BRES2016-035378-495 CALLE TAMPICO
LA C(UINTA, CALIFORNIA 92253
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BRES2016-0353
Property Address: 80167 PALM CIRCLE DR
APN: 600080024 ® 4
Application Description: RICHMOND RESIDENCE / WIN ANGE OUT
Property Zoning:
Application Valuation: $5,458.00 DEC 12 2016 In
Applicant: DESIGNANDp OFLAQUINTA "-"-
D5\ S CK CROWN ST ENTERPRISES INC DBA THREE D CONST EVELOFMENTDEPARTMENT
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
MgDate: l� , —Cont or.
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.).
(_J 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 Na
Lender's Ad
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/12/2016
Owner:
MARY RICHMOND
80167 PALM CIR=LE DR
LA QUINTA, CA 52253
Contractor:
D WICK ENTERPRISES INC DBA THREE DCONST
1515 CROWN ST
REDLANDS, CA 52373
(909)335-4846
Llc. No.: 818261-
LICENSED
18261
WORKER'S COMPENSPTION DECLARATION
I hereby affirm under penalty of perjury one :)f 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' =ompensation 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: ACE AMERICAN INSURANCE COMPANY Policy Number: RWCC48821169
I certify that in the performance cf the work for which this permit is issued, I
shall not employ any person in any manner s7 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 Sectior 3700 of the Labor Code, I shall forthwith
comply with those provisions.
Dates I� Applicant: � - P
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 apalication 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 Df issuance of such permit, or cessation of
work for 180 days will subject permit to cancellation.
I certify that I have read this application anc state that the above information is correct.
I agree to comply with all city and county o-dinances and state laws relating to building
construction, and hereby authorize represe itatives of this city to enter upon the
above-mentioned property for inspection pirposes.
\2-�2�1
Date: � Signature (Applics.nt-or-Agent)
Date: 12/12/2016
Application Number:
BRES2016-0353
Owner:
Property Address:
80167 PALM CIRCLE DR
MARY RICHMOND
APN:.
600080024
-80167 PALM CIRC=LE DR
Application Description:
RICHMOND RESIDENCE/ WINDOW CHANGE OUT
LA QUINTA, CA 92253
Property Zoning:
Application Valuation:
$5,458.00
Applicant:
Contractor:
D WICK ENTERPRISES INC
DBA THREE D CONST .
D WICK ENTERPRISES INC DBA THREE D CONST
1515 CROWN ST
1515 CROWN ST
REDLANDS, CA 92373
REDLANDS, CA 52373 '
(909)335-4846
LIc. No.: 8182611 `.
Detail: REPLACE (2) WINDOWS AND (2) SLIDING GLASS DOORS. LIKE FOR LIKE. PER 2013 CALIFORNIA BUILDING CODE
i
i,
FINANCIAL INFORMATION:'.
DESCRIPTION ACCOUNT QTY
AMOUNT
BSAS SB1473 FEE 101-0000-20306 0
$1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION.
'ACCOUNT
QTY
AMOUNT
SMI -RESIDENTIAL
101-0000-20308
0
$0.71
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.71
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DOOR/WINDOW, RETRO/REPAIR, FIRST 7
101-0000-42400.
0
$63.84
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DOOR/WINDOW, RETRO/REPAIR, FIRST 7 PC
101-0000-42600
0
$62.32
Total Paid for WINDOW/SLIDING GLASS DOOR/FENESTRATION: $126.16
'FOTALS: $132.87
y ..
13
ti
y ..
13
Bin #
City of La Quints
Biliift 8r Safety Dil dDn
P.O. Box 1504, 78495 Calle Tampico
to Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Pennit #
Project Address: 1(07-1,
(D 7+ 1 t ; � ` -
Owner's Name: ''1 �,i•V!!�,� N�
A. P. Number:
Address:�---
Legal Description:
City, ST, Zip: L 4 t Vel
Contractor:
Telephone: gLtZ -!SOD
Address: �ram\(Q P^ILI` VV CA—
Project Description:
City, ST, Zip:
Telephone: (x(.1.2_ _zM
State Lic. # : ) 2-ce) I- CityLic. #;0)0yo t6r`-
Arch., Engr., Designer
�.t:
Address:
City., ST, Zip:
Telephone: Construction Type: Occupancy:
State Lic. #: Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: Sq. FL: #Stories: #Units:
Telephone # of Contact Person:
Estimated Value of Project: j I_
APPLICANT:
DO NOT WRITE BELOW THIS UNE .
