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BRES2016-031478-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 D c&tr ^F �4�urw i Application Number: BRES2016-0314 Property Address: 48230 VISTA DE NOPAL APN: 646110008 i Application Description: VON TEMPSKY RESIDENCE / WIN Property Zoning: Date: 11/1/2016 Application Valuation: $11,000.00 Applicant: Contractor: OWNER / BUILDER Lic. No.: 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 oft a A;rCod shall forthwith comply with those provisions. 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 r ting to building construction, and hereby authorize representatives of this cityto upon the above-mentioned property for inspection purposes. Date: �r CSignature (Applicant- Date: 11/1/2016 Application Number: BRES2016-0314 Owner: Property Address: 48230 VISTA DE NOPAL , KIMBALL VONTEMPSKY APN: 646110008 Property Zoning: Application Valuation: $11,000.00 Applicant: Contractor: GARY MORLOCK OWNER /.BUILDER LA QUINTA, 92201 Llc. No.: --------------------------------- Detail: REPLACE (12) WINDOWS AND (3) SLIDING.GLASS DOORS. LIKE FOR LIKE. PER 2013 CALIFORNIA BUILDING CODE. i ISI FINANCIAL INFORMATION DESCRIPTION ACCOUNT CITY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT CITY AMOUNT PERMIT ISSUANCE 101-0000-42404 0 $96.27 - Total Paid for PERMIT ISSUANCE: $96.27 DESCRIPTION ACCOUNT CITY AMOUNT SMI - RESIDENTIAL 101-0000-20308 0 $1.43 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $1.43 DESCRIPTION ACCOUNT CITY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 DESCRIPTION ACCOUNT CITY AMOUNT DOOR/WINDOW, RETRO/REPAIR, EA ADDITION 5 101-0000-42400 0 $21.28 DESCRIPTION ACCOUNT CITY AMOUNT DOOR/WINDOW, RETRO/REPAIR, FIRST 7 101-0000-42400 0 $63.84 DESCRIPTION ACCOUNT CITY AMOUNT DOOR/WINDOW, RETRO/REPAIR, FIRST 7 PC 101 0000-42600 0 $62.32 Total Paid for WINDOW/SLIDING GLASS DOOR/FENESTRATION: $147.44 Cky of La Quillta O�raj Bt ifdin.g &r Safety Division f 78-195 Calle Tampico La Quima, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet n �D Project. dr ss: 48230 ista de Nopal owncr'st.;une: Kim von Tempsky A. 1'. Number: AJd:css: 48230 Vista de Nopal Lcgal Description: City, ST, Zip: La Quinta, CA 92253 � Conrpct L z Telephone: % Addressj'��f��3o ✓Sra_�.L`/rvC_ Projcct Descr iption: Replace windows and City' ST, Zip: Telephone: p t:J sliding glass doors in home. W fl C7 r State Lie.� City Lie.,': 'C(o fG DC7(�� Arch., Lngr., Dcsigner: Address: City, ST, Zip: Telephone: O ecu eeo Clruelion Type: State Lie. 9: Project ect t•Pc (circle one): ��w Add'n AIter Repairai r Dcm o "'anic o; Contz t person: Gary MOrlock Sq. R.: # Stories: 1 Units: 1 1c'cpLo^:i'ofCc: ctPcrson: 760-636-8098 Estimated Value ofProject: $11,000.00 APPLICANT: DO NOT WRITE BELOW THIS LINE w Submittal Req'd Rec'd TRACKING PERMIT FEES Plan SCts Plan Check submitted Vent Anrount Structural Calcs. Reviewed, ready for corrections Plan Chcck 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 Subcontaetor List Called Contact Person 111unibing S.M.I. Grant Decd flans picked up II.O.A. Approval flans resubmitted Grading IN IIOUSE:- `J Revicw, ready for corrections/issuc Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. I'ub. Wks. Appr Date of permit issue School Fees. 'Total Permit Fecs Twit 4,49ba h. BUILDING & SAFETY DEPART\iI:VT 78-495 CALLF TAMPIC0 (760) 777-7012 Ln (1ut'r'rn, CALiFORNIn 92253 FA)i (760) 777-7011 J Considering Becoming an Owner -Builder? r r. SJJUP.... Important information you need to know BEFORE. pulling your permit! The term "Owner -Builder" can mean three different things: "Owner as Worker", "Owner as Contractor" or "Owner as Employer"' Understand each has Benefits or Risk, and it is possible to combine them! Hiring a California Licensed Contractor means you do not personally perform any of the construction work, the permit is not taken ' out in your name, you arc not personally responsible for the construction and you are nn! an Owner -Builder. Instead, you become a "Customer" and California law provides you the benefit of protection from poor workmanship, failure to finish the job and financial risk due to worker injury. Benefit/Risk: Hizhest Benefits and the Least amount of Risk Owner-as-lfarker is a type of Owrter-Builder where you personally peifonn the'consttuction work, the permit is taken out in your ' name and you are personally responsible for the construct ion management, knowledge, workmanship, and completion