10-0892 (RER)T-it!t 4
P.O. BOX 1504 VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 9/10/10
Application Number: 10-00000892 Owner:
Property Address: 51430 AVENIDA VILLA WEDGEWOOD INC.
APN: 773-103-004-10 -000000- 319 MAIN STREET
Application description: REMODEL - RESIDENTIAL EL SEGUNDO, CA 90245
Property Zoning: COVE RESIDENTIAL (3 10) 640-3070
Application valuation: 2000 "Vt1Uft.%F^6__9@1NTA Contractor:
Appljc t: �J Archit ct or ngineer: AMERICAN TOP REMODLHIG BOULDER, 2346XAHIGHLAND, CA 92346(909)800-9020Lic. No.: 554502
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.: 554502
Date: O —: v Contracto 1�--
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 _ I 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 1 I am exempt under Sec. , BAP.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:
R
LQPERMIT
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 1938208
_ 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 L Code, 1 shall forthwith comply with those provisions.
Date: i (O —(o Applicant:It
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 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 relatin to building construction, and hereby authorize representatives
of this county to enter upon the above-mentione r rty for inspection purposes. e
Dater( d - (CD Signature (Applicant or Agent . - �++—�
Application Number . . . . . 10-00000892
------ Structure Information WINDOW CHANGE OUT -----
Other struct info . . . . . CODE EDITION 2007/2008
----------------------------------------------------------------------------
Permit . . . BUILDING PERMIT
Additional desc . .
Permit Fee . . . . 45.00 Plan Check
Fee
29.25
Issue Date . . . . Valuation
. . .
. 2000
Expiration Date . . 3/09/11
Qty Unit Charge Per
Extension
BASE FEE
15.00
15.00 2.0000 HND BLDG 501-2,000
30.00
----------------------------------------------------------------------------
Special Notes and Comments
WINDOW CHANGEOUT IN EXISTING OPENINGS -
(10) WINDOWS + (1) SLIDER. 2007/2008
CALIFORNIA BUILDING CODES.
September 10, 2010 1:01:52 PM AORTEGA
----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
ENERGY REVIEW FEE
2.93
Fee summary Charged Paid Credited
---------------------------------------------------------
Due
Permit Fee Total 45.00 .00
.00
45.00
Plan Check Total 29.25 .00
.00
29.25
Other Fee Total 3.93 .00
.00
.3.93
Grand Total 78.18 .00
.00
78.18
LQPERMIT
Bin #
City of La Quinta
Building 8t Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
CbC1�
Project Address: j 1
Owner's Name:
A. P. Number:
Address: 2 % Sir
Legal Description:
City, ST, Zip:
Contractor: CATelephone:
Address: 2 j!Project
Description:
City, ST, Zip:
`� 2.\.I- t-
Telephone: nz
State Lic. # IS7 4 S p 2 City Lie. C
n
4t,c-Q
`
Arch., Engr., Designer.
` S
Address:
City, ST, Zip:
Telephone: Y
State Lic. #:
Name of Contact Person:
Construction Type: Occupancy:
Project type (circle one): New Addn Alter Repair Demo
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project "Z m
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd.
Recd
TRACKING PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cates.
Reviewed, ready for corrections
Pian Check Deposit
Truss Calcs.
Called Contact Pemn
Plan Check Balance
Title 24 Cala.
Plans piekcd up
Constrnetiiin
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.1.
H.O.A. Approval
Plans resubmitted
JdJ
Grading
IN HOUSE:-
'"d Review, ready fEcorrcctEions1E/is.suc
Developer Impact Fee
Planning Approval
Called Contact Person
Pub. Wits. Appr
Date of permit Issue
School Fees
Total Permit Fees
9 I I424LO a w -ro i sr%iGr
4N
b
we COW
CITY OF LA-QUINTA
BUILDING & SAFETY DEPT.
APPROVED
DATE e-S-jMd4!!!L BY
F.al
VI I
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AJ-) I,k -Jo w Re , h1ce ee- Vott-.+
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Prescriptive Certificate of Compliance: Residential CF -1R -ALT
Residenfd Alterations (page 1 of
Project Name: Climate Zone N I it of Stories
General Information
Site Address: Villa Enforcement Agency: Date: _
Building Type *ingle Family O Multi Family Circle the Front Or - i I entationuKWb, degrees
Conditioned Floor Area (CFA): '\leo QQ Project Type: O Alterations O Envelope enestradon Roof O HVAC
R laoement or a Out ❑Duet Re nt ❑ Water Heater
MOM /s not to be __ ._ or NCW0 CWtitnitcted Bu ^-- or Addlitons
Insulation Values For Opaque Surf&= (for Faring use the Mass and Furring S,(. Construction table balow)
Assembly Alteration
O Opening of framed cavity alone -Alterations that involve the opening ojthe framed cavity oja wall, ceidaag; orJloor meat install the
mmdatory minimum mmiation value per §1 S0 for the altered assembly. Fill in Columna A -C and enter mandatory umviation valw in Col mn H.
G Replacement of entire assembly- Replaeennent of are entire wall, eellbe or floor assembly requires the kstallatlm of Component
Package- D insulation values in Table 131-C. Fill in t^iJ..n...c i _ r
Opaque Surface DetailS For the furred portioned of Mass Walls we Furring S Construction fable below.
A B C D E F G H I. J
Pro Standard Values From JA4 Table
i
ID
Assembly Name
T
FramT�¢/
Material
Thiciss, Framed Continuous 1A4 Proposed
l►g, U- JA4 Table Cavity Insulation Assembly Assema�bi��
B CI D I
or
and SiujFor
Other' factor' Numbers R -value° E -Valuer Cell Values U-facwr'
H
I J K
L M
Proposed Properties of Masonryand Concrete
Added Interior or Exterior Insulation
Walls From Reference
Nae: For fiord assrnrDlie; oocmowaft for CprllppnJ lnsrlat[O+t R_vdre• see P JA/ -3 and
F Couaroaion table below. Epadon /-l. For oalcelarfng frond +rails use the Adus and
1. For Tagl1D indicate the idintirxation name that matches the building plans.
2. hdicate the Assembly Name or type: Ro0jiCe1jm& Walls, Floors. Slabs, Crawl Space. Doors and etc...lidicatt the France type and Size: For
Woog Metal, Afetal Buildings, Mass, enter 2x/, 2x6, or etc.., see JA4for other possible frame type assemblies.
3. Enter the thiabtess for mass in inches or Spacing between framing members enter; 16 "or 24 •'OC; or OY%er jor all other assembly description
wash as Concrete Sandwich Panel, Spandril Patel, Logs, Straw Bale Panel mrd etc....
4. Based on the Climate Zone; enter the Standard U fac(Or from Table 15 1-B, C or D for each different aswm bly Nene or type.
S. Enter the Table number that closely resembles the proposed assembly.
6. Enter the R-Wdw that is being installed in the wall Cavity or between the firuning, otherwise, enter ••0"
7. Enter the Continuous Insulation R -value for the proposed assembly. otherwise, enter `.0'•
8. Enter the row and column of the U jaclor value based on Colwnn F Table Nwnber and enter the Assembly U factor in Column J
9.7he Proposed Assembly U factor, Column J, must be equal to nr lo" rtvn, d— c...— &-4 It f---- r 0- ---h.
Furring Strie
Construction Table -for Mass Walls Onl
A
B CI D I
E
F
I G
H
I J K
L M
Proposed Properties of Masonryand Concrete
Added Interior or Exterior Insulation
Walls From Reference
in Furring Space from Reference
Joint A
adix Table 43.5 4.3.6 43.7
Joint A
ndix
Table 43.13
V
—
� u
Mass
Assembly
JA4
:
1
»
Final
Thickness'
Table
T ' Number' < >
X
iS
' < > '
As
U-facto7. Comment
Registration Number: Registration Date:Time:
2008 Residential Compliance Forms
HERS Provider:
August 2009
Prescriptive Certificate of Compliance: Residential CF -IR -ALT
Residential Alterations
age 2 of
Project Name:
Climate Zane #
# of Stories
ass and Furring Strips Construction(footnotes)
1. Indicate the type ofassembly to include. Hollow Unit Masonry Walls, Solid Unit Masonry, Solid Concrete Walls. Etc. Additional assemblies can
found Reference Joint Appendix J44.
2. 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- Value is the R -value of the furred out section of the assembly.
E.-6. The Find Assembly is calculated using Equation 4-2 or Equation 4-4of the Reference Joint Appendix J44. The equation is the inverse of Colum
added -to -Column 1. Column K is the -*w se from -column J:
7. Insert the calculated U- actor value on to the Opaque S ace Details in Column J
r
FE ESTRATION PROPOSED AREAS
Replaeing window alone — Replacement windows shall meet the U -Factor and SHGC Value requirements tfConymnent Package D in
Table I51 -C. The Total Fenestration and West facing Area requirements are not applicable.
❑ Adding Sufe or less ofwindow area — Newly installed windows shall meet the U -Factor and SHGC Value requirements of Component
Package D in Table ISI -C.
