BRES2017-021478-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BRES2017-0214
Property Address:
52521 AVENIDA HERRERA
APN:
Application Description:
773293013
LEWIS RESIDENCE / WINDOW
CHANGE A Q�
Property Zoning:
U tr�1
Application Valuation:
$5,000.00
AUG 2 3 2017
F
(�
Applicant: L_
MORENO GENERAL SERVICES INC CITYOFLAQIJINTA
14340 ELSWORTH STREET STE 103 COMMUNITY DEVELOPMENT DEF
MORENO VALLEY, CA 92553
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: C17, D16, B. C10 License No.: 8794Z6__
`7 Date: �� _2 � ( 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 applicant for a
permit subjects the applicant to a civil penalty of not more than five hundred dollars
($500).:
(_) 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.).
(_) 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:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/23/2017
Owner:
JAY LEWIS
52520 AVENIDA HERRERA
LA QUINTA, CA 92253
Contractor:
MORENO GENERAL SERVICES INC
14340 ELSWORTHISTREET STE 103
MORENO VALLEY,.CA 92553
(951)656-5515
Llc. No.: 879426
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of ;he 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 FARM FIRE AND CASUALTY COMPANY Policy Number:
I 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 37DO of the Labor Code, I shall forthwith
comply with those provisions. /J
Da(Appl_
te: �� 'Y7 l icant:
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 .N 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 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 Cty 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 iswance of such permit, or cessation of
work for 180 days will subject permit to cancellation.
CONSTRUCTION LENDING AGENCY I certify that I have read this application and stat- that the above information is correct.
I hereby affirm under penalty of perjury that there is a construction lending agency for I agree to comply with all city and county ordinances and state laws relating to building
the performance of the work for which this permit is issued (Sec. 3097, Civ: C.). construction, and hereby authorize representati-es of this city to enter upon the
above-mentioned property for inspection purpo_.es.
Lender's Name: !�
Date: Signature (Applicant of Agent)
Lender's Address:
V
'
Date: 8/23/2017
Application Number:. BRES2017-0214
Owner:
Property Address: 52521 AVENIDA HERRERA
JAY LEWIS y
APN: 773293013
52520 AVENIDA HERRERA
Application Description: LEWIS RESIDENCE / WINDOW CHANGE OUT
LA.QUINTA, CA 92253
Property Zoning:
Application Valuation: $5,000.00
Applicant:
Contractor:
MORENO GENERAL SERVICES INC
MORENO GENERA SERVICES INC
14340 ELSWORTH.STREET STE 103
14340 ELSWORTH STREET STE 103
MORENO VALLEY, CA 92553.
MORENO VALLEY, CA 92553
(951)656-5515
---------------------------------------------------------------------------------------------
LIc. No.: 879426
Detail: (4) SLIDING GLASS DOORS AND (8) RETROFIT WINDOW CHANGE OUT.
PER 2016 CALIFORNIA BUILDING CODE
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY AMOUNT
BSAS SB1473 FEE
101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SMI - RESIDENTIAL
101-0000-20308.
0
.$0.65
Total Paid for STRONG MOTION INSTRUMENTATION] SMI: $0.65
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
$10.64
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DOOR/WINDOW, RETRO/REPAIR, FIRST 7
101-0000-42400
0
$63.84
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DOOR/WINDOW, RETRO/REPAIR, FIRST 7 PC
101-0000-42600
0
$62.31
0
Total Paid for WINDOW/SLIDING GLASS DOOR/FENESTRATION: $136.80
TOTALS:
I
Site. Map (windows)
52521 Avenida Herrera, La Quinta,' CA 92253
y.
^ A� INT•A � South
fir. SAY
A P =' SAFETY Dip
T
r-019 CONST
TION
Slidirig Glass Doors
#8' r
Windows . y
East T 1#7
f .#12 #6 `
>`
#5'#10 #11' #9
t
• West
' • tom' -S'A'M - ' � n ,
Door , �' t , } •�
Windows
#1 #2 : #3 Garage"
Windows
' '. ,tom '•1
North
7 �
.i
t
Bin#
City of La Quinta
Building & Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking S,�eet
Permit#
Project Address: SZ SZ t�l�:Owner's
Name: 7spk
A.P. Number L.,K owy% GA' Q 2 2-15,7
Address: 2 5 2( A v'A i Ak P err 0 r�
Legal Description:
City, ST, Zip: La (5� u i ^ I r% I •, i1 9 Z 2 CJ'3
Contractor: M6S Y;
Telephone: 999 --GOO'- 6773
Address: m3,i0 F /SwOi ,1A Sz f `/0'
Project Description:
City, ST, Zip:/NO,t/Jo V-411. , C/4 %2rS-3
uos.
