14-0689 (RER)Bin # (-
City of La Quinta
Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
1
Project Address: 1 6 20 V tvt N
Owner's Name:
A. P. Number: -76 G — 031— oil
Address:
Legal Description: 114: /Q ; tr, ow, Jq- %K _ Zc`� l�
City, ST, Zip:
Contractor:Telephone:
.;,s:•.,;•:,:•.,:�:.:;::<:,., .
Address: Q ��Y� k7vtL6LY'
Project Descriptiorrn: LnGD�I � � IMcI
City, ST, Zip:
Ne P rt o
Telephone:
State Lic. # :
City Lie. #:
Ccs �1.
Arch., Engr., Designer:
f
Address:
14 drw Cfile
City., ST, Zip:
— � �i'+'+tr mer:�a ¢.. Moor lar.
Telephone:
`'...:.
Construction Type: Occupancy:
State Lic. #:
Project type circle one): New Add'n Demo...;
Sq. Ft.: y�Q # Stories: # Units:
Name of Contact Person:e'
Telephone # of Contact Person: 6U
Estimated value of Project: — t "
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted -1
Item
Amount
Structural Calcs.
Reviewed, ready for corrections 10
Plan Check Deposit
Truss Calcs.
Called Contact Person . D
Plan Check Balance.
Title 24 Calcs. /
Plans picked up 140/10
Construction
Flood plain plan
Plans resubmitted 7 41
Mechanical
Grading plan
2". Review, ready r corrections/is e 6
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted 15
Grading
IN HOUSE:-
'"' Review, ready for correctionstissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
G
0 It
lt
e 6
/ 1
. P.O. "Box 1504 . .
`LA QUINTA, CALIFORNIA 92247-1504 BUILDING &'SAFETY DEPARTMENT
78-495 C'ALLE TAMPICO. (760) 777-7>012
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
]PROPERTY O ERis PACKAGE
Disclosures &Forms for Owner=Bailders App1 ng fqr Construction, P:erl*# .
IMPOR AW -7 WO CET. P�O�TRTX O�'NEki
An-: application < for ;a -building _permit `has •bcea' subautted . in 'your nave' listing' yotreself 'as the builder of :rhe .t,�ol ata'
improveraeats spacifiod>aut •-9. �.6:2-0 /U
We are'providing>you=with an Owner -Builder A.ckdowlcdgineut-add Infomo6tin' ye ifieatibuTdrm tai make yowaware:ofyour
responsibilities and possible risk -You may,iucur.by haipern it'issued�`ig�r na ne- s,`Abt
Ownef=Builder. We �%tll aot issue x; buildiiog µel mihuntil yoii'"ve read; ii itu�led your"atidei standi of enc4 pmovisidn,
signed, and returned this form to us at our official address indicated. An agent of the owncr''cahi bt execute. tris notice
unless you, the property owner, obtain the prior approval of the permitting authority.
OWtAC OF Tr'fN
Di1tECT7UNS. Read aril wiuurl `each' 3tateirr'eril betod'to signify you'ivaderst►nd'or verify` [hu uifoimafivit. `;
Afl. I understand a frequent practice of unlicensed persons is to have. the property owner.obtain an "Owner -Builder"
building permit that erroneousl lies that the p dingpe�o }malty
Y �P property owner is providing his. or her own labor and inat ' ' , <. ". I, as
an Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person
and his or her employees while working. on my .property. My' homeowner's insurance may not .provide coverage -for those
injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my insurance -coverage for injuries to workers
'on my -property -
2 -1
y property.2.I understand building permits are not required to be signed by property owners unless they are ^responsible for the
construction.and are not.hrnng a, hcensed.,Contractor, to: assume this responsibility.. .
_. -
3 I:understand as an "Owner Builder.' Lam the responsible party of.record.o, the pennrt I understand that i may,pro tect
Myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his orber nanie_tns, of my
own. ..
1-44cinderstand Contractors-are-required-by-taw-to-be-licensed-and-borided-in California -and -to -list their -license -numbers -on
permits and contracts.
':fL/5. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value
of my construction is at least five hundred dollar -s-($500), including labor and materials, I may.be:considered•an.`•`employer"
76.
tate and federal law.
I understand if I am considered an."employer" under statetand federal,Iaw, I must register with.the.state and.federal
government,. withhold. payroll ,.taxes,: provide workers', compensation disability, insurance, and contribute to ,unemployment
compensation for each "employee." [,also understand my failure to abide by these laws may subject me to serious financial
:isk.
7. I understand under California Contractors' StateLicense Law, an Owner -Builder who builds single-family residential
;tructures cannot legally build them with the intent to offer them for sale, unless all work is performed by licensed
subcontractors and the number of structures does not exceed four.within any calendar year, or all of the work is performed
under contract with a licensed general building Contractor.
d8. 1 understand as an Owner-Builder.if.l sell the property for which this permit is issued, I may be held liable,:for any
financial or personal. i?lju ies; iusfitihed.._by any,subsequent owners) that result from'any latent construction defects•Jn thea
workmanship or materials.
q(9. I understand I may obtain more information regarding my obligations as an "empbye�' from the Internal Revenue
Service, the United States SmallBusiness Administration, the. California Department of Benefit Payments, and the'California'
Division.of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSI;B) at 1-
800-321-CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors.
4�10. I am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I arta the
party legally and financially . responsible. for - proposed construction activity , -at ,-the following address:
11. I agrce that, as the party legally and financially responsible for this proposed:construction activity, I will abide by all
applicable laws aad r'equrrements that govern Owner=Builders as well aS employers.
�12_ I agree to notify the issuer of this form immediately of any.additions deletions; or clian9c;S 10 any of'theanfo.:rmati Yh I
have provided on this form Licensed contractors are regulated by laws designed to protect the public. If you,contract with
someone whodoestnothaive.a lieenwc -theCoatraetorsState:Liccnse,Boar&Ma}rbe umbie toany-fiaaneiaUAss . .
you may sustain as a result of a complaint_ Your only remedy against unlicensed Contractors maybe iwcivil':couct 4t,is:•also
important for you :to.under•stand,that,ifanudIiednsod.Cohtme-W.or•ewployceofthat individual,or+€irm is injuced�wa i c:vuoddng
on your property; You may be:lidd:l able.:for damages. If you.obtain a-:permit,=as .Owner -Builder and ;wish to:hire.Coatra�etors,
you..�viil;be .lc_for• sv whctrCr:orazot :tttase Contractors ane piolKriY :licensed-:and;the:status of..thEir woticers' .
cornpcusation .insuauoe; oovemge.
Before a building permit can be issued, dds form must be completed and signed by the property owner and returned to
the agency responsible for:issatbge pout. No[e. A copy of tkapru owner's draver'allar[set form notasAa�,,or
other ve readoa ac
of cept�ble to the agency u requ�red'to bereserited wl�rcn the permu ts; rssgeil to .rcrify,tke prnpeiKy.
owner's signature. w
Signature of property, owner .... Date: ZZ
Note: The following Authorization Form is required to be completed by the property owner only when designating
an agent of the property owner to apply for a construction permit for the Owner -Builder -
AUTHORIZATION OF AGENT TO ACT QN PROPERTY OWNEWS!BEHALF
Excluding the Notice to Property Owner, the execution of which I uaderstand..is my personal responsibility, I hereby authorize
the- follo s �... ::
wrng persons) to act as my`agent(i;� to apply for, sign, and file the documents necessaryto'obtain'a'n`Owuet-Builder
Permiffor my project'
Scope of Construction Project (or Description of Work):
Project Location or Address:
Name of Authorized Agent: 'Tel No
Address of Authorized Agent:
I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above
information and certify its accuracy. Note: ,kcopy ofthe owner's drivers license, form notarization, or other verification
acceptable to the agency is required to be presented when the permil is issued to verify the property owner's signature.
Property Owner's Signature: Date:
Prescriptive Certificate of Compliance: Residential CF -IR -ALT
Residential'Alterations Pae 1 of 5
Project Narrme:. - �---� - Climate jZone #. # of Stories
General Information
Site Address . rC 6 •J V -/,)t ;� �i�7 �a Lit
Enforcement Agency:
Date: y
Building Type {A SingleFamily❑ Multi Family
Circle the Front Orientation: N, E, S, W, or degrees .
Conditioned Floor Area (CFA):
Project Type: g Alterations ❑ Envelope ❑ Fenestration ❑ Roof ❑ HVAC
Framing
Material
and Sizez
Replacement or Change Out ❑ Duct Replacement ❑ Water Heater
(VOTE: This form is not to be used for Newly Constructed Buildings or Additions
insulation Values For Opaque Surfaces (for Furring use the Uass and Furring Strips Construction table below)
Assembly Alteration
.X Opening of framed cavity alone- Alterations that involve the opening of the framed cavity ofa wall, ceiling, or floor 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 N.
❑ Replacement of entire assembly- Replacement ofan entire wall, ceiling, or floor 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 below.
A B I C D E
F G I If II J
Proposed bee Note Standard
Values From JA4'rable
Walls From Reference
Taq
ID
Assembly Name
or Type'
Framing
Material
and Sizez
Thickness,
Spacing, U-
or Othe? factor
JA4 'fable
Numbers
Framed
Cavity
R-value6
Continuous
Insulation
R -Value?
JA4 Proposed
Assembly Assembly
Cell Values U-factor9
r.
" 2 Wi3 -9!T
i M`; —c u}'•Lx 9s4 0: 3Z
yy {{l't (/ t Gfs�;
Nameor JA4'1'able
:C: -
n
'Nickness
Note: For furred oslemblies, accounting for Continuous Insulation R -value, see Page JA4-3'and Equation 4-1. For calculating furred ivalls use the Mass and
Furring Construction table below.
1. For Tag/ID indicate the identification name that matches the building plans.
2.. Indicate the Assembly Name or type: Roof/Ceiling, {falls, Floors, Slabs, Crawl Space, Doors and etc... Indicate the Frame lupe and Size: For
[flood, .Afetal. Afetal Buildings, Alass, enter 2.0, 2x6, or etc.:. see JA4 for other possible frame type assemblies.
3. Enter the thickness for mass in inches or Spacing benveen framing members enter; 16 "or 24 "OC: or Other for all other assembly description
such as Concrete Sandwich Panel, Spandrel Panel, Logs, Strow Bale Panel and etc....
4. Based on the Climate Zone: enter the Standard U factor from Table 151-B, C or D for each different assembly, Name or type.
5. Enter the Table number that closely resembles the proposednssetnbly,
6. Enter the R -value that is being installed in the ivall cavity or between due framing: otherwise, enter "0 ".
7. Enter rite Continuous Insulation R -value for lite proposed assemblv;,othenvise, enter -0".
8. Enter the row and column of the. U factor value based on Column FTable Number and enter the Assembly U factor in Column J
9. The Proposed Assembly U factor, Colunm.J, must be equal to or less than lite Standard U factor in Column E to comply.
.Furring Strips Construction Table for Mass Walls Onl
A I B I C I D I E
F G_ 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
c .^.
v o,�
cn r
8 := - Final 4 - c
uAssembl
o-;; to .-
Mass
Nameor JA4'1'able
:C: -
n
'Nickness
T Number' >
c x c - > > ,JJI,I=&on menu
EDIN33-1-8FE AFETY EPT.
Aj y 11N
Registration Number:
2008 Residential Compliance Forms
DATE -Al.t ` F -
Registration Date.,Timer
MAY 2 3 814
CITY OF LA QUI NTA
August 2009
7
Prescriple,,e Certificate of Compliance: Residential CF -IR -ALT
Residential Alterations t r (Page 4 of 5
Project Name: Climate Zone # # of Stories
HVAC SYSTEMS - HEATING
List water heaters and boilers for both domestic hot water (DHIV) heaters and hydronic space heating. Individual dwelling DHIV heaters mast be
gas or propane fired, and may not exceed SO gallons. Hot tivoter pipe insulation from the DHIV heater to the kitchen(s) and on a// underground
hot water i pes is re aired in all conn ponent packages in all climate =ones.