#
Submittal
Req'd
'Rec'd
TMCMG
PERMIT FEES
Plan Sets
Plan Cheek submitted
Item
Amount
Structural Cala.
Reviewed, ready for corrections
Pian Check Deposit
Truss Celts.
Called Contact Person
Plea Cheek Balance.
Titte 24 tales
Plans picked up
Construction
Flood plain plan
Plana resubmitted
MechanEal
Grading plan
2" Review, ready for correctionsinue
Electricid
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
SALL
H.O.A. Approval
Pians resubmitted
Grading-
radingIN
INHOUSE:
3" Review, ready for correctionsassue
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
7dn-7-
oi
�IIJ
dv� Q
LA
QUINTA
5 FETY DEPT.
V
t` NSTRUCTIOIVOAT/IC
BY
Provide means of emergency escape and rescue from bedroom(s). ''he opening shall have a rriinirnum
net clear opening of 5.7 square feet (5.0 square feet for grade floor). The mirnirrurn net clear opeing
height shall be 24 inches. 'The minimum net clear opening width shall be ?.0 inches. All escape win,dov;s \
shall have a finished sill height not more than 44 inches above the finished flour. (CRC §§12310.1.1—
8310.1.3)
t ,
S "ATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
C_F.0-CFi'R-ALT-01-F revised 06114)
CERTIFI_W. F OF C&MPUANCE
Pre- xfpp-',!P Residential Alterations
Pro)e�t N1nQ,: ►Y1 _p 1 G7
1k"0y,t>
A. GENERAL INFORMATION
01 Project Name: 1^rl �Q�
03
Project Location: --7
05
.
CA Qty:
07
Zip Codoi
09
Climate Zone:. I -Z)
it
13
Building Type
—Pro —ect Scope: f ¢���—r �,, V,"—
GALIFURNIA ENERGY COMMISSION
CF1R-ALT,01-E
(Page 1 of 4)
Date Prepared: 1,2_ 1Z— 11r,
B.
B. BUILDING INSULATION DETAILS•(Section 1M2(b)1)
01
02
03
04.,
05
06 . 07 0
Proposed
Tag/ID
I Assembly Type
Frame
Type
Frame
Depth
(inches)
Frame
Spacing
(inches)
Continuous Al
Cavity Insulation
R -value R -value U=factor Ta
C
C. ROOF REPLACEMENT (Prescriptive Alteration, Section ffo'.2(b)11-1).
01 02 03 04 05
Method of Roof CRRC Product ID
Compliance Pitch Exception Number Product Type
L „L 09 10
Requirec
ipendix JA4
teference
ale Cell U -Factor
11
Comments
06 07 108' •09 . 10 it
12
R -value Proposed Minimum Regi
Deck Initial Solar Aged Solar Thermal SRI Aged Solar Thermal
I>'ulatipn Reflectance Reflectance Emittance (0 tional) Reflectance Emittance
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(1)4.
Registration Number:
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time:
HERS Provider:
13
SRI
June 2014 1
STATE L:F CALIFORNIA
RESIDENTIAL ALTERATIONS -
CEC-CFtR � .,r -01-E (Revised 06/14
;�
CERTIFIC ,.TE OF•COMPLIANCE
CALIFORNIA ENERGY COMMISSION "��)
Prescrlp'tive Residential Alterations
CF1R ALT -01-E
Project Nar*�e: �� (Q���p,Nfl
(Page 2 of 4)
Date Prepared: 1"L�1Z- l cc
D. FENESTRATION/GLAZING AREASALLOWED (Section B0.2(b)i)
01
02
03
04
a
.AlterationIype
1 `1 utientsti3A
Maxlmtlm Allowed h2
Commenis
E. FENESTRATION%GLAZING PROPOSED AREAS AND EFFICIfNCIES (Section 150.2(b)i)
01
02
03
04
05
06
07
08'
09 .
10
11
12
13
14
15
Tag/
Fenestration
frame
Dynamic
Orientation
N, S, W, E, or
Area
Removed
Area
Added
Net
Added
. Maximum
Allowed
Exterior
Combined
SHGC
ID
Type
Tye
Glazing
Roof
f;2
ft2
Area ft2
U factor
U -factor
Source
SHGC
I Source
Shading
Device
from'
CFlR-ENV-03
Z
wfW--
Z7
t,J:FPc_
NIA-
A- A-
try
V_--
). l
I 1
/ f�-
Z-7
a
Net Added West -facing fenestration Area'.
t
_
Z
iC
'� ! ►'a-
b
Existing + Added West -facing Fenestration Area
c
Maximum All6we.0 West -facing Feriestietion Area
d
Is West -facing Fenestration Area < Maximum Allowed West -facing Fenestration .
