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BRES2015-0303
:' 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:: License No.::LIC-0106969 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 Divisira of the Business and Professions Code) or that he or she is exempt therefrom and th basis for the alleged exemption: Any violation of Section 7031.5 by any applicant f permit subjects the applicant to a civil penalty of not more than five hundred doll s ($500).: (1 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 ) 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.). y Lender's Name: Lender's Address: 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 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.Q-7-2-6 1;57– 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. �1 1—Zd�a Signature (Applicant or Agent` VOICE (760) 777-7125 78-495 CALLE TAMPICO U FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 8/7/2015 Application Number: Property Address: BRES2015-0303 78167;SnMBRERO CL C r I m S 011SONIA LIT Owner: LARSEN APN: 4 609500018 78167 CRIMSON CT Application Description: LARSEN RESIDENCE WINDOW CHANGE OUT LA QUINTA, CA 92203 Property Zoning: Application Valuation: $3,692.00 Applicant: THREE D CONST D – Contractor: THREE D CONST OUTSIDE CITY LIMITS OUTSIDE CITY LIMITS LA QUINTA, CA 92253 AUG 0 7 2015 LA QUINTA, CA 92253 CITI' (909)821-5290 OFLA Q(NNTA COMMUNITyDEVELOPMENTDEPARTMENT Llc. No.::LIC 0106969 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:: License No.::LIC-0106969 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 Divisira of the Business and Professions Code) or that he or she is exempt therefrom and th basis for the alleged exemption: Any violation of Section 7031.5 by any applicant f permit subjects the applicant to a civil penalty of not more than five hundred doll s ($500).: (1 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 ) 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.). y Lender's Name: Lender's Address: 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 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.Q-7-2-6 1;57– 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. �1 1—Zd�a Signature (Applicant or Agent` .DESCRIPTION `:" FINANCIAL ,• f. ACCOUNT' ..' ;:' QTY AMOUNT PAID PAID DATE. BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 PAID BY METHOD RECEIPT #: -CHECK # CLTD BY: Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00 DESCRIPTION ACCOUNT -, QTY AMOUNT PAID:.PAID DATE SMI - RESIDENTIAL 101-0000-20308 0 $0.50 $0.00 yPAID BY —.METHOD.... .RECEIPT # ;" CHECK # CLTD BY Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $0.50 $0.00 DESCRIPTION. ACCOUNT QTY; :AMOUNT PAID .:.. PAID DATE DOOR/WINDOW, REPLACE FIRST 7 "101-0000-42400 0 $60.91 $0.00 r PAID BY METHOD . 0 ::. 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: $171.13 $0.00 • 1 00 Description: LARSEN RESIDENCE WINDOW CHANGE OUT Type: BUILDING; RESIDENTIAL Subtype: REMODEL Status: UNDER REVIEW Applied: 8/7/2015 PJU Approved: Parcel No: 609500018 Site Address: 78167 SOMBRERO CT INDIO,CA 92203 Subdivision: 27516-1 Block: Lot: 14 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $3,692.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: THREE RETRO FIT WINDOWS & ONE SLIDING GLASS DOOR LIKE FOR LIKE 2013 CALIFORNIA BUILDING CODES.SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. DESCRIPTION I ACCOUNT I QTY I AMOUNT I PAID I PAID DATE I RECEIPT # I . CHECK # I METHOD I PAID BY I CBY BSAS SB1473 FEE 1 101-0000-20306 1 0 $1.00 $0.00 Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: Printed: Friday, August 07, 2015 11:19:56 AM 1 of 2 C SYST f AAS ADDITIONAL CHRONOLOGY CONDITIONS NAME TYPE NAME ..CONTACTS ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT THREE D CONST OUTSIDE CITY LIMITS LA QUINTA CA 92253 (760)228-1956 CONTRACTOR THREE D CONST OUTSIDE CITY LIMITS LA QUINTA CA 92253 (760)228-1956 OWNER SONIA LARSEN 78167 CRIMSON CT LA QUINTA CA 92203 (760)228-1956 DESCRIPTION I ACCOUNT I QTY I AMOUNT I PAID I PAID DATE I RECEIPT # I . CHECK # I METHOD I PAID BY I CBY BSAS SB1473 FEE 1 101-0000-20306 1 0 $1.00 $0.00 Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: Printed: Friday, August 07, 2015 11:19:56 AM 1 of 2 C SYST f AAS REVIEWS REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUT-7 REMARKS NOTES DATE BOND INFORMATION Printed: Friday, August 07, 2015 11:19:56 AM 2 of 2 SYSTEMS INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES FINAL" BLD C DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY BY SMI - RESIDENTIAL 101-0000-20308 0 $0.50 $0.00 Total Paid forSTRONG MOTION INSTRUMENTATION SMt $0.50 $0.00 DOOR/WINDOW, 101-0000-42400 0 $60.91 $0.00 REPLACE FIRST 7 DOOR/WINDOW, 101-0000-42600 0 $110.22 $0.00 REPLACE, FIRST 7 PC Total Paid for WINDOW/SLIDING GLASS $171.13 $0.00 DOOR/FENESTRATION: 1'UTALS: $172.63 0.0 REVIEWS REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUT-7 REMARKS NOTES DATE BOND INFORMATION Printed: Friday, August 07, 2015 11:19:56 AM 2 of 2 SYSTEMS INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES FINAL" BLD REVIEWS REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUT-7 REMARKS NOTES DATE BOND INFORMATION Printed: Friday, August 07, 2015 11:19:56 AM 2 of 2 SYSTEMS Bin # Qty of La QUinta Building &r Safety Division L Q P.O. Box 1504, 78-495 Calle Tampico La Quinti, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: �/ C�� G`7r Owner's Name: SgDN 1 ,.4- L A. P. Number: Address: 7P 16-7 C?/ m GJpp I Legal Description: City, ST, Zip: G LI &if J+ a/ Z Z S � Contractor: t eOt�` t^�v\ O1TJ P %�" >;>:> Tele hone Address: Z>9—O :•V` j A4 Project Description: City, ST, Zip:AJC. iC �g C}� O�ZSi Telephone 009-7 S'Z- Opp lZ a 'acry3:.... :r.: s;>s.so> - �� qz 1 n S0 State Lic. # City Lic. Arch., Engr., Designer: Address: City., ST, Zip: Telephone: i Construction Type: Occupancy: cY: Project type (circle one): New Add'n Alter Repair Demo State Lic. ?'✓^it? " Name of Contact Person: �,_, i C K Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: q p , - q Z — CXn 1 Z Estimated Value of Project: Z 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 Calcs. Called Contact Person Plan Check Balance i Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°' Review, ready for corrections/issue 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 Schodl Fees i Total Permit Fees y 2- L44' 81 x 78 L��11Ne1---QC�b,M CITY i ORLA QUINTA BUILDING & SAFETY DEPT. _t'��7 Qct�on APPROVED �� x FOR CO STRUCTION . DATE BY 4 X x �N 7 . V" Aug 04 15 02:14p Sonja I Jul 01 151123a Sonja 9095638448 9095638448 PALM ROYALE COUNTRY CLUB HOME OWNERS ASSOCIATION ARCKTECIURAL VARIANCE REQUEST Avail Property rdanagment 51350 Desert Cltib Dr. Stated, La Quinta. CA 92253 (7450)771-9546 160-771-16SS(6lr) ser - PLEASE ALLOW A INNVIMUM OF TNIRTYDA YS FOR APPROVAL DATE _7.- J -„? Q.,SJ LOTNUMBER HOMEOWNER NAME(S) X50 & 4h .Q --W -- PRvpERTY ADDRESS 7 A0 -_ 16 -2 CA l AmSc ev C f �. MAILM. ADDRESS j! Q 40OIC LLPZ AQ PHOhENUMBER QOIf - a3 ff 420 7 EMAILADDRESs Sf-i�J O!t//� �'� t . _ CvGY1 PROPOSED CHANGED (Detail ex lanatian - og VENDOR NAMVCONTACTJLIC.;IPHOW NUMBER: /_0 to C' -S - AA QaI--J 4 I/We understand the Wowing; 1. All thecessary City permits will be obtaind paior to stere n6 work and Oro cost of the parrots, tate reapooaibaily for obtaining the permits and subsequent inspections vril! be baote by the applicant 2. No materials tvdl be stand in the street of "ime AO materials arc to be stored on r pmteetive i>aaiav on htrrruo.trra prop ". 3. All debris atm be dewed from the front yard on a daily basis 4. Any dirtldWrs left in the succt mug be removed asdlar swept up and nvosbed twee at the end of each work day. 3. Tho Sita must be lea in a w1G and acct= manner at *6 end ormwh vA& day. 6. Vwhomcoymamill bermpowiblefotany dam awtothe common arsascaawdbythe voutrwtordrainconwaction. 7. Hoi000wroees aretespotw6lc far ttoti{jring all apprapriatt utility compani cad propcdy maskh% the •dig' areas. 8. No equipment orcoretnrctiortvehides ua7l be left overnight in tltesr - � visible tothe streeL 9, t^.ansompbon of atooholic beverages, corwolled subswu= or illegal drug's is strictly prohibited and is cause of immediate rc naval froom the property. IQ Alidirt antes oat lwuL-aped er odrawise pmpmvd mast be treated with ti'wt agrnt io prevem blowing dust antdior sand. Me acimowledge that atl appnwod chongrs m she original design will be at aur expense, ibat any &maga to or relocation of existing sprinkler systems, undwWoutrd rdilkies, bwUng siruchu+e, exterior landscaping or soy otber damage rtsulartg from implecaadatim of these permitted improvements wilt be at theappticanrs expanse. 11. Work must begin within 45 drys Horn applicatiw. approval and completed vAbin 90 days of approvol. Additional time iiames nwA be ncquested to the Board 12 It is the appiicent's responsibility to advise and subacquent owner of the modifications arta any snbsMuent maintena= respawil ility. 13. pint should any of the above nol be fbilowed a violation fine may be forthcomir% Signature; ofnUowe . l!. Pe Date 7 Date Date ARCHITECTURAL COMMITTEE REVIEW Approved X _.., Denfed _ Debt: _7!1!15 .._ Conditions for approval or reasons for denial: Your request has been approved as subatitbed pinvidiag all arindove replaceatc=guidelines are f0U0_wR Plesto see Vlached gut a tees 8igtl81ares s kSwen and P1 j STATE OF CALIFORNIA RESIDENTIAL ALTERATIONS CEC•CF4?2-ALT-01•E iRevised 06114) CALIFORNIA ENERGY COMMISSION P CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E Prescriptive Residential Alterations (Page 1 of 4) Project Name: L-,o1.J i rA C,44P—f— Date Prepared: 201 ;- A. GENERAL INFORMATION 01 02 01 Project Name: —5,<- � t%4�" C.–t2>. \'J 02 Date Prepared: 03 Project Location: G C �i m S�ity C? "r 04 Building Front Orientation (deg or cardinal): 05. CAG : U 1 06 Number of Altered'Dwellin Units: 07 Zip Code: ZZs 5 08 Fuel Type: 09 Climate Zone: Z 10 Total Conditioned Floor Area (ft2): it Building Type L°clk D 12 I.Slib Area (ft2) 13 Project Scope: G NfT (1aTlet� 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. B. BUILDING INSULATION DETAILS (Section 150.2(b)1) 01 02 03 04 . 05 06 07 T 08 1 09 10 11 Tag/ID Assembly Type Frame Type Frame Depth (inches) Frame Spacing (inches) Proposed Required Comments Cavity R -value Continuous Insulation R -value U. -factor Appendix JA4 Reference LI -Factor Table Cell 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. C. ROOF REPLACEMENT (Prescriptive Alteration, Sec -66"A' P 0.2(b)1H) 01 02 03 04 05 06 07 08 1 09 10 11 12 1 13 Method of Compliance Roof Pitch Exception CRRC Product ID Number Product Type R -value Deck Insulatipn Proposed Minimum Required Initial Solar Aged Solar Thermal SRI Reflectance Reflectance Emittance (Optional) Aged Solar Thermal SRI Reflectance Emittance (Optional) 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: Registration Date/Time: HERS Provider: CA Building Energy Efficiency Standards - 2013 Residential Compliance June 2014 STATE GF CALIFORNIA ' RESIDENTIAL ALTERATIONS SEC-CFIR-ALTdt•E Revised 06/14)CALIFORNIA ENERGY COMMISSION {�'Y CERTIFICATE OF COMPLIANCE CFIR-ALT-01-E Prescriptive Residential Alterations (Page 2 of 4) Project Name: Stets w CA Date Prepared: -cp- 2.4D, 15 D. FENESTRATION/GLAZING AREAS ALLOWED (Section 150.2(b)l) 01 02 03 04 Alteration Type Orientation Maximum Allowed ft2 Comments fit✓ �/ PIC -F— Z5 (� fJ —17 06 0.7 08 09 10 E. FENESTAATfON/GLAZING PROPOSED AREAS AND EFFICIENCIES (Section 150.2(b)l) 01 02 03 04 05 06 0.7 08 09 10 11 12 13 14 15 Tag/ ID -Fenestration Type Frame Tye Dynamic Glazing Orientation N, S, W,.E, or Roof Area Removed ft2 Area Added ft2 Net Added Area ft2 Maximum Allowed U -factor U -factor Source SHGC Source Exterior Shading Device Combined SHGC from CF1R-ENV-03 W i V W \,;- N, �, i P- i Z4 Pil L 32- Q c W1 a- tj ►� t� win✓ 1t,). I ►✓l1A– l2 N I P�- 1►a I A- � ?, K .5 N 114- Nf� r�k- a Net Added West --facing fenestration Area` b Existing + Added West -facing Fenestration Area c Maximum lSllpweo West -facing Feriesfration Area d Is West -facing Fenestration Area < Ntagimum Allowed West -facing Fenestration! Arkda .. e Nit Added Fenestratidn Area (all orientation`s) f Existing + Added Fenestration Area (all orientations) g Maximum Allowed 4nestration Area (all orientations) h Is Existing +'Added Fenestration Area < Maximum Allowed Fenestration Area (all orientations) W W SD0__, \S10-11 t-1 A- N I q_1 .7-7— 1 KS VV 7— 0A ►-r` G ''(l� N / F`�- Registration Number: Registration Date/Time: HERS Provider: CA Building Energy Efficiency Standards - 2013 Residential Compliance lune 2014 r STATE OF CALIFORNIA RESWENTIAL ALTERATIONS CEC-CFVR-ALT-01-E Revised 06114 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CF111-ALT-014 Prescriptive Residential Alterations (Page 3 of 4) Project Name: -, } „rL .,t- j I Date Prepared: F. SPACE CONDITIONING(SC) SYSTEMS — HEATING/COOLING (Prescriptive section 150.2(b)) 01 02 03 Dwelling Unit Name Dwelling Unit CFA (Ft2) Comments G.. WATER HEATING SYSTEMS (Section 150:2(b)iG) 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 # of Water Water Heating Heater Back -Up System Water Water Water Rated Rated Heating Heating Exterior Solar Dwelling UnitDHW Heaters . Storage Identification or Heating Heater in volume Fuel Input Input Efficiency Efficiency Standby Insul. Savings Central DHW System System Name System Type Type s stem (gal) Type Type. Value Type Value Loss (%) R -Value Fraction Distribution Type Distribution Type H.. SPACE CONDITIONING SYSTEMS AND WATER H.E;.& N -G SYSTEMS INIMUtTIFAMILY DWELLING UNITS 01 02 03, 04 05 06 Dwelling, Unit Name Dwelling Unit Total CFA (fx2) Central Water Heating System Identification or Name Dwelling Unit Water Heating System Identification or Name Dwelling Unit: Alteration to the Space Conditioning System(s)? Comments Registration Number: Registration Date/Time: CA Building Energy Efficiency Standards - 2013 Residential Compliance HERS Provider: June 2014 STAFF OF CALIFORNIA RESIDENTIAL ALTERATIONS C_EC•CF1R-ALT-01-E (Revised 06/14) CALIFORNIA ENERGY COMMISSION'' CERTIFICATE OF -COMPLIANCE CF1R-ALT-01-E Prescriptive Residential Alterations (Page 4 of 4) Project Name: Date Prepared: �8 - Cp —'ZC91 S` DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: 2© C w2e Documentation Author Signature: -v NINA C Company: ` Signature Date: 20 ZS Address: CEA/ HERS Certification Identification (if applicable): City/State/21p: Z"�-] ph. : D / 1 Z 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 2�, 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.availahle 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. ResponsijSleOe igner Name: \0—\!-+v%tiv1 'Responsible O=igneure, \ V� Company: 11� ` Date Signed: Address: 75 License: City/State/Zip: `7C-�1� phone: S �►� �c�i D"'?- 7'j2- For assistance or questions regarding the Energy Standards, contact the Energy Hotline.at: 1-800-772-3300. Registration Number: Registration Date/Time: HERS Provider: CA Building Energy Efficiency Standards - 2013 Residential Compliance June 2014 CONTRACTORS STATE . Contractor's License Detail for License # 818261 ISCLAIMER: A license status check provides information taken from the CSLB license database. Before relying on its information, you should be aware of the following limitations. CSLB complaint disclosure is restricted by law (B&P 7124.6) If this entity is subject to public complaint disclosure, a link for complaint disclosure will appear below. Click on the link or button to obtain complaint and/or legal action information. Per B&P 7071.17 , only construction related civil judgments reported to the CSLB are disclosed. Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration. Due to workload, there may be relevant information that has not yet been entered onto the Board's license database. Data current as of 8/7/2015 11:13:08 Al Business Information D WICK ENTERPRISES INC DBA THREE D CONST 1515 CROWN ST REDLANDS, CA 92373 Business Phone Number:(909) 335-4846 This license is current and active. All information below should be reviewed. B - GENERAL BUILDING CONTRACTOR Entity Corporation Issue Date 03/21/2003 Expire Date 03/31/2017 License Status Classifications Bonding Information Contractor's Bond This license filed a Contractor's Bond with WESTERN SURETY COMPANY. Bond Number: 61998053 Bond Amount: $12,500 Effective Date: 04/11/2014 contractor's Bond History Bond of Qualifying Individual The Responsible Managing Officer (RMO) WICK DOUGLAS RICHARD certified that he/she owns 10 percent or more of the voting stock/equity of the corporation. A bond of qualifying individual is not required. Effective Date: 03/21/2003 Workers' Compensation employee service group holds the workers compensation insurance icy Number:2246 active Date: 09/17/2014 Are Date: 09/16/2015 rkers' Compensation History Saturday, March 21 8 a.m. (Registration/Check-in begins) 9 a.m. (Event begins) Colonel Mitchell Paige Middle School Fields Pre -registration - $10 (includes event t -shirt) Day of event - $10 (t -shirt not included) �, 760.777.7090 Q 78495 Galle Tampico, LQ 92256 @ communityservices@la-quinta.org �) w . .la-qVin ta.org, Grab those sneakers and join in on the fun at the 4th Annual Desert Youth Olympics. Children ages 3 to 8 will have the opportunity to compete in the 20 yard dash, long jump, hurdles, and more. Bring your friends and make sure your parents have those cameras ready. This event will emphasize sportsmanship, fair play, and participation. Medals will be given for 1st, 2nd, and 3rd place finishes. Please wear comfortable athletic clothing and shoes. Age groups 3-4,5-6,7-8 (Boys and Girls Divisions) In Partnership with OF QO� WqR � O 'Pi A Ln the• s =O 2 OF C14 Follow us online �� +� , ' � /eityoflaquinta