BRES2017-016478-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: -
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
Applicant:
KISTLER CONSTRUCTION
66699 YUCCA DRIVE
BRES2017-0164
78660 AVENIDA TORRES
770171008
MOONEY RESIDENCE / (14) WINDOW9'NNE U
$9,000.00
DESERT HOT SPRINGS, CA 92240
VOICE (760) 777-7125
FAX (760) 777-70 Ll
INSPECTIONS (760) 777-71.33
CITY OF(q QUINTA -699 YUCCA DRIVE
""IN AND DEVFLOPMENTDEPARTM DESERT HOT SPRINGS, CA 9z2ao
�IGtl)490-5963
Llc. No.: 809812
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 Professions Code,
and my License is in full force and effect.
L
�icenseClass:jLicense No.: 809812
D� a -tie '1— l �"l ..Contra or.
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 a4(
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 Ior 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.).
(_) 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:
Date: 7/14/20 L7
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 bw
Section 3700. of the Labor Code, for the performance of the work for which this pernit
is issued. My workers' compensation insurance carrier and polity number are:
Carrier: STATE COMPENSATION INSURANCE FUND Policy Number: 9137671
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 Code shall forthwi-h
comply with those provisions.
Oa� 1 _ �App�ic \
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TC
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 Building Official for a permit subjec 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 I--
not
snot commenced within 180 days from date of issuance of such permit, or cessation :)f
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 representatives of this city to enter upon the
above-mentioned property for inspection purposes.
Date: Signature (A—p__ Agent):
Owner:
GAIL MOONEY
78660 AVENIDA TORRES
LA QUINTA, CA 92253
JUL 14 2017
10)tctor:
R CONSTRUCTION
CITY OF(q QUINTA -699 YUCCA DRIVE
""IN AND DEVFLOPMENTDEPARTM DESERT HOT SPRINGS, CA 9z2ao
�IGtl)490-5963
Llc. No.: 809812
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 Professions Code,
and my License is in full force and effect.
L
�icenseClass:jLicense No.: 809812
D� a -tie '1— l �"l ..Contra or.
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 a4(
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 Ior 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.).
(_) 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:
Date: 7/14/20 L7
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 bw
Section 3700. of the Labor Code, for the performance of the work for which this pernit
is issued. My workers' compensation insurance carrier and polity number are:
Carrier: STATE COMPENSATION INSURANCE FUND Policy Number: 9137671
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 Code shall forthwi-h
comply with those provisions.
Oa� 1 _ �App�ic \
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TC
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 Building Official for a permit subjec 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 I--
not
snot commenced within 180 days from date of issuance of such permit, or cessation :)f
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 representatives of this city to enter upon the
above-mentioned property for inspection purposes.
Date: Signature (A—p__ Agent):
1
`
Date: 7/14/2017
Application Number:
BRES2017-0164
Owner:
Property Address:
78660 AVENIDA TORRES
GAIL MOONEY
APN:
770171008
78660 AVENIDA TORRES
Application Description:
MOONEY,RESIDENCE / (14) WINDOW CHANGE OUT
LA QUINTA, CA,92253
Property Zoning:
Application Valuation:
$9,000.00
Applicant:
Contractor:
KISTLER CONSTRUCTION
KISTLER CONSTRUCTION
66699 YUCCA DRIVE
66699 YUCCA DRIVE
DESERT HOT SPRINGS, CA 92240
DESERT HOT SPRINGS, CA 92240
(760)490-5963
---------------------------------------------------------------------------------------------
Llc. No.: 809812
Detail: REPLACE (11) WINDOWS
AND (3) SLIDERS. PER 2016 CALIFORNIA BUILDING CODE
0
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT CITY AMOUNT
BSAS S.B1473 FEE
101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
SMI - RESIDENTIAL
101-0000-20308
0
$1.17
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $1.17
DESCRIPTION
ACCOUNT
CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
DOOR/WINDOW, RETRO/REPAIR; EA ADDITION 5
101-0000-42400
0
$21.28
DESCRIPTION
ACCOUNT
CITY
AMOUNT
DOOR/WINDOW, RETRO/REPAIR, FIRST 7
101-0000-42400
0
$63.84
DESCRIPTION
ACCOUNT
CITY
AMOUNT
DOOR/WINDOW, RETRO/REPAIR, FIRST 7 PC
101-0000-42600
0
$62.32
Total Paid for WINDOW/SLIDING GLASS DOOR/FENESTRATION: $147.44
TOTALS: $154.61
m
Bin # `
City of La Quinta
' Building 8l- Safety Division
Permit # 78-495 Calle Tampico
La Quinta,_CA 92253 - (760) 777-701,2.
CJS' Building Permit Application and Tracking Sheet
Project Address: $ Wo L Owner's Name: 6',
A. P. Number:Address:
l
Legal Description:
City, ST, Zip:
Contractor: 1 l.f�^
� G�
N U �
l
e h
TelPo n e.
Address: kD b�P C
U r
Project Description: �2Y✓YJ�% �l�ti(J� r�
City,ST, Zi
S
TeleP
hon �O 0 63
State Lic. #.: O g)
Arch., Engr., Designer:
Address:
City, ST, Zip:
T ele h ne:
Con tructtonTP
PC: Occup
Y.ane :'
StateLic. #
Ltc •
PrJeet type circle one • New Add'n Alter Repair �
Doe m 0
Name of Contact Person:
Sq. Ft.: fS#Stories:
#Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
9
Submittal
Rcq'd
Rcc'd
TRACKING
PERMIT FEES
Plan.Sets
Plan Check submitted
Item
Amount
Structural Cales.
Reviewed, ready for corrections \
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance.
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Gradin plan
Grading P
t
2nd Review, ready for corrections/issue
Electrical .
Subcontactor List
Called Contact Person
Plumbing
Grant Dced
Plans picked up.
S.M.I.
II.O.A. Approval
Plans resubmitted
Grading
IN ROUSE:-
Jrd Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
1
Date of permit issue
-
School Fees,
l
Total Permit Fees
n
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
EC-CFIR-ALT-05-E (Revised 04/16) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CFIR-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification Page 1 of 4
Project Name: Date Prepared:.
This compliance document is only applicable to simple alterations that do -not require HERS verification for compliance. When HERS verification is required, a CF1R-ALT-01 shall first be registered .
With a HERS Provider Data Registry.
Alterations to Space Conditioning Systems that are exempt from HERS verification requirements may use the CF1R-ALT-05 and CF2R- ALT -OS Compliance Documents. Possible exemptions from duct
leakage testing include: less thon.40 ft of ducts were added or replaced; or the existing duct system was Insulated with asbestos; or the existing duct system was previously tested and passed by.o
HERS Rater. If space conditioning systems are altered and are not exempt from HERS verification, then a CFIR-ALT-02 must be completed and registered with a HERS Provider Data Registry.
Alterations that utilize close Cell Spray Polyurethane Foam (ccSPF) with a density. of 1.5 to less than 2.5 pounds per cubic foot having an R -value other than 5.8 per inch, or Open•Cell Spray
Polyurethane Foam (ocSPF) with a density of 0.4 to less than 1.5 pounds per cubic foot having an R=value of 3.6 per inch, shall complete and register a CFIR-ALT-01 with a HERS Provider Data
Registry.
If more than one person has responsibility for installation of the items on this certificate, each person.sholl prepare and sign a certificate applicable to the portion of construction for which they ore
responsible. Alternatively, the person With chief responsibility for.construction shall prepare and sign this certificate for the entire construction. All applicable Mandatory Measures shall be met.
Temporary' labels shall not be removed before verification by the building inspector.
A. General Information
01
Project Name:
\'�1
1
02'
Date Prepared:
_ I�
J
03
Project Location:/
„ G f �� e� J� f
04
Building Front Orientation (deg or cardinal):
u
05
CA City:
Lw
06
Number of Altered Dwelling Units:
07
Zip Code:
q �S
(
08
Fuel Type:
09
Climate Zone:
S—
10
Total Conditioned Floor Area (ft):
Sa-
ll
Building Type:
S tN
Q�
12
Slab Area (ftz)
/ `7
/
13
Project Scope (Select all that apply):
❑ B:•Insulation ❑ D. & E. Fenestration/Glazing - ADD ❑ G. Space Conditioning System (Heating, Cooling, Duct system) ❑ Lighting
❑ C. Roof Replacement✓❑ D. & F. Fenestration/Glazing -REPLACE_ ❑ H. Water Heating System ❑ Include Mandatory Measures?
-CA Building Energy Efficiency Standards - 2016 Residential Compliance. April 2016
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification.
:EC-CFIR-ALT-05-E.(Revised 04/16) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS. Field Verification - Page 2 of 4
Project Name: Date Prepared:
D. Fenestration/Glazing Allowed Areas and Efficiencies (Section 150.2(b)1)
01 02 03 04 .05 06 07
01
Maximum
Maximum
Existing
05
06
07
08
09
10
11
Allowed
Allowed
Fenestration
Existing
Maximum
Maximum
Maximum
Maximum
Area
Removed
(ft')
Area
Added
(ft')
Fenestration
West -Facing
for All
West -Facing
Allowed
Allowed
Allowed
Allowed
Alteration
for All
Fenestration
Orientations
Fenestration
U -Factor
U -Factor
SHGC
SHGC
Type
Orientations (ft')
Area Only (ftz)
(ftz)
Area (ft')
(Windows)
(Skylights)
(Windows)
(Skylight's)
Comments
,
16 Is Net Added Fenestratio6 Area 5 for west -facing fenestration?
Yes No
.17 -Net Added Fenestration Area (all orientations)
18 Is Net Added Fenestration Area 5 0 for all orientations?
%; Yes No
19 Proposed Fenestration U -factor (Windows)
20 ' Required Fenestration U-factor.(Wlndows)
F. Fenestration/Glazing Proposed Areas and Efficiencies - Replace (Section 150.2(b)113)
01
02
03
04
05
06
07
08
09
10
11
12
13
14
Tag/ID
Fenestration
Type
Frame Type
Dynamic
Glazing
Orientation
(N, S, W, E)
Area
Removed
(ft')
Area
Added
(ft')
Net
Added
Area (ftz)
U -factor
Source
SHGC
Source
Exterior
Shading Device
Combined
SHGC from
CFIR-ENV-03
��,
5 >✓�
ti6
1vd,;
D
•'�A�dd RgwS�
Delete�Row' ;�
,
15
Net Added West -facing Fenestration Area
,
16 Is Net Added Fenestratio6 Area 5 for west -facing fenestration?
Yes No
.17 -Net Added Fenestration Area (all orientations)
18 Is Net Added Fenestration Area 5 0 for all orientations?
%; Yes No
19 Proposed Fenestration U -factor (Windows)
20 ' Required Fenestration U-factor.(Wlndows)
21 Is the proposed Fenestration U.-factor.5 the Required Fenestration U -factor?
r Yes C, No
22 Proposed Fenestration SHGC (Windows)
23 Required Fenestration SHGC (Windows)
•24 Is the Proposed Fenestration SHGC 5 the Required Fenestration SHGC?
0 Yes a No
25 Proposed Fenestration U -factor (Skylights)
26 Required Fenestration U -factor (Skylights)
27 Is the proposed Fenestration U -factor 5 the Required Fenestration U -factor?
C . Yes CS No
28 Proposed Fenestration SHGC
CA Building Energy Efficiency Standards - 2016 Residential Compliance
April 2016
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
R -ALT -05-E (Revised 04116) CALIFORNIA ENERGY COMMISSION
FICATE OF COMPLIANCE CF1R-AL1
riptiVe Residential Alterations That Do Not Require HERS Field Verification Page 3
me: Date Prepared: r
29
Required Fenestration SHGC
30
Is the Proposed Fenestration SHGC 5 the Required Fenestration SHGC?
14 r, Yes Lj No
CA Building Energy Efficiency Standards - 2016 Residential Compliance .
r
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do No% Require HERS Field Verification
V-1
CEC-CFIR-ALT-05-E Revised 04/16 CALIFORNIA ENERGY COMMISSION
'CERTIFICATE OF COMPLIANCE CF1R-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS.Field Verification _ Page 4 of 4
Project Name:
_ Date Prepared:
,� ^ .� � /� 1 \ _
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. I certify that this Certificate of Compliance documentation is accurate and complete:
Documentation Author Name-
Documentation Author signatur _
Company
Z C�
Signature Date:
S
Address:
CEA HERS Certification Identification (If applicable): -
/j 6-
Q _
l
City/State/Zi
25 k4p l c3 C 1 _11*1_�
Phone:
5 '--:;Cl 6
J
RESPONSIBLE PERSON'S DECLARATION STATEPhikIT
I certify the following under penalty of perjury, under the laws of the -State of California:
1. The information provided on this Certificate of Compliance is true and correct.
2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this. Certificate of Compliance (responsible
designer).
3. That the energy features and performance specifications,. materials, components, and manufactured devices for the building design or system design identified on this Certificate of
Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations. .
4. The building design features or system design features identified on this Certificate of Compliance are consistent with the Information provided on other applicable compliance documents,
worksheets, calculations, plans and,specifications submitted to the enforcement agency for approval with this building permit application.
S. I will ensure that a registered copy of this Certificate of Compliance shall be made available with the building permit(s) issued for the building, and made available to the enforcement agency
for all applicable inspections. I understand that a registered copy of this Certificate of Compliance Is required to be included with the documentation the builder provides to the building _
owner at occupancy. t
Responsible Designer Name:
Responsible Designer Signature:
Company :
Date Signed:
Address:
License:. y r
City/State/Zip: -
Phone:
For assistance or questions regarding the Energy Standards, contact the Energy. Hotline at: 1-800-772-3300.
CA Building Energy Efficiency Standards - 2016 Residential Compliance
April 2016
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