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BRES2017-0312y 78-495 CALLE TAMPICO aw LA QUINTA, CALIFORNIA 92253 DESIGN && DEVELOPMENT DEPARTMENT BUILDING PERMIT VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/7/2017 Permit Type/Subtype: BUILDING RESIDENTIAL/REMODEL Owner: Application Number: BRES2017-0312 SHARON FREEMAN Property Address: .52990 AVENIDA VILLA 52990 AVEN DA VILLA APN: 773334013 LA QUINTA, CA 92253 Application Description: FREEMAN / REPLACE TWO (2) FRENCH DOORS WITH RETROFIT Property Zoning:' PRODUCT Application Valuation: $3,124.00 Applicant: 0 [r—�� Contractor: SHARON FREEMAN D WICK ENTERPRISES INC DBA THREE D CQNST. 52990 AVENIDA VILLANOV ®7 2017 1515 CROWN ST LA QUINTA, CA 92253 IY / REDLANDS, CA 92373 CITYOFLAQUINTA (909)335 4846 COMMUNITY DEVELOPMENT DEPARTMENT Llc. No.: 818261 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 {commencing with Section 7000) of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: B License No.: 818261 Date: 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 rpensation, 'owner of the property, or my employees with wages as their sole 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 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 did not build or improve for the purpose of sale.). `s owner of the property, am exclusively contracting with licensed contractors onstr uctt 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 ors' State License Law.). :)Tam exempt under Sec:. B.&P.C. for this reason Date:: O er.� i 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.). 1 Lender's Name: Lender's Address: 1 r 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 work=rs' 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 insirance carrier and policy number are: . Carrier: ACE AMERICAN INSURANCE COMPANY Policy Number: RWCC64394769 r Y ,�tempI,certify that in the performance of the work for which this permit is issued, I shall noloy 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. aAAf e WARNING: FAILURE TO SECURE WORKEFS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($300,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDBD 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 :)n this application. . 1. Each person upon whose behalf thi2 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 /comriienced within 180 days from date of issuance of such permit, or cessation of ork for 180 days will subject permit to-ancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and country ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. Date;. ignature=(ApFdicant or Agent): Date: 11/7/2017 Application,Number ;,BRES2017-0312 Owner: Property Address: •52990 AVENIDA VILLA SHARON FRE =MAN APN: 773334013 52990 AVENIDA VILLA • Application Description: FREEMAN / REPLACE TWO (2) FRENCH DOORS WITH RETROFIT PRODUCT LA QUINTA, CA 92253 Property Zoning:. Application Valuation:. $3,724.00 ; Applicant:. Contractor: . SHARON FREEMAN D WICK ENTERPRISES INC DBA THREE.D CONST 52990 AVENIDA'VILLA 1515 CROWN ST LA QUINTA, CA 92253 REDLANDS, CA.92373 (909)335-48,i6. Llc. No.: 818261' Detail: REPLACE TWO (2) FRENCH DOORS WITH RETROFIT PRODUCTS. THIS PERMIT DOES NOT INCLUDE ALTERATION_ THE EXISTING BUILDING ENVELOPE. 2016 CALIFORNIA BUILDING CODE. ,i r , FINANCIAL DESCRIPTION - INFORMATION 'ACCOUNT QTY' AMOUNT BSAS SB1473 FEE 101-0000-20306 10 .$1.00 Total Paid for BUILDING STANDARDS ADMINISTRAnON BSA: .$1.00 DESCRIPTION ACCOUNT" QTY AMOUNT SMI - RESIDENTIAL 101-0000-20308 y 0 $0.50 t Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.50 DESCRIPTION 'ACCOUNT QTY . AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 ' DESCRIPTION y ACCOUNT QTY AMOUNT .,DOOR/WINW DW, RETRO/REPAIR, FIRST 7 101-0000-42400 0 $65.54 DESCRIPTION` ACCOUNT QTY AMOUNT DOOR/WINDOW, RETRO/REPAIR, FIRST 7 PC 101-0000-42600 0 ' $63.98 Total Paid for WINDOW/SLIDING GLASS DOOR/FENESTRATION: $129.52 TOTALS: $136.02 � l r � r 3 a e V- . Co.ntrac777nanfe: + 'New SFD Construction: PERMIT #_` �• �:- 03) J et /' PLAN LOCATION. Cfitys-, Zip r Garage Y�pro�ect Address: ^' R�ro�ect:D.esciapt.ion y -Pool, Remodel; Add-t-,-)J1cct,=P-luan:U, M,ech„ %� V , APN #_.. Email: P LACE C� b 064 Telephone Q' CT- -- - v Patio/Porch SF A;ppllcan't`Namc: Fire Sprinklers ddress: S S L+ aCity,'ST, Zill J A6 /, I . amL Varo °f-Project'S• lu L .. . Co.ntrac777nanfe: + 'New SFD Construction: Address: Address:, .. Conditioned Space SF Cfitys-, Zip r Garage = SF: Email: Telephone Q' CT- -- - v Patio/Porch SF .:Ein , ,' 't Fire Sprinklers SF ' -:State'Lic=: ( CitylBus Lic: ' Arch/Eng Name: Construction Type:.. + Occupancy: Address: Grading: City, St, Zip Construction Type: Occupancy:: Telephone: Bedrooms: ' Stories: Email: State Lic: City Bus Lic: r . , TP,roperty©�►ners�Namc: f New Commercial / Tenant Improvements: •Address: s� (� '�� ` L Total Building -SF :. rCiay.