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BRES2015-030678-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BRES2015-0306 Property Address: 44216 W SUNDOWN CREST DR APN: 604100038 Application Description: KOSTELNY / RETROFIT (1) SLIDING GLASS DOOR Property Zoning: 44216 W SUNDOWN CREST DR Application Valuation: $1,800.00 Applicant: ALLIANCE'CONSTRUCTION ENTERPRI 46267 MONTE VISTA DRIVE INDIO, CA 92201 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. License Class: B License No.: 928697 Date: 10 I5 Contractor: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 (760)222-8895 Llc. No.: 928697 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' `l compensation, as provided for by Section 3700 of the Labor. Code, for the performance of the w9rk 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 polity number are: OWNER -BUILDER DECLARATION Date: 8/10/2015 Owner: License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any shall not employ any person in any manner so as to become subject to the workers' RANDALL KOSTELNY compensation laws of California, and agree that, if l should become subject to the any structure, prior to its issuance, also requires the applicant for the permit to file a 44216 W SUNDOWN CREST DR signed statement that he or she is licensed pursuant to the provisions of the �J LA QUINTA, CA 92253 c of the Business and Professions Code) or that he or she is. exempt therefrom and the Date: Applicant: a C-) D permit subjects the applicant to a civil penalty of not more than five hundred dollars 0 ($500).:. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO (_) I, as owner of the property, or my employees with wages as their sole ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF Contractor: L (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not ALLIANCE CONSTRUCTION ENTE�O apply to an owner of property who builds or improves thereon, and who does the work O 46267 MONTE VISTA DRIVE INDIO, CA 92201 D to (760)222-8895 Llc. No.: 928697 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' `l compensation, as provided for by Section 3700 of the Labor. Code, for the performance of the w9rk 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 polity number are: OWNER -BUILDER DECLARATION Carrier: _ Policy Number: _ I hereby affirm under penalty of perjury that) am exempt from the Contractor's State I certify that in the performance of the work for which this permit is issued, I License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any shall not employ any person in any manner so as to become subject to the workers' city or county that requires a permit to construct, alter, improve, demolish, or repair compensation laws of California, and agree that, if l should become subject to the any structure, prior to its issuance, also requires the applicant for the permit to file a workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith signed statement that he or she is licensed pursuant to the provisions of the comply with those provisions. Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 0� I O I of the Business and Professions Code) or that he or she is. exempt therefrom and the Date: Applicant: 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, ($500).:. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO (_) I, as owner of the property, or my employees with wages as their sole ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF compensation, will do the work, and the structure is not intended or offered for sale. COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not INTEREST, AND ATTORNEY'S FEES. 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 APPLICANT ACKNOWLEDGEMENT are not intended or offered for sale. If, however, the building or improvement is sold IMPORTANT: Application is hereby made to the Building Official for a permit subject to within one year of completion, the owner -builder will have the burden of proving that the conditions and restrictions set forth on this application. he or she did not build or improve for the purpose of sale.). 