Loading...
BRES2017-029078-495.CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 C&tr 4 4Qumrw DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Permit Type/Subtype: BUILDING RESIDENTIAL/REMODEL Application Number: BRES2017-0290 Property Address: 53580 AVENIDA RAMIREZ APN: 774122004 Application Description: GARCIA RESIDENCE / WINDOW CHANGE OUT Property Zoning: — U O L Application Valuation: $1,000.00 Applicant: MATT GARCIA 53580 AVENIDA RAMIREZ LA QUINTA, CA 92253 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.: [ Date: 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 W1,: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 wit in one year of completion, the owner -builder will have the burden of proving that Pshe did not build or improve for the purpose of sale.). I, as owner of the property, am exclusively contracting with licensed contractors construct the project. (Sec. 7044, Business and Profe ioris Code: The Contractors' State License Law does not apply to an owner pro a who builds or improves th eon, and who contracts for the project w' h r ctor(s) licensed pursuant to ntract ors'State License Law.). I am �xelpt under Sec. B.B . f-. i r ason II 1 rrrrrrrr G' Date: `- -Owner:- ___ CONSTRUCTION LENDING AGEU(Sec. I hereby affirm under penalty of perjury that there is a con lending agency for the performance of the work for which this permit is issu097, Civ. C.). Lender's Name: Lender's J Owner: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 MATT GARCIA 53580 AVENIDA RAMIREZ LA QUINTA, CA 92253 Contractor: OWNER/ BUILDEF. Llc. No.: Date: 10/10/2017 WORKER'S COMPENSAT13N 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 th work for which this permit is issued. My workers' compensation insurancecarnerlohich ly number are: Carri Policy Number: If 1 certify that in the performance f e w (t -d this permit is issued, I shall not employ any person in any manner o t b om subject to the workers' compensation laws of California, and agre th if uld ecome ubjectto the workers' om ensation provisions of Secti a borCod I shall forthwith comply th t ose rovisions. Date: V Applicant, WARNING FAI URE TO SECURE WORKERS' CON0ENSA ON COV A IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES A CIVI FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0006. IN ADDITIO O THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR iN SECTION 37 S OF TH LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to theBuilding 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 City of La Quinta, its officers, agents, and employees for any act or omission related to the work being performe4. under or following issuance of this permit. 2. Any permit issued as a result of this application becoes ull v id if work is not commenced within 180 days from date of issuance 0!J f u p t, o cessation of work for 180 days will subject permit to cancellation. I certify that I have read this applicationand staff that t v r ation is correct. I agree to comply with all city and county ordina ces an s r ating to building constru 'tion and hereby authorize representatives oft y t r upo e above- enti ned roperty for inspection purposes. Date: V Signature(Applicanto-Agen . W _ti nc ¢LUi G C3 NI ! ® 3� 5a — U O L ULUo w U z ZE WORKER'S COMPENSAT13N 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 th work for which this permit is issued. My workers' compensation insurancecarnerlohich ly number are: Carri Policy Number: If 1 certify that in the performance f e w (t -d this permit is issued, I shall not employ any person in any manner o t b om subject to the workers' compensation laws of California, and agre th if uld ecome ubjectto the workers' om ensation provisions of Secti a borCod I shall forthwith comply th t ose rovisions. Date: V Applicant, WARNING FAI URE TO SECURE WORKERS' CON0ENSA ON COV A IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES A CIVI FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0006. IN ADDITIO O THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR iN SECTION 37 S OF TH LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to theBuilding 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 City of La Quinta, its officers, agents, and employees for any act or omission related to the work being performe4. under or following issuance of this permit. 2. Any permit issued as a result of this application becoes ull v id if work is not commenced within 180 days from date of issuance 0!J f u p t, o cessation of work for 180 days will subject permit to cancellation. I certify that I have read this applicationand staff that t v r ation is correct. I agree to comply with all city and county ordina ces an s r ating to building constru 'tion and hereby authorize representatives oft y t r upo e above- enti ned roperty for inspection purposes. Date: V Signature(Applicanto-Agen . Date: 10/10/2017 Application Number: BRES2017-0290 Owner: Property Address: 53580 AVENIDA RAMIREZ MATT GARCIA APN: 774122004 53580 AVENIDA RAMIREZ Application Description: GARCIA RESIDENCE / WINDOW CHANGE OUT LA QUINTA, CA 92253 Property Zoning: Application Valuation: $1,000.00 Applicant: Contractor: MATT GARCIA OWNER / BUILDEF 53580 AVENIDA RAMIREZ LA QUINTA, CA 92253 Llc. No.: ------------------------------------------------------------------ Detail: CHANGE OUT (1) WINDOW AND THE FRONT DOOR. 