Heating Equipment
e and Ca aci "-'
Type
Minimum
Efficiency
(AFUE or IiSPF)
Duct or Piping Configuration
Distribution Insulation Thermostat (Central. Split-
plitT
Type and Location' R -Value Type Space. Package or H ydronic)
The radiant barrier requirement of § 15IM2 does nota by to roof alterations.
External Tank
Water Heater Type/Fuel
Distribution Type
Number In
1. Indicate Ileating TtRe (Central Furnace, Wall Furnace. !'teat pump, Boiler. Electric Resistance, etc.)
2. Electric' resistance heating is allowed only in Component Package C. or except where electric heating is supplemental (i.e.. if total capacity
< 2 EIV or 7,000 Bttdhr electric heating is controlled by a7inne-limiting device not exceeding 30 mitnttes). See §151(b)3 exception.
3. Refer to the I -lb RS Verification section on Page 4 of the CF -I R -ALT Form for additional requirements and check applicable boxes.
a. Indicate Type or Location (Ducts. Hvdronic in Floor. Radiators, etc.)
HVAC SYSTEMS - COOLING
System
Capacity (gal)
Minimum
R-Valuc'
To obtain Compliance Credit for the installation of thermal mass. use the Performance A,
Cooling Equipment
Tv e and Capacity
Efficicncy
(SEER/EER or
COP)
Duct or Piping
Distribution insulation.
Type and Location' R -Value
Configuration
Thermostat (Central. Split.
1'ype Space. Package or H ydronic)
1. Indicate T ipe (Storage Gas. Heat Pump. Instantaneous, etc.)
1. Indicate Cooling Type 641C, Heat pump. Evap. Cooling, etc)
2. Refer to the PIERS Verification section on Page a of the Cl =l R -ALT Form for additional requirements and check applicable boxes.
3. Indicate T vve or Location (Ducts, Hvdronic in Floor, Radiators. etc.)
WATER HEATING
List water heaters and boilers for both domestic hot water (DHIV) heaters and hydronic space heating. Individual dwelling DHIV heaters mast be
gas or propane fired, and may not exceed SO gallons. Hot tivoter pipe insulation from the DHIV heater to the kitchen(s) and on a// underground
hot water i pes is re aired in all conn ponent packages in all climate =ones.
NEW ROOF ASSEMBLY - Radiant Barrier
The radiant barrier requirement of § 15IM2 does nota by to roof alterations.
External Tank
Water Heater Type/Fuel
Distribution Type
Number In
Tank
Energy Factor or
Insulation
1'v e'
(Standard. Recirculating)'-
System
Capacity (gal)
Thermal Efficiency
R-Valuc'
To obtain Compliance Credit for the installation of thermal mass. use the Performance A,
roach.
1. Indicate T ipe (Storage Gas. Heat Pump. Instantaneous, etc.)
2. Rec•irctduting.s,wtenns serving multiple dtveling units shall nneei the recirculation requirements of 150(n). The Prescriptive requirements do
not allow the installatioin of a recirculating water heating system for single dwelling units.
3. The external %eater heating tank and i pes shall be insulated to meet the re uirentents of p Li0(').
SPECIAL FEATURES The ety6rcement agency shrntld pay special attention to the Special Features specifted in this checklist below.
These items mov require written 'esti tcatioin and documentation and special verl/ication.
NEW ROOF ASSEMBLY - Radiant Barrier
The radiant barrier requirement of § 15IM2 does nota by to roof alterations.
Slab Edge (Perimeter) Insulation O YES O NO t
YES: in Climate Zone 16 in Component Packages D, R-7 insulation is required.
Heated Slab Insulation O YES 0 NO k ::
YES: Slab ed ue insulation required for all heated slabs in all Climate Zones. See details in Table I I8 -A of the standards.
Raised Slab Insulation O YES 0 NO
YES: In Climate "Zones I. 2. 11. 13. 14 & 16. R-8 insulation is required: in Climate Zon
-�-�� /� q
iQ Ib. K- ie tlissa'atuQy �c�it P,
ka e D.
Thermal Mass
BUILDING & SAFETY DEP .
To obtain Compliance Credit for the installation of thermal mass. use the Performance A,
roach.
1-11 1 1 1v v "v
t§ FOR CONSTRUCTION
t)kTiz BY
Registration Number: RegistratJ1 Datef'Tinne: HERS Provider:
2008 Residential Compliance Forms 0 August 2009
Prescri t ✓e Certificate of Com liance: Residential CF -IR -ALT
Residential Alterations Page 5 of 5
Project Name:-7Climate Zone # # of Stories
HERS VERIFICATION SUMMARY phe e. forcemeat agency should pat,special attention io the HERS iVeasures specified in tins
checklist below..4 compleled and signed CF 4R Foran 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 scaled per § I52(b) I Dii and the newly installed ducts are to be insulated per §15l(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 (i-IVAC equipment and ducting) is replaced. the
ducts are to be scaled per §I52(b)iDi.
❑ YES ❑ NO YES: In Climate 'Zones 2 and 9-16 if the existing FIVAC equipment is replaced (including the replacement of the air handler.
outdoor condensing unit of split system. cooling or heating coil. or the furnace heat exchanger) the ducts are to be
sealed per § 152(b)1 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 /•/F -RS verification is regaired for this measure.
❑ YES ❑ NO YES: In Climate Zones 2 and 8-15. when the existing iIVAC 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)f 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 (FIVAC equipment and ducting) is
replaced. the airflow and fan watt draw shall be verified per § 152(b)1 Ci to meet the requirements of §151(07B.
Documentation Author's Declaration Statement
• 1 certify that this Certificate of Compliance documentation is accurate and complete.
Name:
Signature:
Company:
Date:
Address:
if Applicable ❑ CEA or ❑ CEPE
(Certification 9):
City/State/Zip:
Phone:
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.
• I certity, 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 fora royal with this buildingper-mit application.
dame:
Signature:
Company:
CITY OPLA QUINTA
Address:
BUJILE)IN ,_P z:
APPROVED
City/State/Zip:
FOR 9ONSTRUCTION
for assistance or questions regarding the Energy Standards, contact the En4rgy_11611ine at: 1-800-772-3300.
Registration Number: Registration Date,!ince:
mpliance Fornhs
2008 Residential Co
HERS Provider:
August 2009
HOLLAND GLASS AND. MIRROR CA LIC. #75204
45-050 GOLF -CENTER PARKWAY,. STE.:D:
'INDIO, CA 92201
PHONE 760,347 10241 FAX, 760 347-4944
5/22/24
To: Stefan Vogel (626) 277=6782, email- Qnfolftarei _oar
Re Quote for Windows at 79620 Torh Fazio Street, La Quinta
Milgard Tuscany Series Windows.in Tan.Color
1-471/2x 59 % Fixed'm-with tempered low:e, dual glaze $679.00
1-471/2x 95. '/z Fixed with tempered low, e- dual glaze $1,095.00
2, 13 x 95 % Fixed with tempered low a dual glaze $945.00
(The actual width is :12" However,' the Mmimu_ size is 1311)
Total price installed $2,719.00 `
50% deposit required at time of order..
Feel:free to, call with any questions.:' t ".
Elaine Holland
ct Re: Holland Glass and Mirror Quote
May 23, 2014 at 9:03 AM
California Real Estate investment Group, Inc : a
Hello,
The energy efficiency for the window, is as follows:
#1 47 1/2x 59 1/2 U.F. 0.33 SGC 0.29
#2 47 1/2 x.95 1/2 U.F. 0.32 SGC 0.29
#3 13 x 95 1/2 U.F. 0.33 SGC 0,29
Thanks._
Beth
--- Original Message -----
From
Sent: Thursday, May 22, 2014 4:24 PM
Subject: Re: -Holland Glass and;Mirror Quote
Thank you.
Pleasure meeting Vem today. Will look over this later tonight when I get back home.
Did you also include the information about -energy efficiency that need to provide the owner with for the permits? If not;ple'me send me the info we
talked about. Owner will be at the city tomorrow to get this taken_care of.
Look forward to work with you.
Stefan
On May 22, 2014, at 2:10 PH, Elaine Holland < u� .> wrote:
io' 2sr �1E. n d�ua1ef6rRi? m-zrd-VTr;da.-)s.
<HOLLANII GLASS -quote for w windows-Steftai Yah 9:dgex>