BRES2015-0295FA
78-495 CALLE TAMPICO
T,i&t 4 40"Kt(u-
LAPUINTA,
CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BRES2015-0295
Owner:
Property Address:
53610 AVENIDA MONTEZUMA.
BARBARA GROUND
APN:
774101018
424 BELVEDERE ST
Application Description:
VIRGIN / REPLACE (14) WINDOWS LIKE FOR LIKE
LA JOLLA, CA 92253
Property Zoning:
CV
Application Valuation:
$9,825.00
Applicant:
D WICK ENTERPRISES INC DBA THR
1515 CROWN ST
REDLANDS, CA 92373
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.: 818261
Date: "2� I� 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).:
(_) 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
Lender's
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Contractor:
D WICK ENTERPRISES INC DBA
1515 CROWN ST
REDLANDS, CA 92373
(909)335-4846
Llc. No.: 818261
Date: 8/3/2015
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
o e 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 polity number are:
Carrier: _ Policy Number: _
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 the Labor Code, I shall forthwith
comply with those provisions. �--�
Date: S=5'201 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 enter upon the above•
mentioned property for inspection purposes.
Date: $3 2a I S Signature (Applicant or Agent)
LCI)
'
CD
c
CV
OVID
L'7sa'f
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
o e 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 polity number are:
Carrier: _ Policy Number: _
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 the Labor Code, I shall forthwith
comply with those provisions. �--�
Date: S=5'201 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 enter upon the above•
mentioned property for inspection purposes.
Date: $3 2a I S Signature (Applicant or Agent)
FINANCIAL
ACCOUNT - QTY AMOUNT.. PAID
PAID'DATE
DESCRIPTION
BSAS SB1473 FEE
101-0000-20306
0 $1.00 $0.00
PAID BY
METHOD
RECEIPT #. CHECK #
CLTD.BY
Total Paid for BUILDING STANDARDS ADMINISTRATION .BSA $1.00 $0.00
'DESCRIPTION -:
ACCOUNT .- .
QTY
AMOUNT:. :
PAID
PAID DATE
SMI - RESIDENTIAL
101-0000-20308
0
$1.28
$0.00
PAID'"BY •.
METHOD
" RECEIPT #:
-:` CHECK #
CLTD BY"
Total Paid forSTRONG MOTION INSTRUMENTATION SMt $1.28 $0.00
DESCRIPTION"
:. ACCOUNT':".
-:QTY
':.'AMOUNT ':.
PAID
PAID "DATE.
DOOR/WINDOW,. REPLACE FIRST
101-0000-42400
0
$60.91
$0.00
PAID BY ;:,`'METHOD
" ""
"RECEIPT #
CHECK #
CLTD BY "
DESCRIPTION
;_; ACCOUNT
QTY-.
AMOUNT
PAID
PAID DATE.
DOOR/WINDOW, REPLACE, EA ADDITION S
101-0000-42400
0
$20.30
$0.00
PAID BY
METHOD
RECEIPT :#
CHECK #
CLTD BY
DESCRIPTION _:>
➢'ACCOUNT.'::
QTY
AMOUNT:
PAID
PAID DATE
DOOR/WINDOW, REPLACE, EA ADDITION 5
PC
101-0000-42600
0
$23.20
$0.00
PAID BY .;
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION `
'ACCOUNT..
QTY
AMOUNT.
PAID
PAID DATE
DOOR/WINDOW, REPLACE, FIRST 7 PC
101-0000-42600
0
$110.22
$0.00
PAID BY
METHOD
RECEIPT.#
CHECK #
CLTD BY.
Total Paid for WINDOW/SLIDING GLASS DOOR/FENESTRATION: $214.63 $0.00
TOTALS:00
Description: VIRGIN / REPLACE (14) WINDOWS LIKE FOR LIKE
Type: BUILDING, RESIDENTIAL Subtype: REMODEL
Status: UNDER REVIEW
Applied: 8/3/2015 SKH
Approved:
Parcel No: 774101018 Site Address: 53610 AVENIDA MONTEZUMA LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA AT VALE LA QUINTA Block: 195
Lot: 17
Issued:
UNIT 19
Lot Sq Ft: 0 Building Sq Ft: 0
Zoning:
Finaled:
Valuation: $9,825.00 Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0
No. Unites: 0
Details: WINDOW CHANGE OUT (14) LIKE FOR LIKE [2013 ENERGY] 2013 CALIFORNIA BUILDING CODE.
CLTD
DESCRIPTION t ACCOUNT. CITY _ AMOUNT PAID PAID; DATE ::RECEIPT # CHECK #,:r :METHOD PAID BY
BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $0.00
BSA:
Printed: Monday, August 03, 2015 1:41:36 PM 1 of 2sysrr:Ms
4
DESCRIPTION
ACCOUNT
CITY
AMOUNT
,. a.TD
PAID
PAID DATE -_RECEIPT #_
: CHECK #:
.METHOD,
..
<: PAID BYBY
SMI - RESIDENTIAL
101-0000-20308
0
$1.28
$0.00
Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $1.28 $0.00
DOOR/WINDOW,
101-0000-42400
0
$60.91
$0.00
REPLACE FIRST 7
DOOR/WINDOW,
REPLACE, EA ADDITION
101-0000-42400
0
$20.30
$0.00
5 .
DOOR/WINDOW,
REPLACE, EA ADDITION
101-0000-42600
0
$23.20
$0.00
5 PC
DOOR/WINDOW,
101-0000-42600
0
$110.22
$0.00
REPLACE, FIRST 7 PC
Total Paid for WINDOW/SLIDING GLASS
$214.63 $0.00
DOOR/FENESTRATION:
TOTALS:00
INSPECTIONS
SEOID' INSPECTION TYPE; lNSP.ECTOR< SCHEDULED. ;COMPLETED itE5ULT REMARKS NOTES
7
DATE DATE
FINAL*" BLD
PARENT PROJECTS
REVIEWS
REVIEW -'TYPE REVIEWER SENT bA? „-DUE
RETURNED STATUS REMARKS
DATE -
NOTES,:
Printed: Monday, August 03, 2015 1:41:36 PM 2 of 2 SYSTEMS
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CITY OF LA QU NTA
BUILDING & S®� �
APp R
FOR CONSTRUCTION
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DATE
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CITY OF LA QU NTA
BUILDING & S®� �
APp R
FOR CONSTRUCTION
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DATE
81�f15i
Bin #
Qy of La Quinta
Building 8r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
f5r,-2ES2_0 !�tLa
Project Address: S3Co10 A4E1JIpA MO►JCS�zuMitr.
Owner's Name:
A. P. Number:
Address: S l0 /� I1J,A MQ►,I�Z�IMA
Legal Description:
City, ST, Zip:" It.7C>A CA, °17253
ContractorA " �
fff��� i��C71-�`ST�Ix.�TION
Telephone: $til ` tal0 - 7y 1 Q
F• ry:w ;k.s.;,L:..' "a ;`q..;.
�?;>�yh�':�•.��<<�Qi;.:";.,.<��r:
Address: —30o E STUA
Project Description: I L4 rtT
City, ST, Zip: �y 0A gZ37
().1 IN OOw �j ' I L--L�—V V�&f L.l Y—F. `
Telephone: — % - 0(CP4 Z
State Lic. # :
City Lic. #:0I gg
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
:'>.....:s : ;
"N,.•. � •; �t:��v. rU>i�\iii i:i i:v�'?'..JK;�.v'•Sr�:.
Construction Type: Occupancy.
State Lic.
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project: f Z' S
APPLICANT: DO NOT WRITE BELOW THIS LINE .
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
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 correctionslissue
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
1.
Total Permit Fees
STATE OF CALIFORNIA -
RESIDENTIAL -ALTERATIONS
CEC-CF1H=ALT-01•E (Revised 06114)
CriRTIFICATF OF COMPLIANCE
Prescriptive Residential Alterations
Project Name: K12
A. GENERAL INFORMATION
63 1 Project Name: Ft Q..�
B. BUILDING INSULATION DETAILS (Section 1S0.2(b)i)
01 02 03
04 .
OS
06
Propc
Frame
Ta /ID Assemb Tye Type
Frame
Depth
(inches)
Frame
Spacing
(inches)
Continuous
Cavity Insulation
R -value R -value
C. ROOF REPLACEMENT (Prescriptive Alteration,
01 02 03 04
Method of Roof CRRC Product ID
Compliance Pitch Exception Number
CF1R-ALT-01-E
(Page 1 of 4)
Date Prepared: Q- 2c{- 2p15 --
Date Prepared:
Building Front Orientation (deg or
Number of Altered'Dwellino t1„ ite-
Floor Area
07 1 08 09 10
red Re uirer
Appendix JA4
Reference
U-faetor Table Cell U -Factor
Com
11
06 07 08 09 10 11 12
13
R -value Proposed Minimum Required
Deck Initial Solar Aged Solar Thermal SRI Aged Solar Thermal SRI
16ulatipn Reflectance Reflectance Emittance (Optional Reflectance Emittancn trims,.
NOTES
• Roof area covered by building integrated photovoltaic panels and solar thermal panels are exempt from the above Cool Roof requirements.
• Liquid field applied coatings must comply with installation criteria from section 110.8(i)4.