.
'Aria
e
Net Added Fenestration Area (all orientations)
f
Existing + Added Fenestration Area (all orihtations)
g .
Maximum Allowed`Fenestration Area orientations)
h
Is Existing + Added Fenestration Area <"Maximum Allowed Ferieitration Area (all
"
" 'orientations)
;� v %uy . • r'/� 50 so
N l
I
►27 Q uqG ,2-Z .
Registration Number: Registration Date/Time:
CA Building Energy Efficiency Standards -'2013 Residential Compliance
HERS Provider
' lune 2014
1
STATE OF CALIFORNIA
.RESMENTIAL ALTERATIONS
CSC-CFIR-ALT-01-C Revised 0/14
CERTIFICATE OF•COMPL'IANCE''
CALIFORNIA ENERGY COMMISSION
Prescriptive Residential Alterations
CF111-ALT-01E
Project Mame:. �C-1`MC-�
(Page 3 of 4)
Date Prepared: 4Z� 1Z-lCO
F.SPACE CO,NDITIONING(SC) SYSTEMS— HEATING/COOLING'(Prescriptive section 150.2(b))
01 02
Dwelling Unit Name Dwelling Unit CFA (Ft2)
03
=
Comments
G. WATER HEATING SYSTEMS (Section 150.2(b)iG)
01 02 03 04 05 06 07 08 09 10
11 12 13
Water Heating aof Water
14 15
System Water Heater
Water Water
Y Rated Aated Heatin
Identification or Heating Heater Heaters Storage g Heating
Back -Up
Exterior Solar
in volume Fuel Input Input Efficiency Efficiency
Name System.Type Type s stem (gal) Type Typo
Standby Insul. Savings
Dwelling UnitDHW
central DHW System System
Y
Value. T ype Value
loss (%)_ R -Value Fraction
Distribution TypeDistribution Type
H. SPACE 1CCiNDIfl6NING SYSTEMS AND WATER HEATIN'd SYSTEMS INVUtTIFAMILY'D'VVELLING UNITS
01 02 03 04
Central Water Heating " D.v�ielling Unit
05
05
Dwelling Unit Total CFA System Identification or Water Heating System
Dwelling Unit:
nit;
Dwelling Unit Name (ft2)• Name Identification or Name
Alteration to t ce
ConditioningSystem(s)?
Comments
Registration Number.
Registration Date/Time:-
CA Building Energy Efficiency Standards - 2013 Residential Compliance
HERS Provider:.
June 2014
State Of California
Residential Alterations
CEC-CF1 R -ALT -01 -E ( Revised /14 California Energy Commission
Certificate Of Compliance
CFIR-AL-F-01-E
Prescriptive Residential Alterations Pae Of L
Project Name:. ice_} V1�t Date Pre ared: -4- rZ._
Documentation Author's Declaration Statement
certify—that this certificate o om lance documentation is accurate and c mplete.
Documentation Author Name: Roger Cummings . Documentation Author Signature:
Company: Three D Construction Signature Date: _ -2-
Address:
Address: 320 E. Stuart License: 818261
city/state/zip: Redlands CA 92374 Phone: 909-792-0612
Res onsible Person's Declaration Statement
T—Certify the folowing under penalty of perjury, un er the lasw of the state of California:
1. The informatioan provided on this Certificate o fCompliance 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
identification on this Certificate of Compliance ( Responsible Designer) .
3. That the energy features and perfomance specification, material, 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 California Code of Regulations.
4. The building design features or system design features identified on the Certificate of Compliance are consistent with the information provided
on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to the enforcemant 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 tht a registered copy of this Certificate of Compliance
is required to be inclueded with the documentation the builder provides to the building Owner at occupancy.
Responsible Designer Name: Roger Cummings Responsible Designer Signature:
Company: Three D Construction Date Signed:
Address:. 320 E. Stuart License: 818261
City/State/Zip: Redlands CA 92374 Phone: 909-792-0612
For assistance regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300
RegistrationNumber Registration Date/Time HRS Provider
CA Building Energy Efficiency Standards - 2013 Residential Compliance