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10-0579 (RER)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T4ht 4 4 Q" Application Number: 10-00000579 Property Address: 78222 CALLE FORTUNA APN: 770-154-006-6 -000000- Application description: REMODEL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 5000 Applicant: Architect or Engineer: ------------------ LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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.: 514045 ate:6 � �7UCo tor: OWNER -BUILDER DECLARATION 1 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 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, 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 contractors) 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: L.QPERMIT Owner: . JEFF FREDERICKS 78222 CALLE FORTUNA LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: ' 6/29/10 p w u Contractor: FREDERICKS, JEFF R. JUN 2 0 2010 28 10TH COURT JUN 1U HERMOSA BEACH, CA 90254 (3 10) 918-7548 Crry0FLAWNTA Lic. No.: 514045 9NANN3EDEPT ------------------ 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 c=at, 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 sub'ect to workers' compensation provisions of Section X37700 of the Labor Co , I all fo th ply with those provisions. ate:%'/ /v icant: WARNING: FAILURE TO SECU E RKER OMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL P ALT ES 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. - 11Each 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 corr I agree to comply with all city and county ordinances and --f. laws relating to building construction, d h e authorize representatives of this lcounty to enter upon above-mentioned propert for ' ection rpo s D e: / a9_v. nature (Applicant or Agent): ' Application Number . . . . . 10-00000579 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 72.00 Plan Check Fee 46.80 Issue Date Valuation . . . . 5000 Expiration Date 12/26/10 Qty Unit Charge Per Extension BASE FEE 45.00 3.00 9.0000 THOU BLDG 2,001-25,000 ---------------------------------------------------------------------------- 27.00 Permit . . . WALL/FENCE PERMIT INV FEE Additional desc . Permit Fee 74.00 Plan Check Fee .00 Issue.Date Valuation . . . . 1516 Expiration Date .. 12/26/10 Qty Unit Charge Per Extension BASE FEE 30.00 11.00 4.0000 HND BLDG 501-2,000 44.00 ---------------------------------------------------------------------------- Special Notes and Comments 70 L.F. 5' GARDEN WALL, CITY STANDARD, CHANGE OUT 8 WINDOWS 2007 CODES. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 ENERGY REVIEW FEE 4.68 Fee summary Charged Paid Credited ------------------------------ Due --------------------------- Permit Fee Total 146.00 .00 .00 146.00 Plan Check Total 46.80 .00 .00 46.80 Other Fee Total 5.68 :00 .00 5.68 Grand Total 198'.48 .00 .00 198.48 LQPERMIT Prescriptive Certificate of Compliance: CF -1R ADD Residential Additions Pae 1 of 5 Site Address: Enforcement Agency: Date: 7e X22- GA-G1,g tG2 .t/R- I I 6-,7-Y- 2-=>10 General Information Project Name Climate Zone # # of Stories Building Type Single Family ❑ Multi Family Circle the Front Orientation: N, E, S, W or Degrees Conditioned Floor Area of Addition New Addition Size: ©Less than or equal to 100 ft2 O Less than or equal to 1000 ft (CFA): l� do (Do not use thisform for additions greater than 1000 t2 NOTE: For Alterations to an existing !tome, submit a completed CF -IR -ALT Form Exception: Existing HVAC s stems that are re lbced or altered to serve the addition map be included on, the CF -1R -ADD Form Prescriptive Envelope Requirements for Additions Option l: Use Option 1 for standard wood and assemblies meeting, the Cavity R -value only. For all other use Option 2. • For 100f? additions; the Proposed values must be equal or greater than the Standard column or when indicated when using Package D, "Pkg D ". Enter all values in the Proposed Columns. • For less than 1, 000ft2additions must comply with "Pkg D" requirements unless indicated in the Standard Column. To meet "Pkg D" minimum energy compliance ree uirements, see RCMAppendix B, Table 151-C. Or 