Registration Number:
CA Building Energy Efficiency Standards - 2013 Residential Compliance Registration Date/Time:
HERS Provider:
June 2014 1
STATE GF CALIFORNIA
RESIDENTIAL ALTERATIONS
(Revised 06114)
CERTIFICATE OF COMPLIANCE
• Prescriptive Residential Alterations
Project Name: tis V \0e.� 0
VCEG-CFIR-ALT-0I•E
CALIFORNIA ENERGY COMMISSION
CFIR-ALT-OI-E
(Page 2 of 4)
Date Prepared: -7_Zy_ ZO\5
D. FENESTRATION/GLAZING AREAS ALLOWED (Section 150.2(b)1)
01 02 03
04
Alteration Type Orientation Maximum Allowed ft2
Comments
12�Ld c— IJ S � uJ Gjo
E. FENESTRATION/6LAZIIVG PROPOSED AREAS AND EFFICIENCIES (Section
1S0.2(b)1)
01 02 03 04 05 06 07
08
09
10 11 12
13
14
15
Orientation Area Area
Tag/ Fenestration Frame Dynamic N, S, W, E, or Removed Added
Net
Added
Maximum
Allowed
Exterior
Combined
SHGC
ID Tvpe Tye Glazing Roof ft2 ft2
Area ft2
U-factor
U-factor Source SHGC
Source
Shading
Device
from
CFIR-ENV-0
t/J ► ri .l VI ,&.' p,7
—
Nr' A_
. 3 Z
30 AJI=OC 21
Ni-C,
All 14-
N i A-
W 1wart.) V IN c S
AJ I/�
. 3 Z
AJFQ.0 21
1J�R�C
A/� �-
1lJ 1l4
N rJuJ v I N c. t `tel
N Fes- •21
A1Fil?L'
A/)itQ-
r`/!�-
a Net Added West facing Fenestration Area
i
b Existing + Adde4 West-facing Fenestration Area
c Maximum 911pwe4 West-facing Feni!s4 tion Area
d Is West-facing Fenestration Area < Maximum'Allowed West-facing Fenestration
. .
e N8t Added Fenestration Area (all orieiitatiori3)
f Existing + Added Fenestration Area (all orientations)
9 Maximum Allowed`Fenestration Area (all orientations)
h Is Existing +Added Fenestration Area < Maximum Allowed Feneitration Area (all
orientations)
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Number: Registration Date/Time:tJIMHERS
CA Building Energy Efficiency Standards - 2013 Residential Compliance s Nf� .SZ
�3p IMR2C rzl
Provider:
W X%,TZO— J l� _ 1"SL S
[[
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fie?014
STATE OF CALIFORNIA
RESOD ENTIAL-ALTERATION S -
CEC-CFtR•ALT-01•E Revised 06/14
CERTIFICATE OF COMPLIANCE CALIFORNIA ENERGY COMMISSION
Prescriptive Residential Alterations CF1R-ALT-01-E
Project Name: V tP-1 (Page 3 of 4)
Date
d: -7
F. SPACE CONDITIONING(SC) SYSTEMS - HEATING/COOLING (Prescriptive section 150.2(b)------------)
01 02
Dwellina Unit Name Dwelling Unit CFA (Ft2) 03
Comments
G. WATER HEATING SYSTEMS (Section 150.2(b)iG)
01
0203
04
05
06
07
08
09
10
11
Water Heating
Mof
Water
12
13 14 15
System
Water
Water
Water
Heater
Back -Up
Identification or
Heating
Heater
Heaters
Storage
Rated
Rated
Heating
Heating
Exterior
Solar
Name
System Type
Type
In
stem
Volume
Fuel
Input
Input
Efficiency
Efficiency
Standby
Insul.
Dwelling UnitDHW
Savings CentralDHWSystem
(gal)
Type.
T pg
value
TYPe
Value
Loss ULt
R -Valu.
System
r.�..:..., „�-.-,l...,__ _ •
H. SPACE CONDITIONING SYSTEMS AND WATER H6Atm% SYSTEMS IN''NIULTIFAMILY DWELLING UNITS
01 02 - 03 04
.. 05
Central Water Heating Dwelling Unit Dwelling Unit:
Dwelling Unit Total CFA System Identification or Water Heating System Alteration to the Space
Dwelling Unit Name (ft2) Name Identification or Name Conditioning System(s),.
Registration Number:
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time:
Comments
HERS Provider:
June 2014
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CERTIFICATE OF COMPLIANCE CALIFORNIA ENERGY COMMISSION
Prescriptive Residential Alterations MR -ALT -014
Project Name: e-Q%S t 9C.-ttJ (Page 4 of 4)
Date Prepared r Zy 2�0 � ---
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
I. I certify that this Certificate of Compliance documentation is accurate and complete.
Do nation Author Name: Documentation Author
Cin can v S
Company: c
Signature Date:
Address:
&Y _ 7 -C I S
c5Zo ; t�r,� CEA/ "ERS Certification Identification (if applicable):
CA. izS7
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certify the following under penalty of perjury, under the laws of the State of California:
1. The informgtion 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 feature! 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 agengy 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.
Reseans" Designer Name: _
�mvkW\%�
C•64 q 2,370
Phone:
�61
For assistance or questions regarding the Energy Standards, contact the Energy Hotline. at: 1-800-772-3300.
Registration Number: - Registration Date/Time:
CA Building Energy Efficiency Standards - 2013 Residential Compliance HERS Provider:
June 2014