11-0129 (RER)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
11-00000129,
Property Address:
79295 DESERT STREAM DR
APN:
604-323-004-23 -23935 -
Application description:
REMODEL - RESIDENTIAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
10000
Tit!t 4 4 Q"
Applicant- A chit c or Engineer:
-----------------
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
I hereby affirm under penalty of perjury that I am ns under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business a Professi als Code, and my License is in full force and effect.
License Cla B License No.: 734081
Date: I� Contractor.
Ve=
-BUILDER DECLARATION
I hereby affirm under penalty of perjury that It from the Contractor's State License Law for the
following reason (Sec. 7031.5, Business ands 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 _ 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 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.).
(_ 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: 2/22/11
Owner:
MAY KELLY
79295 DESERT STREAM DRIr
_
LA QUINTA, CA 92253
( { (�
F173 21011
Contractor:
YESTER CONSTRCTION INC, DAAfON CrTyt3�f
P.O. BOX 1318 e;, y t. s.Ulh1TA
MORONGO VALLEY, CA 92256 fit!
(760)363-6710
Lic. No.: 734081
-----------------------------------------------
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 STATE FUND Policy Number 238-0013386
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 be ject to the workers' compensation laws of California,
d agree that, if I should bec415e subject to the workers' compensation provisions of Section
700 of the Labor Cod I shat o ith omply with those provisions.
Date:. ZL �1 Applicant:
WARNING: FA URE TO SECURE WORKES' JCOM
ENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PAND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 1$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 a above i r tion is correct. I agree to comply with all
city and co my o dinances and state laws relating to bu ing c structi n, and hereby authorize representatives
of this cou y to nter upon the above-mentioned prop rt inspecti purposes.
Date: II Signature (Applicant or Agent):
Application Number . . . . . 11-00000129
------ Structure Information (3) WINDOW CHANGEOUT/ALTERATION [2010] -----
Other struct info . . . . . CODE EDITION 2010
----------------------------------------------------------------------------
Permit . . . BUILDING PERMIT
Additional desc . .
Permit Fee . . . . 117.00
Issue Date.
Expiration Date 8/21/11
Plan Check Fee 76.05
Valuation . . . 10000
Qty Unit Charge Per Extension
BASE FEE 45.00
8.00 9.0000 THOU BLDG 2,001-25,000 72.00
----------------------------------------------------------------------------
Permit . . . ELECT - ADD/ALT/REM
Additional desc . .
Permit Fee . . . . 16.50 Plan Check Fee .
Issue Date . . . . Valuation . . .
Expiration Date . . 8/21/11
4.13
0
Qty Unit Charge Per Extension
BASE FEE 15.00
2.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20 1.50
----------------------------------------------------------------------------
Special Notes and Comments
(2) SLIDING GLASS DOOR CHANGEOUTS AND
(1) WINDOW ALTERATION - ALL TO FRENCH
DOORS. EXTERIOR LIGHT WITH SWITCH AND
RETRO ANCHORBOLTS REQUIRED AT WINDOW
ALTERATION. 2010 CALIFORNIA BUILDING
CODES.
February 10, 2011 9:47:59 AM AORTEGA
----------------------------------------------- ----------------------------
Other Fees . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00
ENERGY REVIEW FEE 7.61
Fee summary
--------- - -------
Permit Fee Total
Plan Check Tot4l
Other Fee Total
Grand Total
LQPERMIT
Charged Paid
133.50 .00
80.18 .00
8.61 .00
222.29 .00
Credited Due
.00 133.50
.00 80.18
.00 8.61
.00 222.29
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CITY OF LA QUINTA
` BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DATE BY
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115
Prescriptive Certificate of Compliance: Residential CF -IR -ALT
Residential Alterations age 1 of 5
WProct Name: Climate Zone # # of Stories
l -y PfS1 0tioJC-4-, 15 7 -
General
General Information
Site Address: c129 S— b obe4'r9rtt,*�nforcement Agency: Date:
Building Type Single Family ❑ Multi Family Circle the Front Orientation6l E, S, W, or degree
Conditioned Floor Area (CFA): Project Type: ❑ Alterations ❑ Envelope ErPenestration ❑ Roof ❑ HVAC
Replacement or Change Out ❑ Duct Replacement ❑ Water Heater
NOTE: This form is not to be used for Newly Constructed Buildings or Additions
Insulation Values For Opaque Surfaces (for Furring use the Mass and Furring Strips Construction table below)
Assembly Alteration
❑ Opening of framed cavity alone -Alterations that involve the opening of the framed cavity of a wall, ceiling, or floor must install the
mandatory minimum insulation value per §150 for the altered assembly. Fill in Columns A -C and enter mandatory insulation value in Column H.
❑ Replacement of entire assembly- Replacement of an entire wall, ceiling, or floor assembly requires the installation of Component
Package- D insulation values in Table 151-C. Fill in Columns A -J.
Surface Details For the furred portioned of Mass
Walls see Furring Strips Construction Table below.
-Opaque
A B I C D
E F G I H I I J
Proposed See Note
Standard Values From JA4
Table
Final
Assembly
U -factor
Framing Thickness,
Mass
Thickness
Framed Continuous
JA4
Proposed
Tag/ Assembly Name
ID' or Type'
Material Spacing,
and Size or OtheP
U- JA4 Table
factor° Numbers
Cavity Insulation
R-value6 R -Value?
Assembly
Cell Value
Assembly
U-factor9
Note: For furred assemblies, accounting for Continuous Insulation R -value, see Page JA4-3 and Equation 4-1. For calculating furred walls use the Mass and
Furring Construction table below.
1. For Tag/ID indicate the identification name that matches the building plans.
2. Indicate the Assembly Name or type: Roof/Ceiling, 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 thickness for mass in inches or Spacing between framing members enter; 16 "or 24 "OC; or Other for all other assembly description
such as Concrete Sandwich Panel, Spandrel Panel, Logs, Straw Bale Panel and etc....
4. Based on the Climate Zone; enter the Standard U factor 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 "0 ".
7. Enter the Continuous Insulation R -value for the proposed assembly; otherwise, enter "0 ".
& 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. The Proposed Assembly U factor, Column J, must be equal to or less than the Standard U factor in Column E to comply.
Furring Strips Construction Table for Mass Walls Onl
A I B I C I D I E
F I G I H I J I K
L
M
Proposed Properties of Masonry and Concrete
Walls From Reference
Joint A ppendix Table 4.3.5 4.3.6 4.3.7
Added Interior or Exterior Insulation
in Furring Space from Reference
Joint Appendix Table 4.3.13
Final
Assembly
U -factor
Comment
Mass
Thickness
Assembly
Name or
Type'
JA4 Table
Number'
U
9
H fd
w
�, a
¢ >
N _
°U
C U N
= C. 2
`o G T
o .o �; D
_ _ °o
l0
U.
CIO
VI
a d�
> ;
v
¢ >
Registration Number: Registration Date/Time: HERS Provider:
2008 Residential Compliance Forms August 2009
Prescriptive Certificate of Compliance: Residential CF -IR -ALT
Residential Alterations age 2 of 5
Proj t a of n Climate 7noe `r /# of Stories /t Z
9
1. Indicate the type of assembly to include: Hollow Unit iWasomy Walls, Solid Unit Masonry, Solid Concrete Walls, Etc. Additional assemblies can
befound Reference Joint Appendix JA4.
. 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.
4. The Calculated R-Valueis the R -value of the furred out section of the assembly.
4 The Final Assembly is calculated using Equation 4-2 or Equation 4-4of the Reference Joint Appendix JA4. The equatton is the inverse of Column
added to Column I. Column K is the inverse from column J.
7. Insert the calculated U- actor value on to the Qmque Surface Details in Column J
FEN STRATIO)\ PROPOSED AREAS
eplacing window alone —Replacement windows shall meet the U -Factor and SHGC Value requirements of Component Package Din
Table 151-C. The Total Fenestration and West facing Area requirements are not applicable.
❑ Adding SW 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.
El Adding more than 50ft'' 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 -JR -ALT
D
Orientation
F
Fenestration Type and Frame
Window Glass Door or skylight)
(North, East,
South, West)
PropsedArea' Maximum
f U-factor2.1
Maximum NFRC or Default
SHGC- ' ° values
LASS DMZ
vsT
'5 d ,- 0-11
. Z
t_ . s too
0u.r-14
306B 0, j(012,11
0- 3
% of
Fenestration
Area
Fenestration
Allowed
Proposed Area
Dwelling
CFA
Area
Removed
1. Fenestration area is the area of total glazed product (i.e. glass plus frame)- Exception: When a door is less than 50% 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 -ENV Form shall be equivalent to or have a lower Ufacior and/or a lower
SHGC value than that specified on the CF -IR ALT Form.
4. Submit a completed WSJ 3R Form if a reduced SHGC is calculated with exterior shading.
5.1fapplicable at this stage enter "NFRC" or NFRC Certi ted windows or are CEC "Default " valuesfound in Table 116-A or B.
ALTERED FENESTRATION ALLOWED AREAS
(Complete if more than s0f? of fenestration is added)
A
B
C
D
E
F
G
Allowed
Existing
Fenestration
Total Area
CFA of Entire
% of
Fenestration
Area
Fenestration
Allowed
Proposed Area
Dwelling
CFA
Area
Removed
Area Added
A x B)
(E -D) + C
Total Fenestration Area
20
>
ftz
West Fenestration Area
(Required In
03
>
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. [Pest facing glazing area removed cannot be "counted" twice. " In order to distribute the west glazing area removed to the other orientations,
input the west glazing area removed in the Total Fenestration Area row, column A
3. Include the Proposed Area ofthe West facingfenestration in both Area columns below.
4. To meet compliance, the PraposedArea must be less than or fffual to the Total Allowed Area or BOTH the Total and West Fenestration Areas.
P
Registration Number: Registration DatelTme: HERS Provider:
2008 Residential Compliance Forms August 2009
Prescriptive Certificate of Compliance: Residential CF -IR -ALT
Residential Alterations Page 5 of.S
Proj ct Name: Climate Zone # # of Stories
1� 2.
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 before final
inspection.
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 §152(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 ❑ NO 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)IDi.
❑ YES ❑ 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 § 152(b)1 E.
❑ 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.
❑ EXCEPTION: Existing ducts stems constructed, insulated or sealed with asbestos.
Refrigerant Charge -Split System HERS verification is required for 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 refrigerant charge measurement shall be verifiedpe! §152(b)1F.
Central Fan Integrated (CFI) 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
replaced, the airflow and fan watt draw shall be verified per § 152(b)1 Ci to meet the requirements of § 151(f)7B.
Documentation Author's Declaration Statement
• I certify that this Certificate of Compliance documentation is accurate and complete.
Name:
Signature:
Company:
Date:
Address:
If Applicable ❑ CEA or ❑ CEPE
(Certification #):
City/State/Zip:
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 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. 1-800-772-3300.
Registration Number: Registration Date%Time: HERS Provider:
2008 Residential Compliance Forms
August 2009