151(b) in the RCM. Enter all values in the Proposed Columns. Size of Addition 100 ft2 or less Less than 1,000 ft2 Component Standard -Proposed Comment Standard Proposed Comment Ceiling Insulation R-19 Minimum Pkg D Table 151-C Wall Insulation R-13 } Minimum R-13 2. Indicate the Assembly Name or type: Roof/Ceiling, Walls, Floors, Slabs, Crawl Space, Doors and etc ... Indicate the Frame type and Size: For Minimum Floor Insulation R-13 /,' ti_. Minimum Pkg D 6. Enter the R -value that is being installed in the wall cavity or between the framing; otherwise, enter "0". Table 151-C 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. U- U- U- U- Fill out Fenestration factor SHGC factor SHGC Enter Proposed factor SHGC factor SHGC Fenestration 0.40 Pkg D 0.40 Pkg D _ , r values then Skip Over Proposed Areas Below Maximum Glazing 50 ft 2 To Roofing ft 2 Products o Package D (20 /0 2 Fill out Additional Area :� Below of CFA) + Glass ft Allowed - Removed Fenestration Areas Below Radiant Barrier N/A Pkg D Table 151-C Roofing Pkg D See Roofing Products Below Pkg D See Roofing Products Below Opaque Surface Details For the furred portioned of Mass Walls see Furring Strips Construction Table below. A B I C D E F C I H I I J Proposed see Note Standard Values From JA4 Table Framing Thickness, Framed Continuous JA4 Proposed Tag/ Assembly Name Material Spacing, ID' or Type' and Size or Other U- factor° JA4 Table Cavity Insulation Assembly Numbers R-value6 R -Value? Cell Value Assembly U-factor9 Note: For furred 6ssemblies, 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. I. For Tag/1D 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- Cfor 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 ". 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. Registration Number: 2008 Residential Compliance Forms Registration Date/Time: HERS Provider: August 2009 Prescriptive Certificate of Compliance: Residential CF -IR -ALT Residential Alterations Page 2 of 5 Project Name: Climate Zone # # of Stories and 1. Indicate the type of assembly to include; Hollow Unit Masonry Walls, Solid Unit Masonry, Solid Concrete Walls, Etc. Additional assemblies can be 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. -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. 7. Insert the calculated U- value on to the Opaque Sur ace Details in Column J FENESTRATION PROPOSED AREAS Replacing 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 50ft2 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 Orientation Fenestration Type and Frame (North, East, PropsedAreal Maximum Maximum NFRC or Default (Window, Glass Door orSkylight) South, West)(ft) U-factor2•3 SHG CZ'3'" Values .� A-A�)e 6- s2 - y46 NF c- 1 1 r /1 , t 3 3 e -S-7 _ y0 /l% 69-c 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 U factor and/or a lower SHGC value ttian'thai specified on the CF- I R ALT Form. 4. Submit a completed IVS-31? Form if a reduced SHGC is calculated with exterior shading. 5.lf applicable at this stage enter "NFRC " or NFRC Certified windows or are CEC "Default " values found in Table 116-A or B. ALTERED FENESTRATION ALLOWED AREAS (Complete if more than 50fi� offenestration is added) A B C D E F G Allowed Existing Fenestration Total Area CFA of Entire % of Fenestration Area Fenestration Allowed Proposed Areal 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 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 orequal to the Total Allowed Area or BOTH the Total and West Fenestration Areas. Registration Number: 2008 Residential Compliance Forms Registration Date/Time: HERS Provider: August 2009 Prescriptive Certificate of Compliance: Residential CF -IR -ALT Residential Alterations age 5 of 5 Project Name: Climate Zone it # of Stories HERS VERIFICATION SUMMARY The enforcement agency should pay special attention to the HERS Measures specified in this checklist below. A completed and signed CF -41? 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 §I52(b)1Dii and the newly installed ducts are to be insulated per §151(010. ❑ 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)1Di. ❑ 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) I 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 verified per § 152(6)1 F. 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)1Ci to meet the requirements of §151(f)7B. Documentation Author's Declaration Statement • 1 certify that this Certificate of Compliance documentation is accurate and complete. Name: Signatur . Company: Date: Address: If Applicable ❑ CEA or ❑ CEPE 2-22 (Certification 4): City/State/Zip: Phone: 3/0-S15'-7SYS' 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. • 1 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: _T 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: 2008 Residential Compliance Forms Registration Date/Time: HERS Provider: August 2009 r�i �,,F �'.,3,�-dam, va�,�M•�� ' F y 4 A T ZoneC quWified in, W 3 '� x. � �, ., 'fit! :.: `", '� ; •. �-' I F Y' �� .P;4 •-Pte;"t; , pw.x:ti sv' ;r � 4 ..pl•. i.. eeesa� .. t M" r -ENERGY ' EJ -2 k » K .64 �+. i ,• Aa v 4. r F' J� , ^P y�., �y :"1'/'• .iJ Llr.;lt9 fiv+�- •'S".tWif._3jttiW#iicliJ'f "r i�laUli-b'��p "fix , •Z� a ";r«^a. -ter - i ... ... �i � L� �, ° e TCl�tltoABTfiE�° � r; ZaneD , . NERC'IY AR •'- .-� Y4 o• AN US Climate Zones 0 CPinfd . '� iouthCmva SOIIdINl1 i' NERC � $1?(3 H�7RiZ BLIDE#Z VINYL 9118" GAF AR(;i1N FILL �NatlonalFenesBatlon, LOti�1E.3 Yx;.,'RalingCouricil® PERFORMANCE RATINGS(:,�,�;�.���'" .;EVACUATION DES PROPRI�TES ENERGETIQUES �,� �U-Fac71 or Vaeur-U' " ?SolarHeatGainCoeffiaent ri leursblaire (U S./I-P)°,� _�.w. ___ _,_� x(50 ADDITIONAL P.,ERFORMANCE RATINGS, '€VALUATION3UPPC�MENTAIRE DES PROPRIET�S °w ..��sibleTra ittance.6T missiontrsible '�Airleakage/Infiltratrond'Air 1 S � 24 /t' ` � IYylll•Y�1 1 p,• ; ManufacturersupulafesUiattheseraUngswnformtoappliableNFRCprooeduresfordetermimngwfiole ' pmdutt peiformance� NERCra6ngsare deterrninedfoca fuied;etofenvironmental aMdlUonsand a spedfic productsize,NFRCdoes,notrecommendanyproduRand.does not warrantdie`sui�b�l'ttyofany`productfor anyspeaficuseCoiisultmanufacUuei'sliteratureforoUietproductperfon�nanceinformaUon wwwnfriorg SelonlefabHcanircescotessontconfromesauxproceduresappluabladuNFRCse�rvant Wbbrle , Rendementglobal du produit Les wtes du NFRCsont etabhes selon les condmonsenwronnementales et Des dimensionsdeproduitspedfiques.NFRCnereommandeaucunprodurtsetnegaranUtauiunProdwts ' dans leursapplicaUonsetrecommandationsdinstellations.CoiisultezlalitteratureduManufacturierpoui de linformaUonsur larendemeritdetout autreproduitwwwnfr�rgg:1�:-"��.� r This fenestration prod'uithasbeen-certifiedbythemanufacfure�r to'm'eettheairinfiltration =' ' '_.reiauirementsofSedion116(a)1:;1992CaliforniaEner Standards�� ,; ; :i j City,of . 8ft LA. Quinta', _ f 1 rA 4 I y� I I A Mverside M 41, A IrE/yIDA LA FONDA 30A 13,0 rt .6U' ft 0.64'ACRES 3 55 Feet tJrn� i1o�S Six y- X.o 3"X ® 3 4 i i i i Bin # City of La Quinta - Bullding 8c Safety Dhdslon P.O. Box 1544, 78495 Calle Tampko La QuInta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Penntt #p (� '1 " ProjectAddress: 70 Z) -2L C & dry Owner's Name: ks' A. P. Number. 7 70 —/SW— Q Address: 72 izz Legal Description: City, ST, Zip: IA- !2Uj,0 7;q- C22 -_s.3 Contractor: Address: Telephone: / — Project Description: City, ST, Zip: fid �l� � Com/ OO Ia-)SG Telephone: State Lic. # : City Lie. #: Arch., Engr., Designer. 8 �j�OC %� (� �. 0 S �. Address: City., ST. Zip: Telephone: Construction Type: Occupancy: State Lic. #:Project type (circle one): New dd'n ter Repair Demo Name of Contact Person: Sq. Ft ; # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: S® Oa APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Chock submitted Item Amount Structural Cala. Reviewed, ready for corrections Plan Check Deposit Truss Cala. Called Contact Person Plan Check Balance Title 24 Calla. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2'' Review, ready for correctionslissue Electrical Subeontaetor Ust Called Contact Person Plumbing Grant Deed Plans picked up S M.L H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 3" Review, ready for correctionsrissue Developer Impact Fee Planning Approval Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees