12-0231 (RER)r- . _ r...
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 12-00000231
Property Address: 5,2100 AVENIDA VILLA
APN: 773-234-006-17 -000000-
Application description: REMODEL - RESIDENTIAL
Property Zoning: COVE RESIDENTIAL
Application valuation: 1000
Tay/ 4 XP Qum'
Architect or Engineer:
P 111k
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
----------------------------------------------------
4rJurvinthai
ENSED CONTRACTOR'S DECLARATION
I hereby affirm under peI am licensed under provi ions of Chapter 9 (commencing with
Section 7000) of Divisioand Pr fessionals Code, nd my cense is in full force and effect.
License Class: BLicense 946190 ^
ate: L ! ''
OWNER -BUILDER -DECLARATI ON
I hereby affirm under peI 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 tete 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 1, 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. 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: - r
LQPERMIT
Owner:
RW REAL ESTATE INC.
52700 AVENIDA VELASCb
LA QUINTA, CA 92253
VOICE (760) 777-7012
FAX (760).777-7011
INSPECTIONS (760) 777-7153
Date: 3/14/12
Contractor:
((
�i
N
HUITRON CONSTRUCTION
J t
50427 RIGO COURT
COACHECA 92236
r
MW]] _
1
(760)398-98- 3227
^
Lic. No.: 926190
CITYOr- ..ArA&1i4TA
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 I Policy Number 0013718-2011
I certify that, in the p for ante of the work for which thi permit is issued, I shall not employ any
person in any man r as to become subject to the rkers' compensation laws of California,
and agree that, if I h d be a subject to the wo s' com ensation provisions of Section
3700 of the Labo Co , I shall orthwith comply w hose p visions. /�
te•
WARNING: FAILU TO SEC W KERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO IMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). INA ITION 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 p rmit, or cessation of work for 180 days will subject
permit to cancellation.
certify that I have read this application and state that th ab a information is correct. I ree to omply with all
city and county ordinances and state laws relating to buil in onstruc 'on, and hereb orize presentatives
oft couunJty enter upon the above-mentioned
prop
y inspect' n purposes.
ateZ- r 9S g ure (Applicant or Agen
-Application Number 12-00000231
;Permit ... . . . . BUILDING'PERMIT
Additional desc .
" Permit Fee . . . . 25.00 Plan Check Fee
16.25
Issue Date Valuation
1000
Expiration Date .9/10/12
Qty Unit Charge Per
Extension
BASE FEE
15.00
5.00 2.0000 HND BLDG 501-2,000
10.00
Special Notes and Comments
REPLACE 5 WINDOWS LIKE FOR LIKE WITH NEW
DOUBLE PANED WINDOWS. 2010 CODES.
-----------------_---------------------------------------------
Other Fees BLDG STDS ADMIN (SB1473)
1.00
ENERGY.REVIEW FEE
1.63
Fee summary Charged Paid Credited
Due
Permit Fee Total 25.00 .00 .00
25.00
Plan Check Total 16.25 .00 .00
16.25
- Other Fee Total - 2.63 -.-do-- -- --.00 -
"
-- 2.63
Grand Total 43.88 00 00
43.88
LQPERMIT .._ ..
.. ..
Pirescri tive Certificate of Com liance: Residential CF4R-ALT.
Residential Alterations Page 1 of
Project Name: 5�I�O� 'r l (^ Climate Zone #� # of Stories
�. �`ul`I V 11"1
General Information
Site Address:
Enforcement Agency:
Date: .
Building Type® Single Family ® Multi Family
Circle the Front Orientation: N, E, S, W, or degrees
Conditioned Floor•Area (CFA):
Project Type: Alterations Envelo Fenestration Roof HVAC
Replacement or Change Out 9 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•07oor 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.
®Replacementof entire assembly— Replacement ofan entire wall, ceiling, orJloor assembly requires the installation of Component
Package- D insulation values in Table 151-C. Fill in Columns A —J
Opaque Surface Details For the furred portioned of Mass Walls see Furring Strips Construction Table telow.
