes and all other local codes and ordinances." Remove notes referencing other
Codes. prevention device on all exterior hw
'
Provide 26 -gauge minimum galvanized weep screed at foundation plate line. (CBC §2506.5)
"Weep screed'shall be placed a minimum of 4 inches above the earth or 2 inches above -
paved areas." (CBC §2506.5
IF' JE*
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TIE -DOWN DEVICE WITH
APPROVED UPUFTCAPAAN CITY A=*W9'B_kA=AVWL (Z -r MIN) IV MMUM 7— x
PLYWSHEATHG NAILED WITH Bd COMMON
OF IAW PUONDarfPr-x AT
OOD IN
E EACH
ACH END EACH PANEL AND BLOCKEDAT ALL PLYWOOD EDGES, TWO
JPINNI CU11LIEW
44005 TlAiRA PL,
I :LA..QA)1N-rA
BE HPAH= AS SHOWN.
ANCHOR BOLTS 0 QUARTER PANEL POINTS.
EACH PANEL END STUD TO HAVE MPAMD22
HOLDOWN. SEE DETAIL. NAILING TO BES' 0
EDGES OR 12'AT INTERMEDIATE SUPPORTS.
W
fby
TVPIC^L
N
3V THICK (PAIN) WOOD TRUCTURALPANEL
SHFATHINO NAILED WrTH8dCOMONOR
J• ENNI
C.,LXLeFt-J
GALVANUW BOX NAILS WARD 24 A= •
DANCEr1LjAM!tI -0 !!E!LL fyIB
Ls
535 `���� '%--�'O�
JPINNI CU11LIEW
44005 TlAiRA PL,
I :LA..QA)1N-rA
f
CERTIFICATE OF COMPLIANCE:. - RESIDENTIAL (Page 1 of3)
Project Title
/ 1°L
Pro t Address
C umentation Whor -Telephone
Compli ce Met od (Package or Computer) Climate Zone
Building Permit #
Plan Check / Date
Field Check / Date
GENERAL INFORMATION
Total Conditioned Floor Area"_ftp Average Ceiling Height: �� ft
Conditioned Slab Floor Area ft'
Building Type: _)CSingle Family Addition
(check one or more) Multi -Family Existing-Plus-
Front
xistingPlus-
Front Orientation: North / South / East /.West / All Ori,
front orientation in degrees from True
Number of Stories %
Number of Dwelling Units:
Floor Construction Type: Slab Raised Floor (circle one or both)
RADIANT BARRIER (required in climate zones 2 4 8-15)
BUILDING ENVELOPE INSULATION
"CITY OF LAQUINTA
oBUILDING & SAFETY DEPT.
and circl�J P P ROV E D
FOR CONSTRUCTION
BY
dttad—ros—=nE
Component
Type
Frame Type Cavity Sheathing Total R- Assembly Location/Comments
wd = wood Insulation Insulation Value' U -Factor (attic, garage, typical, etc.)
stl = steel R -Value R -Value
Wall
Wall .
Roof
Roof
Floor
? » -Tn -
Floor
Slab Edge
V1 PJc3w1 PL vc cviuunaucc. I ULM n -vague ana Hssernmy u -Tactor are not required for a wood -tamed wall that meets cavity R value
insulation requirements for the Prescriptive Package
ENESTRATION
Fenestration Orien-
#/T e/Pos. tation
a— - ----
Area Fenestration Fenestration Exterior Overhangs/
(ft'- U -Factor SHGC Shading Att. Fins
Front
Front
Left
Left
Rear
? » -Tn -
Rear
Right
Right
Skli ht
Sk light
compliance Forms August 2001 . A-2
CERTIFICATE;OF COMPLIANCE: RESIDENTIAL.':(Nge 2 of 3) CF -1R
Project Title LJA-, -J Date
Heat Pump
Configuration
Cooling Equipment Minimum - Duct Heat Pump
Type (air conditioner, Efficiency Location Duct. Thermostat Configuration
heat pump, evap. cooling) (SEER) (attic, etc.) R -Value Type (split or package)
A.
SEALED DUCTS and TXVs (or Alternative Measures)
❑ Sealed Ducts (all climate zones)
(Installer testing and certification and HERS rater field verification required) ,
0 TXVs, readily accessible (climate'zones 2 and 8-15 only)
(Installer testing and certification and HERS Rater or field verification required)
0 Refrigerant Charge/Air Flow (climate zones 2 and 8-15 only)
(Installer testing and certification and HERS Rater or field verification required)
OR
0 Alternative to Sealed Ducts and TXVs (see Package C or D Alternative Package Features for Project Climate Zone)
Climate Zone Window SHGC Window. U -Factor SEER Heating
WATER HEATING SYSTEMS
Energy' External
Rated' Tank Factor or Tank
Water Heater Distribution Number Input (kw Capacity Recovery Standby' Insulation
Tyrie Type in System or Btu/hr) Qallons) Efficiency Loss % R -Value
1. For small gas storage water heaters (rated inputs of less than or equal to 75,000 Btu/hr), electric resistance, and heat pump water heaters, list Energy
Factor. For large gas storage water heaters (rated input of greater than 75,000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss.
For instantaneous gas water heaters, list rated input and recovery efficiencies.
SPECIAL FEATURES (add extra sheets if necessary). Package C and D: TXVs, Sealed Ducts, Radiant
Barriers (see installation requirements for radiant barriers in Section 8.13 of the 2001Residential Manual).
Package C:.thermal mass (thermal mass type, covering, thickness, and description).
Compliance Forms August 2001 A-3
HVAC SYSTEMS ..
Note: Input•hydronic or combined hydropic data under Water Heating Systems, except Design Heating Load.
Distribution
Heating Equipment Minimum
Type and Duct or
Type (furnace, heat Efficiency
_ Location Piping Thermostat
pump, etc.) (AFUE or HSPF)
(ducts. attic, etc.) R -Value Type
Heat Pump
Configuration
Cooling Equipment Minimum - Duct Heat Pump
Type (air conditioner, Efficiency Location Duct. Thermostat Configuration
heat pump, evap. cooling) (SEER) (attic, etc.) R -Value Type (split or package)
A.
SEALED DUCTS and TXVs (or Alternative Measures)
❑ Sealed Ducts (all climate zones)
(Installer testing and certification and HERS rater field verification required) ,
0 TXVs, readily accessible (climate'zones 2 and 8-15 only)
(Installer testing and certification and HERS Rater or field verification required)
0 Refrigerant Charge/Air Flow (climate zones 2 and 8-15 only)
(Installer testing and certification and HERS Rater or field verification required)
OR
0 Alternative to Sealed Ducts and TXVs (see Package C or D Alternative Package Features for Project Climate Zone)
Climate Zone Window SHGC Window. U -Factor SEER Heating
WATER HEATING SYSTEMS
Energy' External
Rated' Tank Factor or Tank
Water Heater Distribution Number Input (kw Capacity Recovery Standby' Insulation
Tyrie Type in System or Btu/hr) Qallons) Efficiency Loss % R -Value
1. For small gas storage water heaters (rated inputs of less than or equal to 75,000 Btu/hr), electric resistance, and heat pump water heaters, list Energy
Factor. For large gas storage water heaters (rated input of greater than 75,000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss.
For instantaneous gas water heaters, list rated input and recovery efficiencies.
SPECIAL FEATURES (add extra sheets if necessary). Package C and D: TXVs, Sealed Ducts, Radiant
Barriers (see installation requirements for radiant barriers in Section 8.13 of the 2001Residential Manual).
Package C:.thermal mass (thermal mass type, covering, thickness, and description).
Compliance Forms August 2001 A-3
CERTIFICA�'E OF COMP.I�IANCE:'RESIDENTIAL -(Page 3.
,.OF CF' IIZ
Project Title is Date
COMPLIANCE STATEMENT
This certificate of compliance lists the building features acid performance specifications needed to comply`with
Title 24, Parts I and.6 of the California Code of Regulations, and the administrative regulations to implement '
them. ,This certificate has been signed by the individual with overall design responsibility.* When this certificate
• of compliance is -submitted for a,single building plan -to be built in multiple orientations, any shading feature that
is varied is indicated in the Special Features/Remarks section. The undersigned recognize that compliance'using
duct sealing and TXVs requires installer testing and certification and field verification by an approved HERS
rater.
Designer.or Owner (per, Business and Professions Code)'
Documentation Author
Name: /P`%`%�T �' (`��1 Name:
Title/Firm: J �(7LL%n �� ! �'v v' ' �cI �i��• Title/Firm:Lon
Address: Address: +
Telephone: ����'� o' T �� - Telephone:. — —
U
r * V
(s. a e) -- -. : (date); r`- nature) " - .. (date); ;
Enforcement Ai!encv _ c
Name: v
VALUATION SQ. FT.
lot FLOOR
tad FLOOR
COVERED PATIO
GARAGE'
TYPE CONST:
OCCUPANCY
A/C
FIRE SPRINKLER
#. OF BEDROOM
FLOOD ZONE....
# OF UNITS
CODE EDITION
ROOF TYPE
MECHANICAL
zloc)
# VENT FANS
# EXHAUST HOOD
f�
A/C -<3
TON
A/C
>3 TON
FAU
<100,000 BTU
f�
FAU
>100,000 BTU
DUCT
ALTERATION
PLUMBING
# OF FIXTURES
SEWER
SEPTIC SYSTEM
ROOF DRAINS i
WATER HEATER
WATER PIPING
LAWN SPRINKLER �j
GAS PIPING 1-4
GAS PIPING A .
GAS METER. .
UNIT. COUNTS
"TOILETS
BIDET . -
SHOWERS . �.
..BATHTUBS
SINKS
BAR SINK.
BBQ ' -6-
OVEN
RANGE... /0'
COOKTOP ...
DRINKING FOUN'
WASHER.
DRYER
WATER HEATER
ROOF DRAINS
FLOOR DRAINS.
KITCHEN SINK G`
VEG .SINK
LAUNDRY.: SINK.-
FIREPLACE
INK. FIREPLACE f� .
REQUIRED INSPECTION
MAINTENANCE
SETBACKS
FLOOR NAILING
TEMP POWER
GREASE INTERCEPTOR
SEWER CONNECTION .
HEALTH DEPT FINAL
UNDERGROUND ELECTRICAL
PIER5
UNDERGROUND GAS
PRE=GUN ITE
UNDERGROUND MECHANICAL
PRE -PLASTER
UNDERGROUND PLUMBING
PRE -ROOF
TEMPLATE FOOTING
PRE -SITE
DRYPACK
ROOF DRAI N
GRADE BEAM
SEPTIC ABANDONMENT
FOOTINGS
SEPTIC SYSTEM
SLAB
SPECIAL INSPECTION
ROOF NAIL
T BAR
OKAY TO WRAP
WATER LINE
FRAMING
ROUGH ELECTRICAL
ROUGH MECHANICAL
ROUGH PLUMBING
SHOWER PAN
INSULATION
LATH
DRYWALL NAIL
GAS LIN E / GAS TEST
TEMP USE OF PERMANENT POWER
CDD FINAL
PUBLIC-WORK5 FINAL
ELECTRICAL FINAL.
MECHANICAL FINAL
PLUMBING FINAL
GRADING FINAL
FINAL
AQMD.FINAL
BOND BEAM
CODE COMPLIANCE FINAL
CVWD FINAL
FIRE DEPT FINAL
_
Bin #
FL
Permit At
Project Address: Z/! f06
A. P. Number:
Legal Description:
Contractor:
Address:
City, ST; Zip:
Telephone:
State Lic. #
'Arch., Engr., Designer:
Address'
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:
Telephone # of Contact Person:
#
Submittal
� Re
.Z—
Plan Sets �s
Structural Calcs. i
TrussCalcs.
Title 24 talcs-.
Flood plain plan
Grading plan
Subcontactor List
Grant Deed
H.O.A. Approval
IN HOUSE: -
Planning Approval
Pub. Wks. Appr
School Fees
ff3[C6 f-f-aQs RFS
City of La. Quinta,
Building & Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Owner's Name: ►— Y—
Address: 45L4/030
�V
City, ST, Zip:
' Telephone 7tQ� S
Project Description: Ch n P
City Lic. #:
HJ7-77 - 1
Construction
TvPC-
c
O cu
P
an
c•
Project e
ct
type
(circle le
one):. New
Add'n Alter Repair Demo
Sq. Ft.: # Stories: # Units:
imated Value of Projec•
APPLICANT: DO NOT WRITE BELOW THIS LINE
Recd TRACKING
Plan Check submitted
M ewed, rea • for correction
' .Cal d Contact Per
tans picked up O�
Plans resubmitted
�2":R:e:view-, rea�frrrectio s/issu
Called Contact Person
Plans picked up
Plans. resubmitted
7n° Review, for corrections/issue
Called Contact Person
Date of permit issue
PERMIT FEES
Item Amount
Plan Check Deposit
Plan Check Balance
Construction
Alechanical
Electrical
Plumbing
S.n1.I.
---------------
Grading
Developer Impact Fee
A.I.P.P.
Total Permit Fees
02 z
G