Telephone:
State Lic. #: 9 7 9 y2 / _ City Lic #:
O �P
_ �A f1. o-�
f
Arch, Engr., Designer:
o (� y6� -
Address:
PC�ct✓ �� �� - L �'
City, ST, Zip:
Telephone:
Construction Type:
dd'n
Prej. Type New74&ofie,
Occupancy:
Alter Repair Demo
State Lic. #:
Name of Contact: _ 1 / �o�,ql J,
G70
SgFt:
# Units:
Telephone of Contact:
Estimate Value of Project:
t� p.oO
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'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:
Title 24 Calcs
Plans Picked Up
Construction:
Flood Plain Plan
Plans Resubmitted
Mechankal:
Grading Plan
2nd Rev, Ready for corrections /
Electrical:
Subcontractor List
Called Contact Person
Plumbing:
Grant Deed
Plans Picked Up
S.M.I.
HOA Approval
Plans Resubmitted
Grading t
IN-HOUSE
3rd Rev, Ready for corrections /
Develop:r Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Apps
.
Date of permit issue
School Fees
Total Pe.-mit Fees
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
EC-CFIR-ALT-05-E (Revised 04116) CALIFORNIA ENERGY COMMISSIONS'
CERTIFICATE OF COMPLIANCE CF1R-ALT-05-E
Prescriptive Residential Alterations That Do -Not Require HERS Field Verification ,Page 1 of
Project Name: Date Prepared:
5 2 j Z r A,\f C� n: ' c,Q 4 e r t� e -r � L -G �� . ,ii /-c���l 8
This compliance document is only applicable to simple alterations that do not require HERS
with a HERS Provider Data Registry.
en HERS verification is required, a CFIR-ALT- 01 shall first be
Alterations to Space Conditioning Systems that are exempt from HERS verification requirements may use the MR -ALT -05 and CF2R-ALT-05 Compliance Documents. Possible exemptions from duct
leakage testing include: less than 40 ft of ducts were added or replaced, or the existing duct system was insulated with asbestos; rig the d$k1&tli1g duet system wos previously tested Clio passed By d
HERS Rater. If space conditioning systems ore altered and are not exempt from HERS.verification, then a CF1R-ALT-02 must be completed and registered with a HERS Provider Data Registry.
Alterations that utilize close Cell Spray Polyurethane Foam (ccSPF) with a density of 1.5 to less.thon 2:5 pounds per cubic foot having an R -value other than 5.8 per inch, or Open Cell Spray
Polyurethane Foam (ocSPF) with a density of 0.4 to less than 1.5 pounds per cubic foot having an R -value of 3.6 per inch, shall complete and register a CFIR-ALT-01 with a HERS Provider Data
Registry.
If more than one person has responsibility for installation of the items on this certificate, each person shall prepare and sign a certificate applicable to the portion of construction for which they ore
responsible. Alternatively, the person with.chief responsibility for.construction shall prepare and sign this *certificate for the entire construction. All applicable Mandatory Measures shall be met.
Temporary labels shall not be removed before verification by the building inspector.
A. General Information
01
Project Name:
i'3
02
Date Prepared:
03
Project Location:
Z Z l d vi ®G
1 ` r✓ �c
04
Building Front Orientation (deg or cardinal):
X00+h
05-
CA City`
06
Number of Altered Dwelling Units:
rn n to
07
Zip Code:
(,; 2 -2- 3
08
Fuel Type:.
�lec�✓.c.
09
Climate Zone:
(�
10
Total Conditioned Floor Area (ft):
r _
(22
11
Building Type:N
au py.
12
Slab Area (ft)
13
Project Scope (Select all that apply):
❑ B. Insulation
❑ D. & E. Fenestration/Glaiing - ADD
❑ G. Space Conditioning System (Heating, Cooling, Duct sy tsem)'y Q ,Lig tin
�.
WI
3 •.,i l l � 1 ? ?i'NTA
�.e�StAi-❑ C. Roof Replacement ❑✓ D. & F. Fenestration/Glazing - REPLACE. ❑ H. Water Heating System ❑Include Mah_tory Measure ?� p �-
l
EFS
L+ c
FOR CLiy13JTRt! Lz
jCTi0ft
DATE
CA Building Energy Efficiency Standards - 2016 Residential Compliance April 2016
�.rr
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
4
CEC-CFIR-ALT-05-E Revised 04/16 CALIFORNIA ENERGYCOMMISSION®
CERTIFICATE OF COMPLIANCE CFIR-ALT-05-E
Prescriptive. Residential Alterations That Do Not Require HERS Field Verification Page 3 of 4
Project Name: Date Prepared:
29 Required Fenestration SHGC
30 Is the Proposed Fenestration SHGC <_ the Required Fenestration SHGC? ' F 0 Yes rj No
.i
LA 0 U I TA
E?~,`!+ ,DIMG3 & S.AFE ! Y •DEPT.
F-1�; V
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification .,4>,t
EC -CF IR -ALT -05-E (Revised 04/16) CALIFORNIA ENERGY COMMISSIONr�
CERTIFICATE OF COMPLIANCE CFIR-ALT-05-E
Prescriptive Residential Alterations That Do Not. Require HERS Field Verification Page 4 of 4
Project Name: - Date Pre re
A� ,� He Yeako 11�-�y.7
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature:
• •bt a �., �r +r ;,
- - - �Ltr- — -- - ... .
Signature Date:
22 7.
Company:
n/� t
,'l.0 n S
Address: t
CEA/ HERS Certification Identificatlon (if applicable):
143 o E I sty o P -�e i' 3
City/State/Zip:
Phone:
G
RESPONSIBL 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, Part'l 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.
S. I will ensure that a registered copy of this Certificate of Compliance shall be made available with the building permit(s) 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:
MOreLJO
Date Signed:
�-ei�er 1 $=°rv,Cie s 1-nc:
$ 22
Address:
License:
14340 .' EI9-Worth S4- 94. !03
C3lb
City/State/Zip:.
Phone;'CA '
9'ZsS 3s
s
C -FT Y OF I A QUINTA
R i P ..9,NC u SAF=ETY DEPT.
For assistance or questions regarding the Energy Standards, contact the Energy. Hotline at:A,:800;-.772'Z3330
ED
- FOR CONST CTION
•_')AT> �1
CA Building Energy Efficiency Standards - 2016 Residential Compliance
April 2016
STATE OF CALIFORNIA
Prescrintive Residential Alterations That Do Not Require HERS Field Verification
CEC-CF IR -ALT -05-E Revised 07/17 CALIFORNIA ENERGY GUMMISSIUN 4W
CERTIFICATE OF COMPLIANCE CFI11-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification (Page 5 of 8)
Project Name: Date Prepared: -
F. Fenestration/Glazing Proposed Areas and Efficiencies - Replace (Section. 150.2(b)113)
01
02
03
04
05
06
07
08
9
10
11
12
13
14
Tag/
ID
Fenestration
Type
Frame
Type
Dynamic
Glazing
Orientation
N, S, W, E
Area
Removed
(ft)(ft)Area
Area
Added
Net
Added
(ftz)
Ll -factor
Source
SHGC
Source
Fxtprinr
Shading
Device
Cnmhineri SH( -,r
from
CFIR-ENV-03
`1
N s P
V
wo- "
W
13-3-7
13.3-7
0
,32` �
IV
Ni:f-C
e
2.3`_ .
N s E
s
w
O, a Z)
go.qa
o
6,2-
NR F C
No :ke
22
1<11
44.C10
9 a
c2
3-2
Vj RFC
2-2-
R C
OA/E
7 2
1 U
N s E
I
N ,,„
S
-l.'3
U
.:3 Z-
NP -Fc
.22
2(=C
o/v
. Z2
1
s
i
A
S
37, 3
34,
'32.-
N K R
a- 2
F
-
�v'�9 � �g
CITY OF '�alUINTA
BUILDING, , SA1= fY DEFT.
t^� t"t '
J'.. - r ;" „ Imo.. V D.
FOR R GONST GFION
DATE�3�2_�D
15
Net Added West -facing Fenestration Area
16
Is Net Added Fenestration Area <_ for west -facing fenestration?
0 Yes
❑ No
17
Net Added Fenestration Area (all orientations)
Q
18
Is Net Added Fenestration Area 5 0 for all orientations?
igYes
❑ No
19
Proposed Fenestration LI -factor (Windows)
-2
20
Required Fenestration U -factor (Windows)
j2
21
Is the proposed Fenestration LI -factor 5 the Required Fenestration LI -factor?
qF-Yes
❑ No
22
Proposed Fenestration SHGC (Windows)
2S7
23
Required Fenestration SHGC (Windows)
_ -L
24
Is the Proposed Fenestration SHGC <_ the Required Fenestration SHGC?
92,Yes
❑ No
25
Proposed Fenestration Ll -factor (Skylights)
ti a'
26
Required Fenestration Ll -factor (Skylights)
27
Is -the proposed Fenestration LI-factor5 the Required Fenestration LI -factor? -factor?
❑ Yes
C3 No
28
Proposed Fenestration SHGC
29
Required Fenestration SHGC
30
Is the Proposed Fenestration SHGC <_ the Required Fenestration SHGC?
❑ Yes
❑ No
CA Building Energy Efficiency Standards - 2016 Residential Compliance July 2017
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
,i'•�l
CEC-MR-ALT-OSE (Revised 07/17) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CFI117ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification (Page 5 of 8)
Project Name: Date Prepared:
F. Fenestration/Glazing Proposed Areas and Efficiencies — Replace (Section 150.2(b)16)
01
02
03
04
05
06
07
08
9
10
11
12
13
14
Tag/
ID
Fenestration
Type
Frame
Type
Dynamic
Glazing
Orientation
N, S, W, E
Area
Removed
(ftz)
Area
Added
(ft)
Net
Added
'Area (ft)
U -factor
Source
SHGC
Source
Exterior
Shading
Device
Combined SHGC
- trbm
CFIR-ENV-03
N +_
N
o
6.go
0
30
1 Wrac
2
NF RC
00��
2,-
2
N
ire ,
No^
�
�
�o
WEkC
.25'
Nr - 12
• Oo .
2s
3
IQ Is .
V. „ I
, p
4,36.
0
30
NF"
.Z's
VF(L(
, ,e
2s
E
)
S
_
d
3'2—
W r 2c_
t IS
N RZC
NorNc
23
E VV
V0 iMo
59
4
0
32—
N F Q
tJDZC.
N en e_23
S E
�'�.-,�
LJ
113-2)
I ::). 37
O
,, Z
N F rZ c.
-L3
ti Przc
d o
z�
15
Net Added West -facing Fenestration Area
CITY OF ILA QUI NTA
BUILDING & SAFETY DEPT.
d IV 1-7,
FORCON CTON
16
Is Net Added Fenestration Area <_ for west -facing fenestration?
'Yes
❑ No
17
Net Added Fenestration Area (all orientations)
0
18
Is Net Added Fenestration Area <_ 0 for all orientations?
(KYes
0 No
19
Proposed Fenestration U -factor (Windows)
Z
20
Required Fenestration U -factor (Windows),
21
Is the proposed Fenestration U -factor <_ the Required Fenestration U -factor?
&Yes
❑ No
22
Proposed Fenestration SHGC (Windows)
, 25
23
Required Fenestration SHGC (Windows)
24
Is the Proposed Fenestration SHGC <_ the Required Fenestration SHGC?
t2S
7r Yes
❑ No
25
Proposed Fenestration U -factor (Skylights)
!V/ A-
26
Required Fenestration LI -factor (Skylights)
ri/P
27
Is the proposed Fenestration U -factor <_ the Required Fenestration U -factor?
❑ No
28
Proposed Fenestration SHGC
29
• Required Fenestration SHGC
30
Is the Proposed Fenestration SHGC <_ the Required Fenestration SHGC?
❑ 0 Yes
s
CA Building Energy Efficiency Standards - 2016 Residential Compliance July 2017