�ST p u��`f Construction Type: Occupancy:: gip- 1•Y'' "ovine D r Emaisl • f 78495 CALLE TAMPICO LA QUINTA, CA 92253 �; y . .760-777-7000 s • . ' + a P..'O. Box 1504 LA QUINTA, CALIFORNIA 92247-1504 BUILDING & SAFETY DEPARTMENT 78-495 CALLE TAMPICo (760)777-7012 LA. QUINTA, CALIFORNIA 92253 FAX (760)777-7011 PROPERTY OWNER'S PACKAGE Disclosures & Forms for Owner -Builders Applying for Construction Permits IMPORTANT! NOTICE TO PROPERTY OWNER Dear Property Owner: An application for a buildin e t s be n sup itted ' yo name fisting y self s e u' er e property �: _.L improvements specified at t , ; ` , -- - t We are providing you with an Owner -Builder, Acknowledgment and I`nformahori Verificario Form to make you aware�>y1Sur responsibilities and possible risk you may incur by having this permit issued in your name as the Owner -Builder. We will not issue a building permit until you have read, initialed your understanding of each provision, 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. OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION DIRECTIONS: Rears and initial each statement below to signify you understand or verify this. information. N:"`.J 1.J I understand a frequent practice of unlicensed persons is to have the property owner .obtain an "Owner Builder" wilding permit that erroneously implies that the property owner is. providing his or her. own labor and material personally. I, 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 injuries. I am willfully acting as an Owner -Builder and am aware of the limits.of my insurance coverage for injuries to workers on my property. - I understand' building permits are not required to be signed by property owners unless they are responsible for the . onstruction and are not hiring a licensed Contractor to assume this responsibility. Plyseli I understand as an "Owner -Builder" I am the responsible party of record onthe permit. I understandthat I may protect from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own. o 41 understand Contractors are required by law to be licensed. and bonded in California and to list their license numbers on permits and contracts. WV1 understand if I employ or otherwise engage any persons, other than California licensed Contractors and the total value ofconstruction is at least five hundred dollars ($500), including labor and materials, I may be considered an ",employer" under state and federal law. � ' � bunderstand if I am considered an "employer" under state and federal law, I must register with the state and federal ovemment, withhold payroll .taxes, provide workers' compensation disability insurance, and contribute to unemployment compensation for each "employee." I also understand my failure to abide by these laws may subject me to serious financial risk. ' I understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential ctures cannot legally build them with the intent to offer them for sale, unless all work is performed by licensed subcontractors and the number ,of strictures does not exceed four within any calendar' year, or all of the work is performed under contract with a licensed general building Contractor: 8. jI understand as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable for an financial or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in'the workmanship or materials. 91. 