05-2850 (AR)P.O. BOX 1.504
` 78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
(05 0000_28_50
Property Address:
53355 AVENIDA VILLA
APN:
774 -093 -017 -5 -000000 -
Application description:
ADDITION - RESIDENTIAL.
Property Zoning:
COVE RESIDENTIAL
Application valuation:
1086
Applicant:
Architect or Engineer:
4.
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
R JARRETT OVERGAAG
78745 IRWIN CIRCLE
LA QUINTA,•CA 92253
(760)574=1528
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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 Professionals Code, and my License is in full force and effect.
License Class: B License No..^ 768199 s
f11—
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 licensedpursuant 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
r'. that he or she is exempt therefrom and the basis for theallegedexemption. 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 (5500).:
_) 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
5j _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
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
Contractor:
GILL CONSTRUCTION
262 AVENIDA DEL SOL
PALM DESERT, CA 92260
(760)831-5613
Lic. No.: 768199
VOICE (760) 777-7012
FAX (760) 777-1011
INSPECTIONS (760) 777-7153
Date: 8/09/05
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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
_ 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
3700of the Labor Code, I shall forthwith co ly will thoe pro sisions..
j -"Data: ~ =I Applicant: !/ -
WARNING FAILURE TO SECURE WO ERS' 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 hereby authorize representatives
-of this co/u/f�ty to enter upon the above-mentioned property for inspection pure S.
__Date: % Signat-urp.(Applicant orAgent): ^JZZ J
Application Number 05-00002850
Permit BUILDING PERMIT.
Additional des: ..
-
;, Permit Fee 27.00 Plan Check
Fee
17.55
Issue Date Valuation
1086
Expiration Date .. 2/05/06
Qty Unit Charge Per
Extension
BASE FEE
15.00
6.00 2.0000 HND BLDG 501-2,000
12.00
----------------------------------------
SAecial Notes and,Comments
-----
---------------
ADDITION OF"CLOSET TO EXISTING
BEDROOM.July 11, 2005 1:30:57 PM
JJohnson
--------------------------------------------
Other Fees ENERGY REVIEW FEE
1.76
- STRONG MOTION'(SMI)
- RES
.50
• Fee -summary Charged" Paid Credited-
Due
---------- ---------- ----------
Permit Fee Total 27.00 .00
----------
.00
27.00
Plan Check Total 17.55 .00
.00
17.55
Other Fee Total 2.26 .00
.00
2.26
Grand Total 46.81 .00
.00
LQPERMIT - ..
41
`i� 'PRTIFICATE ®F COMPLIANCE:'RESIDENTIAL -:-(Page: I of3)4R
:�.,.
Project Tltlec� _ Date
Project Address
Building Permit #
6Cffe= rILL 7b0 83 f S6l 2�
Documentation Author TelepUne Plan Check / Date
Fie.d Check / Date r
Compliance Method (Package or Computer) Climate Zone „ orcement Agency use unly
t ...
'GENERAL INFORMATION Q
Total Conditioned Floor Area ft� Average Ceiling Height: 8 ft
Conditioned Slab Floor Area ft' �,�.,
Building Type: Single Family _1 Addition ��x �0 0 CIO CAA)ds
(check one or more) Multi -Family -,Existing, -Plus -Addition
Front Orientation:North / South / East / West / All Orientations
` (input front orientation in degrees from True North and circle one)
Number of Stories
Number of Dwelling Units:
Floor Construction Type:lab aised Floor (circle one or both)
RADIANT BARRIER (required in climate zones 2A 8-151 Required for this submittal_ yes no.
BUILDING ENVELOPE INSULATION
Component
Type
Frame Type
wd = wood
stl = steel
Cavity Sheathing . Total R- Assembly Location/Comments
Insulation Insulation . Value' U -Factor' (attic, garage, typical, etc.)
R -Value R -Value
Wall
Wall
ti t
Roof
Roof
Floor
Floor
Slab Edge
rui prescnpuve compliance, total K -value anct ASSembly U -Factor are not required for a wood -framed %call that meets cavity R value
insulation requirements for the Prescriptive Packa¢e
FENESTRATION
Fenestration Orien=
#/T e/Pos. tation
Front f
Front
Left
Left.
Rear
Rear
Right
Area Fenestration Fenestrationx
(ft'- U -Factor SHGC Shad
�I.
UINTA
Y DEPT.
D
,ION/
Compliance Forms August 2001A-2
e
C' R'I'Ii+ICATE OF,COIYII'LIANCE.'12ESIDENI'IAI� (Page26 3):::
4 CF -1R
Project Title Date
HVAC SYSTEMS
External
Rated' Tank Factor o.
Tank
Water Heater Distribution Number Input (kW Capacity Recovers
Standby' Insulation
Note: Input hydronic or combined hydronic data under Water Heating Systems, except Design Heating Locd.
Loss (%) R -Value
Distribution
Heating Equipment
Minimum
Type and
Duct or .
Heat Pump
Type (furnace, heat
Efficiency
Location
Piping
Thermosta-
Configuration
pump. etc.)
(AFUE or HSPF)
(ducts, attic, etc.)
R -Value
Type
(split or package) .
Cooling Equipment
Minimum
Duct
Heat Pump
Type (air conditioner.
Efficiency
Location
Duct
Thermosta_ '-
Configuration
heat pump, evap. cooling)
(SEER)
(attic, etc.)
R -Value
Type
(split or package)
SEALED DUCTS and TXVs (or Alternative Measures)
❑ . Sealed Ducts (all climate zones)
(Installer testing and certification and HERS rater field verification required)
❑ TXVs,-readily accessible (climate zones 2 and 8-15 only)
(Installer testing and certification and HERS Rater.or field verification required)
❑ Refrigerant Charge/Air Flow (climate zones 2 and 8-15 only)
(Installer testing and certification and HERS Rater or field verification required)
OR
❑ Alternative to Sealed Ducts and TXVs (see Package C or D Alternative Package Features far Project Climate Zone)
Climate Zone Window SHGC Window U -Factor SEER Heating
c
WATER HEATING SYSTEMS
Energy°
External
Rated' Tank Factor o.
Tank
Water Heater Distribution Number Input (kW Capacity Recovers
Standby' Insulation
Type, Type in System or Btu/hr) (eallons) Efficiency
Loss (%) R -Value
1. For small gas storage water heaters (rated inputs of less than or equal to 75,000 Btu/hr); electric resistance, and hea.- pump water heaters; list Energy
Factor. For large gas storage water heaters (rated input of greater than 75,000 Btu/hr), list Rated Input, Recovery Ef.ficiency and Standby Loss.
For instantaneous gas water heaters, list rated input and recovery efficiencies.
SPECIAL FEATURES (add extra sheets if necessary). Package C and D: TXVs, Sealed Ducts, Radiant
Barriers (see installation requirements for radiant barriers in Section 8.13 of the 2001 Residential Manual).
Package C: thermal mass (thermal mass type, covering, thickness, and description).
Compliance Forms
August 200
A-3 -
J-
--�UERTIFICATE'OF:.COMPLIAN.CE::'RESIDENTIAL'�,-'(Page --,j,of 3
.'' `CF -1R.-
-,:
Project Title Date
COMPLIANCE STATEMENT
This certificate of compliance lists the building features and performance specifications needed to comply with
Title 24, Parts I and 6 of the California Code -of Regulations, and the administrative regulations'to implement
them. This certificate has'been signed by the individual with overall design responsibil ty. When this certificate
of compliance is submitted *for a single building plan to be ' built in multiple orientations.. any shading feature that
is varied is indicated in the Special Featutes/Remarks section. The undersigned re:cogniKe that compliance using
duct sealing and TXVs requires installer testing and certification and field verification by an approved HERS
rater.
Designer or Owner (per Business and Professions Code) Documentation Autho'
Name: Name: Cyrl-�� CT�
Title/Firm: Title/Firm:
Address: Address:
Q AIL SPU
Telephone: Telephone: 760 '-7-1
Lic. #:
(signature) (date) (sig.atuA (date)
Enforcement Agency
Name:
Agency:
Telephone:
a
(signature / stamp)
Compliance Forms
(date)
August 2001 -
• Y
' MANDATORY MEASURES. CHECKLIST:,'RESIDENTIAL (Pae 2 of 2)'.. MF -1 R'-" '
Note: Lowrise residential buildings subject to the Standards must contain these measures regardless of he compliance approach used.
Items marked with an asterisk (') may be superseded by more stringent compliance requirements!listed on the Certificate of
Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as
` minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents
or on this checklist only. #
Instructions: Check or initial applicable boxes when completed or enter N/A if not applidable..t '
DESCRIPTION - -'
DESIGNER
ENFORCEMENT
Space Conditioning, Water Heating and Plumbing System Measures: (continued)
' § 150(m): Ducts and Fans
1. All ducts and plenums installed, sealed and insulated to meet the requirement of the 1998 CMC Sections
601, 603, 604, and Standard 6-3; ducts insulated to a minimum installed level of R4.2 or enclosed entirely
'
in conditioned space. Openings shall be sealed with mastic, tape, aerosol sealant, or other duct -closure
system that meets the applicable requirements of UL 181, UL 181 A. or ITL 181 B.' If mastic or tape is rued
E7,x STiNC-1
to seal openings greater than 1/4 inch, the combination of mastic and either mesh or tape shall be used.,
Building cavities shall not be used for conveying conditioned air. Joints and seams of duct systems and
their components shall not be sealed with cloth back rubber.adhesivc duct tapes unless such tape is used
in combination with mastic and drawbands. . •
t
2. Exhaust fan systems have back draft or automatic dampers.,
r.•
3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible,
i-.
t
manually operated dampers.
§ 114: -Pool and Spa Heating Systems and Equipment.
1. System is certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions, no
N �T
electric resistance heating and no pilot light. -
2. System is installed with:
MUCAA Le
'
a. At least 36'. of pipe between filter and heater for future solar heating.
'
b. Cover for outdoor pools or outdoor spas'
3. Pool system has directional inlets and a circulation pump time switch.
§ 115: 'Gas fired central furnaces, pool heaters, spa heaters or household cooking appliances have no
continuously burning pilot light. (Exception: Non -electrical cooking appliances with pilot < 150 Btu/hr)
EX I STjN
Lighting Measures: 1
§ 150(k)I.: Luminaires for general lighting in kitchens shall have lamps with an efficacy of 40 lumcns/wart
or greater for general lighting in kitchens. This general lighting shall be controlled by a switch on a
, •
readilyaccessible lighting control anel at an entrance to the kitchen.
§ 150(k)2.: Rooms with a shower or bathtub must have either at least one luminaire with lamps with an
efficacy of 40 lumens/watt or greater "switched at the entrance to the room or one of the alternatives to this
IE�K :S T1 *! C1
,
requirement allowed in'§ 150(k)2.; and recessed ceiling fixtures are IC (insulation cover) approved.
3r »� ,
MANDATORY MEASURES CHECKLIST: RESIDENTIAL (Page I of 2) MF -IR
Note: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach used.
Items marked with an asterisk (•) may be superseded by more stringent compliance requirements listed on the Certificate of
Compliance. When this checklist is incorporated into the permit documents, the features noted shall be considered by all parties as
minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents
or on this checklist only.
Instructions: Check or initial applicable boxes when completed or enter N/A if not applicable.
DESCRIPTION
DESIGNER
ENFORCEMENT
Building Envelope Measures:
• §150(a): Minimum R-19 ceiling insulation.
§I50(b): Loose fill insulation manufacturer's labeled R-Valuc.
• §I50(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -Factor in metal frame walls
does not apply to exterior mass walls).
§ 150(d): Minimum R43'raisedr floor insulation in framed floors.
§ 1500) : Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate
no greater than 2.0perm/inch.
§ 118: Insulation specified or installed meets insulation quality standards. Indicate type and forth.
§116-17: Fenestration Products, Exterior Doors, and Infiltmtion/Exfiltration Controls
I. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage.
2. Fenestration products (except field -fabricated) have label with certified U -Factor, certified Solar Heat
Gain Coefficient (SHGQ, and infiltration certification.
3. Exterior doors and weatherstripped; all joints and penetrations caulked and sealed.
§150(g): Vaporbarriers rrlaritlator' ,,in Climate Zones 14 and 16 only.
§ I50(f): Special infiltration barrier installed to comply with § 151 meets Commission quality standards.
§ 150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs.
1. Masonry and factory -built fireplaces have:
a. Closeable metal or glass door
't -a i ' ;..}
b. Outside a(r intake withi damper and control
c. Flue damper and control
2. No continuous burning gas pilot lights allowed.
Space Conditioning, Water Heating and Plumbing System Measures:
§110-§113: HVACy eyu�pmcntr water heaters, showerheads and faucets certified by the Commission.
§150(h): Heating and/or cooling loads calculated in accordance with ASHRAE. SMACNA or ACCA.
§150(i): Setback thermostat on all applicable heating and/or cooling systems.
§ 1500): Pipe and tank insulation
1. Storage gas water heaters rated with an Energy Factor less than 0.58 must be externally wrapped with
insulation having an installed thermal resistance of R-12 or greater.
2. First 5 feet of pipes closest to water heater tank, non -recirculating systems, insulated (R4 or greater)
3. Back-up tanks for solar system, unfired storage tanks, or other indirect hot water tanks have R-12
external insulation or R-16 combined intemal/extemal insulation.
4. All buried or exposed piping insulated in recirculating sections of hot water systems.
5. Cooling system piping below 55° F insulated.
6. Piping insulated between heating source and indirect hot water tank.
January 4, 2001