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13-0709 (RER)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: 13-00000709 78363 TERRA COTTA CT 604-022-032- - - REMODEL - RESIDENTIAL 4870 F 30Ar J/f rill Architect or Engineer: P � \. BUILDING & SAFETY DEPARTMENT BUILDING PERMIT ——-—--—--————--7——-----————---—--——---—-—----——--— LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 Icommencing with Section 7000) of Division 3 of the Business and Professionals e, and my License is in full force and effect. Licensg Class:' C17 � nse No.: 912367 Dat Conll.= -'-- OWNER -BUILDER DEC ARATION I hereby affirm under penalty of erjury 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.). (_ 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. , BAP.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: I,QPFRA11T VOICE (760) 777-7012 FAX (760) 777-7011 ��.o. INSPECTIONS (760) 777-7153 Date: . 6/04/13 Owner: ' ' WORTHINGTON LIVING TRUST 78363 TERRA COTTA CT LA QUINTA, CA 92253 Contractor:. 0 DESIGN WINDOWS & DOORS IN ! 504 S. MOUNTAIN.AVENUE ONTARIO, CA 91762 JUN J 2��3 (909)098-0303 1. Lic. No.: 912367 CIN FINAN OF UIN E I-ADEPT.7A --—-—-—-—--—-———----——----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 iltfor by Section 3700 of the Labor Code, for the performance of the work for which this permit is slued. and will maintain workers' compensation insurance, as required by Section 3700 of the Labor de, for the performance of the work for which this permit is issued. My workers' compensation urance carrier and policy number are: ERN INS Policy Number PWC004612 _ 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 th orkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith y with those provisions Da "_11 Applicant WARNING: FAILURE TO SECU 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 above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and e authorize repre tat, es of this county. to enter upon the above-mentioned property for inspection pur S. Dj�— Signature (Applicant or A, gent) , .. . 7�_ �� 0- = Application Number 13-00000709 , Permit REMODEL 2013 Additional desc .". Permit Fee 60.06 Plan•Check Fee .. .00 Issue Date Valuation" 0 Expiration Date 12/01/13 " Qty Unit Charge Per Extension 1.00 60.0600 LS MISC DR/WIN, REPL, 1-7 60.06 Special Notes'.and Comments ' REMODEL - REPLACE'(6) VINYL WINDOWS AND'. (1) SLIDING PATIO DOOR WITH MILGARD' WINDOWS. NO ALTERATION TO EXISTING OPENINGS. 2010 CALIFORNIA BUILDING .CODES. ----------------------------- - ---- ---- ------- Other Fees . . BLDG STDS ADMIN (SB1473) 1.00 PLAN CHECK, REMODEL 108.68 Fee summary Charged Paid Credited Due Permit Fee Total 60.06 .00 .00 60.06 Plan Check Total .00 .00 .00 .00 Other Fee Total 109.68 .00 .00 109.68 Grand Total 169.74 .00 .00 169.74 LOPERMIT El Bin.# Qty 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 # Project Address:72Sb Owner's Name:.De—n . ► S -r\. A. P. Number. p'LZ- u7fli Address: 7 8 2LI�- Legal Description:,, ll Contractor. Qe S r W n� wS �4.c— Address: Jt` O N City, ST, Zip: Telephone: '714— 9'f 0 ' Project Description: II 10.6 e. rr-e—s\Ar 6 City, ST, Zip:0()±CLC, 1 C 1 �1 6 2 p v '', CL . iR� S rl �� '� cs V Telephone: _ 3 £'' " V "' p —3003 .>� •€`" State Lie. # : ' t a City Lic. #: Arch , Engr., Designer, l c,> o A C t� � .. .�'. Address: City, ST, Zip: Telephone: N ° ` ° "Construction Type: Occupancy: State Lic. `'�Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: # Stories: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS UNE H Submittal Req'd Recd TRACMNG PERMIT FEES' Plan Sets Plan Check submitted Item Amount Structural Cales. Reviewed, ready for corrections Plan Check Deposit. . Truss Cake. Called Contact Person Plan Check Balance Title 24 Cates. Plans picked up Construction Flood plata plan Plans resubmitted.. Mechanical Grading plan 2`d Review, ready for correctionstissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Pians picked upS. LL H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '^' Review', ready for correctionsflssue Developer Impact Fee Plaunlug Approval. Called Contact Person A.I.P.P'. Pub. Wks. Appr " Date of permit issue School Fees ' Total Permit Fees IN V Prescriptive Certificate of