BRES2017-031578-495 CALLE TAMPICO 0 D NMl�iil/
r LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Applicant:
ROLL SPARROW LLC
47100 WASHINGTON ST 101
LA QUINTA, CA 92253
NOV 092017
CITY OF LA rECOMMUNITY EVE OPAENTOpgpNT
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9
{commencing with Section 70001 of Division 3 of the Business and Professions Code, and
my License is in full force and effect.
�License gClass: B ^-License No.: 1030332 /1
Date1 '�°� r 1 Contra o �J `� 1
OWNER -BUILDER DECLARATION
thereby 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).:
.0 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.).
(_J 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: 11/9/2017
Owner:
KATHLEEN MORR
77705 CALLE TEMECULA
LA QUINTA, CA 92253
Contractor:
HUITRON CONSTRUCTION CO
50427 RIGO CT .
COACHELLA, CA 92236
(760)457-9960
Llc. No.: 1030332
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
oft e_w rk for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
Set on 3'c700 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: BENCHMARK INSURANCE COMPANY Policy Number:.CST5009834
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 1 should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code I shall forthwith
comply with those provisions.
Date: ^ C! — Applicant
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 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 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.
CONSTRUCTION LENDING AGENCY I certify that I have read this application and state that thea ve forma ion i!
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 st I vela ing to
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). construction, and hereby authorize representatives of this c y ter pon th
mentioned property for inspection purposes.
Lender's Name:
Lender's
� / Signa•�w a (Applicant or
11
Permit Type/Subtype:
BUILDING RESIDENTIAL/REMODEL
Application Number:
BRES2017-0315
Property Address:
77705 CALLE TEMECULA
APN:
774284001
Application Description:
MORR / RETROFIT WINDOWS AND DOORS
Property Zoning:
Application Valuation:
0
Applicant:
ROLL SPARROW LLC
47100 WASHINGTON ST 101
LA QUINTA, CA 92253
NOV 092017
CITY OF LA rECOMMUNITY EVE OPAENTOpgpNT
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9
{commencing with Section 70001 of Division 3 of the Business and Professions Code, and
my License is in full force and effect.
�License gClass: B ^-License No.: 1030332 /1
Date1 '�°� r 1 Contra o �J `� 1
OWNER -BUILDER DECLARATION
thereby 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).:
.0 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.).
(_J 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: 11/9/2017
Owner:
KATHLEEN MORR
77705 CALLE TEMECULA
LA QUINTA, CA 92253
Contractor:
HUITRON CONSTRUCTION CO
50427 RIGO CT .
COACHELLA, CA 92236
(760)457-9960
Llc. No.: 1030332
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
oft e_w rk for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
Set on 3'c700 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: BENCHMARK INSURANCE COMPANY Policy Number:.CST5009834
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 1 should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code I shall forthwith
comply with those provisions.
Date: ^ C! — Applicant
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 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 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.
CONSTRUCTION LENDING AGENCY I certify that I have read this application and state that thea ve forma ion i!
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 st I vela ing to
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). construction, and hereby authorize representatives of this c y ter pon th
mentioned property for inspection purposes.
Lender's Name:
Lender's
� / Signa•�w a (Applicant or
t
Date: 11/9/2017
Application Number: BRES2017-0315
Owner:
Property Address: 77705 CALLE TEMECULA
KATHLEEN MORR
APN: 774284001
77705 CALLE TEMECULA
Application Description: MORR / RETROFIT WINDOWS AND DOORS
LA QUINTA, CA 92253
Property Zoning:
Application Valuation:
Applicant:
Contractor:
ROLL SPARROW LLC
HUITRON CONSTRUCTION CO
47100 WASHINGTON ST 101
50427 RIGO Cr
LA QUINTA, CA 92253
COACHELLA, CA 92236
(760)457-9960
Llc. No.: 1030832
----------------------------------------------------^---------------------------------------
Detail: REPLACE (5) WINDOWS RETROFIT Llq FOR LIKE.AND (3) NEW FRENCH DOORS WHERE PREVIOUS SLIDING DOORS WERE LOCATED PER 2016
CALIFORNIA BUILDING CODE
t
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY AMOUNT
RECORDS MANAGEMENT FEE - MAJOR 101-0000-42416 0 $20.00
Total Paid for RECORDS MANAGEMENT FEE - MAJOR: $20-00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
t
i
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
QTY
AMOUNT
DOOR/WINDOW, RETRO/REPAIR, FIRST 7 PC
101-0000-42600
0
$63.98
' Total Paid for WINDOW/SLIDING GLASS DOOR/FENESTRATION:
TOTALS:
$129.52
t
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F -T
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4N
44
.
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f
'STATE OF CALIFORNIA
Prescriptive Residential Alterations That. Do Not Require HERS Field Verification
-EC-CFIR-ALT-OS-E (Revised 04/16) CALIFORNIA. ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS Feld Verification Page 1 of 5
ProJect'Name: 0 UJ
Cl Date Prepared:
This compliance document is only applicable to simple alterations that do not require HERS verification for compliance. When HERS verification is required, a CFIR-ALT- 01 shall first be
with a HERS Provider Data Registry.
Alterations to Space Conditioning Systems that are exempt from HERS verifiratinn rPrjnirPmentc mny ofe the CFIR .ALT 05 and C1-21? ALT -05 Coih;JliwtLe DULL1111 niS. Pusslble exeMprl6hs 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 exemptfrom 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 than 2.5 pounds per cubic foot having an R -value other than 5.8 per inch, or Open Cell Spray
Polyurethane-F-oom (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 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
03
Project Name:
J
02
Date Prepared:
03
Project Location:O�M
Q�.� ��
04
Building Front Orientation (deg or cardinal):
OS
CA City:
a J i
06
Number of Altered Dwelling Units:
07
Zip Code:
08
Fuel Type:
09
Climate Zone:
10
Total Conditioned Floor Area (ft2):
11.
Building Type:
�W`v
12
Slab Area (ft')
C
o
13
Project Scope.(Select all,that apply):
❑ B. Insulation ❑ D. & CFenestration/Glazing - ADD ❑ G. Space Conditioning System (Heating, Cooling, Duct system) ❑ Lighting
❑ C. Roof Replacement,✓❑ D. & F. Fenestration/Glazing - REPLACE ❑ H. Water Heating System ❑ Include Mandatory Measures?
CA Building Energy Efficiency Standards - 2016 Residential Compliance
April 2016'
STATE OF CALIFORNIA
GEC-GFIR-ALT-05-E Revised 04/16 CALIFORNIA ENERGY COMMISSIONNOM
CERTIFICATE OF COMPLIANCE CF1R-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification Page 2 of 5
Project Name:— Date Prepared:
e— 7V'tL—W
D. Fenestration/Glazing Allowed Areas and Efficiencies (Section 150.2(b)1)
01 02
03.
04
05
06 / 07
MdAinium
Maximum
Existing
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 (ft')
Area Only (ft2)
(ft2)
Area (ft2)
(Windows)
(Skylights)
(Windows)
(Skylights) Comments
#2_
ih
s
CA Building Energy Efficiency Standards - 2016 Residential Compliance
,STATL OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
&
CEC-CF1 R -ALT -05-E (Revised 04/16) CALIFORNIA ENERGY COMMISSION WNWW
CERTIFICATE OF COMPLIANCE I CF1R-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification j Page 3 of 5
Project Name: Date Prepared:,
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
(N, S, W, E)
Area
Removed
(ftz)
Arca
Added
(ftz)
Net
Added
Area (ft')
U -factor
Source
SHGC
Source
Exterior
Shading Device
Cumbined
SHGC from
CF1R-ENV-03
0
FOCI
zy,
Jew
t
°
3
wi'hd�IAU
°
°
i Vl A
0
°
LU vl� 00)
1i
°
I
-7 L �J
`l Zxcip
z
°
0
p1E$
`fib
°
0
0
0
0
•
0
0
iTeelows.
CA Building Energy Efficiency Standards - 2016 Residential Compliance April 2016
,;STATE OF CALIFORNIA .�.�
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
CEC-CPR-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 4 of 5
Project Name: Date Prepared:
15
Net Added West -facing Fenestration Area
16
Is Net Added Fenestration Areas for west -facing, fenestration?
i5 Yes C No
17
Net Added Fenestration Area (all orientations)
18
Is Net Added Fenestration Area 5 0 for all orientations?
(j Yes No
19
Proposed Fenestration U -factor (Windows)
20
Required Fenestration U -factor (Windows)
21
Is the proposed Fenestration U -factor 5 the Required Fenestration U -factor?
Ca Yes i3 No
22
Proposed Fenestration SHGC (Windows)
23
Required Fenestration SHGC (Windows)
24
Is the Proposed Fenestration SHGC 5 the Required Fenestration SHGC?
(j Yes ij 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?
Q Yes No
28
Proposed Fenestration SHGC
29
Required Fenestration SHGC
30
Is the Proposed Fenestration SHGC 5 the Required Fenestration SHGC?
(").Yes (� No
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 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification Page 5 of 5
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:
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, 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.
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.
Respons•bl Desi er Name: r
10` Lo1
Responsible Designer Signature: ,
(/1
tJ111L�fn
Comp,riy
Date Signed:
Address:
License:
City ,_ tate/Zip. /1 �
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
PERMIT #
F -
PLAN LOCATION
Address:
A 15Q_�J � Project Description: Pool, Remodel Add't, Elect, Plumb, Mech
Project Address: 7- 15
APN #:
—SF
Telephone: 45-1 br
Inc3o�5•. � "�
Applicant Name:
Co %o A
Address: 0 '7�) LtJ
State Lic: •'� 3 City Bus Lic:
City, ST, Zip:—
/
Telephone:' o. (t.-1 1 I b
Email:
Valuation of Project $
Contractor Name: n/I
New SFD Construction:
Address:
Conditioned Space SF
City, St, Zip c4ra,Garage
—SF
Telephone: 45-1 br
Patio/Porch SF
Email: ntJ�
Co %o A
Fire Sprinklers SF
State Lic: •'� 3 City Bus Lic:
State Lic: 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:
Total Building SF
City, ST, Zip
Construction Type: Occupancy:
Telephone:
Email:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000