BRES2018-030478-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description-.
Property Zoning:
Application Valuation:
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DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
BUILDING RESIDENTIAL/REMODEL
BRES2018-0304
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
CONRADO MADUENO
53671 AVENIDA MENDOZA
774132020 92253
MADUENO / CHANGE OUT (4) WINDOWS (1) SLIDING DOOR LIKE/LIKE
$4,884.00
Applicant:
HOME DEPOT U S A INC DBA THE HOME DEPOT
2455 PACES FERRY ROAD C-11
ATLANTA, GA 30339
Date: 9/17/2018
Contractor: ono
HOME DEPOT U S A INC DBA THE HOM POI+
2455 PACES FERRY ROAD C-11 t\
ATLANTA, GA 30339
Q_
W
(678)556-7740
Llc. No.: 602331
--------------------------------------------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
I 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 Class: B. D12 C-2 C39 C-6 C17 C fi D34 D41 D24 License No.: 602331
Date: Contractor: -6—k
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).:
(_) 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.).
(_) 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
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:
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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 th ork For which this permkt Is issued.
have and will maintain workers' compensation insurance, as required by
Sect n 3700 of the Labor Cade, for the performance of the work for which this permit
is issued. My workers' compensation insurance carrier and policy number are:
Carrier: ACE AMERICAN INSURANCE COMPANY Policy Number: WCUC64783221
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 3700 of th bor Code, I shall forthwith
complyqwht m pro ' ions.
Date: ! 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.
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 relating to building
construction, and hereby authorize representatives of this city to.ent r on the
above-mentkgn"e]d property for inspection purposes.
I
Date: �r ! f �rll';' Signature (Applicant or Agent):
Lender's Ad
Application Number:
BRES2018-0304
Property Address:
53671 AVENIDA MENDOZA
APN:
774132020
Application Description:
MADUENO / CHANGE OUT (4) WINDOWS (1) SLIDING DOOR LIKE/LIKE
Property Zoning:
Application Valuation:
$4,884.00
Applicant:
HOME DEPOT U S A INC DBA THE HOME DEPOT
2455 PACES FERRY ROAD C-11
ATLANTA, GA 30339
Date:,, 9/17/2018
Owner:
CONRADO MADUENO
92253
Contractor:
HOME DEPOT U S A INC DBA THE HOME DEPOT
2455 PACES FERRY ROAD C-11
ATLANTA, GA 30339
(678)556-7740
Llc. No.: 602331
Detail: CHANdk DUT (4) WINDOWS (1) SLIDING DOOR LIKE FOR LIKE. 2016 CALIFORNIA BUILDING CODE.
DESCRIPTION
FINANCIAL INFORMATION
ACCOUNT CITY
AMOUNT
BSAS SB1473 FEE
101-0000-20306 0
$1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:
$1.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
NEW CONSTRUCTION PERMIT
101-0000-42400
0
$190.00
T..r..l n..:.A i... IUC\A/ PAR IC'rrb /"ri r.1 nGnRA1T. 07nn nn
DESCRIPTION
ACCOUNT
CITY
AMOUNT
NEW CONSTRUCTION PLAN CHECK
101-0000-42600
0
$287.85
Total Paid for NEW CONSTRUCTION PLAN CHECK: $287.85
DESCRIPTION
ACCOUNT
CITY
AMOUNT
SMI - RESIDENTIAL
101-0000-20308
0
$0.64
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.64
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
.;, ,•
�r
GEM afthe DESEICr -
PERMIT #f hV
PLAN LOCATION:
Project Address: 53671 Avenue Mendoza
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #:
Replace 4 retrofit windows and 1 patio door. No size changes.
U factor = < 0.32 and SHGC = < 0.25
Applicant Name: l *1
JW,
fll
Address: 24310 Moulton Parkway, Suite 0137
City, ST, Zip: Laguna Hills, CA 92708
Telephone: 949-207-3468
Email:
Valuation ofProject $ 4,884.10
Contractor Name: Home Depot USA Inc dba The Home Depot
New SFD Construction:
Address: 12700 Stowe Dr. Suite 280
Conditioned Space
SF
City, St, Zip aowam, CA 92064
Garage
SF
Telephone: 858-846-9700
Patio/Porch
SF
Email:
Fire Sprinklers
SF
State Lie: 602331 City Bus Lie: LIC0004792 exp
08/31 /2018
Arch/Eng Name:
Construction Type: Occupancy:
Address:
Grading:
City, St, Zip
Telephone:
Bedrooms:
Stories: # Units:
Email:
State Lie: City Bus Lie:
Property Owner's Name: Alma Madueno
New Commercial / Tenant Improvements:
Address: 53671 Avenue Mendoza
Total Building SF
City, ST, Zip La Quinta, CA 92253
Construction Type: Occupancy:
Telephone: 760-403-9995
Email:
7J
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
OFFICE USE ONLY
#
Submittal
Req'd
Rec'd
Plan Sets
Structural Calcs
Truss Calcs
Title 24 Calcs
Soils Report
Grading Plan (PM10)
Landscape Plan
Subcontractor List
Grant Deed
HOA Approval
School Fees
Burrtec Debris Plan
Planning approval
Public Works approval
Fire approval
City Business License
Alma Madueno
53671 Avenue Mendoza
760-403-9995
PD
9) XO
65 XO
Scope of Work: Replace 4 retrofit windows and 1 patio door.
No size changes. U factor < 0.32 and SHGC < 0.25
SIVI wca)
CITY OF LA QUINTA
BUILDING DIVISION
REVIEWED FOR
CODE
CC;MPUANCE
., i.t. ma-1 ..
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification Im
CEC-CF1 R-ALT-05-E (Revised 07/17) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification Page 2 of 4
'`ojeftNa.e: 53671 Avenue Mendoza Date Prepared,
F. Fenestration/Glazing Proposed Areas and Efficiencies - Replace (Section 150.2(b)113)
01
02
03
04 05 1 06
07
08
09 10
Area
Area
Net
Fenestration
Dynamic Orientation Removed
Added Added
Tag/ID
Type
Frame Type
Glazing (N, S, W, E) (ft2)
(ft2) Area (ft2)
U-factor Source
iOperable
North 21.875
21.875
0
<=.32
1
Operable
West 71.111
71.111
0
<=.32
0
<=.32
0
<=.32
Add Row
Delete Row
15
Net
Added West -facing Fenestration Area
0
16
Is Net Added Fenestration Area <_ for west -facing fenestration?
■ Yes r No
17
Net Added Fenestration Area (all orientations)
0
18
Is Net Added Fenestration Area <_ 0 for all orientations?
■ Yes r No
19
Proposed Fenestration U-factor (Windows)
20
Required Fenestration U-factor (Windows)
<=.32
21
Is the proposed Fenestration U-factor <_ the Required Fenestration U-factor?
S Yes r No
22
Proposed Fenestration SHGC (Windows)
23
Required Fenestration SHGC (Windows)
11 12 13 14
Combined
Exterior SHGC from
SHGC Source Shading Device CF1R-ENV-03
<=.25
<=.25
<=.25
<=.25
CA Building Energy Efficiency Standards - 2016 Residential Compliance July 2017
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
CERTIFICATE OF COMPLIANCE
Prescriptive Residential Alterations That Do Not Require HERS Field
P`'"wTla ; 53671 Avenue Mendoza
CALIFORNIA
CF1R-ALT-05-E
Page 1 of 4
This compliance document is only applicable to simple alterations that do not require HERS verification far compliance. When HERS verification is required, a CFIR-ALT- 01 shall first be registered
with a HERS Provider Data Registry.
Alterations to Space Conditioning Systems that are exempt from HERS verification requirements may use the CFIR-ALT-05 and CF2R- ALT-05 Compliance Documents. Possible exemptions from duct
leakage testing include., less than 40 ft of ducts were added orreplaced, 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 SA per inch, or Open Cell Spray
Polyurethane Foam (oc5PF) 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 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:
03 Project Location:
05 CA City:
07 Zip Code:
09 Climate Zone:
11 ! Building Type:
13 Project Scope (Select all that apply):
53671 Avenue Mendoza
53671 Avenue Mendoza
La Quinta
92253
15
Single Family
02 Date Prepared:
04 Building Front Orientation (deg or cardinal)
06 Number of Altered Dwelling Units;
08 Fuel Type:
10 Total Conditioned Floor Area (ft):
12 Slab Area (ft2)
❑ B. Insulation ❑ D. & E. Fenestration/Glazing -ADD ❑ G. Space Conditioning System (Heating, Cooling, Duct system) ❑ Lighting
❑ C. Roof Replacement Z✓ D. & F. Fenestration/Glazing - REPLACE ❑ H. Water Heating System ❑ Include Mandatory Measures?
East
LA auiloing Energy Efficiency Standards - 2016 Residential Compliance
July 2017
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
CEC-CFIR-ALT-05-E Remsed0711
CERTIFICATE OF COMPLIANCE
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
''�I"`""4e' S3671 Avenue Mendoza
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 <_ the Required Fenestration U-factor?
■ Yes (` No
28
Proposed Fenestration SHGC
29
Required Fenestration SHGC
30
Is the Proposed Fenestration SHGC <_ the Required Fenestration SHGC?
■ Yes No
CALIFORNIA EN
MMISSION
CFIR-ALT-05-E
Page 3 of 4
CA Building Energy Efficiency Standards - 2016 Residential Compliance July 2017
STATE OF CALIFORNIA
Prescriati►►e Residential Alterations That Do Not Require HERS Field Verification
CEC-CFIR-ALT-05-E (Revised 07M) CALIFORNIA ENERGY COMMISSION��
CERTIFICATE OF COMPLIANCE CF1R-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification Page 4 of 4
araler: Name: gate Prepared:
53671 Avenue Mendoza
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:
HOME DEPOT USA, INC. DBA THE HOME DEPOT
Signature Date:
Address;
CW HERS Unification Identification of applicable):
12700 STOWE DR, SUITE 280
Ciwy atelziip:
POWAY, CA 92064
Pone:
858-846-9700
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.
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.
Responsible Designer Name:
Responsible Designer Signature:
Company ;
Date Signed;
HOME DEPOT USA, INC. DBA THE HOME DEPOT
!address:
License:
12700 STOWE DR, SUITE 280
602331
City/State/Zip:
POWAY, CA 92064
Phone:
858-846-9700
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 July 2017