Compliance: Residential CF -IR -ALT Residential Alterations a e 1 of Project Name: Climate Zone M / of Storks Geatral lafermation Site Address: oreement Agency: Date: _ l Building Type O Singk Family ❑ Multi Family Circle the Front Orientation: N, E, S, W, or degrees Conditioned Floor Area (CFA): Project Type: O Alterations 0 Envelope O Fenestration ❑ Roof O HVAC Replacement or Change put ❑ Duct Replamment O Water Heater : 7als orm Is not to be used or N Con ovaed "Ildings or AddDtons Insulation y Vilna For Opaque Snrfaou (for Furring rest 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 ofa wall, ceiling, or floor must install the ma""ory minimum insulation valor per §130 for the altered assembty. Fill in Colunuu A -C and enter mandatory insulation ►atom in Column H. O Replacement of entire assembly - Replacement of an entire wall, ceiling, or floor assem* requires the instillation of covvxxient Package- D kmkWon values in Table I31 -C. Fill in Calamus A _ _t Opaque Sorfsce Detalis For tae furred porflosed of Mau Walls ere Fu Coastmcdon Table below. A BI C I D E F G I H I 1. J Pro Standard Values From JA4 Table Tai/ ID Assembly Name or T Framing Material and Sines Thief, Framed Continuous lA4 Proposed Spacing, U- 1A4 Table Cavity Insulation Assembly Auexnbl or Odm factor' Numbers R -value P, -Value? Cell Values U -factor in Furring Spate from Reference JolUtAP adix Table 43-9,4-3.6.4.17 Joint pendix Table 43.13 Mass Assembly Name or j JA4 Tal Final YgC g Tbicknas Asembl> < > U -f ' Cornmcnt Note: For fired auaablies, o-nsartM far C&Vbuww budatwn R -rare, see Page JAI -3 a,d fgradon 4-t. For caicdotnrg fined wWb wu d6e Mau and Fwnpg Consttiabn sable below. 1. For Ta&W v,&c ie the Identifteation name that matches the building pkss. 2. Indicate the Assembly Name or type: RooflCeiling, Walls. 'tate the Frame type and Sia: For Wood Metal, Metal Buil&ngs. Mass, enter 2x4, 2:6, or etc... see JAI for other possible frame type assemblies 3. Enter the dunbwm for mass in Whes or Sipacvw between flaming members enter; 16 "or 24 "0C. or Other for all other assembly description such as Co►acrrtt Sandwidr Panel. Span&T I Paned Logs, Straw Ede Panel and etc.... 4. Bored on the Climate Zone: enter the Stundtrd U factor from Table 15 I -B. C or D for each different assembly Name or type. S. Enter the Table number that Basely resembles the proposed assembly. 6. Enter the R-vahw that is being installed in the wall oarity or between the framinOg, 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 Nwnber and enter the Assembly U factor in Column J 9.77re Proposed Assembly U factor, Column A must be equal to or less than Otis VanA rd ►a -r — i.. r•,.a,...... F 1--J. Furring Strip Construction Table -for Mass Wallis Orel A I B C I D I E F G- L H I I I J I K L I M Proposed Properties of Masonry and Concrete Added Interior or Exterior Insulation Walls From Reference in Furring Spate from Reference JolUtAP adix Table 43-9,4-3.6.4.17 Joint pendix Table 43.13 Mass Assembly Name or j JA4 Tal Final YgC g Tbicknas Asembl> < > U -f ' Cornmcnt Registration Number: Registration Date, -Time: 2008 Residential Compliance Forms HERS Provider: August 2009 e- 'Prescriptive Certificate of Compliance: Residential CF -IR -ALT Residential Alterations age 2 of Project Name: _40i1J /Y/ I/ A d> Z 1V--2r'mAji Climate Zone N N of St 'es 1 Mass and Furring Construction ootnotes 1. Indicate the type of assembly to inehrde; Hollow Unit Masonry Walls, Solid Unit Masonry, Solid Concrete Walls, Etc. Additional assemblies can found Reference Joint Appendii JA4. 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. The Calculated R- Value is the R -value of the furred out section of the assembly. .-6.17he Final Assembly is calculated using Equation 4-2 or Equation 4-4of the Reference Joint Appendix JA4. The equation is the inverse of Col added to Column I. Column K is the inverse from column J. 7. Insert the calculated U- aelor value onto the Opaque Surface Details in Column J FENESTRATION PROPOSED AREAS Replacing window alone — Replacement windows shall meet the U -Factor and SHGC Value requirements of Component Package D in Table 1 Sl -C. The Total Fenestration and West facing Area requirements are not applicable. 