❑ Adding more than 50112 ofwindow area — Newly installed windows shall meet the U -Factor and SHGC Value and the Fenestration
Area requirements Of Component Package D in Table I51 -C. Complete the Altered Fenestration AllowedArea Table on Page 2 of the CF -/R -ALT
Allowed
Orientation
Fenestration Total Area
. ' Fenestration Type and Frame
(North, East,
PropscdArea' Maximum Maximum NFRC or Default
Window Glass Door or Skylight)
South, West
ttZ U -factors' 3 SHGC" 3.4 Values
Dwellin
CFA
Area
Removed Area Added A x B) (E -D) + C
Total Fenestration Area
•� .'ltd
fes
.20
L Fenestration area is the area of total glazed product (i.e. glass plus frame). Exception: When a door a less than 50Y* 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 U factor and/or a lower
SHGC value than that specified on the CF -IR ALT Form.
4. Submit a completed WS -3R Form if a reduced SHGC is calculated with exterior shading.
S./ applicable at this stage enter " NFRC"for NFRC Certified windows or are rF_r YbM1,11 " vnhlne 6" nd in Tnhly 11 &A or B -
ALTERED FENESTRATION ALLOWED AREAS frninn►.io N...... oj— meas„rr ...- i. -.4A ,n
-� �•� Dieu o.uruaes west-stopnng sityttghts 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 west glazing area removed to the other orientations
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 be less than or equal to the Total Allowed Area for BGTH the Total and West Fenestration Arec
Registration Number: Registration Date -•Time: HERS Provider:
2008 Residential Compliance Forms August 2(
A
B
C
D E F G
Allowed
Existing
Fenestration Total Area
CFA of Entire
% of
Fenestration
Area Fenestration Allowed Proposed Area
Dwellin
CFA
Area
Removed Area Added A x B) (E -D) + C
Total Fenestration Area
fes
.20
>
West Fenestration Area
(Required In
.05
>
CZ's 2,4&7 -IS
-� �•� Dieu o.uruaes west-stopnng sityttghts 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 west glazing area removed to the other orientations
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 be less than or equal to the Total Allowed Area for BGTH the Total and West Fenestration Arec
Registration Number: Registration Date -•Time: HERS Provider:
2008 Residential Compliance Forms August 2(
Prescriptive Certificate of Compliance: Residential CF -IR -ALT
Residential Alterations a e 5 of 5
Project Name:
Climate Zone # I # of Stories
HERS VERIFICATION SUMMARY The enforcement agency should pay special attention to the J ERS Measures specified in this
checklist below. A completed and signed CF -4R Form for all the measures specified shall be submitted to 'he building inspector before final
inspection
Duct Sealing & Testing HERS verification is required for this measure.
O YES 17 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 dxiM ate to be. sealed per.t152(b).1Dii.and the. newly installed ducts-:= to be insulate-d_per_ § 151t1Q-
13 EXCEPTION: Existing duct systems that are extended, which are constructed, insulated or sealed with asbestos.
i] YES 13 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 § i 52(b)1 Di.
E3 YES O NO YES: In Climate Zones 2 and 9-16, if the existing HVAC equipment is replaced (incl lding 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.
1 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.
E3 EXCEPTION: Duct systems with leas than 40 linear feet In unconditioned space.
O EXCEPTION: Existing duc( systems constructed insulated or sealed with asbestos.
Refrigerant Charge - Split System HERS verification is required for this measure.
13 YES 13NO YES: In Climate Zones 2 and 9 -IS, 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 refterant charge me surement shall be verified per § 15 b 1F.
Central Fan Integrated (CFI) Ventilation System and Fan Watt Draw
The ventilation feguiranents of § 15 o do not apply to existing residential homes.
Ducted Split Systems - Air Conditioners and Heat Pumps: Airflow HERS verification is required for this measure.
13 YES ONO YES: In Cli the. sting space -conditioning system (HVAC equipment and ducting) is
1 d, the airflow and fan watt draw shall be v ' ed -w_,& 152(b)ICi to mitt the mQuiranents of §.151(f)7B.
P
Docum tion Anthoes Declaration Statement
• cern that this Certificate of -Compliance documentation is accurate and complete.
e: n
hDate:
Company :
o -� �a\t-to
ddress: ll
1g Applicable 0 EA or ❑ CEPE
(Certificatio
City tate/Zip: Phone-
�A A ca
. z -ago
Responsib e�Buiiding Designer's Declaration Statement
• i am.elignble miler Division 3 of the California Business and Professions Code pt responsibility for the building design identified on
this Certificate of Compliance.
• I certify that the energy fes' s•agd performance specificatiovCfor the building design identified on this Certificate of Compliance conform
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 the information to document this
are consistent with provided
building design on the other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the enforcement
agency for Vproval with this building permit application.
Name:
Signature:
Company: Date:
Address: License:
City/State/Zip: Phone:
For assistance or ounHinne .00....0-- a.n F'- ...... O._».L.-J- _ ..� _ r__ __—_ •._�.!__ _ _� • •nn �se )M
Registration Mumber:
2008 Residential Compliance Forms
Registration Date/Time: HERS Provider:
August