14-0053 (RER)P.O. BOX 1504 ^' VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 1/17/14
Application Number: 14-00000053 Owner:
Property Address: 78135 INDIGO DR HARRIS, MARK P & SUSAN K
APN: 604-021-064-5 -18915 -
Application description: REMODEL - RESIDENTIAL 0
Property Zoning: D
Application valuation: 2702
Contractor: JAN 2014 q 1
Applicant: Architect or Engineer: Owner-auINTA
FINANCE DEPT.
r
--------------------------------------------------
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 Professionals Code, and my License is in full force and effect. '
License Class: License No.:
Date: 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).:
(_ 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.).
0( 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
ate: / 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:
LQPERMIT
----------------------------------------------—
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
_ 1 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
1 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
/ -t 3700 of the Labor Code, I shall forthwith comply with those provisions.
Date: //Applicant: 4 T''
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 Director of Building and Safety fora 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. 1 agree to comply with all
city and county ordinances and state laws relating to building construction, and hereby authorize representatives
of this county to enter upon the above-mentioned property for inspection purposes.
p t
Date: ( / Signature (Applicant or Agent):
Application Number . . . . . 14-00000053
------ Structure Information (4) WINDOW CHANGE OUT
-----
Other struct info . . . . . CODE EDITION
----------------------------------------------------------------------------
2013
Permit REMODEL 2013
Additional desc .
Permit Fee . . . . 60.06 Plan Check Fee
.00
Issue Date . . . . Valuation
0
Expiration Date 7/16/14
Qty Unit Charge Per
Extension
1.00 60.0600 LS MISC DR/WIN, REPL, 1-7
----------------------------------------------------------------------------
60.06 .
Special Notes and Comments
FOUR (4) WINDOW CHANGE OUT - REPLACING
WINDOW ALONE [2010 ENERGY] THIS PERMIT
DOES NOT INCLUDE ALTERATION TO THE
BUILDING FRAMING. 2013 CALIFORNIA
BUILDING CODES.
January 17, 2014 1:29:16 PM AORTEGA
----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
PLAN CHECK, REMODEL
108.68
Fee summary Charged Paid Credited
-----------------
Due
_------------------------------
Permit Fee Total 60.06 .00 .00
----------
60.06
Plan Check Total .00 .00 .00
.00
Other Fee Total 109.68 .00 .00
109.68
Grand Total 169.74 .00 .00
169.74
LQPERMIT
Bin #
City of La Quinta
Building 8t Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
`� •�s3
Project Address: ?/
Owner's Name:
A. P. Number: .
Address: '7 g 3 •S�' .
Legal Description:
City, ST, Zip: C�aoZ �3
Contractor: A.Vvc JaaAft
Telephone6ZD_-(
Address:
Project Description:
City, ST, Zip: �,p yy
4
Telephone: ,
::sa;.<;;::s:;;<:::rs;><:�;::>�>:r:•
State Lic. # :
City Lic. #;
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone: :::,...;:;::;;>;;:.:;;>,.<:;:.;;;:<;.,::•:::•::::;:;;;;:.
P::�:<s:;::::<:;>.:<:.:;:x•>:<:;:.>;::<>::<:>>
::�;;•�>s�.;;;;•;::::>;;::;:.:::;•:
i:::;%'�4'} i�•.� i+:I'3i'r i::::.};.;.}:w:4:�i}iv: is
State Lic. #: ; ;M:>:z:;:::;;::; :r•:;.::::;:.:.;:
,>;:> >,>:<•»:«
Name of Contact Person:
Construction Type: (� � Occupancy.
Icy .
Project type (circle one): New Add, nAlter Repair Demo
Sq. Ft.: f a # Stories: ' # Units:.
Telephone # of Contact Person:
Estimated Value of Project: S102.
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
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 correctionsTssue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
Prescriptive Certificate of Compliance: Residential CF -IR -ALT
Residential Alterations Page 1 of 5
Project Name: ; Climate Zone # # of Stories
General Information
Site Address: f S t L
Enforcement Agency:
Date:
Building Type Single Family OMulti Family
Circle the Front Orientation: N, E, Sloor degrees
Conditioned Floor Area (CFA):
Project Type: _, IterationsEnvelop Fenestration Roof __ HVAC
.....
Framing Thickness,
Replacement or Change Out Duct Replacement .._.; Water Heater
NOTE: This form is not to be used for Newly Constructed Buildings or Additions
Insulation Values For Opaque Surfaces (for Furring use the Mass and Furring Strips Construction table below)
Assembly Alteration
Opening of framed cavity alone—Alterations that involve the opening of the framed cavity of a wall, ceiling, orJloor must install the
mandatory minimum insulation value per §150 for the altered assembly. Fill in Columns A —C and enter mandatory insulation value in Column H.
0 Replacement of entire assembly—Replacement ofan entire wall, ceiling, orfloor assembly requires the installation of Component 41
Package- D insulation values in Table 151-C Fill in Columns A —J.
Opaque Surface Details For the furred portioned of Mass Walls see Furring Strips Construction Table below.
A B I C D
E
F G I H I I J
Proposed bee ole
Standard
Values From JA4
Table
Framing Thickness,
Walls From Reference
Framed Continuous
JA4 Proposed
Tag/ Assembly Name Material Spacing,
U-
JA4 Table Cavity Insulation
Assembly Assembly
ID' or Type 2 and Size or Other'
factor°
Numbers R-value6 R -Value
Cell Value U-factor9
o f u
n
S
3y ►
Assembly
t'.
o
U
o cu
Note: For f:irred assemblies, accounting for Continuous Insulation R -value, see Page JA4-3 and Equation 4-1. For calculating furred walls use the Mass and
Furring Construction table below. r)`'
1. For Tag/ID indicate the identification name thbt matches the building plans.
2. Indicate the Assembly Name or type: Roof/Ceiling, Walls, Floors, Slabs, Crawl Space, Doors and etc ... Indicate in column G the Frame
material and Size: For Wood, Metal, Metal Buildings, Mass, enter 2x4, 2x6, or etc... see JA4 for other possible frame type assemblies.
3. Enter the thickness for mass in inches or Spacing between framing members enter; 16 "or 24 "OC; or Other for all other assembly description
such as Concrete Sandwich Panel, Spandrel Panel, Logs, Straw Bale Panel and etc....
4. Based on the Climate Zone; enter the equivalent Ufactor found in JA4 Table based on the R -Value from Table 151-B, C, or D
5. Enter the Table number that closely resembles the proposed assembly.
6. Enter the R -value that is being installed in the wall cavity or between the framing; otherwise, enter "0".
7. Enter the Continuous Insulation R -value for the proposed assembly; otherwise, enter "0 ".
8. Enter the row and column of the U factor value based on Column F Table Number and enter the Assembly U factor in Column J
9. The Proposed Assembly U factor, Column J, must be equal to or less than the Standard U factor in Column E to comply.
Furring Strips Construction Table for Mass Walls Onl
A I B I C I D I E
F I G I H I J I K
L
M
Proposed Properties of Masonry and Concrete
Added Interior or Exterior Insulation
Walls From Reference
in Furring Space from Reference
Joint A ppendix Table 4.3.5, 4.3.6, 4.3.7
Joint Appendix Table 4.3.13
o f u
n
U
Assembly
e� j
o
U
o cu
co ;
>
Final
Mass
Name or JA4 Table
—'�
.o
�, H
o t
Assembly
Thickness'
Type Z Number'
¢ >
x cU.
3
¢ >
U -fa
Comment
Registration Number: Registration Date/Time: HERS Provider:
2008 Residential Compliance Forms
August 2009
6
Prescriptive Certificate of Compliance: Residential CF -IR -ALT
Residential Alterations Page 2 of 5
Project Name: Climate Zone # # of Stories
Mass and Furring Strips Construction(footnotes)
I. Indicate the type ofassembly to include; Hollow Unit Masonry Walls, Solid Unit Masonry, Solid Concrete Walls, Etc. Additional assemblies can
befound Reference Joint Appendix J44.
2. This is the U -Factor based on the thickness of the assembly in inches.
3. The R -value of the insulation to be added on the interior or exterior of the assembly.
4. The Calculated R- Value is the R -value of the furred out section of the assembly.
-6. The Final Assembly is calculated using Equation 4-2 or Equation 4-4of the Reference Joint Appendix JA4. The equation is the inverse of Column
added to Column 1. Column K is the inverse from column J.
7. Insert the calculated U- actor value on to the Opaque Sur ace Details in Column J
FE ESTRATION PROPOSED AREAS
Replacing window alone — Replacement windows shall meet the U -Factor and SHGC Value requirements of Component Package D in
Table 151-C. The Total Fenestration and West facing Area requirements are not applicable.
C] Adding 50ft2 or less of window area — Newly installed windows shall meet the U -Factor and SHGC Value requirements of Component
Package D in Table 151-C.
0 Adding more than 50ft2 of window area — Newly installed windows shall meet the U -Factor and SHGC Value and the Fenestration
Area requirements of Component Package D in Table 151-C Complete the Altered Fenestration Allowed Area Table on Page 2 of the CF -IR -ALT
Orientation
Fenestration Type and Frame (North, East, PropsedAreal Maximum Maximum NFRC or Default
(window, Gl ss Door or Skylight) South, West) (ft) U-faotor2, 3 SHGC2,1, 4 Values
' R(
1. Fenestration area is the area of total glazed product (i.e. glass plus frame). Exception: When a door is less than 50% glass, the fenestration
area may be the glass area plus a "2 inch frame " around the glass.
2. Enter value from Component Package D Requirements in Table 151-C.
3. Actual fenestration products installed and as indicated in CF -6R -ENV Form shall be equivalent to or have a lower U factor and/or a lower
SHGC value than that specified on the CF -IR ALT Form.
4. Submit a completed WS -3R Form ifa reduced SHGC is calculated with exterior shading.
5.1fapplicable at this stage enter `NFRC" or NFRC Certified windows or are CEC "Default " valuesfound in Table 116-A or B.
ALTERED FENESTRATION ALLOWED AREAS
(Complete if more than 50ft2 of fenestration is added)
A
B
C
D
E
F
G
Allowed
Existing
Fenestration
Total Area
CFA of Entire
% of
Fenestration
Area
Fenestration
Allowed
Proposed Areae
Dwelling
CFA
Area
Removed
Area Added
A x B)
(E -D) + C
Total Fenesst2ration Area
(ft
20
>
West Fenestration Area
(Required In
.05
>
CZ's 2,4&7-15
1. West Fenestration Area includes west -sloping skylights and any skylights with a pitch less than 1:12.
2. West facing glazing area removed cannot be "counted" twice. " In order to distribute the west glazing area removed to the other orientations,
input the west glazing area removed in the Total Fenestration Area row, column D.
3. Include the Proposed Area of the West facingfenestration in both Area columns below.
4. To meet compliance, the Proposed Area must be less than orequal to the Total Allowed Area or BOTH the Total and West Fenestration Areas.
Registration Number:
2008 Residential Compliance Forms
Registration Date/Time: HERS Provider:
August 2009
Prescriptive Certificate of Compliance: Residential CF -IR -ALT
Residential Alterations Page 5 of 5
Project Name: Climate Zone # # of Stories
HERS VERIFICATION SUMMARY The enforcement agency should pay special attention to the HERS Measures specified in this
checklist below. A completed and signed CF -41? Form for all the measures specified shall be submitted to the building inspector before final
inspection.
Duct Sealing & Testing HERS verification is required for this measure.
YES NO YES: In Climate Zones 2 and 9-16, if more than 40 linear feet of new or replacement ducts are installed in unconditioned
space, the ducts are to be sealed per §152(b)1Dii and the newly installed ducts are to be insulated per §151(I)10.
EXCEPTION: Existing duct systems that are extended, which are constructed, insulated or sealed with asbestos.
YES NO YES: In Climate Zones 2 and 9-16, if the existing space -conditioning system (HVAC equipment and ducting) is replaced, the
ducts are to be sealed per §152(b)1Di.
YES NO YES: In Climate Zones 2 and 9-16, if the existing HVAC equipment is replaced (including the replacement of the 'air handler,
outdoor condensing unit of a split system, cooling or heating coil, or the furnace heat exchanger) the ducts are to be
sealed per §152(b)IE.
EXCEPTION: Duct systems that are documented to have been previously sealed confirmed through HERS
verification in accordance with procedures in the Reference Residential Appendix RA3.
rl EXCEPTION: Duct systems with less than 40 linear feet in unconditioned space.
EXCEPTION: Existing ducts stems constructed, insulated or sealed with asbestos.
Refrigerant Charge - Split System HERS verification is required for this measure.
YES NO YES: In Climate Zones 2 and 8-15, when the existing HVAC equipment is replaced (including the replacement of the air
handler, outdoor condensing unit of a split system A/C or heat pump, cooling or heating coil, or the furnace heat
exchanger) a refrigerant charge measurement shall be verified per § 152(b)l F.
Central Fan Integrated (CFI) Ventilation System and Fan Watt Draw
The ventilation requirements of § 150 o do not apply to existing residential homes.
Ducted Split Systems - Air Conditioners and Heat Pumps: Airflow HERS verification is required for this measure.
YES NO YES: In Climate Zones 10 through 15, when the existing space -conditioning system (HVAC equipment and ducting) is
replaced, the airflow and fan watt draw shall be verified per 152(b)ICi to meet the requirements of 151(f)7B.
Documentation Author's Declaration Statement
• I certify that this Certificate of Compliance documentation is accurate and complete.
Name: /Z f
�'r t �
Signature: l�G n
-V
ffr
Company:
Company :
Date:
Address: j
7�/ 3 S� br.
....; If Applicable CEA or[]CEPE
4:"(Certification
#):
City/State/Zip://
4--
Phone:
ce c 1_A__
Responsible Building Designer's Declaration Statement
• I am eligible under Division 3 of the Cali Fornia Business and Professions Code to accept responsibility for the building design identified on
this Certificate of Compliance.
• I certify that the energy features and performance specifications for the building design identified on this Certificate of Compliance conform
to the requirements of Title 24, Parts 1 and 6 of the California Code of Regulations.
• The building design features identified on.this Certificate of Compliance are consistent with the information provided to document this
building design on the other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the enforcement
agency for approval with this building permit application.
Name:
Signature:
Company:
Date:
Address:
License:
City/State/Zip:
Phone:
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at. 1-800-772-3300.
Registration Number:
2008 Residential Compliance Forms
Registration Date/Time: HERS Provider:
August 2009
0
e
/ 1
P.O. Box 1504
LA QUINTA, CALIFORNIA 92247-1504
78-495 CALLS TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
PROPERTY OWNER'S PACKAGE
(760) 777-7012
FAX (760) 777-7011
Disclosures & Forms for Owner -Builders Appl Ong for Construction Permits
I1WORTANTt NOTICE TO PROPERTY:' OWNER
Dear. -Property Owner
An. application for -a building permit has been . submitted in your naraq listing yourself as the builder of the property
improvements specified it c (, . a o2 3
3�� �P 'cam ' S�
We are .providing you with an Owner -Builder Adai owledgment and Information Verification Form to make ym aware of your
msponsiilities and possible risk you may incur by having this permit issued itt your name as the
Owneir. Builder. We will.not issue a building permit until you have read, initialed your understanding of earch'provhion,
signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute,this notice
unless you, the property owner, obtain the prior approval of the permitting authority.
