11-0218 (RER)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: t11-00000218_
Property Address: 79200 CANTERRA CIR
APN: 604-263-005-26 -23913 -
Application description: REMODEL - RESIDENTIAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 7202
Tityl 4 4 Q"
Applicant: Architect or Engineer:
------------------
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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 Businessprick Professionals Code, and my License is in full force and effect.
LicensC�las . gB License No.:. 928697
,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 ($500).:
1 _ I 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.).
1 _ 1 1, 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.).
1 _ 1 I am exempt under Sec. , BAP.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I 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:
LQPERMIT
Owner:
GALE SCOTT
79200 CANTERRA CIR
LA QUINTA, CA 92253
(
Contractor:
ALLIANCE CONSTRUCTION
PO BOX 587
SANTA YSABEL, CA 92070
(760)705-6450
Lic. No.: 928697
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/02/11
r
?FMAR
E 0 3 2011
CITY OF LA QUINTA
FINANCE DEPT.
-------7---------------------------------------
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 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 FUND Policy Number 713026738
_ 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 uld be om subject to the workers' compensation provisions of Section
3700 of the La r Cod 1 II f rthwith comply with th a provisions.
Date: in Applicant:
WARNING: AILURE TO SECURE WORKE S' 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 Director of Building and Safety 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.
I certify that I have read this application and state that the above information is correct. I agree to comply with all
city and county ordinances and state laws relatingDbut co stru tion, and hereby authorize representatives
of this county t enter upon the above-mentionedr i peDate:—J�ignature (Applicant or Agen
Application Number . . . . . 11-00000218
Permit . .
. BUILDING PERMIT
Additional desc .
.
Permit Fee . . .
. 99.00
Plan Check
Fee
64.35
Issue Date . . .
.
Valuation
. . .
. 7202
Expiration Date
8/29/11
Qty Unit Charge
Per
Extension
BASE FEE
45.00
6.00 9.0000
THOU BLDG 2,001-25,000
54.00
----------------------------------------------------------------------------
Special Notes and
Comments
(3)PATIO DOOR CHANGE
OUT RETRO -FITTING
PER APPROVED PLANS
& A.J.
----------------------------------------------------------------------------
Other Fees . . .
. . . . . . BLDG STDS ADMIN (SB1473)
1.00
ENERGY
REVIEW FEE
6.44
Fee summary
-----------------
Charged Paid.
--------------------
Credited
--------------------
Due
Permit Fee Total
99.00
.00
.00
99.00
Plan Check Total
64.35
.00
.00
64.35
Other Fee Total
7.44
.00
.00
7.44
Grand Total
170.79
.00
.00
170.79
LQPERMIT
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Prescriptive Certificate of Compliance: Residential CF -IR -ALT
Residential Alterations (Pa2e 1 of
Project Name: /-D� t� � ; �O � /v, Y� Ctinrate Zone # # of Stores
t —ill -MD n7 l
General Information
Site Address:"1
Enforcement Agency:
Date: 3
Building Type`oSingle Family 0 Multi Family
Circle the Front Orientation: N, E, S, W, or degrees
Tap/
Protect Type: Alterations 0 Envelope Fenestration 0 Roof 0 HVAC
Conditioned Floor Area (CFAk
Replacement or Change Out t7 Duct Replacement 0 Water Hefter
NOTE: This form is not to be used for Newly Constructed Buildings or Additions
Itcsuhrtion Values For Opaque Surfaces fforFumng use the Mass and Furring Strips Construction table below)
Assembly Alteration
O Opening of Gamed cavity alone -Alterations that resolve the opening oftheframwdcavityofa wall, ceiling, orfloor must install the
mandatory minimum insulation value per §150 for the altered assembly. Fill in Coh mnts A -C and eater mandatory insulation value in Column H.
0 Replacement of entire assembly -Replacement ofan entire wall, ceiling orfloorassembly requires the installation of Component
Package- D insulation values in Table 151-C Fill in Columns A - J.
Opaque Surface Details For the furred rtioned of Mass Walls see Furring Strips Construction Table below.
A B I C D E F G I H I I I J
Proposed $ft °t` Standard Values From JA4 Table
Framing Thickness, Framed Continuous JA4 Proposed
Tap/
Assembly Name
Material Spacing, U- JA4 Table Cavity Insulation Assembly Assembly
ID
orT '
and Size' orOtite? factor' Numbers R-value6 R -Value' Cell Values U -factor
K
L
NI
Proposed Properties of Masonry and
Concrete
Added Interior or Exterior Insulation
Walls From Reference
Note: For furred assemblies, accounting for Continuous Insulation R -value, see Page JA4-3 and Equation 4-1. For calculating furred walls use the?Ilass and
Furring Construction table below.
1. For Tag/ID ina&cate the idWarfircation name !fiat matches the buiIcEng plain
2. Indicate the Assembly Name or type: Roof/Ceiling, Wall; Floors, Slabs Crawl Space, Doors and etc ... In&cale the Frame type and Size: For
Wood Metal, Metal Buildings. Mass, enter 2x4, 2x6 or etc... see J44 for ocherpnssibJe frarme lupe assemblies
3. Enter the thickness for mass in inches or Spacing between firebug members enter; 16 "or 24 "0C, or Other for all other assembly description
such as Concrete Sasrdtvich Panel, Spandrel Pastel, Logs, Straw Bale Panel and etc....
4. Based on the Climate Zone; enter the Standard U factor frons Table 15 IB, C or D for each & ferenl assembly rVame or type.
S. Enter the Table manner that closely resembles the proposed assembly.
6. Enter the R -value that is being installed in the wall cavity or between the frranirrg, otherwise, enter `0 ".
7. Enter the Continuous Insulation R -value for the proposed assembly; otherwise, enter "0 ".
8. Enter the row and column of the U factor value based on Column F Table Manber and enter the Assembly Ul factor in Cohmmn J
9. The Proposed Assembly U factor, Column J, must be equal to or less than the Standard U factor in Cohann E to comply.
Funing Strips Construction Table for Mass Walls Only
A BC
D
I E
F
I G I
H
I J
K
L
NI
Proposed Properties of Masonry and
Concrete
Added Interior or Exterior Insulation
Walls From Reference
in Furring
Space from Reference
Joint A Dendix Table 4.15,,L3.
4.3.7
Joint Arivendix
Table 4.3.13
U
a Wim+ 1;• v
U
1
c
c
R,c
a
U-`
Assembly
`u
c
`o_
`
o
0
°O I `�
'
Z =
Final
Mass
I Name or I JA4 Table
v in
.� Q
u
y
e c
cAssemb
Thick-ness
i T Numbc?
< >
,x g
; < >
U -facto
Comment
1
i
Registration Number:
2008 Residential Compliance Forms
Registration Dal&Tirme: HERS Provider.
August 2009
Prescriptive Certificate of Compliance: Residential CF -IR -ALT
Residen" Alterations 2 of
Project ?Name:(�.,�, Climate Zone # # of Stories
(, Go r�c0a I't,�i i0 &D� S COX I
♦mass and Furring S&vs Consh uchm oatnates)
1. Indicate the type of assembly to include; Hollow Unit Masonry Walla Solid Unil Masonry, Solid Concrete Walls, Etc. Additional assemblies can
efound Reference JointAppenetxJA4.
2. This is the U -Factor based on the thickness of the assembly in inches
3. The R -value of the insulation to be added on the interior or exterior of the assembly.
4. The Calculated R -Value is the R -value of the furred out section of the assembly.
.-6.The Final Assembly is calculated using Equation 4-2 or Equation 4-4of the Reference Joint Appendix JA 4. The equation is the i?nvrse of Column
added to Column L Column K is the inverse from column J.
7. Insert the calculated U -factor vane on to the Oaaaue Surface Details in Column J
FENESTRATION PROPOSED AREAS
❑ Replacing window alone — Replacement windows shall meet the U -Factor and SHGC Value requirements of Component Package D in
Table 151-0. The Total Fenestration and West facing Area requirements are not applicable.
❑ Adding 50ft2 or less of window area — Newly installed windows shall meet the L' Factorand WGC Value requirements of Component
Package D in Table 151-0.
❑ Adding more than 50ft2ofwindow area — Newly installed windows shall meet the UFactor and SNGC Value and the Fenestration
Area requirements of Component Package D in Table 151-0. Complete the Altered Fenestration Allowed Area Table on Page 2 of the CF -IR -ALT
Orientation ,
Fenestration Type and Frame (North, East Pmp=dA.' Maximum Maximum NFRC or Dcfault
(Window, Glass Door or Sl G ) South, West) (ft) U-factorz' SHGC.i(214 Values
A
(l 1 1 I( cl
11 fl ti AW
1. Fenestration area is the area of total glazed product (i.e. glass plusfrmrte). Esceptiorc When a door is less than 50'� glass, the fenestration
area may be the glass area plus a "2 inch frame " around the glass
2. Enter value from Component Package D Requirements in Table 151-C.
3. Actual fenestration proctitis installed and as indicated in CF-6R-E-Nry`Form shall be equivalent to or have a lower U factor and/or a lower
SHGC value than that specified on the CF -IR ALT Foam.
4. Submit a completed WS -3R Form if a re&xed SHGC is calculated with exterior sha&M.
5 -If applicable at this sta a enter "NFRC " orAnF'RC Ce ed windows or are CEC D ault" values ouird in Table 116-A orB.
ALTERED FENESTRATION ALLOWED AREAS
(Complde if more than 50ft2
offinestratiox is added)
A
B
C
D
E
F
G
Allowed
E)dsting
Fenestration
Total Arca
CFA of Entire
% of
Fenestration
Area
Fenestration
Allowed
Proposed Areae
Dweltin
CFA
Area
Removed
Area Added
(A x B)
(E -D) + C
Total Fenestration Area
(ft)
20
>
West Fenestration Area l
(Required In
05
>
t
CZ's 2, 4 & 7 -15)
L West Fenestration Area includes west -sloping skylights and any skylights with a pitch less than 1:12.