1. Each person upon whose behalf this application is made, each person at whose (� I, as owner of the property, am exclusively contracting with licensed contractors request and for whose benefit work is performed under or pursuant to any permit to construct the project. (Sec. 7044,.Business and Professions Code: The Contractors: issued as a result of this application , the owner, and the applicant, each agrees to, and State License Law does not apply to an owner of property who builds or improves shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and thereon, and who contracts for the projects with a contractor(s) licensed pursuant to employees for any act or omission related to the work being performed under or the Contractors' State License Law.). following issuance of this permit. ( ) I am exempt under Sec. . B.&P.C. for this reason - 2. Any permit issued as a result of this application becomes null and void if work is 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 Lender's Address: 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 representatives of this city to enter up n the above- mentioned bovementioned pr perty for' spection purposes. Date: © '© Signature (Applicant or Agent): L FINANCIAL .• 1• s 66 a'a 'DECRIPM£t P'A� OUNT AID DAT Ip TION 00OUNT x,4 Ki BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 ". EEF PAID BY ` a '` ,° �. a METFIOD x # # `kr CLTD BYE t�RECEIPT w AxCHEC1C 4 Total Paid for BUILDING• STANDARDS ADMINISTRATION, BSA $1.00' $0.00 s s .;DESCRIPTION S $ - rrx. ACCOUNT,i,., s<, QTY E AMOUNV ,PAID `i ' .,.- E PAID DATE;, .. '. ' • a, sr. <. . w r, SMI - RESIDENTIAL 101-0000-20308 0` $0.50 $0.00 PAID:BYke�ft"METHOD4 vt �s':RECEIPT# CHECK#yiar sCLTDBY Total Paid forSTRONG MOTION INSTRUMENTATION SMI $0.50- • � $0.00 r 5 � { F DESCRIPTION 'a A00OUNT44 - AMbUNT � r PAIDFn` PAID DATE ,' , u .QTY s h £ DOOR/WINDOW, REPLACE FIRST 7 ,;`' 101-0000-42400 0 $60.91 $0.00 PAID,BY"` �� METHODS; L =RECEIPT# t`� CHECK#>`z CLTD BYE` rt .$N>,�,,r.. ...,., S s•._ syr+ �DESCRIP,TION + +�' ` r ACCOUNT* + `` '"QTY AMUUNT�a,f :K PAIp�,'`k y,� ?X.k,{FS!;Fx^l. h Ott" N� .Y .i�.. M �• ^ k. .. _.�. p.,:. <<: >v- �• - fPA1DDATE; DOOR/WINDOW, REPLACE,. FIRST 7 PC 101-0000-42600 0 $110.22 '$0.00 „PAID BY; METHOD "`RECEIRT # £ ` �` CHECI(# j '4 Br I,GCLTD Total Paid for WINDOW/SLIDING GLASS DOOR/FENESTRATION: $171.13 $0.00 TOTALS:�� i Description: KOSTELNY /RETROFIT (1) SLIDING GLASS DOOR Type: BUILDING, RESIDENTIAL Subtype: REMODEL Status: UNDER REVIEW Applied: 8/10/2015 SKH Approved: Parcel No: 604100038 Site Address: 44216 W SUNDOWN CREST DR LA QUINTA,CA 92253 Subdivision: TR 19903 Block: Lot: 106 Issued: Lot Sq Ft: 0 Building Scl Ft: 0 Zoning: Finaled: Valuation: $1,800.00 ` Occupancy Type: construction Type: Expired: No. Buildings: 0 No. Stories: 0 - No. Unites: 0 Details: SLIDING GLASS DOOR CHANGE OUT [2013 ENERGY] 2013 CALIFORNIA BUILDING CODES. j I PLAN LMLLr. 3uesivni 1AL I STEPHANIE KHATAMII _ 8/10/2015 I 8/10/2015 I RECEIVED - CONDITIONS • -,• �w'. w..�..n�' .�: -.- "+�-�^;. ' -A mm -1. V Printed: Monday, August 10, 2015 3:58:20 PM 1 of 2 f sysrEMS . ' , .. I 1111a, w....w�.w• �a...� x_. • -'. cam. .. .n.. �i'a. w� T., ��-w� waw www " a :. .w i,�a�w�.w w�� ,.. ».. �ewwwwa e•���w�. l�wTe�..... w .. ... ... .. t.�l. M w1I1T1'P �' y�"` oA' .s j I PLAN LMLLr. 3uesivni 1AL I STEPHANIE KHATAMII _ 8/10/2015 I 8/10/2015 I RECEIVED - CONDITIONS • -,• �w'. w..�..n�' .�: -.- "+�-�^;. ' -A mm -1. V Printed: Monday, August 10, 2015 3:58:20 PM 1 of 2 f sysrEMS . 24 .. - .F -5^ y f; :•!tl F t' . ' ' 2' DESCRIPTION" +` ,A000UNT _, QTY AMOUNT PAID ,$ PAIDDATE RECEIPT #i CHECK # s METHOD, , . Z, ;PAID BY µ BY M,= BSAS SB1473 FEE. 101-0000-20306 0 $1.00 '$0.00 Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: SMI = RESIDENTIAL ' 101-0000-20308 0 $0.50 $0.00 Total Paid forSTRONG MOTION INSTRUMENTATION SM! $0.50 $0.001. - DOOR/WINDOW, 101-0000-42400 0 $60.91 $0.00 REPLACE FIRST7 DOOR/WINDOW, 101-0000-42600 -0 $110.22 $0.00 REPLACE, FIRST 7 PC Total Paid for WINDOW/SLIDING GLASS $171.13 $0.00 - DOOR/FENESTRATION: • SEOID INSPECTION TYPE INSPECTOR': FINAL" BLD INSPECTIONS COMPLETED RESUIi REMARKS ` xNOT.ES