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12-0068 (RER)P.O. BOX 1504 4 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: • 12-00000068 Owner: Property Address: 51495 CALLE .KALIMA LA QUINTA COVE PROPERTIES LLC APN: 770-166-010-12 -000000- 4 RICHLAND PL Application description: REMODEL - RESIDENTIAL PASADENA, CA 91103 Property Zoning: MEDIUM DENSITY RES Application valuation: 4000 D( /u' 1 I Contractor: I i Applicant: 6, L11",L 'laA- Architect or Engineer: -------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) nf Division 3 of the Business and Professionals Code, and my License is in full force and effect. License Class: B Lic se No.: 707453 Date: Contractor:71 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 ($500).: (_) 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the' improvements are not intended or offered for sale. If, however, thbuilding or improvement is sold within one year of completion, the owner -builder will haveMe burden of,proving that he or she did not build or improve for the purpose of sale.).—�""""`���� (_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractois' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). (_ 1 I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is -a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/30/12 ROE, MARK JOHN C 2012`. P.O. BOX 6021 LA QUINTA, CA 9224$ (760)219-9909 GE OF-Fk.APxJi!alTA Lic . NO.. 707453 "•"ii ----------------------------------------------- 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 EXEMPT Policy Number EXEMPT �l 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 forth ith comply with those provisions. ,`ice /9,//�y Date%/%f I Applicant: 0� %`'VG'� WARNING: FAILURE TO SECURE WORKERS' 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 applicationbecomesnull 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 in_f rmation is correct. I agree to comply with all city and county ordinances and state laws relating to building cons uction, aW hereby authorize representatives ofthis cou y to ter upon the above-mentioned property r i ctioA YE S. Date- ignature (Applicant or Al Application Number . . . . . 12-00000068 ------ Structure Information REMODEL ----- Other struct info . . . . . CODE EDITION ---------------------------------------------------------------------------- 2010 Permit . . .. BUILDING PERMIT Additional desc . Permit Fee . . . . 63.00 Plan Check Fee 40.95 Issue Date . . . . Valuation . . . . 4000 Expiration Date 7/28/12• Qty Unit Charge Per Extension BASE FEE 45.00 2.00 9.0000 THOU BLDG 2,001-25,000 ---------------------------------------------------------------------------- 18.00 Permit . . . ELECT - ADD/ALT/REM Additional desc . Permit Fee. 30.90 Plan Check Fee . 7.73 Issue Date Valuation 0 Expiration Date 7/28/12 Qty Unit Charge Per Extension BASE FEE 15.00 20.00. .7500 PER ELEC DEVICE/FIXTURE 1ST 20 15.00" 2.00 .4500 EA ELEC DEVICE/FIXTURE >20 .90 ---------------------------------------------------------------------------- Special Notes and Comments INTERIOR REMODEL WITH (7) WINDOW AND (1) SLIDING GLASS DOOR CHANGE OUT [CONVENTIONAL] REMOVE PORTION OF KITCHEN WALL AND ADD POST TO EXISTING BEAM, (6) UNDER COUNTER LIGHTS, (2) OUTDOOR • LIGHTS, (1) GARAGE LIGHT AND NEW RECEPTACLES AT KITCHEN. 2010 CALIFORNIA BUILDING CODES.. January 30, 2012.8:21:53 AM AORTEGA ----------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN.(SB1473) 1.00 ENERGY REVIEW FEE 4.10 Fee summary Charged Paid Credited Due ------- ---------- ---------- Permit Fee Total 93.90 .00 .00 ---------- 93:90 Plan Check Total 48.68 .00 .00 48.68 Other Fee Total 5.10 .00 .00 5.10 Grand Total 147.68 .00 .00 147.68 C LQPERMIT Wt CYA o, 7 i VAK060 c0 lowoAVM - S60 OV g �I su� l , 210- 4619-7 •F CITY OF LA QUINTA BUILE ING & SAFETY DEPT. RPROVD FO CONSTRUCTION I 8 � � r Lia CY+��►� �.�.•�-o��wlc (:oA�9�'t ITY OF LA QUINTA BUILDING & SAFETY DEPT. :r APPROVED FOR CONSTRUCTION am 1211 kA.11 6 i K�.slldendW Certificate of Compliance: Residential Alterations // // k" CF -IR -ALT a eIof Climate Zone N 10 of stories General Information Site Address:S-1 t,/``g5-e4' K Enforcement Agency: Date:1/1Z Z, Building Type W -Single Family O Multi Family Circle the Front Orientation: N, E, S; W, or degrees Conditioned Floor Area (CFA):. project type: itcmtions [3 Envelope t] Fenestration O Roof d HVAC Replacement or Chagge Out P Duct Ke hmn eat O Water HOW MTE: lWis form Is not to be used or Newly Constructed da#0W or Addaons tmsulatlon Values For Opaque Surfaces (for Furring use 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 of a wall, ceiling, or floor mutt install the -M1dat01y minimum insulation value per f 150for the altered assembly. Fill in Columns A -C and enter mandatory insulation value in Column H. - O Replacement of entire assembly - Replacement of an entire wall, ceiling, or floor assembly requires the installation of Component P e- D insulation values in Table 151-C. Fill in Colwmrts A - J. O >d lle Sgrface Ddaij$ For tie feared ' ad of Mats W(t see Farm S streeetloa Table low. A B C F J Proposed W Mae S4104N Vwtetes Fry lm JA4 Table Ta�/ ID Fmmmg Thicimess, Framed Continuous JA4 Proposed Assembly Name Material Spaeirtg, U- JA4 Table Cavity Insulation Assembly Assexnbll or Type' and Size' or Otber' 1. factor' Numbers R -value° R -Value' Cell Values U•Cacoor in Furring Space from Reference Joint Appendix Table 43.13 Note: For%rmd assearblies, acrorrting for Contirwora Imndadon R-vahre, we Page JA4-3 and Equation 4-1. For uxdadating feared walls use etre Aches and F—ng Conwvetion table below. 1. For Tag,'ID indicate theidentifieation name dial matches the building plans. 2. Indicate the Assembly Name or type: Roof7Ceiling. Walls. Floors, Slabs, Crawl Space, Doors and etc... Indicate the Frame type and Size: For Wood Metal. Metal Buildings, Mass, enter 2x4. 2x6, or etc... see JA4 for other possible frame type assemblies. '3. Enter the thicbness jor mass in inches or Spocing between framing members enter: 16' or 24 -OC: or Other for all other assembly description such as Concrete Sandwich Pannel, Spandrel Panel. Logs, Straw Bale Panel and etc.... 4. Based on the Climate Zone: enter the. &VIdard U jaC(or from Table 151-B, C or D for each different assembly Name or type. 5. Enter the Table number that closely resembles the proposed assembly. .6. Enter the R -value that is being installed in, the wall cavity or between the framing: otherwise, enter 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 Number and enter the Assembly U factor in Column J. 9. Ilse Proposed Assembly U-jauxor. Column J. must be equal to or less than the Standard U jailor in Column E to comply. grinStri Construction Table for Mass Wall, A B 1 C InI I Proposed Properties of Masonry and Concrete Walls From Reference Joint Appendix Table 4.3. 4.3.6 4.3.7 Z u Assembly Mass Name or JA4 Table Thickness' Types Number' Registration Number: 2008 Residential Compliance Forms F I G I H I i I J I K L M Added Interior or Exterior Insulation in Furring Space from Reference Joint Appendix Table 43.13 J9 PS ; Final Assemb AEC tee ' Comment > U -factor 1' Registration Date. Time: HERS Provider: August 2 2 prescri iiye,Cettificate of Compliance: Residential CF -IR -ALT Residential A terations age Z .of 5 Project Name: Climate Zoneq VI of Stories Indicate the lupe of assembly'to include: Hollow Unit .Nasonry Walls, Solid Unit Masons ' Solid Concrete Walls, Etc. Additional assemblies can y - , found