BRES2020-003578-495 CALLE TAMPICO T-iht D "CF Qu!R&
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype: BUILDING RESIDENTIAL/REMODEL
Application Number: BRES2020-0035
Property Address: 53720 AVENIDA CORTEZ
APN: 774102011
Application Description: DOMINGUEZ / CHANGEOUT 3WINDOWS 1 DOOR & SIDING
Property Zoning: REPLACEMENT
Application Valuation:
$10,000.00
Applicant:
EUGENE LORRAINE DOMINGUEZ D
53720 AVENIDA CORTEZ MAR 0 's 2020
LA QUINTA, CA 92253 PJD
CITY OF LAQUINTA
DESIGN & DEVELOPMENT DEP.ARTMEN
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:: B License No.: 1013058
L[ Con 1 A", %'V fr
OWNER -Sin 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
t
Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Dmsk
3 of the Business and Professions Code) or that he or she is exempt therefrom and th+?j
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, 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, 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:
Lender's
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/28/2020
Owner:
EUGENE LORRAINE DOMINGUEZ
53720 AVENIDA CORTEZ
LA QUINTA, CA 92253
Contractor:
CHEROKEE BUILDERS CORP
28382 VIA LAS PALMAS
THOUSAND PALMS, CA 92276
(760)507-1290
Llc. No.: 1013058
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:
Carrk MPT Policy Number:
sh MI certlfy that In the performance of the work for which this permit is issued, I
ot 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 those provisions.
2 A t:
WARNING: FAILURE TO SECURE WO KER COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER IMINAL 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 enter upon the
above -mentioned property for inspection purposes. (Applicant or Agent): r. 4tu--
bate: 2;"28/21DW
Application Number:
BRES2020-0035
Property Address:
53720 AVENIDA CORTEZ
APN:
774102011
Application Description:
DOMINGUEZ / CHANGEOUT 3WINDOWS 1 DOOR & SIDING REPLACEMENT
Property Zoning:
Application Valuation:
$10,000.00
Applicant:
EUGENE LORRAINE DOMINGUEZ
53720 AVENIDA CORTEZ
LA QUINTA, CA 92253
Owner:
EUGENE LORRAINE DOMINGUEZ
53720 AVENIDA CORTEZ
LA QUINTA, CA 92253
Contractor:
CHEROKEE BUILDERS CORP
28382 VIA LAS PALMAS
THOUSAND PALMS, CA 92276
(760)507-1290
Llc. No.: 1013058
Detail: REPLACE SIDING AT WEST ELEVATION AND CHANGEOUT 3 WINDOWS AND 1 DOOR. WINDOWS MUST MEET MINIMUM ENERGY STANDARDS. THIS
PERMIT DOES NOT INCLUDE CHANGES TO THE FRAMING. PER 2019 CALIFORNIA BUILDING CODES.
DESCRIPTION ACCOUNT CITY AMOUNT
PLAN CHECK DEPOSIT - ADDITION/REMODEL 101-0000-42600 1 $125.00
Total Paid for PLAN CHECK DEPOSIT - ADDITION/REMODEL: $125.00
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
QTY
AMOUNT
101-0000-42600
($82.11)
DESCRIPTION
ACCOUNT
CITY
AMOUNT
101-0000-42600
($27.37)
DESCRIPTION
ACCOUNT
CITY
AMOUNT
STUCCO APPLICATION, FIRST 500SF
101-0000-42404
0
$27.37
DESCRIPTION
ACCOUNT
QTY
AMOUNT
STUCCO APPLICATION, FIRST 500SF PC
101-0000-42600
0
$82.11
Total Paid for STUCCO APPLICATION 2019: $0.00
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
101-0000-42600
($15.52)
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DOOR/WINDOW, RETRO/REPAIR, FIRST 7
101-0000-42400
0
$67.62
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DOOR/WINDOW, RETRO/REPAIR, FIRST 7 PC
101-0000-42600
0
$15.52
DESCRIPTION
ACCOUNT
CITY
AMOUNT
DOOR/WINDOW, RETRO/REPAIR, FIRST 7 PC
101-0000-42600
0
$50.49
Total Paid for WINDOW/SLIDING GLASS DOOR/FENESTRATION 2019: $118.11
tev Qua
—,;FNI'.Id" uesercr—
Project Address:
APN #: 0-or
PERMIT #
v0�O--oo
PLAN LOCATION:
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
fr o1n cP. (l) -Frm+ Am-
r +
Applicant Name: Orv-'1" he D p1'}11 }� v �,2/
Address: i�� .o c
City, ST, Zip: (� j' �`�15
Telephone: (�
Email: 1 f a oo e�m Valuation of Project $
Contractor Name: +
15
New SFD Construction:
Address: 2-,Sr3�Z- V" 4�
f
Conditioned Space SF
City, St, Zip •'� ,
'�
Garage SF
Telephone:
C C• ,�1 r�—
Patio/Porch SF
Email: ZW , .t cJ Ylr
Fire Sprinklers SF
=StateLic-.1 C City Bus Lic:
Arch/Eng Name:
Construction Type: Occupancy:
Address:
Grading:
City, St, Zip
Telephone:
Bedrooms:
Stories: # Units:
Email:
State Lie: City Bus Lie:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
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SP'E.0 ►F cKTioWS
ci rY OF LA QUINTA
BUILDING DIVISION
REVIEWED FOR
CODE
� COMPLIANCE
8QESaoao6-003s
S&7uoAveoDAtoeT67:
STATE OF CALIFORNIA
Prescriptive Residential Alterations
CEC-CFIR-ALT-05-E (Revised 01120)
CERTIFICATE OF COMPLIANCE
Prescriptive
That Do Not Require HERS Field Verification
ions That Do Not Require HERS Field
CALIFORNIA ENERGY
CFIR-ALT-05-E
Page 1 of 4
inrs complance aocumenr is only applicable to simple alterations that do not require HERS verification for compliance. When HERS verification is required, a CF1R-ALT- 01 shall f+rst be registered
with a HERS Provider Data Registry.
Alterations to Space 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 greater 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 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
01
Project Name:
�� ii
02
Date Prepared:
— `'C _ Z O
'[
03
Project Location:
5 2 7 2.o � {i�-N1 U A,
Co �i
04
Building Front Orientation (deg or cardinal):
05
CA City:
/J
`5 f vT
06
Number of Altered Dwelling Units:
07
Zip Code:
Z
08
Fuel Type:
09
Climate Zone:
10
Total Conditioned Floor Area (ftz):
11
Building Type: ti J� y� .
/
/I 12 Slab Area (ft)
6
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 ❑ Include Mandatory Measures?
CA Building Energy Efficiency Standards - 2019 Residential Compliance January 2020
STATE OF CALFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
CEC-CFIR-ALT-05-E Revised o111201 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification Page 2 of 4
ptai"I KUM! - ( w Date Prepared:
i�,„r F i 2
D. Fenestration/Glazing Allowed Areas and Efficiencies (Section 150.2(b)1)
01
02
03
Maximum
04
Maximum
Existing
Allowed
Allowed
Fenestration
Existing
Fenestration
West -Facing
for All
West -Facing
Alteration
for All
Fenestration
Orientations
Fenestration
Type
Or entations (ftz)
Area Only (ftz)
(ftz)
Area (ftz)
05 06 07
Maximum
Maximum
Maximum Maximum
Allowed
Allowed
Allowed Allowed
U-Factor
U-Factor
SHGC SHGC
(Windows)
(Skylights)
(Windows) I (Skylights)
Comments
F. Fenestration/Glazing Proposed Areas and Efficiencies - Replace (Section 150.2(b)16)
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 1 07 08 09 10 11 12 13 14
Area Area Net Proposed Proposed Combined
Fenestration Dynamic Orientation Removed Added Added Proposed U-factor Proposed SHGC Exterior SHGC from
Tag/ID Type Frame Type Glazing (N, S, W, E) (ftz) I (ftz) Area (ftz) U-factor Source SHGC Source Shading Device CFIR-ENV-03
t-0-
�J
- �o
�-� 1��
0
-3 G
JC U
i ram)' !.
(Ars
_ 7
0
O
LA
0
0
0
0
0
0
Add Row
Delete Row
15 4
Net Added West -facing Fenestration Area
CA Building Energy Efficiency 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 01120)
CERTIFICATE OF COMPLIANCE
CALIFORNIA ENERGY COMMISSIONiIIIIIIIIIIIIIIIIIIIIIIII
CF1R-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification Page 3 of 4
Project Name:
16
Is Net Added Fenestration Area <_ for west -facing fenestration?
I[`Ves tr No
17
Net Added Fenestration Area (all orientations)
18
Is Net Added Fenestration Area <_ 0 for all orientations?
N� Yes r No
19
Proposed Fenestration U-factor (Windows)
6
20
Required Fenestration U-factor(Windows)
_j 6
21
Is the proposed Fenestration U-factor <_ the Required Fenestration U-factor?
[/Yes r No
22
Proposed Fenestration SHGC (Windows)
10
23
Required Fenestration SHGC (Windows)
=Z
24
Is the Proposed Fenestration SHGC <_ the Required Fenestration SHGC?
r Yes r 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?
r Yes r No
28
Proposed Fenestration SHGC
29
Required Fenestration SHGC
30
Is the Proposed Fenestration SHGC <_ the Required Fenestration SHGC?
Ir Yes tr No
CA Building Energy Efficiency Standards - 2019 Residential Compliance
January 2020
STATE OF CALIFORNIA
Prescriptive Residential Alterations
CEC-CFIR-ALT-05-E (Revised 01.i20
CERTIFICATE OF COMPLIANCE
Prescriptive Residential A
That Do Not Require HERS Field Verification
s That Do Not Require HERS Field Verification
CF1R-ALT-05-E
Page 4 of 4
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Compliance documentation is accurate and Complete.
Documentation Author Name: `
Do mentation Author Signature:
company:
a re a[e:
Address:
V C� ftzi
CE ertification Idnti ication (if applicable):
CitylStd[elLip: ` ! ZZ
�]�]%
Phone-,
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certify the following under penalty of perjury, under the laws of the State of California:
I. 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:
��'.�—
Co pang:,
Date Signed:
Address:
7-5;rv
Ucense_
J()l 3 G S
citylsta e/Iip:
- �- s AN,, >ti.s �i z Z7 �
Phone;
`C) � s �I
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.
CA Building Energy Efficiency Standards - 2019 Residential Compliance
January 2020
fc,
44
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James Hardie HardiePlank HZ10 5/16 in. x 8.25 in. x 144 in. Fiber Cement Select Cedar... Page 1 of 5
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