A B C D E F G H I J'
Proposed Ote Standard Values From JA4 Table
Tag/
ID`
Assembly Name
or Type'
Framing Thickness, Framed Continuoi:s JA4 Proposed
Material Spacing,. U- JA4 Table Cavity Insulation Assembly Assembly
and Size2 or Others factor° Numbers. R-value6 R -Value` Row/Cola U,factor9
Added Interior or Exterior Insulation
Walls From Reference
in Furring Space from Reference
Joint Appendix Table 4.3.5 4.3.6 4.3.7
Joint Appendix Table 4.3.13
Note: For furred assemblies, accounting for Continuous Insulation R -value, see Page JA4-3 and Equation 4-1. For calculating fuzred walls use the Mass and
Furring Construction table beloiv.
1. For TagAD 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 ir. column G the Frame
material 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 a'! other assembly description
such as Concrete Sandwich Panel, Spandrel Panel, Logs, Straw Bale Panel and etc....
4. Based on the Climate Zone; enter the equivalent U factor found in JA4 Table based on the R- Value from Table I I -B, C, or D
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 110 ".
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. The Proposed Assembly U factor, Column J, must be equal to or less than the Standard U factor in Column E to comply.
Furring Stri s 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
Added Interior or Exterior Insulation
Walls From Reference
in Furring Space from Reference
Joint Appendix Table 4.3.5 4.3.6 4.3.7
Joint Appendix Table 4.3.13
U
d
rr )
fir .
Assembly
c o :Z> >
°F,'
Final
Mass
Thickness
Name or
1A4 Table
5 $ •E
�C
Aembl
T
Number' ¢ >
c x L ¢ > w
U:actors
Comment
r r_
y j
�-:.5.(?�,.(�-'�(5�,:,.f� �a'�.�`�`��`,�s.��'�.��...�'._�. t•-.- �..- � ...��{A
2008 Residential Compliance Forms
March 2011
Prescriptive Certificate of Compliance; Residential . CF -1.R -ALT
Residential Alterations age 2 of
Project Name: Climate Zone # # of Stories
Mass and Furring Strips Construction(footnotes)
1. Indicate the type of assembly to include; Hollow Unit Masonry Walls, Solid Unit Masonry, Solid Concrete Walls, Etc. Additional assemblies can.
befound Reference Joint Appendix JA4.
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.
-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 L Column K is the inverse from column J.
7. Insert the calculated U actor value on to the 6paque Sutface Details in Column J
Ma
STRATION PROPOSED AREAS
Replacing window alone — Replacement windows shall meet the U -Factor and SHGC Value requirements of Component Package D in
le 151-C. The Total Fenestration and West facing Area requirements are not applicable.
® Adding SOW 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 50W of window area — Newly ins/alled 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
Orientation
Fenestration Type and Frame (North, East, PropsedAreal Maximum Maximum NFRC or Default
indow, Glass Door or Skylight) South, West ft U -factor " SHGC2. 3.4 Values
YC .n S 30
0 x wM
\„J o
S 13
1. Fenestration area is the area of total glazed product (i.e. glass plus frame). Exception: When a door is less than 0•* 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 -1 R ALT Form.
4. Submit a completed WS -3R Form if a reduced SHGC is calculated with exterior shading.
5.1 a licable at this stage enter "NFRC" or NFRC Certified windows or are CEC "Default" valuesfound in Tabre 116-A or B.
ALTERED FENESTRATION
ALLOWED AREAS
(Complete if more than 50jt2 of fenestration is adder!!
A
B
C
D
E
F
G
CFA of
AllowedExisting
Allowed
Entire
%of
Fenestration
Area
Fenestration
Area
Proposed Area 1,4
Dwelling
CFA2• 3
Area
Removeds
Area Added
A x B
-D + C
Total Fenestration
Area' ft
West Fenestration Area
(Required In
CZ's 2, 4&7-15
1. The Proposed West Fenestration Area includes West -sloping skylight area and arty other skylight area with a pitch less than 1:12.