Reference Joint Appendix JA4. This is the U -Factor based on the thickness of the assembly in inches. The R -value of the insulation to be added on the interior or exterior of the assembly. The Calculated R -I "alue is the R -value of the furred out section of the assembly. -6. The Final Assembly is calculated using Equation 4-2 or Equation 4-4of the Reference Joint Appendix JA4. The equation is the inverse of Column added to Column i. Column K is the inverse from column J. Insert the calculated U factor value on to the Opaque Surface Details in Column J FENESTRATION PROPOSED AREAS , WReplacing window alone — Replacement windows shall meet the U Factor and SHGC Value requirements of Component Package D in Table 151-C. The Total Fenestration and West facing Area requirements are not applicable. ❑ Adding 50ft' 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 151-C. Complete the Altered Fenestration Allowed Area Table on Page 2 of the CF- IR -ALT Fenestration Type -and Frame (North. East.I PropsedArca' (Window.GlmDom otSkvlishtl v4mith Wectl ifi21 Maximum Maximum NFRC or Default U -factory I SHG7Cs' 1' x Values. r Q ,Z �D A.z3_ axc - V 0T9__ .�awi� t "647-1I 1 1 ff 1 5 Q I V 1 G LW 411 kvkIZ�' 5,0 z'c 310 ✓AL vox✓ D Z /. Fenestration area is the area of total glazed product (i.e. glass plus frame). Exception: When a door is less than 5006 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-C. 3. Actual fenestration products installed and as indicated in CF-6R-ENVForm shall be equivalent to or have a lower (-`-factor an&or a lower SHGC value than that specified on the CF -1 R ALT Form. 4. Submit a completed WS -31? Form if a reduced SHGC is calculated with exterior shading. 5.1f applicable at this stage enter "NFRC" for A'FRC Certified windows or are CEC "Default " values faund inlable 1 I6 -A or B. ALTERED FENESTRATION ALLOWED AREAS (Conoete 1 more than S offenewvdiox is adi(4 A B C D E F G Allowed Existing Fenestration Total Area CFA of Entire % of Fenestration Area Fenestration Allowed Proposed An Dwelling CFA Area Removed Area Added A x B) (E -D) + C Total Fenestration Area .20 West Fenestration Area (Required In 05 CZ's 2.4 & 7 -15) 1. West Fenestration Area includes west -sloping skylights and any skylights with a pitch less than 1:12. , 2. West facing glazing area removed cannot be -counted- twice. " in order to distribute the wesi glazing area removed to the other orientatio input the west glazing area removed in the Total Fenestration Area row, column D. 3. Include the Proposed Area of the West facing fenestration in both Area columns below. 4. To meet compliance. the Proposed Area must beless than or equal to the Total Allowed Area for BOTH the Total and West Fenestration Ai U)43& V AL. L 0t U /_ ter e4,4- F-hho 77-Yedt/'#L. t:oc-✓r V et, - Registration Number: 2008 Residential Compliance Forms _ Registration Date Time: 19,10 0.z3 C) 0-7 o,Z3 HERS Provider: A g4s"af .Prescri2tive Certificate a Residential'Atterations. Projeif:Nime: ", . C F91 R -ALT (Page 5of5 Climate Zone R M of Stories HERS VERIFICATION SUMMARY The er orcement agency should pay special attention to the HERS Measures specified in this checklist below. A completed and signed CF -JR Form for all the measures specified shall be submitted to the building inspector before final inspection Duet Sealing & Testing HERS verification is required for this measure. • 3 YES El 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 § 152(b)•1•Dii and the newly installed ducts are to be insulated per §151(f)10 - E3 151(f)10.E3 EXCEPTION: Existing duct systems that are extended, which are constructed, insulated or sealed with asbestos. 