2. West facing glazing area removed cannot be "counted" twice. " In order to distribute the west glaring area removed to the other orientations,
input the west glazing area removed in the Total Fenestration Area mw, cohmmD.
3. Include the Proposed Area of the West facirng fenestration in both Area columns below.
4. To meet compliance, theProposedArea must be less than or equal to the Total Allawed Area or BOTH the Total and West Fenestration Areas.
Registration Number. Registration DaieJTime:
2008 Residential Compliance Forms
HERS Provider:
August '009
ETERS VERIFICATION SUMMARY The enforcement agency should pery special attention to the HERS,4feasures-specified in this
checklist below. A completed aril signed CF4R Form for all the measures specified shall be submitted to the building inspector before final
inspection
Duct Sealing & Testing HEM verification is regedred 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 sealed per § 152(6)1 Dii and the newly installed ducts are to be insulated per §15 1 (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 (HVAC equipment and ducting) is replaced, the
ducts are to be sealed per §I52(b)1Di.
❑ YES ❑ NO YES: In Climate Zones 2 and 9-I6, if the existing HVAC equipment is replaced (including the replacement of the air handler,
outdoor condensing unit of a split system, cooling or heating coil, or the furnace heat exchanger) the ducts are to be
sealed per §152(b)IE.
❑ 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 duct gsterns constructed, insulated or sealed with asbestos.
Refrigerant Charge -Split System HERS .er;hcattonisrequi,edforthis ,R«asure.
❑ YES ❑ NO YES: In Climate Zones 2 and 9-15, when the existing HVAC 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)IF.
Central Fan Integrated (CFI) Ventilation System and Fan Watt Draw
The ventilation req uirements of §150(o) do not apply to existing residential homes.
Ducted Split Systems -Air Conditioners and Heat Pumps: Airflow HERS wrification is regttiredforthis measure.
❑ YES ❑ NO YES: In Climate Zones 10 through 15, when the existing spaoc-conditioning system (HVAC equipment and ducting) is
replaced, the airflow and fan watt draw shall be verified per 152(6)1Ci to meet therequirements of 151(f)7B.
Documentation Author's Declaration Statement
• I certify that this Certificate of Compliance docamentatim is accurate and con e
Name:/�,p�{�
LJl/ur' A
Signature:
Company: \GV 1Ut �Vl l J V 1 ti . (VIC •
Date. O � (0 `
d❑
Address: rY*\(��\/
1JU w,V 5P -(Certification
IfApplicab)e O CEA or CCEPE
=):
City/State/Zip' )Co
b � ( �Q
/� f,
Phone: —7(„fl -7O5 6)-A SlJ
Responsible Building Designer's Declaration Statement
• I am eligible under Division 3 of the Califontia Business and Professions Code to accept responsibility for the building design identified on
this Certificate of Compliance.
• I certify 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 I 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, plazas and specifications submitted to the enforcement
agency for approval with this building permit application.
Name:
Signature:
Company:
Date:
Address:
License:
City/State/Zip:
Phone:
For assistance or questions regarding the Energy Standards, contact the Energy Hoi fne at: 1-800.772-330Q
Registration Numher Registration Date/time: HER$ Provider.
2008 Residential Compliance Forms
August 2009
Bin #
City of La Quinta
Building a Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
l ate
Project Address: (Sork mo
Owner's Name: 4j
A. P. Number:
Address: `P 2 W 6b rilc no
Legal Description:
City, ST, Zip: LoQ C—a q2 -Z53
Contractor: A (h a n Cc hDf-rucAiovit W.
Telephone: ;.`•f.•:•.'•:::.j�:`•.:>:c`•:>;:•,,?:ti:>;,;<•�:<S.::>::.:y.:;:::>:;<r>:L:=i.>:::;:::<;:':<,;:•::<.:`:{.:.'i.•::.::
.:...... ....:.::
Address: PO, e)c)>( r-
Project Description::
%5
City, ST, Zip: � -! Oobd C(D GZ�
' ^ ^
D c( r ►lel
Telephone:lw -705
}�
State Lie.
City Lie. #: —
Arch., Engr., Designer: �—
Address:
City, ST, Zip:
Telephone; it:•nay::j}L;::isi}{}w'�.4ii}!:iij:\Y'v{v::jii:;
?:j;T+:?;:;ice
i{:{: is i:Yi.`::t:' :iv$j::?::>`:Yv: n:t$�'.•�}ii�:�iNr`
State Lie. #: {:.;;;:!<.;;;t..;::;::::;;;,;.:;.:.<.:::::;;;;.;;:
Construction type: Occupancy:
)
Project type (circle one): New Add n lter Repair Demo
Name of Contact Person: Avi'ndnc Gucrro
Sq. Ft.:
# Stories: # Units:
Telephone # of Contact Person: 222 E30 GS
Estimated Value of Project: --7Z02--
APPLICANT: DO NOT WRITE BELOW THIS LINE
H
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Pian Sets
Plan Check submitted
Item Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance
Title 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'"' Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees