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BRES2017-0001LICENSED 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.: 906636 Date: I Contract 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 ofthe 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.). (1 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.). 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 Wworor which this permit is issued. ave and will maintain workers' compensation insurance, as required by 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: EVEREST NATIONAL INSURANCE COMPANY I Policy Number: 7600013090 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 witp those provisions. Date: � Ap - P WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 19410"1 AWFUL, 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 actor 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 t ' o enter upon the above-mentioned property for inspection purpose Date: ` Signature (Applicant o e �� VOICE (760) 777-7125 78-495 CALLE TAMPICO U . FAX FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT (760).777-7153 BUILDING PERMIT I— te:7u1/3/2017 Application Number: BRES2017-0001 Owner: Property Address: 51865 AVENIDA VELASCO HANK ZEKANIS CLC APN: 773173018 51865 AVENIDA� O r� p� Application Description: ZEKANIS / CHANGE OUT (9) WINDOWS/DOORS LA QUINTA, CA 92253 N j Property Zoning: UJIZ C3 Application Valuation: $9,568.00 M C S O a Z O W Q Q Applicant: Contractor: CALIFORNIA WINDOW & DOOR INC , CALIFORNIA WINDOW & DOOR INC U cm 75091 SAINT CHARLES PLACE #G 75091 SAINT CH CE #G ¢ " PALM DESERT, CA 92211 PALM DESERT, 81 2 u cn LLJ (760)773-1053 Lic. No.: 906636 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.: 906636 Date: I Contract 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 ofthe 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.). (1 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.). 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 Wworor which this permit is issued. ave and will maintain workers' compensation insurance, as required by 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: EVEREST NATIONAL INSURANCE COMPANY I Policy Number: 7600013090 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 witp those provisions. Date: � Ap - P WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 19410"1 AWFUL, 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 actor 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 t ' o enter upon the above-mentioned property for inspection purpose Date: ` Signature (Applicant o e Date: 1/3/2017 Application Number: BRES2017-0001 Owner: Property Address: 51865 AVENIDA VELASCO HANK ZEKANIS APN: 773173018 51865 AVENIDA VELASCO Application Description: ZEKANIS / CHANGE OUT (9) WINDOWS/DOORS LA QUINTA, CA 92253 Property Zoning: Application Valuation: $9,568.00 Applicant: Contractor:' CALIFORNIA WINDOW& DOOR INC CALIFORNIA WINDOW & DOOR INC 75091 SAINT CHARLES PLACE #G 75091 SAINT CHARLES PLACE #G PALM DESERT, CA 92211 PALM DESERT, CA 92211 (760)773-1053 Llc.-No.: 906636 Detail: CHANGE OUT (2)SLIDING GLASS DOORS AND (7)WINDOWS LIKE FOR LIKE. 2013 CALIFORNIA BUILDING CODES. 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. $1.24 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $1.24 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, NEW/ALT, EA ADDITION 1 101-0000-42400 0 $10.64 DESCRIPTION ACCOUNTCITY AMOUNT DOOR/WINDOW, NEW/ALT, EA ADDITION 1 PC 101-0000-42600' 0 $12.16 DESCRIPTION ACCOUNT QTY AMOUNT DOOR/WINDOW, NEW/ALT; FIRST 1 101-0000-42400 .0 $101.33 DESCRIPTION ACCOUNT QTY AMOUNT DOOR/WINDOW; NEW/ALT, FIRST -1 PC 101-0000-42600 0. $115.52 DESCRIPTION ACCOUNT QTY I 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: $365.81 Qi„ #1 Permit #t Project Address: �� 5 City of La Quin to Buiiding &r Safety Division 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet l) Iaa— Veo'sC O Owner's Name: G17�. A. P. Number: Address: 51 ven d a Ule Legal Description: City, ST, Zip: L Contractor: &G Qi , Gt ( ��% ( Tele hone:hct P ::::::::•i^:is•�i:•i'fi::j.F;:4i:ti�iiijtijjj�: ti:<2:j:i'i i:�:ij^::ti:i'F,.:ij :::>.% <:»;:•% >: ' Address:% �-� j-- pL� .; Project Description: City_ ST, Zip: QiiiMl S toV 611 Telephone 7 ...... ... .. . . e State Lic. #: 50 City Lic. •. _ Arch., Engr., Designer: Address: ,�-�- City, ST, Zip: s Construction TeTelephone:. Occupancy: tate S Lic. Project type circle one): New Add'n Alter Repair Demo Name of Contact Person: �.e Sq. Ft.: # Stories # Units: Telephone # of Contact Person: U Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE to Submittal Rcq'd Rcc'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item • Amount Structural Cafes. Reviewed, ready for corrections Plan Check Deposit Truss Calcs.Called Contac t;Pcrson Plan Check Balance. Title 24 Calcs. Plans picked un Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°" Review, ready for corrcctions/issue Electrical . Subcontactor List Called ContactPcrson Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''d Rcviciv, ready for corrections/issue Developer Impact Fee Planning Approval Called ContactPerson A.I.P.P. Pub. NVks. Appr Date of permit issue School Fees, Total Permit Fees -J� STATE OF CALIFORNIA RESIDENTIAL ALTERATIONS CEC-CFIR-ALT-01-E Revised 06/14 i CERTIFICATE OF COMPLIANCE. Prescriptive Residential A erations Project Name: CALIFORNIA ENERGY COMMISSION C F 1 R -ALT -01- E (P of 4) Date Prepared: /, CALIFORNIA .oe I A.'GENERAL INFORM ATIO I t ' 01 Project Name: ( , 02 Date Prepared: 03 Project Location: QA b dox UC 16U Q 04 Building Front. O�ierilation (deg or cardinal): 05 CA City:, i 06 Number of Alfe d�Dwelling Units: �, 07 Zip Code: 08- Fuel.Type: .A - 09 Climate Zone: j 10 Total,Cond tinned FloorTArea (ft2)i4 + 11 Building Type j 12 Siab,* a'(ft2) 13 Project Scope: Scope:—[,-- B. BUILDING INSULATION DETAILS (Section 150.2(b)-1) 01 —� ' __. 2 3 '04 05 06 "t 07 08 P9 10 it °'s 05 06 e ` t"; W 08 09 10 11 12 13 `— -f •- — , y Proposed e _ Required APPendix JA4 ' Method of Roof Frame Frame on i Reference Frame pacing Cavity nsulation' CRRC`Prrrooduct ID '. �a � Qzeck Wrnitial Solar Aged Solar Thermal SRI Aged Solar Thermal SRI 'Oct Ta /ID Assembly Type(inches). (inches) R -value R value y U';faator Tab_(;, � Cell` -- Comments Number W9 Type . • ation Reflectance Reflectance Emittance (Optional) -Reflectance Emittance (Optional) - P ,.erg Wen=� NOTES 1..' i I �� I Scope:—[,-- B. BUILDING INSULATION DETAILS (Section 150.2(b)-1) 01 —� ' __. 2 3 '04 05 06 "t 07 08 P9 10 it °'s 05 06 e ` t"; W 08 09 10 11 12 13 `— -f •- — , y Proposed e _ Required APPendix JA4 ' Method of Roof Frame Frame on i Reference Frame pacing Cavity nsulation' CRRC`Prrrooduct ID '. �a � Qzeck Wrnitial Solar Aged Solar Thermal SRI Aged Solar Thermal SRI 'Oct Ta /ID Assembly Type(inches). (inches) R -value R value y U';faator Tab_(;, � Cell` -- Comments Number W9 Type . • ation Reflectance Reflectance Emittance (Optional) -Reflectance Emittance (Optional) - P ,.erg C. ROOF REPLACEMENT (Pre Grip ' e Alteration, Secft%onA�S0.2(b)1H) Ol 02 03 i °'s 05 06 e ` t"; W 08 09 10 11 12 13 Y ;` value Propos d Minimum Re uired �E ; . Method of Roof j CRRC`Prrrooduct ID '. �a � Qzeck Wrnitial Solar Aged Solar Thermal SRI Aged Solar Thermal SRI 'Oct Compliance Pitch Exception Number W9 Type . • ation Reflectance Reflectance Emittance (Optional) -Reflectance Emittance (Optional) NOTES 1..' i • Roof area covered b inj integrated pFiotovoltaic panels and solar thermal panels are exempt from the above Coo requirements. ' °# Liquid field with'0nstallation criteria from section 110.8(i)4. appliedco?tings'must comply 1' Registration Number: i Registration Dete/Time: HERS Provider: CA Building Energy. Efficiency Standards - 2013 Residential Compliance _ June 2014 STATE OF CALIFORNIA RESIDENTIAL ALTERATIONS CEC-CFIR-ALT-01-E Revised 06/14 CERTIFICATE OF COMPLIANCE Prescriptive Residential Alter':ations Project Name: 1117, CALIFORNIA ENERGY COMMISSION MR•ALT-01-E (Page 2 of 4) Date Prepared: % D. FEN ESTRATION/GLAZING!AREAS ALLOWED (Section 150.2(b)1) 01 02 04 03y, Alteration Type Orientation Maximum Allowed ft2 Comments _ ¢�? 04 05 06 07 fqqb. ' UM E. FENESTRATION/GLAZING PROPOSED AREAS AND EFFICIENCIES (Section 150.2(b)1) 14 01 02 03 i 04 05 06 07 08 ,A WO 16"', 11 12 13 14 15 Orientation Exterior Combined SHGC Area Area Net Maximum Tag/ .Fenestration Frame Dynamic N, S, W, E, or Removed Added Added Allowed Shading from ID I Type Type . ; Glazing I Roof ft2 ft Area ft2 actor U -factor Source SHGC Source Device I CF1R-ENV-03 4�� C7 I. a Net Ad d WeftfeNclfh FenestraticiVrre 1. , b Existing + Ad � AWe t;,facing Fene stratio n a Z %36 J G c Maximum Allo' ' West-facin,glFene�ration Area, d Is est -facing Fe stration Area < Max(m�u I owed West`faclRg Fenestrations ` .. reams . �%22 e Net Added .. . e« . ��r a stration Area (all orientations) ' tions) f Ez13ting + Addeg'. tration Area (al -or enrt a I g ) Maximum Aflow d Fenestration Area (all orientations)) h Is Exi ting + added Fenes.'tration Area < Maximum Allowed Fenestration Area (all I — 4 orientations) Registration Number: CA Building Energy Efficiency StandI ards - 2013 Residential Compliance I Registration Date/Time: HERS Provider: June 2014 STATE OF CALIFORNIA ' RESIDENTIAL ALTERATIONS - CEC-CFIR-ALT-01-E Revised 06/14 CALIFORNIA ENERGY COMMISSION fi4 -CERTIFICATE OF COMPLIANCE MR -ALT -01-E . Prescriptive Residential Alterations _ - (Page 3 of 4) Project Name: I Date Prepared: F. SPACE CONDITION ING(SC) SYSTEMS — HEATING/COOL G criptive section 150.2(b)) ' 01 02 03 Dwelling Unit Name Dwelling Unit CFA_kk2r Comm nt I G. WATER HEATING :STEMS (Section 150.2(b ) - AND WATER HEATIONG STEMS IN 'TfMULTIFAMILYQ ELLIN ITS ` Ol 02 03 04 05'* -11 06 07 • 08 09 M10 ]'1. 1X12 13 14 15 Water Heating Dwelling UnitjTota1=CFA f of Water Dwelling Unit NameY(ft,2)�Name ���" •.. W,.• ¢ :. Conditioning System(s)? Back -Up Water Heater �,p Heating w " Dwelling DHW System Water Water . I Heaters Storage Rated Rae'd . Heating Exterior Solar * Unit Identification or Heating ' Heater in Volume>.eIn { %1np�uut; EfficiencyiERiciency Standby. Insul.. Savings CentraI DHW System System Name System Type • -Type system Type ' Type slue Typed Value Loss„(%) R -Value fraction Distribution Type Distribution Type H. SPACE CONDITIONING SYSTEMS AND WATER HEATIONG STEMS IN 'TfMULTIFAMILYQ ELLIN ITS ` 01 i 02 034 �~ ,�. A a � 05.. 06 Centr"al Water�Hea $ tr welling Unit Heating System Dwelling Unit: Dwelling UnitjTota1=CFA System Identification Water Alteration to the Space Dwelling Unit NameY(ft,2)�Name ntification or Name Conditioning System(s)? Comments - w . (. , 41 Registration Number: Registration Date/Time: HERS Provider: CA Building Energy Efficiency Standards - 2013 Residential Compliance June 2014 STATE OF CALIFORNIA RESIDENTIAL ALTERATIONS CEC-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: DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this C rtificate of;C mpliance docuqientation is accurate and complete. 0 k Documentation Author Nam Documentation Au atur Company: ^ Signature Date: . dress-/CCEA/ HERS certification Ideniificatiori (if applicable): 110 � Q+�r �tz,414� I -t ,-, , / ^^ � Phone: City/State/lip; 21 �. RESPON518L PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 1. The informationrovided on this Certificate of Compliance is true and correct. P P 2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsilAity.for the buildindAeslggmor system design identified on this Certificate of Compliance (responsible designer). � 3. That the features materials, dei Ic - ;for the building design or system design identified on this Certificate of energy and performance specifications, componenitsQX,manufacture- 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 C6'' lliiance-are consistentwlth.the information provided on other applicable compliance documents, worksheets, calculations, plan's and specifications submitted to thee enfocement 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 pgrmlt(s) issued for the building, and made available to the enforcement agency k 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. r-.. Responsible Designer Name: /Re'sponsible Designer Signat _ Company: t. 34 t Date Signed: Address: �q?�� � � ��„+�` License: st ! 1 City/State/Zip: W" Phone: 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