BRES2020-0005VOICE (760) 777-7125
78-495 CALLE TAMPICO
D
LA QUINTA, CALIFORNIA 92253
& DEVELOPMENT DEPARTMENT
FAX (760) 777-7011DESIGN
INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 1/14/2020
Permit Type/Subtype:
BUILDING RESIDENTIAL/REMODEL
Owner:
Application Number:
BRES2020-0005
TOBY & MICHELLE SEAY
Property Address:
APN:
80245 VIA PONTITO
777110030
80245 VIA PONTITO
LA
QUINTA, CA 92253
Application Description:
SEAY / 16 WINDOW CHANGEOUT & REMOVE 10 WINDOWS
Property Zoning:
C
Application Valuation:
$50,000.00
R
N
•— �
Applicant:
Contractor:
a
TOBY SEAY
J A N 14- 2020
OWNER BUILDER
Q p
80245 VIA PONTITO
c3
LA QUINTA, CA 92253
«�
C)lY OF !A QUINTA
Q CD
CD
DESIGN AND DEVELOPMENT DEPARTMENT
Llc. No.:
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: License No.:
Pre: 1 L..> 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
cts 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
9PAe did not build or improve for the purpose of sale.).
j f, 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
s
Date: i3vlrner: xg
16,
CONSTRUCTIO DF d AGE
I hereby affirm under penalty of perjury t at there is a construction lending agency for
the performance of the work for which this permit is issued (Sec. 3097, Civ, C.).
Lender's
Lender's
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:_ Policy Number:_
I certify that in the performance of the work for which this permit is issued, I
sfial! nal 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 the Labor Code, I shall forthwith
comply with t ose pr isions.
Date: Applicant:
_7:�kZ4,
WARNING: FAILURE TO SECURE WORKERS' COMa ION COVE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES IL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION O 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 enter upon the above-
mentivned pro erty for inspection purposes.
Date: �� Signature (Applicant or Agent):
Date: 1/14/2020
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
Applicant:
TOBY SEAY
80245 VIA PONTITO
LA QUINTA, CA 92253
BRES2020-0005
80245 VIA PONTITO
777110030
SEAY / 16 WINDOW CHANGEOUT & REMOVE 10 WINDOWS
$50,000.00
Owner:
TOBY & MICHELLE SEAY
80245 VIA PONTITO
LA QUINTA, CA 92253
Contractor:
OWNER BUILDER
Llc. No.. -
Detail: CHANGEOUT 15 WINDOWS LIKE FOR LIKE, REMOVE 10 WINDOWS, AND CHANGE 1 WINDOW TO DOOR WHICH DOES NOT INCLUDE ALTERATIONS
TO HEADER. THE PERMIT ALSO INCLUDES ALTERATION TO DRYWALL. THIS PERMIT DOES NOT INCLUDE ANY CHANGES TO THE KITCHEN LAYOUT AND
OTHER AREAS OUTSIDE THE SCOPE INCLUDING ELECTRICAL OR PLUMBING. PER 2019 CALIFORNIA BUILDING CODES.
FINANCIAL
DESCRIPTION
INFORMATION
ACCOUNT CITY AMOUNT
BSAS SB1473 FEE
101-0000-20306 0 $2.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $2.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
RECORDS MANAGEMENT FEE - MAJOR
101-0000-42416
0
$21.00
Total Paid for RECORDS MANAGEMENT FEE - MAJOR: $21.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
SMI - RESIDENTIAL
101-0000-20308
0
$6.50
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $6.S0
DESCRIPTION
ACCOUNT
CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
DOOR/WINDOW, NEW/ALT, FIRST 1
101-0000-42400
0
$107.33
DESCRIPTION
ACCOUNT
CITY
AMOUNT
DOOR/WINDOW, NEW/ALT, FIRST 1 PC
101-0000-42600
0
$122.36
DESCRIPTION
ACCOUNT
CITY
AMOUNT
DOOR/WINDOW, RETRO/REPAIR, EA ADDITION 5
101-0000-42400
0
$45.08
Total Paid for WINDOW/SLIDING GLASS DOOR/FENESTRATION 2019: $274.77
Q � �
PERMIT # g JESah
PLAN LOCATION:
Project Address: 8o7-gs- VIA ipQNT/ % 8
Project Description: Pool, Remodel, Add% Elect, Plumb, Mech
IVINAp AJ J-
D004 `tJ
Applicant Name: 708 '
Address: 6Po7,4e5 A14 1avr/7a
ACWk AA9
R6PGAe Gt_
City, ST, Zip: 14 /A� g Cod f 25�
JQA4D A/
Telephone:
Email: yp fiord. C p
Valuation of Project $
.5�Avv _
Contractor Name: l�Y�kFf2 New SFD Construction:
Address: Conditioned Space 1— SF
City, St, Zip Garage 6(P4 SF
Telephone: Patio/Porch .�L% SF
4-
Email: Fire Sprinklers SF
State Lic: City Bus Lic:
Arch/Eng Name:
Address:
City, St, Zip
Telephone:
Email:
State Lic: City Bus Lic:
Construction Type:
Grading:
Occupancy: z—
Bedrooms: j Stories:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
w4hf 4 4 a"
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 building permit has been submitted in your name listing yourself as the builder of the property
improvements specified at r> 0 24j V �o�l 3 e -�4e CA ZZS 3
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 provide 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.
S 2. I understand building permits are not required to be signed by property owners unless they are responsible for the
construction and are not hiring a licensed Contractor to assume this responsibility.
5 3. I understand as an "Owner -Builder" I am the responsible party of record on the permit. I understand 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.
_S' 4. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on
/p'ermits and contracts.
�1_ 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"
under state and federal law.
Ix
1 . 6, I understand if I am considered an "employer" under state and federal law, I must register with the state and federal
government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute 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 single-family residential
structures cannot legally build them with the intent to oMr 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 the property for which 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
wo<orkmanship 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 1-
�80C0-321-CSLB (2752) or www.csib.ca.gov for more information about licensed contractors.
10. I am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the
party legally and financially responsible for proposed construction activity at the following address:
1-5- 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 be issued, this form must be completed and signed by the property owner and returned to
the agency responsible for issuing the permit. Note: A copy of the property owner's driver's license, form notarization, or
other verification acceptable to the agenZreto be presented when the permit is issued to verify the property
owner's signature.
Signature of property owner Date: / Zozv
Note: The following Authorization Form is required 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): k)e 10410 6,e
Project Location or Address: 0 ,2 V��_
r
Name of Authorized Agent: oN S' _Tel
Address of Authorized Agent: b Z ,'G f�a v : �� u %� * C 9r z z
as 3
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 b present w e pe •mit is issued to verify the property owner's signature.
Property Owner's Signature: Date: / z-Zb
&TATE PF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
C EC-C F 1 R-ALT-06-E [Revised 0112ns
ntlai Alterations That Do Not Realulre
Fenestration/Glazing Allowed Areas and Efficiencies (Section 150,2(b)1)
01 02
03
04
Maximum
Maximum
Existing
Allowed
Allowed
Fenestration
Existing
Fenestration
West -Facing
for All
West -Facing
Alteration for All
Fenestration
I Orientations
Fenestration
Type Orientations (ft')
Area Only (W)
(ftz)
Area M21
05
Maximum
, Maximum
M ximum
i't DIVISION
Allowed
U-Factor
Allowed
A owed
WE D FOR
Windows)
U-Factor
HGC
5H�GC ��
rin
(Skylights)
(W ndowsI
(S 1 a , _ .. _ — Comments
Page 2 of 4
Fenestration/Glazing Proposed Areas and Efficiencies - Replace (Section 150,2(b)1B)
A
'BYF.
Note; Doors with greater than or equal to 25 percent glazed
area are considered glazed doors and are treated as fenestration products,
01 02 03 04
05 06 +;07
08
09
10
1 11
12
13 14
Fenestration Dynamic
Tag11D Type Frame Type Glazing
Area Area
Orientation Removed Added
(N, S, W, E)
Net
Added
Proposed
Proposed
U-factor
Proposed
Proposed
SHGC
Combined
Exterior 5HGC from
Dt/AL �iLvA1. CLAD
(ft?) (ft')
Area (ft')
U-factor
Source
SHGC
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Shading Device MR-ENV-03
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15
I Net Added West -facing Fenestration Area p
CA Building Energy Efficlency Standards - 2019 Residential Compliance
January 2020
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
CEC-CFIR-ALT-05-E [Revised 011201
Page 2 of 4
Fenestration/Glazing Allowed Areas and Efficiencies (Section 150.2(b)1
01
02
03
04
05
05
07
Maximum
Allowed
Maximum
Allowed
Existing
Fenestration
Existing
TY
�F.
Alteration
Fenestration
for All
f West -Facing
Fenestration
for All
Orientations
West -Facing
Maximum
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Allowed
Max
Allo�i
QUI
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(ft')
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U-Factor
(Windows)
U-Factor
(Skylights)
SHGC
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(Windows
(Skylights)
0 nts
■� �!
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F. Fenestration/Glazing Proposed Areas and Efficiencies - Replace (Section 150.2(b)1B)�
Note: Doors with greater than or equal to 25 percent glazed
area are considered glazed doors and are treated as fenestration products.~~
01 02
03 04
05
06 +07
08
09
10
11
12
13 14
Fenestration
Tag/lD Type
Dynamic
Frame Type Glazing
Orientation
(N, S, W, E)
Area Area
Removed Added
Net
Added
Proposed
Proposed
U-factor
Proposed
Proposed
SHGC
Exterior
Combined
SHGC from
(ft') (ft')
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SHGC
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Shading Device
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—
CA Building Energy Efficiency Standards - 2019 Residential Compliance
January 2020
OF CALIFORNIA
Icriptive Residential Alterations That Do Not Require HERS Field Verification
'1R-ALT-06-E ( ovised oino)
Fenestration/Glazing Allowed Areas and Efficiencies (Section 150,2(b)1)
01 02
03
04
05
Maximum
Maximum
Existing
Allowed
Fenestration
Allowed
West -Facing
Fenestration
for All
Existing
Maximum
Maximum
Alteration
far All
Fenestration
Orientations
West -Facing
Fenestration
Allowed
U-Factor
Allowed
U-Factor
Type
or(ftz)
Area Only (ftz)
(ftzl
Area (ft'i
(Windows)
`
k [skvuahr=i
IW DIVISION
11oPANIEWED FOR
SHGC CODE
F. Fenestration/Glazing Proposed Areas and Efficiencies - Replace (Section 150,2(b)2)
Note: Doors with greater than or equal to 25 percent glazed area are considered glazed doors and are treated as fenestration products,
01 02 03
04 05
06 :07
- OB 09 10 11 12
Fenestration
Tag/ID Type Frame Type
Orientation
Glazing (H, S, W, E)
Area
Area Area
Removed Added
(ftz)
Net Proposed Proposed
Added Proposed U-factor Proposed SHGC
1
(ft2)
Area (ftz) U-factor Source SHGC Source
0
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Page 2 of 4
13 14
Combined
Exterior SHGC from
ding Device CFIR-ENV-03
Add Row Delete Row
15 Net Added West -facing Fenestration Area --
CA BulldIng Energy Efficiency Standards - 2019 Residential Compliance
January 2020
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
DEC-GF1 R-ALT-05.E [Ravi$ad aimni
A
of Require HERS Fie
Fenestration/Glazing Allowed Areas and Efficiencies (Sectlon 150.2(b)1
01
02
03
04
Maximum
Maximum
Existing
Allowed
Allowed
Fenestration Existing
Fenestration
West -Facing
far All West -Facing
Alteration
for All
Fenestration
Orientations Fenestration
Type
Orientations [ft2J
Area Only {rt4j
I% Area ift2i
05
Maximum Maximum
Allowed Allowed
U-Factor U-Factor
F. Fenestration/Glazing Proposed Areas and Efficiencies - Replace (Section 150.2(b)1B)
Note; Doors with greater than or equal to 25 percent glazed area are considered glazed doors and are treated as f
01 02 f 03 04
05
06
+ 07
08
09
Area
Area
Net
Fenestration Dynamic
Tag/ID Type Frame
Orientation
Removed
Added
Added
Propo
Type Glaxlrtg
(N, 5, W, E)
(ft')
tft;}
Area (ftz)
U-fac
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Add Row Delete Row
15 Net Added West -facing Fenestration Area
Page 2 of 4
DMSION
=D FOR
5E Comments
?nestratlon products.
10 11
Proposed
;ed U-factor Proposed
or Source SHGC
12
Proposed
SHGC
Source
13 14
Combined
Exterior SHGC from
Shading Device CF1R-ENV-03
CA Building Energy Efficiency Standards - 2019 Residential Compliance January 2020
, -ATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
CAC.GR7 R.O1 T.MP rv..,.r..K 1%4 Mn
ns That Do Not Requ
BUILDING DIVISIQN
REVIEWED FOR
CODE
COMPLIANCE
DATE��Ey
0�
Page 3 of 4
CA Building Energy Efficiency Standards - 2019 Residential Compliance January 2020
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
CEC•CF1R•ALT`05•E Revlsad �1I2t} — CALIFORNIA ENERGY COMMISSION
sz;q
re I LK:) hieia veriricatton Page 4 of 4
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
accurate
sew
Address; CEA HERS (70"171cation Identiflcatlan If appftp6lej:
City state/yip: Phone:
4{Q 4K Fyn-3yy-�
RESPONSIBLE PERSONS DECLARATION STATEMENT
I certify the following under penalty of perjury, under the laws of the State of Callfornia:
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). I.
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 Tltle 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 occuoancv.
BUILDING
❑ATE- By
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at; 1-800-772-3300.
CA Building Energy Efflclerlcy Standards - 2019 nesidentw Compliance January 2020