DfRELTlONS: Read and initial each statement below to signtfyyou Widerstand or verify this informs ttion.
V/ 1. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner -Builder"
buildmgpermit that erroneously implies that the property owner is providing his or her own labor and material personally. 1, as
an Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person
and his or her employees while working on my property.,My homeowner's insurance may not provide coverage for those
mJunes. I am Willy acting as an Owner -Builder and am aware of the limits of my insurance -coverage for injuries to workers
on my property -
Z2. I understand building permits are not required to be signed by property owners unless they are responsible for the
constructionand are not hiring a licensed Contractor to assume this responsibility-
V13.
esponsibility.t/st3. I understand as an "Owner -Builder" I am the responsible party of record on the permit. I understand that I may protect
myself from potential financial risk by' hiring a licensed Contractor and having the permit filed in his or her name instead of my
own.
_`r. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on
permits and contracts.
,. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value
of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer"
under state and federal law.
6. I understand if i am considered an "employer" under state and federal taw, I must register with the state and federal
government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemploymenf
compensation for each "employee." I also understand my failure to abide by these laws may subject me to serious financial
risk.
_V17. I understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential
structures cannot .legally build them with the. intent to offer them for sale, unless all work is performed by licensed
subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed
under contract with a licensed general building Contractor.
V/8. I understand as an Owner -Builder if I sell the property for which this permit is issued, 1 may be he'd liable, for any
financial or personal. injuries sustained. by any subsequent owner(s) that result from any latent construction defects in the
wo anship or materials.
9. I understand I may obtain more information regarding my obligations as an "employer" from the Internal Revenue
Service, the United States Small Business Administration, the California Department of Benefit Payments, and the California
Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSILB) at 1-
800-321-CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors.
_1_/10. I am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the
party legally and financial{y responsible . for proposed construction activity , at the following address:
/11. I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all
applicable laws and requirements that govern Owner=Builders as well as employers.
2. I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the informaEtion I
have provided on this form Licensed contractors are regulated by laws designed to protect the public. If you contract with
someone who does not have a license, the Contractors' State License Board may be unable to ass'— -J "M with agy financial lass
you may sustain as a result of a complaint Your only remedy against unlicensed Contractors may be in;civil court It is also
important for you to: understand that if an unlicensed Contractor or employee of that individual or firm is injured while working
on your property, you may be heldliable for damages. If you obtain a permit as Owner -Builder and wish to hire Contractors,
you will be respons9i0 for verifying whCdb x or not those Contractors are properly licensed and the status of dwir workers'
compensation insurance coverage.
Before x building permit can be issued, this form must be completed and signed by the property owner and returned to
the Agency responsible for issuxing.dwpermit. Note: A copy of tire -property owner's diver'sJkwtset farm not v% or
other venTiicadon acceptable to tie agency is required to be presented when the permit is issued to verify the pmperty
owner's signature.
Signature of propertyowner `777,.1 R 1� Date: I l 7 /
Note: The following Authorization Form is required to be completed by the property owner only when designating
an agent of the property owner to apply for a construction permit for the Owner -Builder.
AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF
Excluding the Notice to Property Owner, theexecution of which I understand. is my personal responsibility, I hereby authorize
-the following persons) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an Owner -Builder
Permit for my project
Scope of Construction Project (or Description of Work):
Project Location or Address:
Name of ?kuthorized Agent:
Address of Authorized Agent:
I declare under penalty of perjury
Project H:
Customer Name:
Customer Phonc:
Customer Address:
Linc Item
Frame Size
3981)37193
MARK HARRIS
(
75135 INDIGO DR
LA QUINTA, CA 92253
USA
LO'VE'S HIW. INC. #208
75-865 HIGHWAY I I I
LA QUINTA. CA 92253
USA
(760)771-5566
Description:
Product Code
Description
1002
Manufacturer: Milgard TemeCula
f)oor Size = 68 7/8" W s 56
Division: Millwork
1/2" H.
'rcxluct : Windows J
— -
Typc : Sliding
Triple Glazed: No
'roduct Line: Styleline Vinyl
Product Offering : Horizontal Sliders
i \
-in Type: Standard 7_ -Bar
Material : Vinyl
onfiguralion : HV
---'–
Series: 6174)
liding Direction: XO
Opening Type: Exact
Net Size Width: 68 7/8"
Net Size Hei_ht :56 1/2"
Exterior Finish: White
merior Finish : White
lazing : Dual Glazed (Insulated Glass)
Comfort Packasc : No
Energy Package : 3D MAX South
1'empercd : No
titer Glass Lite Option : SunCuatMAX
Inner Glass Lite Option : Clear
titer Glass Lite Thickness: 3/16"
Inner Glass Lite Thickness: 3/10"
Gas Filled: Arson
Spacer Type : EdgeGardMAX
rill Type: No
perating Control Device: No
ceessory Packa,,e : No
lass Breakage Warranty: Yes
PSE JOB
:SPECIAL
C ,RDER
aP@dido--iiFol.
Unit Price Quantity Total Price
$489.25 2 $978.50
It 03
or Sire = 20 1/4" W x 56
"H
X
Screen Frame : Standard '
Screen Mesh : Fiberglass
Delivery Option : Store
.;cad Time : 17 days
-Factor : 0.3
Solar Heat Gain Coeff icient : 0.23
Visible Lii hl Transmittance: 0.52
TC : not rated
lear Opening Width : 31 13/16"
-[car Opening Height : 54"
Iear Oliening Square Foota le : 11.93
CPD: MIL -A-153-01744-00001
his product may be eligible for the 2013 residential tax credit
m Energy Star qualifying doors and windows. Please refer to
utp:H%vww.cncrgystar.guv/taxcredits or your accountant for
'pccifics.
'lease note that actual NFRC energy values may vary from
hose reported in CTB quote due to variations that may occur
luring the manufacturing process. In most cases variations will
T minimal. Please contact your Milgard location with
lucstions or concerns regarding this potential variation.
ing is viewed from outside looking in
Manufacturer: Milgard Temecula
iivision : Millwork
roduct : Windows
ypc : Single Hungs
rlplc Glazed: No
roduct Linc : S(yIeline Vinyl
roduct'Offerinz : Vertical Sliders
in Type : Standard 7_ -Bar
laterial : Vinyl
onfiauration : SH
Series : 6270
Dpening Type: exact
Net Size Width : 20 .1/4"
Net Sire Height : 56 3/4"
Sash Hei_lit : One Half
�usiont Sash Hei,-,ht : 28 5/8"
Exterior Finish : White
merior Finish : White
51azing : Dual Glared (Insulated Glass)
-onikm Packaec :'No
7:ncrgy Package :3D MAX South
1'empered : No
Juter Glass Lite Option : SunCoatMAX
nner Glass Lite Option : Clear
)uicr Glass Lite Thickness : 3/16"
neer Glass Lite Thickness ::3/16"
:gas Filled : Argon
;pacer Type: GdgcGardMAX
,rid Type: No
Yperaiing Control Device: No
$243.45 2 $486.
Salesperson:
Acccpled by:
Accessory Package No
Mass Breakage Warranty : Yes
creen frame : Standard
Screen Mesh : fiben-,lass
Delivery Option : Store
bad Time : 17 days
-f actor : 0.3
Solar Hcat Gain Coefficient :423
Visible Light Transmitiancc : 0.52
TC : 33.
Isar Opening_ Width : 17 3/4"
Clear
Opening Height : 25"
f Icar Opcnhig Square (rootage.: 3.08
PD: MIL -A-154-01737-00001
I`his product may be eligible for the 2013 residential lax credit
n Energy Star. qualifying doors and windows. Please refer to
utp://www.cneroystar.gov/ta.�crcdiis or your accountant for
necifics.
'lease note that actual NI=RC energy values may vary from
hose reported'in C1'B quote due to variations that may occur
aurin'tthe manufacturing process. In most cases variations will
ie minimal. Please contact your Milgard location with
questions or concerns regarding this potential variation.
ll-laiidiiigg is viewed from outside looking.in
CHRIS RUBADOU(S020SCR2)
Project Total: $1,465.40
Date: 12/09/2013
Print this Page ;
This Millwork Quote is valid until 1/ 5/3014. This is an estimate only. This estimate does not include tax or deliverycharges. Delivery
of all materials ca�ntained in thisestiirtate are subject to availability from the manufacturer or supplier. All the above quantities,
diinensilms. specifications and accessories have been verified and accepted.
Basic Installation Labor Includes:
• Installer delivery of new replacement windows (pocket replacement or nail -fin) within 20 miles
(1 -way) from store. (Lowe's delivery charges may apply for units with a width or height greater
than 72" or over 6 impact glass windows)
• Installer review of job, with customer prior to start of installation.
• Removal of existing window (sashes) to prepare for installation (metal window removal will
incur additional fees)
• Installation of new window with sill angle and header (included with window) in same size,
square opening (108 UI or less) in reasonably good condition. (no rotten/damaged wood)
• Removal and replacement of existing interior window trim as required.
• Caulk and insulate as required.
• Test to ensure proper operation. Final clean up of the job site - Site -cleanup and disposal of
install related materials and old windows)
Services Requiring Additional Fees:
• Full frame removal or removal of existing nail -fin window
• Capping window (install of trim coil) Installation of oversized window units
• Removal of existing storm windows (no re -installation due to manufacturer warranty)
• Removal of existing A/C units (no re -installation due to manufacturer warranty)
• Labor to bring project up to code, replace rotted/damaged wood, scaffold if required
10 Installation of brick mould / interior casing (product purchased by customer)
• Removal / replacement of window treatment (see window treatment section of Installed Sales
Manual)
• Repair / replacement of damaged window sills (product supplied by installer)
• Installation of windows on a 3rd story or above
Services Not Offered by Lowe's/Special Notations:
• Services Not Offered:
o Structural modifications
o Painting or Staining
o Removal or re -installation of security system equipment
• Customer is responsible to advise if property is governed by Historic District Regulations and to
comply with Home Owners Association regulations.
• Lowe's does not replace windows in mobile homes.
Materials Sold to Customer by Lowe's:
• Replacement Windows (pocket replacement or nail -fin)
• New trim / casing / moulding / stop (if applicable)
• Materials (e.g. replacement wood) required to correct concealed damage or bring up to code.
• Pella Tape
• Trim coil stock or SOS (for wrapping/capping windows, doors, posts, beams)
Materials Supplied by Installer (purchased at Lowe's and included in price of Labor):
• All Fasteners and shims '
• Insulating materials, caulk and. other moisture sealants / barriers as required.
• Material for sill repair/replacement
Scope of Work- Window Replacement 1/29/2013
Store : 208 Date: 12/07/2013 Customer Name: Mark Harris
Jobsite Address: 78.135 Indigo
Dr City: La Quinta State: CA Zip: 92253
Home Phone:
Product & Labor
Description
Quantity Unit
Amount Ext. Price
Pella Tae 1 roll. will cover 4 windows
Each
519.98
PNE CASE 1 5/8 X 5/8 8'
Each
$9.92
PNE CASE 2 1/2 X 5/8 8'
Each
511.44
PNE CASE 1 5/8 X 5/8 7'
Each
S8.68
PNE CASE 2 1/4 X 11/16 7'
Each
S9.52
PNE CASE 2-1/2 X11/16 X7'
Each
$12.75
PNE CASE 2 1/2 X 5/8 X 7'
Each
$10.01
PNE CASE 2 1/4 X 11/1610'
Each
$13.60
PNE CASE 2-1/2X11/16X10'
Each
$18.23
PNE CASE 1-5/8X 5/8X10'
Each
$10.50
PFJ CASE 2-1/2"X9/16"X7'
Each
58.51
PFJ CASE 1-5/8X 5/8X 7'
Each
$6.37
PFJ CASE 2-1/2"X5/8"X7'
Each
58.47
PFJ CASE 3 1/2 X 11/16 X 8
Each
S23.04
PFJ Brick Mould 2" x 1 1/4" x 7'
Each
S11.97
MDF CASE 2 1/4 X 5/8 7'
Each
54.69
MDF CASE 2-1/2 X 5/8 X 7'
Each
54.48
MDF CASE 2 1/2 X 9/16 7'
Each
S5.60
PVC Brick Mould 8'
Each
510.95
PVC Brick Mould 10'
Each
514.95
PVC QTR RD 3/4" x 3/4"
Each
S4.98
PVC QTR RD 1/2" x 1/2"
Each
S3.58
Special Order Trim Coil Acrylic 24" x 50'
Each
598.72
Special Order Trim Coil PVC 24" x 50'
Each
5105.45
Sub Total
Other Product
Description
Unit
Quantity
Price
Ext. Price
M20 Window pricing (enter qty of 1, add tax to your total window rice
Each
1
51,465.40
$1,465.40
Additional product enter qty of 1, calculate price and add tax
Each
8
513.50
5108.00
Additional product enter qty of 1, calculate price and add tax
Each
1
S27.00
$27.00
Stock or Special Order Trim Coil (Product Only) for wrapping/capping
windows, doors, beams, fascia or posts
Each
1
S90.00
S90.00
Each
Additional
2
Sub Total
I S1.690.40
Additional Labor
Description
Unit
Type
Quantity
Price
Tax Ext. Price
LAB INST WINDOW -MINIMUM
each
Additional
5349.00
LAB EXT BASIC WINDOW
Each
Additional
2
S159.00
$318.00
LAB INST WINDOW -ABOVE 2ND FLOOR
Each
Additional
4
S51.00
S204.00
LAB EXT OVERSIZED WINDOW
Each
Additional
2
S245.00
S490.00
LAB EXT REPLACE WINDOW SILL
Each
Additional
S45.00
LAB EXT RMV NAIL FIN/FULL FIRM RMV
Each
Additional
S50.00
LAB EXT BOW/BAY WINDOW
Each
Additional
5795.00
LAB EXT GARDEN WINDOW
Each
Additional
5630.00
LAB EXT WRAP WINDOW BASIC
Each
Additional
585.00
LAB EXT WRAP WINDOW LABOR ONLY
Each
Additional
$35.00
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LAB EXT Additional/Custom Work
Each
Additional
LAB INST Window Scaffold Charge
Each
Additional
INST STORM WINDOW REMOVE/DISPOSE
Each
Additional 517.00
LAB EXT WRAP PATIO DOOR
Each
Additional $125.00
LABOR INSTL MWRK WINDOWS MILEAGE
Mile
Sub Total $1,012.00
Other Fees
Description
Unit
Type Quantity
Price Tax Ext. Price
Lowe's Delivery
Each
Other
Permit Charge if required)
Each
Other
LABOR INSTL MWRK WINDOWS MILEAGE
Mile
Other
$2.00
LAB INST WINDOW LEAD ASSESMENT
Each
Other
S16.00
LABOR WINDOW LEAD SAFE PRCT
Each
Other
546.00
Sub Total
Description
Type .
Unit
Quantity
Price
•Ext. Price
Additional
Labor Sub
Total:
Up Charge:,
Total: $2,702.40
Final Price: $2,702.40