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 (CSLB) at 1- 800-321-CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors. of and consent to; -Builder building permit applied for in my name, and understand that I am the I financially onsibl for proposed construction activity at the following address: /J(�I'. I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all a_ __I'. laws and requirements that govern Owner -Builders as.well as employers. T-Venpfrovided I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I 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 assist you with any financial loss 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 held liable for damages. If you obtain a permit as Owner -Builder and wish to hire Contractors, you will be. responsible for verifying whether or not those Contractors are properly licensed and the status of their workers' compensation insurance coverage. Before a building permit can be issued, this form must be completed and signed by the property owner and returned to the agency responsible for issuing the permit. Note: A copy of the property owner's driver's license, form notarization, or other verification acceptable to the agency is required to be presented when the permit is issued to verify the property . owner's.sienature. i — ;nature of property owner Note: The following Authorization Form is required to be completed by the property owner only whets 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, the execution of which I understand is my personal responsibility, I hereby authorize the following person(s) to act as my agent(s) io 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 Authorized Agent: Address of Authorized Agent: Tel No. I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above information and certify its accuracy. Note:,4 copy of the owner's driver's license, form notarization, or other verification acceptable to the agency is required to be presented when the permit is issued to verify the property owner's signature. Property Owner's Signature: Date: J' - 1 . � _�� FREEMAN. rw�'�f�� -���-z•-�, '.= U � .: EI SHARON BE,T-! A yam) )�i� 10)28i20t7�' (Qo2lf6Fza p2 Z-(�, �j >> CITY OF LA QUINTA SUB-CONTRACTORr /LIS 41* JOB ADDRESS�� (� IL PERMIT NUMBER OWNER _.BU{LD1=( This form shall be posted on the job with the Building inspection Card at all mimes in a consLct,oiis-f�lace Only persons appearing on this list or theiremployees are authorized owork on this iob. Anv changes to this list must be approved by. the Building Division' prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance STATE OF CALIFORNIA Prescriptive Residential Alterations That Do Not Require HERS Field Verification CEC-CF1 R -ALT -05-E Revised 04/16 CALIFORNIA EN CERTIFICATE OF COMPLIANCE Prescriptive Residential Alterations That Do Not Require HERS Field Verification Project Name: AVENIDA VILLA "' -. - Date Prepared: 11/7/2017 5 MMISSION CFIR-ALT-05-E Page 1 of 4. This compliance document is only applicable to simple alterations that do not require HERS verification for compliance. When HERS verification is required, a CFIR-ALT- 01 shall first be registered with a HERS Provider Data Registry. Alterations to Space Conditioning Systems that are exempt from HERS verification requirements may. use the CF1R-ALT-05 and CF2R- ALT -05 Compliance Documents. Possible exemptions from duct leakage testing include: less than 40 ft of ducts were added or replaced; or the existing duct system was- insulated with asbestos; or the existing duct system was previously. tested and passed by a . HERS Rater. If space conditioning systems are altered and are not.exempt from HERS verification, then a CFIR-ALT-02 must be completed and registered.with a HERS Provider Data Registry. Alterations that utilize close Cell Spray. Polyurethane Foam (ccSPF) with a density of 1.5 to less than 2:5 pounds per cubic foot having an R -value other than S.8 per inch, or Open Cell Spray Polyurethane Foam (ocSPF) with a density of 0.4 to less than 1.5 pounds per cubic foot having an R -value of 3.6 per inch, shall complete, and register a CF1.R-ALT-01 with a HERS Provider Data Registry. If more than one person has responsibility for installation of the items on this certificate, each person shall prepare and sign a certificate applicable to the portion of construction for which they are responsible. Alternatively, the person with chief responsibilityfor construction shall prepare and sign this certificate for the entire construction. All applicable Mandatory Measures shall be met. Temporary labels shall not be removed before verification by the building inspector. A. General Information. 01 Project Name: AVENIDA VILLA - 02 Date Prepared: 11/7/2017 03 Project Location: 52-990 AVENIDA VILLA 04 Building Front Orientation (deg or cardinal): W 05 CA City: _ LA QUINTA 06 Number of Altered Dwelling Units: 1 07 Zip Code: 92253 08 Fuel Type: Electricity 09 Climate Zone: 15 10 Total Conditioned Floor Area (ft): 1200 . 11 Building Type: Single Family 12 Slab Area (ftZ) 1200 13 Project Scope (Select all that apply): ❑ B. Insulation ❑ D. & E. Fenestration/Glazing -ADD ❑ G. Space Conditioning System (Heating, Cooling, Duct system) ❑ Lighting FT C. Roof Replacement ❑✓ D. & F. Fenestration/Glazing - REPLACE ❑. H. Water Heating System ❑ Include Mandatory Measures? CA Building Energy Efficiency Standards'- 2016 Residential Compliance April 2016 STATE OF CALIFORNIA Prescriptive Residential Alterations That Do Not Require HERS Field Verification k f. CEC-CF1 R -ALT -05-E Revised 04/16 CALIFORNIA ENERGY COMMISSION " CERTIFICATE OF COMPLIANCE CF1R-ALT-05-E Prescriptive Residential Alterations That Do Not Require HERS Field Verification Page 2 of Project Name: AVENIDA VILLA - Date Prepared: 11/7/2017 D. Fenestration/Glazing Allowed Areas and Efficiencies (Section 150.2(b)1) 01 02 .. 03 04 05 06 07 Maximum Maximum Existing. 03 04 05 06 07 08 Allowed Allowed Fenestration Existing Maximum Maximum Maximum Maximum Frame Type Dynamic Glazing Fenestration West -Facing for All West -Facing Allowed Allowed Allowed Allowed Source Alteration for All Fenestration Orientations Fenestration U -Factor U -Factor SHGC SHGC . Type Orientations (W)l .Area Only (ft2) (ft2) Area (ftz) (Windows) (Skylights) (Windows) (Skylights) Comments N/A W 14 14 0 .32 NFRC .25 NFRC F. Fenestration/Glazing.Proposed Areas and Efficiencies - Replace (Section 150.2(b)19) 01 02 03 04 05 06 07 08 09 10 11 12 13 14 Tag/ID Fenestration s Type Frame Type Dynamic Glazing Orientation (N, S, W, E) Area Removed V) Area ". Added (ft2) • Net Added Area (ft2) U -factor Source- SHGC _ Source Exterior Shading Device Combined SHGC from CF1R-ENV-03 1 Fixed- Non-metal N/A W 28 28 0 .32 NFRC .25 NFRC N/A 2 Fixed Non-metal N/A W 14 14 0 .32 NFRC .25 NFRC N/A Add Row De►ete'aRo .15 Net Added West -facing Fenestration Area 16 Is Net Added Fenestration Area 5 for west -facing fenestration? 4 Yes 0 No 17 Net Added Fenestration Area (all orientations) 18 Is Net Added Fenestration Area 5 0 for all orientations? ® Yes 4 No' ].9 Prnpnserl FenPstratinn I1-fartnr (Winrinws) 20 Required Fenestration U -factor (Windows) 21 Is the proposed Fenestration U -factor 5 the Required Fenestration U -factor? G Yes r No 22 Proposed Fenestration SHGC (Windows) 23 Required Fenestration. SHGC (Windows) 24 Is the Proposed Fenestration SHGC 5 the Required Fenestration SHGC? Yes No 25 Proposed Fenestration LI -factor (Skylights) 26 Required Fenestration U -factor (Skylights) CA Building Energy Efficiency Standards - 2016 Residential. Compliance April 2016 STATE OF CALIFORNIA Prescriptive Residential Alterations That DoNot Require HERS Field Verifications w. CEC-CFIR-ALT-05-E Revised 04/16 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CFIR=ALT-05-E Prescriptive Residential Alterations That Do Not Require HERS Field Verification Page.3 of 4 Project Name: AVENIDA VILLA 1 Date Prepared: 11/7/2017 ' 4 c 27 Is the proposed Fenestration 1.1 -factor 5 the Required Fenestration U -factor? .-. Yes iCj No 28 r Proposed Fenestration SHGC 29 Required Fenestration SHGC 30 • Is the Proposed Fenestration SHGC 5 the Required Fenestration SHGC? d1z Yes r No STATE OF CALIFORNIA. Prescriptive Residential Alterations That Do Not Require HERS Field. Verification. ' CEC-CFIR-ALT-05-E Revised 04/16 CERTIFICATE OF COMPLIANCE Prescriptive Residential Alterations That Do Not Require HERS Field Verification PrpjectName: AVENIDA VILLA . k !w CALIFORNIA ENERGY COMMISSION CF1R-ALT-05-E Page 4"of 4 . • Date Prepared: 11/7/2011 DbCUMENTATION AUTHOR'S DECLARATION STATEMENT 1'. I certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: SHARON FREEMAN Documen tion A or ign Company: OWNER/BUILDER Slgnatur �� Z Address: CEA/ HERS Certification Identification (if app icable): 52-990 AVENIDA VILLA City/State/Zip: Phone: LA.QUINTA 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 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 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 available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I uQderstand 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. Responsible Designer Name: Respon le D er Signature: SAME AS ABOVE �( Company: t Dat gned:. \` Y_ ' Address: License: City/State/Zip: r Phone: For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300. j 4 CA Building Energy Efficiency Standards 2016 Residential Compliance April.2016