13Adding 50f 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 50fe 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 15 1-C. Complete the Altered Fenestration Allowed Area Table on Page 2 of the CF -JR -ALT Orientation Fenestration Type and Frame (North, East, indow. Gtass Door or Skylight) South. West PropsedArea' Maximum Maximum fi U-fwtorz'' SHGC'-'- 4 NFRC or Default values . A B C D E F G 1. Fenestration area is the area of total glazed product (i.e. glass phos frame). Exception: When a door is less than 50•16 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 151-0 3. Actual fenestration products installed and as indioated 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. S.1 applicable at this stage enter "NFRC" or NFRC Certified windows or are CEC "De auk" valuesfound in Table 116-A or B. ALTERED FENESTRATION ALLOWED AREAS (Co e1e i snore than 50ft' o fenestration is added) A B C D E F G CFA of Allowed Existing Allowed Entire %of Fenestration Area Fenestration Area Proposed Areal. ' Dwell' CFA" Areae Removed' Area Added (A x B D + C - Total Fenestration Area ft' West Fenestration Area (Requited In. CZ's2 4dt7-15 L The Proposed West Fenestration Area includes West -sloping skylight area andany other skylight area with a pitch less than 1:12. 2. Enter 20•/ when no West orientation restriction or 15% when West fenestration is being installed in Climate Zones 2, 4, do 7-15. Note that the maximum allowed fenestration can only be S% of the CFA as indicated in Column F. Column G must be equal to or less than Cohrmn F. 3. In climate zones 2, 4, 7-15, no more than S% of the CFA is allawed for west -facing glazing. 4. Existing Fenestration area must be counted toward the maximum allowed 15% or 20'/ of the whole building and calculated in Coham G. The Proposed Area must be less than or equal to Column F. S. Enter the fenestration removed as part of the alteration if arty in column D. 6. Enter the Fenestration area that is being added as part of the alteration 2008 Residential Compliance Forms March 2010 Prescriptive Certificate of Compliance: Residential CF -IR -ALT Residential Alterations age 5 of Project Name: Climate Zone # # of Stories 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 beforefinal inspectiom Duct Sealing & Testing HERS verification is required for this measure. ❑ YES ❑ 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 1152(b)1Dii and the newly installed ducts are to be insulated per §151(f)10. ❑ EXCEPTION: Existing duct systems that are extended, which are constructed, Insulated or sealed with asbestos. ❑ YES ONO 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. AYES ❑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 beat exchanger) the ducts are to be sealed per 11 52(b)l E. 13 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. ❑ EXCEPTION: Duct systems with less than 40 linear feet in unconditioned space 11 EXCEPTION: Existing duct system constructed, insulated or sealed with asbestos. Refrigerant Charge- Split System HERS ver fcntion is requi afor this measure. ❑ YES ❑ 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 refiriacmt charge reasiaernent shall be verified per 15 I F. Central Fan Integrated (CF1) Ventilation System and Fan Watt Draw The ventilation requirements of §150(o) do not apply to existing residential homes_ Ducted Split Systems -Air Conditioners and Heat Pumps: Airflow HERS verification is required for this measure. ❑ YES ❑ NO YES: in Climate Zones 10 through 15, when the existing space -conditioning system (HVAC equipment and ducting) is laced, the airflow and fan watt draw shall be verified per § 152 1 Ci to meet the requirements of § 151(07B. Documentation Author's Declaration Statement • I cerft that this Certificate of Compliance documentation is accurate and complete. Name: Signature: Company: Date: Ate' If Applicable CEA orL3CEPE (Certification #): City/Statwzip: Phone: 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 rmit application. Name: Signature: Company: Date: Address: License: City/State/Zip: Phone: ror assurance or quesnons regarding the Energy Standards, contact -the Energy Hotline at. 1-800-772-3300. 2008 Residential Compliance Forms March 2010