2. Enter 20% when no West orientation restriction or 15% when West fenestration is being installed in Climate Zones 2, 4, & 7-15. Note that the
maximum allowed fenestration can only be 5% of the CFA as indicated in Column F. Column G must be equal to or less than Column F.
3. In climate zones 2, 4, 7-15, no more than 5% ofthe CFA is allowed for west facing glazing.
4. Existing Fenestration area must be counted toward the maximum allowed 15% or 20% of the whole building and calculated in Column G. The
Proposed Area must be less than or equal to Column F. .
5. Enter the fenestration removed as part of the alteration if any in column D.
6. Enter the Fenestration area that is being added as part of the alteration.
2008 Residential ComplianceMarch2010�
Prescriptive Certificate of Compliance: Residential
CF -JR -ALT.'
Residential. Alterations
age 5 of 5),
Project Name: Climate Zooe # #.of Stories
HERS VERIFICATION SUMMARY The enforcement agency should pay special attention to the HERS Measures specifed imthis
checklist below. A completed and signed CF4R 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 equipmeitand ducting) is replaced, the
ducts are to be sealed per §I52(b)IDi.
®YES 13NO 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)lE.
13EXCEPTION: Duct systems that are documented to have been previously sealed confirmed through HERS
verification in accordance with procedures in the Reference Residential Appendix "...3.
® 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.
OYES ®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 verified per 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 ecpipment and ducting) is
replaced, the airflow and fan watt draw shall be verified per § 152 b 1Ci to meet thereue-ements of §151(07B.
Documentation Author's Declaration Statement
• I certify that this Certificate of Compliance documentation is accurate an corn
Oete.
Name:
Signa
Company: �
Date:.
Address:
If Applicable CEA or CEPE '
dt (Z�J
(Certification #):
City/State/Zip:
Phone: _76D,I b�
Responsible Building Designer's Declaration Statement
• 1 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 Certi£cate 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:
Comp y: {
Date:
Address:
License:
City/State/Zip:
Phone:
!V/ uaaraiuncr ur queauuns reguruing ine Energy Jtanaaras, contact -the Energy Hotline at. 1-800-772-:3300. .
e n= er.• � �, � Reds 'on�a itne .� �, .FuR Y PA1f) O
2008 Residential Compliance Forms March 2010
;i .
Btn.
City Of La Qutnta
BAUng 8t Safety Duron
P.O. Box 1504,78-49S Calle Tampico
La.Quhlta, CA 92233 -:(760) 777-7012
Building Permit •Application' and Tracking Sheet
Permit #
Project Address: �� 0�3
Owner's Name:. QUI L l
A P. Nunber.
Address:
.�
Legal Description:
City, ST, Zap: �� S
Contractor.
Telephone:
Address:
Project Description:
`j
City' $T' Zip LJ r
Telephone: �G `
State Lic. #: 1p City Lic. #:
'
Arch., FAW., Designer.
j
Address:
City, ST, Zip:
{
Telephone: Construction Type:. Oc�upancy:
State Lia #: Project type (circle one): New Add'a ter Repair Demo
I
Name of Contact Person: Sq. Ft: ���
# Swries: #Univ
I
Telephone # of Contact Poison:Estimated Value of Project: `I 0
APPLICANT: DO NOT WRITE BELOW THIS UNE
I
#
Submittal
Req'd
Reed
TRACIMG PERMTF FEES
4
Plan Sets
Plan Cheek submitted•3 14 item Amount
Structural Calcs.
Reviewed, ready for corrections Plan Check Deposit. .
t
Trus Calcs.
Called Contact Person Plan Check Balance.
Title 24 Calcs.
Plans picked up Construction
Flood plain plan
Plans resubmitted.'. Mechanical
Giading plan
2" Review, ready for corcectiouslissue Electrical
Snbcontaetor List
Called Contact Person Plumbing
Grant Deed
Pians picked up S.M.L
H.O.A. Approval
Plans resubmitted Grading
IN HOUSE:-
''" Review; ready for torrettionslissue Developer Impact Fee
Planning Approval.
Called Contact Person A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees