BRES2017-035978.495 „CALLE . TA M P I C O
LA QUINTA, CALIFORNIA 92253
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Permit Type/Subtype:
BUILDING RESIDENTIAL/REMODEL
Owner:
Application. Number:
BRES2017-0359
JOE MADDOX
Property Address:
53065 EISENHOWER DR
13224N 37TH WAY
APN:
774055013'
r
PHOENIX, AZ 92253
Application Description:
MADDOX / WINDOW CHANGE OUT
Property Zoning:
Application Valuation:
$4,000.00
n
U
0
Applicant:
Contractor:
WHITE HOUSE GLASS INC.
DEC 18 2017
WHITE HOUSE GLASS INC.
OUTSIDE CITY LIMITS
-
CITYOFLAQUINTA
OUTSIDE CITYi-IMITS
COMMUNITY
DEVELOPMENT DEPARTMENT
.
(909)330-6762
Llc. No.: :LIC -765413
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 Professions Code, and
my License is in full force and effect.
License Class: License No.: :LIC -765413
(Date f2 - I% 11 Contract.UW 6 Va seellr46
OWNER78UILDER 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).:
(_J 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 improvesthereon,,'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.).
(_) 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.).
(� I am exempt under Sec. B.&P.C. for this reason
Date: Owner:
CONSTRUCTION LENDING AGENCY
1 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
Date: 12/18/2017
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one :)f 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.
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:_ Polity Number:
I certify that in the performance cr the work for which this permit is issued, I
shall not employ any person in any manner sa as to become subject to the workers'
compensation laws of California, and agree tiat, if I should become subject to the
workers' compensation provisions of Section.3700 of the Labor Code, I shall forthwith
comply with those provisions.
Date/L /� Applicant:
WARNING: FAILURE TO SECURE WORKERS' 0 MPENSATION 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 Building Official for a permit subject to
the conditions and restrictions set forth on this application.
1. Each person upon whose behalf this app ication is made, each person at whose
request and for whose benefit work is perfor red under or pursuant to any permit issued
as a result of this application , the owner, anc 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 appl cation becomes null and void if work is not
commenced within 180 days from date of iss jance of such permit, or cessation of work
for 180 days will subject permit to cancellatic n.
I certify that I have read this, application and -tate that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this city to entei upon the above-
mentioned property for inspection purposes.
Date: Signaiure (Applicant or Agent): �'
t
Date: 12/18/2017
Application Number:
BRES2017-0359
Owner:
Prvp�rt *dd ess:""" "+'53065 EISENHOWER DR
JOE MADDOX
APN:
774055013
13224 N 37TH WAY
Application Description:
MADDOX / WINDOW CHANGE OUT
PHOENIX, AZ 92253
Property Zoning:
Application Valuation:
$4,000.00
Applicant:
Contractor:
WHITE HOUSE GLASS INC.
WHITE HOUSE GLASS INC.
OUTSIDE CITY LIMITS
OUTSIDE CITY LIMITS
(909)330-6762
--------------------------------------
--------------------------------------
Llc. No.: :LIC -765413
----------.------
Detail: RETROFIT 7 WINDOWS AND 2 DOORS.
.vt DESCRIPTIONACCOUNT QTY 1.AMOUNT
BSAS SB1473 FEE 101-0000-20306 0 $1.00
Total -Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
Credit Card Fee.
101-0000-43505
0
$2.65
Total Paid for Credit Card Fee: $2.65
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SMI - RESIDENTIAL
101-0000-20308
0
$0.52
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.52
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00.
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DOOR/WINDOW, RETRO/REPAIR, EA ADDITION 5
101-0000-42400
0
$10.92
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DOOR/WINDOW, RETRO/REPAIR, FIRST 7
101-000042400
0
$65.54
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DOOR/WINDOW, RETRO/REPAIR, FIRST 7 PC
101-0000-42600
0
$63.98
n
Total Paid for WINDOW/SLIDING GLASS DOOR/FENESTRATION: $140.44
�v�+
C;EN4 gftl.v r_�r�.�:r::.r.._ _.._.........
PERMIT #
PLAN LOCATION:
Project' Address: Ci CrProject
DY
Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN#:
, 1..�lY,G 'S
Garage SF
VN4 vcii
Applicant Name: j _ (Ym u
Patio/Porch SF
Address:.A C 6 J
State Lic: City Bus Lic:
City, ST, Zip; IZe &um A
State Lic:
Telephone:
Email:
Valuation of Project $ f'�WO`�•Q�J
Contractor Name:�t l_I��5 .
T
-New SFD Construction:
Address:
0
Conditioned Space SF
City, St, Zip
J t
Garage SF
Telephone:
_OZ
Patio/Porch SF
Email:
State Lic: City Bus Lic:
Fire Sprinklers SF
State Lic:
y` City Bus Lic:
Arch/Eng Name:
Construction Type: Occupancy: .
Address:
Grading:
City, St, Zip
Construction Type: Occupancy:
Telephone:
Bedrooms:
Stories:
# Units:
Email:
State Lic: City Bus Lic:
Property Owner's Name: "
New Commercial / Tenant Improvements:
Address: ® ��5�,�1JF%K'
Total Building SF
City, ST, Zip kU IwAcA J_ Cl2 b-5
Construction Type: Occupancy:
Telephone:
Email:
78495 CALLE TAMPICO
LACIJ I NTA, CA 92253
760-777-7000
OFFICE USE ONLY
#
y
Req'd
i
Plan Sets
•r
#
Submittal'
Req'd
Rec'd
Plan Sets
•r
Structural Calcs '
Truss Calcs
Title 24 Calcs
F
Soils Report
Grading Plan (PM 10)
Landscape Plan
� t
'
Subcontractor List
Grant Deed
HOA Approval
School Fees
Burrtec Debris Plan
Planning approval
Public Works approval
Fire approval
City Business License
- STATE OF CALIFORNIA
-Prescriptive Residential Alterations That Do Not Require HERS Field Verification
CEC-CFIR-ALT-05.E Revised 04/16
CERTIFICATE OF COMPLIANCE
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
Project Name:
CALIFORNIA
CF1R-ALT-05-E
Page.2 of 4-
D. fenestration/Glazing Allowed Areas and Efficiencies (Section 150.2(b)1)
01
01 02
03
03
04
05
06
07
06 07
Maximum
Maximum
Existing
12
13
14
Tag/ID
Fenestration
Type
Allowed
Allowed
Fenestration
Existing
Maximum
Maximum
Maximum
Maximum
Fenestration
West -Facing
for All
West -Facing
Allowed
Allowed
Allowed
Allowed
Alteration for All
Fenestration
Orientations
Fenestration
U -Factor
LI -Factor
SHGC
SHGC
Type Orientations (ft')
Area Only (ft')
(ft') -
Area (ft')
(Windows)
(Skylights)
(Windows)
(Skylights) Comments
E. Fenestration Proposed Areas and Efficiencies - Add (Section 150.2(b)1A)
01
02
03
04
05
06
07
08
09
10
11
12
13
14
Tag/ID
Fenestration
Type
Frame Type
Dynamic
Glazing
Orientation
(N, S, W, E)
Number
of Panes
Proposed
Fenestration
Area (ftz)
Proposed
West Facing
Fenestration
Area (ft2)
Proposed
U -factor
Source
Proposed
SHGC
Source
Exterior
Shading Device
Combined
SHGC from
CFIR-ENV-03
i
v
i2,e kfo
'?vkv
3
.
�l
N
d
ffi
FOR, k;
15
Total Proposed Fenestration Area
16
Maximum Allowed Fenestration Area
17,
Compliance Statement JTotal Proposed Fenestration -Area 5 Maximum Allowed Fenestration Area
tj Yes ij No
18, - Total Proposed West -Facing Fenestration Area
196,
Maximum Allowed West -Facing Fenestration Area
20. ,
Compliance Statement JTotal Pro posed.West-Facing Fenestration Area 5 Maximum Allowed West -Facing Fenestration Area
(} Yes No
21�=
Proposed Fenestration LI -factor (Windows)
22;.,
Required Fenestration U -factor (Windows)
23
Compliance Statement 1proposed Fenestration U -factor 5 Required Fenestration U -factor
t, Yes No
24. _
JProposed Fenestration SHGC (Windows)
CA Building Energy Efficiency Standards - 2016 Residential Compliance
April.2016
STATE OF CALIFORNIA '
- Prescriptive Residential Alterations That Do Not Require HERS Field Verification
CEC-CFIR-ALT-05.E Revised 04/16
CERTIFICATE OF COMPLIANCE
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
'Project Name: .
NIA ENERGY COMMISSION
M""
CF1R-ALT-05-E
Page 2 of 4-
D. Fenestratlon/Glazing Allowed Areas and Efficiencies (Section 150.2(b)1)
01
01 02 03 04
05
06 07
Maximum Maximum. Existing
06
07
08
09
Allowed - Allowed Fenestration Existing
Maximum
Maximum
Maximum
Maximum
Fenestration West -Facing for All West -Facing .