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 RECORDS MANAGEMENT FEE 101-0000-42416 0 $10.00 Total Paid for RECORDS MANAGEMENT FEE: $10.00 DESCRIPTION ACCOUNT IQTY AMOUNT SMI - RESIDENTIAL 101-0000-20308 0 $0.50 Total Paid for STRONG MOTION INSTRUMENTATIOM SMI: $0.50 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, FIRST 7 101-0000-42400 0 $65.54 DESCRIPTION ACCOUNT gXFY AMOUNT DOOR/WINDOW, RETRO/REPAIR, FIRST 7 PC 101-0000-42600 0 $63.98 Total Paid for WINDOW/SLIDING GLASS DOOR/FENESTRATION: $129.52 S300eo RueNi0n Mez CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONS UCTION DATE S STATE OF CALIFORNIA Prescriptive Residential Alterations That Do Not Require HERS Field Verification CEC-CFIR-ALT-05-E (Revised 04/16) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CFIR-ALT-05-E Prescriptive Residential Alterations That Do Not Require HERS Field Verification Page 1 of Project Name: 4 TT ` Date Prepared: This compliance document is only applicable to with a HERS Provider Data Registry. not require HERS verification for compliance. When HERS. verifico tion is required, a CF1R-ALT- t Alterations to SaaCC Conditioning Systems that are exempt from HERS verification requirements may use the CF1R-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; or the existing duct system was previously tested and passed by a HERS Rater. If space conditioning systems are altered and are not exempt from HERS verification, then a CFIR-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 than 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 on R -value of 3.6 per inch, shall complete and register a CF1R-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 are 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: MAT & v 02 Date Prepared: 03 Project Location: ' I\V Q. IEW W(� `w\vV` 04 Building Front Orientation (deg or cardinal): 05 CA City: t* lXAil6 6 06 Number of Altered Dwelling Units: 07 Zip Code: �]� 08 Fuel Type: 09 Climate Zone:'6. 10' Total Conditioned Floor Area (ft 2): 11 Building Type: 12 Slab Area (ft) 13 Project Scope (Select all that apply): ❑ B. Insulation ❑ D. & E. Fenestration/Glazing - ADD ❑ G. Space Conditioning System (Heating, Cooling, Duct system) ❑ Lighting ❑ C. Roof Replacement ❑✓ D. & F. Fenestration/Glazing - REPLACE ❑ H. Water Heating System c n to r 7 F��� or� f. BUILDING & SAFETY DEPT, APPROVE® j FOR CONSTRICTION CA Building Energy Efficiency Standards - 2016 Residential Compliance ril 2016 r STATE OF CALIFORNIA Prescriptive Residential Alterations That Do Not Require HERS Field Verification s CEC-CFIR-ALT-05-E Revised 04/16 CALIFORNIA ENERGY COMMISSION` CERTIFICATE OF COMPLIANCE CF1R-ALT-05-E Prescriptive Residential Alterations That Do Not Require HERS Field Verification Page 2 of Project Name: Date Prepared: D. Fenestration/Glazing Allowed Areas and Efficiencies (Section 150.2(b)1) 05 06 07 01 02 03 04 07 Maximum Maximum Existing 10 11 Allowed Allowed Fenestration Existing Maximum Maximum Maximum Maximum Frame Type 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 (ft') Area Only (ftz) (ft') Area (ftz) (Windows) (Skylights) (Windows) (Skylights) Comments __ l� u, � 01=1� F. Fenestration/Glazing Proposed Areas and Efficiencies - Replace (Section 150.2(b)1B) 01 02 03 04 05 06 07 08 09 10 11 12 13 14 Tag/ID Fenestration Type Frame Type Dynamic Glazing Orientation IN, S, W, E) Area Removed (ft') Area Added (ft') Net Added Area (ft') U -factor Source SHGC Source Exterior Shading Device Combined SHGC from CF1R-ENV-03 o,o DPoo (Z . v�J d 3c�� u, � 01=1� ele�te Row � � 15 Net Added West -facing Fenestration Area 16 Is Net Added Fenestration Area 5 for west -facing fenestration? 4 Yes r,; No 1.7 Net Added Fenestration Area (all orientations) 18 Is Net Added Fenestration Area 5 0 for all orientations? Yes r No 19 Proposed Fenestration U -factor (Windows) 20 Required Fenestration U -factor (Windows) 21 Is the proposed Fenestration U -factor <_ the Required Fenestration U -factor? (a Yes No 22 Proposed Fenestration SHGC (Windows) 23 Required Fenestration SHGC (Windows) 24 Is the Proposed Fenestration SHGC <_ the Required Fenestration SHGC? Yes No 25 Proposed Fenestration U-factor.(Skylights) 26 Required Fenestration U -factor (Skylights) 27 Is the proposed Fenestration U -factor 5 the Required Fenestration U -factor? rj Yes No 28 Proposed Fenestration SHGC CA Building Energy Efficiency Standards - 2016 Residential Compliance April 2016 STATE OF CALIFORNIA Prescriptive Residential Alterations That Do Not Require HERS Field Verification CEC-CHR-ALT-05-E Revised 04/16 CALIFORNIA ENERGY COMMISSION, CERTIFICATE OF COMPLIANCE. CF1R-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 5 the Required Fenestration SHGC? G Yes C No CA Building Energy Efficiency Standards -2016 Residential Compliance STATE OF CALIFORNIA Prescriptive Residential Alterations That Do Not Require HERS Field Verification ;EC-CFIR-ALT-05-E (Revised 04/16) Ur\urL)KN1/A rrvrnLIT I.UM1VII0JIUr4 CERTIFICATE OF COMPLIANCE CF1R-ALT-05-E Prescriptive Residential Alterations That Do Not Require HERS Field Verification Page 4 of 4 Project Name: Date Prepared: DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete, Documentation Author Name: Documentation Author Signature: Signature Date: T Company: Address: CEA/ HERS Certification Identification (if applicablel: - 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. I 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 1 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. 1 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. Rgsponsible 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 TW!t 4 so QUM& P.O. Box 1504 LA QUINTA, CALIFORNIA 92247-1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT PROPERTY OWNER'S PACKAGE (760)777-7012 FAX (760) 777-7011 Disclosures & Forms for Owner -Builders Applying for Construction Permits IMPORTANT! NOTICE TO PROPERTY OWNER Dear Property Owner: An .application for a build' t has ben bmitte in your name listing yourself as the "wilder of the property improvements specified at i EUW tbp,1` z We are providing you with an Owner -Builder Acknowledgment and Information Verification Form to make you aware of your responsibilities and possible risk you may incur by having this permit issued in your name as the Owner -Builder. We will not issue a building permit until you have read, initialed your understanding of each provision, signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this _notice unless you, the property owner, obtain the prior approval of the permitting authority. OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION (DIRECTIONS: Read and initial each statement below to signs you understand or verify this information. 1. I understand.a frequent practice of unlicensed persons is to have the property owner obtain an "Owner -Builder" building permit that erroneously implies that the property owner is providing his or her own labor and material personally. 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 pro -ride 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. I understand building permits are not required to be signed by property owners unless they are responsible for th construction and are not hiring a licensed Contractor to assume this responsibility. P e W3.. I understand as an "Owner -Builder" I am the responsible party of record on the permit. I undemtand that I may protect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own. . W4. I understand Contractors are required by law to be licensed and bonded in California and to list their license permits and contracts. numbers on 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 dollars ($500), including labor and materials, I may be considered an "employer un der state and federal law. understand if I am considered an "employer" under state and federal law, I must register wish the state and federal government, withhold payroll taxes, deist p 3'r provide workers' compensation' disability insurance, and contrd)ute to unemployment compensation for each "employee." I also understand my failure to abide by these laws may subject me to serious financial risk. *-7. I understand under California Contractors'. State License Law, an Owner -Builder who builds s ngle-family residential structures 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. 8. I understand.as an Owner -Builder if I sell therof p pe rty or wluch this permit is issued, I may be held liable for any financial or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the �oanship or materials. 9. I understand I may obtain more information regarding my obligations as an "employer" from the Internal Revenue Service; -the United States Small Business 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 (CSLB) at I- 890-32 I-CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors. Nk 10. 1 am aware of and consent to an Owner -Builder building permit applied for in my name, and understand thatI am the party legally, and financially responsible for proposed construction activity at the following address: 11. I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all applicable laws and requirements that govern Owner -Builders as.well as employers. 12. I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I have provided on this form Licensed contractors are regulated by laws designed to protect the public. If you contract with someone who does not have a license, the Contractors'. State License Board may be unable to assist you with any financial loss you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court. It is also important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working on your property, you may be held liable for damages. If you obtain a. permit as Owner -Builder and. wish to hire Contractors,. you will be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers' compensation insurance coverage.. Before a building permit can a issu , this form must. be completed and signed by the property owner and returned to the agency responsible for i's in a ermit. Note: A opy of the property owner's driver's license, form notarization, or other verification acceptabli ncy is required to be presented when the permit 'si ued to verify the property owner's signature. hh / Signature of property owne Date: V 1 Note: The following Authorization For uired 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 ON PROPERTY OWNER'S BEHALF Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize the following person(s) to act as my agent(s) to apply for; sign, and file the documents necessary to obtain an Owner -Builder Permit for 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: A copy of the owner's driver's license, form notarization, or other verification acceptable to the agency is required to be presented when the perntit is issued to verify the property owners signature. Property Owner's Signature: Date: r Bin# City of La Quinta Building & Safety Division 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit# I:rojectlAddress: MONO Vwt 4 :OwneNe: A.P. Number Address: ANA' 1' 1�� Legal Description: City, ST, Zip: 1 Contractor: Telephone: Address: Project Description: City, ST, Zip: tW" 'I e Telephone: State Lie. #: City Lic #: Arch, Engr., Designer: Address: City, ST, Zip: Telephone: Construction Type: Occupancy: State Lie. #: Proj. Type New Add'n Alter Repair Demo N eam ofContacf A'� r�L� fC SgFt: #Stories # Units: �hone-oFC-ontact: �O ` Esti��aluer o �- 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 Mechanical: 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 IN-HOUSE 3rd Rev, Ready for corrections / Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Apps Date of permit issue School Fees Total Permit Fees