DATES} £' Printed: Monday,'August 10, 2015 3:58:20 PM. 2 of 2 ' � -'1YSTLti15 Bin # City. of La Quinta Building U Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012. Building Permit. Application and Tracking Sheet Permit # ��Sza Project Address. -I Owner's Nae: n A. P. Number: Address: Legal Description: City, ST, Zip: Lo�,�l Contractor: oact . t Telephone: P 3 Address:At �� r Project Description: City, ST, Zip: A 2,2,0I Telephone: le one: P 22 g. 2 : State Lic. # : 13 (0q,l1 City Lie. #. Arch., Engr., Designer: u Address: ' City., ST, Zip: Telephone: So nstratii on T YPe: Occupancy: • 1 a Lic. State to Lac. Project tYPa (circle la ne New Add'rr Alter Repair Demo Name of Contact Person: 14�TlQdnC QQ,yn Sq. Ft.: 12ZI# #Stories: Units: I Telephone # of Contact Person: �� ZZZ Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE If Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit ' Truss.Cales. Called Contact Person Plan Check Balance Title 24 Cales. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 'rd Review, ready for correctionsrssue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees STATE OF CALIFORNIA - RESIDENTIAL ALTERATIONS CEC-CFIR-ALT-01-E Revised 06/14 CERTIFICATE OF COMPLIANCE = Prescriptive Residential Alterations no c Project Name: CALIFORNIA ENERGY COMMISSION CF1R-ALT-01-E. - - (Page 1. of 4) Out Date Prepared: A. GENERAL INFORMATION 01 02 01 Project Name: rcs ( ( 02 Date Prepared: 03 Project Location: 04 Building Front.O�Ientatl'on'(deg or cardinal): W 05 CA City: 0,3L 1 06 Number of AlLeed,,Dwelling Units:, r 07 Zip Code: Z 3 08 Fuel Type, n 09 Climate Zone: r 10 TofaLConditioned FloorzA`ra (ft2f ' - 11 Building Type - CO il u5 12, slab'A"rea`(ft2) gg V 13 Project Scope:` _. I - �. � "+ ` B. BUILDING INSULATION DETAILS (Section 150.2(b)1) . _ _ _ _ Aft, K- 01 02 03 04 05 06 , w` � 157 18 09 10 ' 11 Tag/ID Assembly Type Frame Type Frame Depth (inches) pP`roposed00 wr Appendix JA4 FrameY Continuous Spacing Cavity Insulation Reference (inches) R value, R -value I,¢U;factor Table, Cell Required Comments ' 1, U -Factor 'Initial Solar • Aged Solar -Thermal , SRI Aged Solar Thermal SRI Compliance Pitch Exception INuniber roductType _ ;Insulation Reflectance Reflectance Emittance (Optional) Reflectance Emittance (Optional) C. ROOF REPLACEMENT (Prescriptive Alteration, S bn'nNi50.2(b)1H) ; 01 02 03 04 , 05 , - 06 t0:7 OS . 09 10 11 12 13 • R -value Propos d Minimum Re uired Method of Roof CRRC'Rrrooduct ID Deck 'Initial Solar • Aged Solar -Thermal , SRI Aged Solar Thermal SRI Compliance Pitch Exception INuniber roductType _ ;Insulation Reflectance Reflectance Emittance (Optional) Reflectance Emittance (Optional) NOTES _ ' , • -Roof by, bldingintegrated and solar thermal are exempt from the above Cool Roof requirements. area covered ph��oltaic panels panels • Liquid field applie tmgsmust com}� ply wrthnstallation criteria from section 110.8(1)4. , A. W Registration Number: Registration Date/Time:. ' CA Building Energy Efficiency standards - 2013 Residential Compliance HERS Provider: June 2014 STATE OF -CALIFORNIA - RESIDENTIAL ALTERATIONS CEC-CFIR-ALT-01-E Revised 06/14 CERTIFICATE OF COMPLIANCE Prescriptive Res'dential Alterations Project Name: ® l CALIFORNIA ENERGY COMMISSION CF I R -ALT -01- E Q (Page 2 of 4) - 'ED ` -Q, Date Prepared: ' D. FENESTRATION/GLAZING AREAS ALLOWED (Section 150.2(b)1) Imo. -01 02 - 04 ' 03 Alteration Type Orientation Maximum Allowed ft2 Comments • W 06 07 -ANIAI E. FENESTRATION/GLAZING PROPOSED AREAS AND EFFICIENCIES (Section 1S0.2(b)1) Ol. "02 03 04 05 06 07 0.8 ,6 09 10 11 12 13 14 15 - Combined Orientation Area .Area NNt? .•Maximum Exterior •SHGC• Tag/ Fenestration Frame Dynamic N, 5, W, E, or Removed Added Added Allllo'`°w�ed� Shading _ 'from ID Type ' Type Glazing Roof ft ff2 Area ft2 _ (V4a or U -factor. Source SHGC Source Device . CF1R-ENV-03 il� v aNet Added West a` * ng nestration b Existing +Added W�facing Fenestrat odea c- MaximumA.11 d�West-facingaFene tration Area s d Is West -facing Fenestration Area < Maxroum`*Allowed Westf ng Fenestration ► , e - ��,- �A;�- and" ?1�,. , # Net Added Fenestration rea (all orier, ations) f Existing + Added Fenest�atioin Area (all'ort t ons) " `g ' MaximumfAllowed Fenestration Area (all orientations) h . Is Existing +'Zd e'`d'Fenestration Area <�Maximum Allowed Fenestration Area (all orientations) Registration Number: Registration Date/Time: HERS Provider: CA Building Energy Efficiency Standards 2013 Residential Compliance June 2014 STATE OF CALIFORNIA RESIDENTIAL ALTERATIONS10k' CEC-CF1 R -ALT -01-E Revised 06/14 J' CALIFORNIA ENERGY COMMISSION .•'' CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E Prescriptive Resiential Alterations , - • ' - ` ` (Page'3 of 4)' - Project Name: t) Date Prepared: 0 F. SPACE CONDITIONNG(SC) SYSTEMS — HEATING/COOLING (Prescriptive section 150.2(b)) 01 02 - 03 9f %lxO Dwelling Unit Name Dwelling Unit CFA (Ft2) Com _ nt ' >!. G. WATER HEATING SYSTEMS (Section 150.2(b)1G) 01; ' 02 03 04 05 06 07 08 09,E 1011 DWelfing Unit WateHeatin System ~ w 12 13 14 15 5 stem Iden Ification or y g y Alteration to the Space # of Water, {fi ") . Wame 10 ,, Identification or Name a 0 Comments Back Water Heating Water Heater Rated k -UP . Solar Dwelling Unit DHW -Systerr Water • Water Heaters Storage Rated Heating. He g' + Exterior Identification or Heating Heater' in 'Volume Fuel Inputl,,lnp. =Value Efficiency �iciiency -Standby Insul. Savings • Central DHW System, System Name • System Type' Type' system (gal) Type Type, k. Typed Value _Loss,(%) I R -Value I Fraction I Distribution Type Distribution Type H. SPACE CONDITIONING SYSTEMS AND WATER HHEEAATINMG SYSTEMS I MULTIFAMILY�D,INELLING UNITS 01 - 02 GAP 03- " 04*' 05 .06 Central Water Heating► { DWelfing Unit WateHeatin System Dwelling Unit: ' Dwellin Unit FdtafCFA g ' �, 5 stem Iden Ification or y g y Alteration to the Space Dwelling Unit Name {fi ") . Wame 10 ,, Identification or Name Conditioning System(s)? Comments � x"A Registration Number: Registration Date/Time: HERS Provider: - - CA Building Energy Efficiency Standards - 2013 Residential Compliance June 2014 STATE OFCALIFORNIA ' RESIDENTIAL ALTERATIONS CEC-CF1 R -ALT -01-E Revised 06/14)CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE - CF111-ALT-01-E Prescriptive.Residential Alter tions- _ - = -(Page 4 of.4) Project Name: f M < 00A_ Date. Prepared: DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate.and complete.__ Documentation Author Name: G r� Documentation Author Signature: - e Company: I {�� n� \ I, ©r)t) \ V �i1 C) �/� 1 e , Signature Dater - R� I0 I Addres i I CEA/ HERS CertificationIde tlfic'tion"(if applicable): ► _ City/State/Zip: � X01 CA Q1 Wj Phone: RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the'laws of the State of California: - is 1. • The information provided on this Certificate of Compliance true and correct., 2. I Division 3 Business Professions Code for the building de`siggdor design identified Certificate Compliance am eligible under of the and to accept responsib System on this of (responsible designer). 3. That the energy features and performance specifications, materials, components, and manufactured 'eviees 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 Ce ifornia.Code of Regulations. ,�, ' 4. The building design features or system design features identified on eertificate of Co to"pl nce are cons101 iste •,4 kAVI a information provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted.to the enforcement agency*for�appr_oval with this building permit application. l a �ailablb with permit(s) for 5. 1 will ensure that a registered copy of this Certificate of Comp e,shall be made the building issued the building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this CCertifica"te of C mpliance Is requIre}d'to be included with the documentation the builder provides to the building owner at occupancy. ;, P Responsible Designer Name` K rible Designer Signature: Company: - Date Signed: Address: License: " C(ry/State/Zip:V Phone: For assistance or<questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300. Registration Number: -Registration Date/Time: HERS Provider: CA Building Energy Efficiency Standards - 2013 Residential Compliance 'June 2014 '