13 YES 1 NO YES: In Climate Zones 2 and 9-16. ifthe existing space -conditioning system (HVAC equipment and ducting) is replaced the ducts are to be sealed per. § 152(b) I Di. 0 YES 13 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 heat exchanger) the ducts are to be sealed per §I52(b)IE. O EXCEPTION: Duct systems that are documented to have been previously sealed coefirmed through HERS verification in accordance with procedures in the Reference Residential Appendix RA3. O EXCEPTION: Duct systems with less than 40 linear ttet in unconditioned space. O EXCEPTION: Existing duct systems coaWugeo, i..smated or sealed with asbestos. Refrigerant Charge - Split System HERS verification is required for this measure. 0 YES EI NO YES: In Climate Zones 2 and &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 ex cr) a refrigerant chame measummmt#4be verified pu §154b)IF. Central Fan Integrated (CFn Ventilation System and Fan Watt Draw The vcntilAtion requirements of I S o do not t to cz tesidcn(i. _homes. Ducted Split Systems -'Air Conditioners and Hat Pumps: Airflow HERS verification is required for this measure. 13 YES 13 NO YES: In Climate Zones 10 through 15, when the existing space -conditioning system (HVAC oquipment and ducting) is replaced. the airflow and fan watt draw,shall be verifiedper § 152(b)lCi to meet the requirements of § 151(f)7B. Documentation Author's Declaration Statement • I certify that this Certifreste of Compliance documentation is accurate an. tete. Name:,� Si 2 cg !!ge tl- Company&Date: Address: �/ If Applicable O A or O CEPS ((Certificationtk): / ,n City/State/Zip: 1I)�-o e,/ � 7i Z"( Phone - 2 o z! i? ?-"IW- 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 o this Certificate of Compliance. 1 certify that the energy features and performance specifications for the building design identified on this Certificate of Compliance confoi to the requirements of Title 24. Parts I 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 enforcemen enc • for approval with this building permit application. Name: Signature: Company: Date: Address: License: City/State/Zip: Phone: For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: I-800-772-3300. Registration Number: Registration Date Time: HERS Provider: 2008 Residential Compliance Forms Augus l3in.#• • :....... .. :... •• : • •CIt}/•OC1Il1td .' .. ' Buffdfrig a Safety Division . P.O. Box 1504, •78-495 Calle Tampico La.Qufnta, CA 92253 - (760) 777-7012 Building Permit -Application'and Tracking Sheet Permit # II ,,,, l� project Add[rss: �` 4 7 S' / P �Q f {� Owntes Name:. ' A. P. Number. Address: Legal Description: City, ST, Zip: Telephone: Contractor. ©�2 • ii . (lG . LOVJ Address:I © �© D _� Project Description: City, ST, Zip 2 -Z—l-/ Telephone:Z 6dZ'leIrIq 699 State Lie. # : 7 Q 7 q City Lie C. m f l Arch; Engr., Designer. l I Address: / t% nawrC�ivri� �'L r lA) SUd i�'�5., City., ST, Zip: Telephone: State Lic.#: Name of Contact Person: Construction Type:. Occupancy: P cY project type (ch-cle one): New Add'a Alter Repair Demo Sq. Ft.: # Stories #Unit; Telephone # of Contact Person: v7 = qqo 9 Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Plan Sets Req'd "Reed TRACENG PERMIT FEES - Plan Check submitted Item Amount Stracturai CalC& Reviewed, ready for corrections Plan Check Deposit • . Truss Cates. Called Contact Person Plan Check Balance Title 24 Calci. Plans picked up Construction Flood plain plan Plans resubmitted.. Mechanical G'ading plan 2`! Review, ready for correcttonsrusue Electrical Subeontactor List Called Contact Person Plumbing Grant Deed Plans picked up SMI. H.O.A. Approval Plans resubmitted Grading IN ROUSE:- 'i° Review; ready for correetionsAssue Developer Impact Fee Planning Approval. Called Contact Person Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees