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08-0988 (RER)P.O. BOX 1504 78-495-CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 i Application Number: 08-00000988 Property Address: 51480 AVENIDA HERRERA APN: 773-085-012-13 -000000- Application description: REMODEL - RESIDENTIAL Property Zoning: COVE RESIDENTIAL Application valuation: 6500 Tit!t 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: RICHARD CIOLI 51480 AVEID HERRERA LA QUINTA, CA 92253 ( Contractor: Applicant: Architect or Engineer: Owner 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: License No.: -<e: Contractor: 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 pplicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500): (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. , 13.& . . for this reason Date: a 0 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: LQPERM3T VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/18/08 D JUN IB 2008 CIN OF:LA QUINTA 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 2007 CBC Policy Number - - - - - - - - - - - - - - - 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 bor Ctfe, I shall forthwith comply withQoseproy',s. :. 0� cant: 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 relating to buil i�construction, and hereby authorize represe ves of this cou fy to nteQr upon the above-mentioned pro y r inspection purposes. D / Qtr$' tune (Applicant or Agent): �(/L K t+ � Application Number . . . . . 08-00000988 Permit . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 90.00 Plan Check Fee 58.50 Issue Date . . . . Valuation . . . . 6500 Expiration Date 12/15/08 Qty Unit Charge Per Extension BASE FEE 45.00 5.00 9.0000 ---------------------------------------------------------------------------- THOU BLDG 2,001-25,000 45.00 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 33.00 Plan Check Fee 8.25 Issue Date . . . . Valuation . . . . 0 Expiration Date 12/15/08 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 ---------------------------------------------------------------------------- Special Notes and Comments WINDOW CHANGE OUT SEVEN WINDOWS, INSTALL NEW HVAC, COMPRESSOR --------------------------------- Other Fees . . . . . -------------=----------------------------- . . . . ENERGY REVIEW FEE 5.85 Fee summary Charged --------------------------- ---------- Paid Credited Due Permit Fee Total 123.00 -------------------- .00 00 123.00 P1an,Check Total 66.75 .00 .00 66.75 Other Fee Total 5.85 .00 .00 5.85 Grand Total 195.60 .00 .00 195.60 LQFERMTf Bin # City of La Quinta Building a Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # S Project Address: ireOwner's Name: A. P. Number: Address: 5-A1,0o klr Legal Description: City, ST, Zip: ' alo 4 C4 C/22S3 Contractor: rJ Dv N Cr l Telephone: Address:E' 1-ile,.rer Project Description: City, ST, Zip: %a a'0-4 C.._'H Z 2� 3 Telephone: ) State Lic. # : City Lic. #: Arch., Engr., Designer: AIV i4 moa- er GAIA A)6`p Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: #,Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: 2000 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rcc'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction 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 Grading IN HOUSE:- '`" Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. !Vks. Appr Date of permit issue School Fees Total Permit Fees Bin # City of La Quinta Building a Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: l Q — ,• Owner's Name: A. P. Number: Address: ,¢a 17/9 - GJ!` 04 Legal Description: Contractor: (%� �� '�� p� .— City, ST, Zip: 44 J-/,KJT 9,4 490 0 Telephone: Address: Gl� ��; Project Description: City, ST, Zip: 4 ()"—V7- { G� O/Z Z Telephone: State Lic. # : City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip:/ Telephone: Construction Type: Occupancy: State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: #Stories: #Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cafes. Reviewed, ready for corrections Plan Check Deposit Truss Cafes. Called Contact Person Plan Check Balance Energy Cafes. Pians picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2nd Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 7n° Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees �-t7 t �ZOnl1 HOL-)-se- Of7 N K N s struct�cn'�s �QT P� oda s: Ccn Code H on the fctlow►n� tye'oear s oay wing-. Day pr. N1ar��n i-ut�►er president's.DaY .. �e��orial Day ... ........ . tndePendenCe Day labor Das Day Veteca Day � :. �hanksg�ving C CITY. 4F DEEM„ .- ... _i..... BUILDING & SA V FOR -CONS UCTI A RE-I•NSPECTI N FEE .OF $30...� ... -.� WILL BE -CHARGED IF THE APPROVED PLANS AND JOB ARD ARE NOT ON J" THE SITE FOR A SCHEDULED.. INSPECTION. - - NO-EXC PTIONSI . 3va• G� v 6 i2.. l 3 �-t7 t �ZOnl1 HOL-)-se- Of7 N K N s struct�cn'�s �QT P� oda s: Ccn Code H on the fctlow►n� tye'oear s oay wing-. Day pr. N1ar��n i-ut�►er president's.DaY .. �e��orial Day ... ........ . tndePendenCe Day labor Das Day Veteca Day � :. �hanksg�ving C CITY. 4F DEEM„ .- ... _i..... BUILDING & SA V FOR -CONS UCTI A RE-I•NSPECTI N FEE .OF $30...� ... -.� WILL BE -CHARGED IF THE APPROVED PLANS AND JOB ARD ARE NOT ON J" THE SITE FOR A SCHEDULED.. INSPECTION. - - NO-EXC PTIONSI . 3va• G� v 6 i2.. I of 4) CF -IR': CERTIFICATE' OF •COMPLIANCE:. RESIDENTUL (Page f / %S Project Title ate Project-AddrGss Building Pamit I Documentation Author .Telephone Plan piocklDate' bdd Qxck / Daty : CorhplianccMethod (Prescriptive) Cii&iateZone rmtotoemait/.g=Y Use Only .. J 13 Alternative Component Package Method: (check one), C T _D D (Alternative) . Package C and Package D choices require HERS rater field verification and/or diagnostic testing (see CF -IR page 3) Foy Package D Alteritativo see Appendix,B Table'151-C Fobb).6tes 7-14 GENERAL MORMATTON . Total Conditioned floor Arca(CFA)ft= AyrrageCcilin9Heigbt_tt : Maximum Atlovred Wcst.Facing Fcatstratioa Prodtids Pec Table 151.13 or I51 -C— (5%X CFA)_ Maximum Allowed Tota[ Frnestration Produ PCV. )e 15143 or i5I-C _ (20`/ X (FA) ___•_�, I} 1 Q Building-T}p�- (chock one or more) - ' Single Faingy MuItifaniily Addition Alterltion (If adding fenestration fill.out WS-4R.•Fanstration Maximum. Allowed Am Worksheet and see Soction 83.2 . for Additions and $33 for Mterations.) Number of`Storxs:�_ Number. of Dwelling unit ;Floor ConWVC6oir Type6ONG (rP.� Slabv R sed Floor (circle oqe of both) Prost Orientation? Notch /South !East / All 6rieata6ons, (input front orientation in degrees fi om TWO 2+loith and circle -one). i6 ✓ 0. RADIANT BARRIER (roquircd.in ctiaiate zones 2.4 8-tS) OPAQUE SURFACES INCLUDING OPAQUE DOORS Component Typc (Wail, R_ ooh Floor, Sfab.Edge, Doors) Frame Tape (Wood orMetal) Assembly U- factor (for Cavity -Continuous•. wood, metal hISUlation Insulatiott frame and mass R-Nalue R Value. assemblies r Joint . Roof Radiant AWwdix ' $airier Locadon/Coinments' IV . Installed (attic.—garage, Refetrnee Yes or 1 To typical, etc. . ' 1) See loint.Appendix-lV in Section IV 2,1V3 and 1VA,;which is the basis for the U:factor criterion. U-fictots can not excacd presaiptivc.value to show equivalence to R-Yalues:. " �� LA"QUtNTA C1T`�l . & SAFE• DEPT. SUILDtNO'. ��p . p�pP FOR NS i1CT10N . t) r\TF jUto Residential Compliance Forms .March 2005 CERTIFICATE OF COMPLIANCE; RESIDENTIAL (Page 2 of 4) CF -IR Project Trtle Date' FENESTRATION PRODUCTS — U -FACTOR AND SHGC ❑ FENESTRATION MAXIMUM ALLOWED AREA WORKSHEET WSAR—must be included. for New Construction, Additions and Alterations. 1214. (ahl Fenestration -TYPe/Pos. (Front, heft, Rear, Right, Skylight) Orien- • tation, ,r Area ft U-fadorz . U -factor SourcO SHGG'' SHOC Sources Eicterior. . Shading/Overhangs6 7 • ,/ box if WS -3R is included 1:"926 xff Zj-0 .034 d 12 34 13 Z' T- Sn 0Nf2 •0. ❑ fZ LOP— c- p 1) Skylights are now included in West -facing fenestration area if the skylights are tilted to the west or in any direction when the pitch is less than 1:12. See'§151(f)3C and in Section 3.23 of the Residential.Manual 2}: Enter.values m this column are either NFRC Rated value pr from Standards'default Table i 16A. . .3) Indicate source either from NFRC or Table 116A, 4) . Enter values in this column from NFRCor from Standards Default Table 116E or. adjusted SHOC froth WS -3R, .5) Indicate source either from NFRC or Table 116B. s 6) Shading Devices are defined in Table 3-3 in the Residential Manual and see WS -3R to calculate Exterior Shading devices. 7) See Section 12A. in the Residential Manual: HVAC SYSTEMS Heating Equipment ZYPe and Capacity heat boiler etc. Minimum Efficiency. AWE or HSP . Distrl ution. . Type and.I,ocjtion Duct or Piping Thermostat: Configtiration ducts atti etc. R -Value it or e G-772 Cooling Equipment • Minimum Type and Capacity* Efficiency' Heat Punip,eva . caol' SEER or EER Duct.Location Duct Thezmostat Configuration attic etc. R -Value lit or ack e G-772 Residential Compliance Forms March 2005 CERTIFICATE OF COMPLIANCE RESIDENTYA.L. (Page 4 oN CF -1R / lc12 gid C o/i (� �8 Zoe Project Title Date SPECIAL FEATURES NOT REQUIRING HERS VERIFICATION (add extra sheets if necessary) Indicate which special features are part of this, projedt..Tte list below only.tepreents special features relevant to the prescriptive method. SPECIAL FEA'T'URES MURMG HERS RATER VERIFICATION : Ladd extra sheets if necessary,) Indicate to.the HERS Rater which credits are part of this project and need verifica6nn_ ✓ Feature. Required Forms Elf a livable) Description Duct Sealing Metal Framed Walls CF -JR. Refrigerant Charge ' ❑ Radiant Barriers CF -1R CF=6R part 6 of 12 O Exterior Shades WS -4R ❑ Cool Roof. N/A; Attach CRRC Label to .. . . Forms. ❑ Dedicated Hydronic Heating Perfbrmance Calculation stem R ' u• Attach Run to Forms. . Q Combined H dronic y Per(brmance, Calculation " Required..Aftach Run to Fomes.. ❑ Gas Cooling Performance Calculation ' Required. . ❑ Bovied Duds ICU • Indicate on building plans. ❑ ICitchen'Pipe Insulation Se6 Section 5:62 Distribution ems in Residential. -Manual. Multiple Water Heaters Per See Table 5-13 or use ❑ Dwelling Unit Performance Calculation and • .attach Run to Forms. ❑ Central Water Heating System Performance Calculation and Stein Multi le Dwellin ' . attach Run to Forms. 13Non NAECA Large Water CF=IR Heater See Table 5=13 or use• ❑ Indirect Water Heater' Performance. Calculation and attach Run to Forms See Table 5-13 or use O Instantaneous Gas Water Heater Performance Calculation and attach Run to Forms See Table 543 or use 13 Solar Water Heating System Performance Calculation and attaeh.Run to Forms ❑ " Wood Stove Boiler [Performance Calculation and attach Run to Forms SPECIAL FEA'T'URES MURMG HERS RATER VERIFICATION : Ladd extra sheets if necessary,) Indicate to.the HERS Rater which credits are part of this project and need verifica6nn_ ✓ Feature R uired Forms Cif appli4able Description . 0 Duct Sealing CF -6R part 4 of 12 ❑ Refrigerant Charge ' 'CF -69 part '5 of 12 ❑ Thermostatio Ex anion Valve ... CF=6R part 6 of 12 Residential Compliance Forms . 4 CERTIFICATE OYCOMPLUNCE: RESIDENTIAL(Page 3 of 4) CF -IR Project Title Date y SEALEDDM8 and TXVs (or Alternative Measui es) A signed CF -4R Form must be provided to the building department for each home for which the following. are reauired_ OR - Alternative to Sealed Duds and Refrigerant Charge /TXVs. (See Package D Alternative Package Features for Pro'ed Climate Zone in the RMAPPendix B Table 151 Footnotes 7-14. ` 'OR For additions and alterations, dud systems that are not dommented to.have been previously, 0 sealed as confirmed through field verification and diagnostic testing in accordance with procedures in the Residential ACM Manual and duct systems with more than 40 linear feet in-unoonditioned aces shall meet the requirements of Section 150(m d dud insulation r u'uements of P e D. WATER NT.AlM NG RV.1 Mc � " Distribution a O Scaled Ducts all climate zones Installer testing and certification and'HERS rater.field verificationrequired.) E3 . TXVs, readily accessible (climate zones 2 and 8-15 only) .. 'Tank External Standby' ' Insulation % R -Value staller.testin and certification and HERS Rater field verification Mired:... . E3 Refrigerant Charge(climate zones 2 and 8-15 only).(Installer testing and certification and HERS Rater field verificationrequired.) OR - Alternative to Sealed Duds and Refrigerant Charge /TXVs. (See Package D Alternative Package Features for Pro'ed Climate Zone in the RMAPPendix B Table 151 Footnotes 7-14. ` 'OR For additions and alterations, dud systems that are not dommented to.have been previously, 0 sealed as confirmed through field verification and diagnostic testing in accordance with procedures in the Residential ACM Manual and duct systems with more than 40 linear feet in-unoonditioned aces shall meet the requirements of Section 150(m d dud insulation r u'uements of P e D. WATER NT.AlM NG RV.1 Mc � " OYDICXIZN SCIV 1XV 1■aVFe_ a WVJ1111V llnvlC Water Heater uel Distribution a . Number. in, stem Check box if system meets criteria of a "Standard" system.. Standard system is one gas-fired water heater per 0- dwelling unit. If the water heater is a storage type, S0'gallons is the maximum capacity and. recirculation system is 'Tank External Standby' ' Insulation % R -Value not allowed. E3 Check box when using Preapproved Altemative Water Heating table, Table 5-4 inChapter 5 in the. Residential. Manual. No water heating calculations are and the system complies automatically. -'Loss C hd.ck box if system does not meet criteria of "Standard" system, and does not comply .with the Preapproved 0 Alternative Water Heating table. In this case, the'Perfonmance Method must be used and must be included in the .submittal: . 0 Check box to verify thata time control is inquired for a recirculating sysam pump fora system saving multiple , units OYDICXIZN SCIV 1XV 1■aVFe_ a WVJ1111V llnvlC Water Heater uel Distribution a . Number. in, stem Rated Enemy ti TankFactor or ( or Capacity Thal Bculhr . ►ons EfficiencyLoss Tank.Inp' External Standby' Insulation % R -Value . Enegy Factor or Thermal ' Efficiency 'Tank External Standby' ' Insulation % R -Value -'Loss �N A4 /V .. 5vstem servinit multiple. Owelling units Water Heater Distribution e Number in System Input' (Mor B r 'Tank Capacity tons Enegy Factor or Thermal ' Efficiency 'Tank External Standby' ' Insulation % R -Value -'Loss A4 /V 1. ror smau gas storage water heaters (rated inputs of less than .or equal to 75,000 Btu/}u), electric resistance, and heat pump water heaters, list Energy Factor.. For large gas storage Water -heaters (rated input of greater than 75,000 Bfift), list Rated Input, Recovery Efficiency, Thermal Efficiency and Standby Loss. For instantaneous gas water heaters; list Rated Input and Thermal Efficiencies. Pic xnsulatioII (kitchen lines >_ 3!4 inches) All hot water pipes from the heatingsource to the kitchen fixtures that are'/ inches or greater in diameter shall be thermally.insulated as specified by Section 150 (j) 2 A or 150 (j) 2 B. Residential Compliance Forms, March -2005 TELEPHONE (760) 777-7012 FAX (760) 777-7011 OWNERBUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "Owner/Builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the City or County. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection. If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200.00 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. If you are an employer, you must register with the State and Federal Government as an employer and you are subject to'several obligations include State and Federal income tax withholding, federal social security taxes, worker's compensation insurance, disability insurance costs and unemployment compensation contributions. There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. For more specific information about your obligations under Federal Law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "Owner/Builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N. Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Very truly yours, CITY OF LA QUINTA DEPT. OF BUILDING AND SAFETY 78-495 Calle Tampico La Quinta, CA 92253 (760) 777-7012 FAX: 7 777 7011 I OWNER'S SIGNATURE/DATE 5-11-1- 4u- A PROPERTY ADDRESS o - g� PERM T NUMBERS)