Allowed
Allowed
Allowed
Allowed
Alteration for All Fenestration Orientations Fenestration
U -Factor
U -Factor
SHGC
SHGC
Type Orientations (ft2) Area Only (ft2) (ft2) Area (ftz)
(Windows)
(Skylights)
(Windows)
(Skylights) Comments
r `
T�o
ao1P
2
2�1
22
E. Fenestration Proposed Areas and Efficiencies - Add (Section 150.2(b)1A)
01
02
03
04
05
06
07
08
09
10
11
12
13
14
Tag/ID
Fenestration
Type
Frame Type
Dynamic
Glazing
Orientation
(N, S, W, E)
Number
of Panes
Proposed
Fenestration
Area (ftz)
Proposed
West Facing
Fenestration
Area (ft?)
Proposed
U -factor
Source
Proposed
SHGC
SourceShading
Exterior
Device
Combined
SHGC from
CF111-E•NV-03
5
r `
T�o
ao1P
2
2�1
22
a° dR may..
ew
15 Total Proposed Fenestration Area
16 Maximum Allowed Fenestration Area
17 Compliance Statement JTotal Proposed Fenestration Area 5 Maximum Allowed Fenestration Area
C) Yes 0 No
18.., Total Proposed West -Facing Fenestration Area
191-' Maximum Allowed West -Facing Fenestration Area
20..= Compliance Statement JTotal Proposed West -Facing Fenestration Area 5 Maximum Allowed West -Facing Fenestration Area
0 Yes r No
�:1 . Proposed Fenestration U -factor (Windows)
22:.;" Required Fenestration U -factor (Windows)
4-; Compliance Statement Proposed Fenestration U -factor 5 Required Fenestration U -factor
Yes 0 No
24;;: Proposed Fenestration SHGC (Windows) -
CA Building Energy Efficiency Standards - 2016 Residential Compliance April.201.6
STATE OF CALIFORNIA '
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
CEC-CF1R•ALT-06-E Revised 04/16
CERTIFICATE OF COMPLIANCE
Prescriptive Residential Alterations That Do Not Require HERS Field Verification'
Project Name:
CALIFORNIA ENERGY COMMISSION
C F 1 R -ALT----
Page 3 of 4
25
Required Fenestration SHGC (Windows)
26
Compliance Statement Proposed Fenestration SHGC 5 Required Fenestration SHGC C Yes ('j No.
27
Proposed Fenestration U -factor (Skylights)
28
Requires( Fenestratign U-factgr (Skvlights)
29
Compliance Statement JProposed Fenestration Li -factor 5 Required Fenestration U -factor (a Yes (j No
Proposed Fenestration SHGC (Skylights)
F323
Required Fenestration SHGC (Skylights)
j No
Compliance Statement 1proposed Fenestration SHGC 5 Required Fenestration'SHGC r Yes 'r
'CA' Building Energy Efficiency Standards - 2016 Residential Compliance April 2016
�'STATE OF CALIFORNIA ,
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
CEC-CF1R-ALT•05-E Revised 04/16
CERTIFICATE OF COMPLIANCE
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
CALIFORNIA ENERGY COMMISSION
CF1R-ALT-05-E ,,
Page 4 of 4
Date Prepared:
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. -1 certify that this Certificate of Compliance documentation is accurate and complete.
Dccumentation Author Name:
Documentation Author Signature:
Company:
Signature Date:
Address:
CEA HERS Certification Identification (if applicable):
City/State/Zip:
Phone:
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certify the following under penalty of perjury, under the laws of the State of California:
1. . The information provided on this Certificate of Compliance is true and correct.
2:. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance (responsible '
designer).
3. That the energy features and performance specifications, materials, components, and manufactured devices for the building design or system design identified on this Certificate of .
Compliance conform to the requirements of Title 24, Part1 and Part 6 of the California Code of Regulations.
4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents,
worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with .this building permit application.
5. I will ensure that a registered copy of this Certificate of Compliance shall be made available with the building permits) Issued for the building,.and made available to the enforcement agency
for all applicable inspections. I understand that a registered copy of this Certificate of Compliance is required to be included with the documentation the builder provides to the building
owner at occupancy.
Responsible Designer Name:
Responsible Designer Signature:
Company:
Date Signed: .
Address:
License:
City/State/Zip:
Phone:
For assistance or questions regarding the Energy Standards, contact the Energy.Hotline at: 1-800-772-3300.
CA Building Energy Efficiency Standards - 2016 Residential Compliance April 2016
z5f _70x -7
-'PD
J
ITY OF LA QUINTA
B ILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
'DATE gy