of the job. You benefit by not paying others to perform this t%*ork for you and your risk depends on your own ability to complete the job successfully. Benefit/Risk: Possible Benefit with L.o%% Financial Risk Owner -as -Contractor is a type of Owner -Builder where you personally act as your own General Contractor, the permit is taken out in your name and you hire California licensed sub -contractors to perforin portions of the construction work. WARNING: The benefit of t!V protection provided by law when you hire only California licensed sub -contractors can tum to serious financial risk if you hire unlicensed contractors to perforni anY of the work. Benefit/Riskc Pos.iblc• Rent -fit and Si%:nificanl Financial Risk / Own er-as-litupinyer,is a tyre of Owner -Builder where )'oti pay any unlicensed individual to perConn any constrvctiitn work valued at mo;e than 5500.00, the pennii is taken.out in your name and you an personally responsiUlc for their employment requirements, supervision, performance, sa:cty and welfare while on your property WARNING: Cost savings benefit can turn to serious financial risk if you fail to deduct payroll taxes or provide work-ers coinpennsurion insurance for each worker. Benefit/Risk: l'naihle Benefit with Sicnificant Pinancial Risk i j_ (Health and Safety Code Section 19827) The California Legislature declares an "urgent and statewide public interest in assuring" that contractors comply with Contractors' License Law, Business and Professions Code and Workers' Compensation Insurance requirements to ensure property owners are informed about, and protected from the following when improving their property as Owner -Builders: Fraudulent representations • Liability for worker's injuries , Liability for material and labor costs unpaid by contractors,- Licensing requirements • Employers tax liabilities Over 20,000 consumer complaints are filed each year. Many complaints relate to owner/builder projects and include workmanship and workers' compensation issues Homeowners suffer financial harm due to defective workmanship and injured employees. Following are alarming examples of what has occurred with Owner -Builder permits: Example 1: Homeowner received insurance money to rebuild burned -down home. ■ Owner/Builder permit pulled to rebuild structure. ■ Unlicensed contractor built substandard structure -must be torn down and replaced. ■ Estimated financial injury is $225,000. ■ Additional financial injury - IRS threatened to tax insurance payout if house not completed by the end of the year_ Example 2: Brother-in-law had active license but filed an exemption from Workers Comp. ■ Owner -Builder hires brother-in-law to install a new roof. ;I c Employee falls and sustains multiple spinal and extremity fractures as well as a head injury and remains in a coma to this day. }, The Owner -Builder, who has sold the home, is now a defendant in;a lawsuit for reimbursement for benefits paid to the injured worker. Example 3: Employee of contractor without Workers Comp is hired by Owner -Builder to install septic system and suffers injury that results in permanent disability. t/' The Owner -Builder did not have a homeowner's insurance policy on the house against which to submit - a claim. ■ I he Owner -Builder is now a defendant in a" lawsuit for reimbursement for benefits paid to the injured worker. - Did you know — unlicensed persons frequently have the property owner obtain an "Owner -Builder" building permit which erroneously implies that the property`owner is.providing his or her own labor and material personally? Did you know — your homeowner's insurance may not provide coverage for injuries sustained on your property by an unlicensed contractor and his/her employees? id you know — if you are considered an "employer" under state and federal law, you must register with ✓" the state and federal government, withhold payroll taxes, provide workers compensation and disability insurance and contribute to unemployment compensation for each "employee"? , bid you know—' that if you fail to abide by these laws you may be subjected to serious financial risk? OWNERS BEWARE AND CONSIDER THE RISK BEFORE ACCEPTING FULL RESPONSIBILITY FOR YOUR CONSTRUCTION PERMIT Qum& P.O. Box 1504 LA QUiNTA, CALIFORNIA 92247-1504 BUILDING & SAFETY DEPARTMENT 75-495 CALLS TAMPICO (760) 777-7012 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 PROPERWOWNER'S PACKAGE Disclosures & Forms for Owner -Builders Applying for Construction Permits IMPORTANT! NOTICE TO PROPERTY OWNER Dear Property Owner: An application for a building ppomit has been submitted in your name listing yourself as the builder of the property i' improvements specified at 48230 Vista de Nopal, La Quinta, CA 92253 We arc providing you with an Owncr-Buildcr Ack-wwledgment and lnforn-ation Verification Form to make you aware of your responsibilities and possible risk you may incur by having this permit issued in your name as the Oumer-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. i.. 'ONVNER'S ACKNOWLEDGMENT.AND VERIFICATION OF INFORMATION ii DIRECTIONS: Read and initial each statement below to signify you understand or vcrif this information. 1. I understanda frequent practice of unlicensed persons is to have the property oWricr obtain an "Owner Builder" building Permit that erroneous) implies that the property yowner is providing his or her own labor and material personally. 1, as an O,. ner-Buildcr, 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 try properly. 2. 1 understand building permits are not required to be signed by properly owners unless they are responsible for the construction and are not hiring a licensed Contractor to assume this responsibility: 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 'F own. 4. I understand Contractors arc required by law to be licensed and bonded in California and to list their license numbers on petits and contracts. )'-5. 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, 1 may be considered an "employer" under State and federal law: 1 understand if I am considered an "employer" under state and federal law, I must register with the state and federal government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemploymcnt compensation for each "employee." I also understand my failure to abide by these laws may subject me to serious financial risk. 7. i understand under California Contractors' State License 1_aw, an Owner -Builder who builds single-family residential sue tures 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. E I understand as an Owner-Buildcr if I sell the properly for which this permit is issued, 1 may be held liab4 for any financial or personal injuries sustained by any subsequent owmer(s) that result from any latent construction dekos in the workmanship or materials. . 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 Califonria Contractors' State License Board (CSLB) at I- 8`0000%-321-CSLB (2752) or w%vw.cs1b.ca.gov for more information about licensed contractors. 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 financially responsible} for pr posed cons ction activity at the following address: 1 1. I agree that, as the party legally and financially responsible for this proposed construction activity, 1 will abide by all applicable laws and requirements that govern Owncr-Builders as well as employers. -4 I2. I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information 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 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 maybe 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 tate property owner and returned to the agency responsible for i7agc, ote: A copy of the property owner's driver's license, form notarization, or other verification accept quired to beres4nted when the permit is issued to verify the propert}, owner's signature. Signature of property owner_ _ Date: Note: The joldowmg Authorization Horns is required to be completed by the prole y owner only when designating an agent of the property owner to apply fora construction permit for the Owner -Builder: AUTIiORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHAI.,F 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 agents) to apply for, sign, and file the documents necessary to obtain an Owner -Builder i' Permit for my project. Scope of Construction Project (or Description of Work):Window and Slidingdoor replacement Project Location or Address: 48230 Vista de Nopal, La Quinta, CA 92253 . Name. of Authorized Agent: Gary Morloek I Tel No 760-636-8098 Address ofAuthorized Agent: 48228 Vista de Nopal, La'Quinta,_:CA 92253 I declare under penalty ofpc i that I am t roperiy owner for the address listed above and I personally tilled out the above information and certify i ceuracy. Note: it c iY of the owners driver's license, form notarization, o?other verification acceptable to the agency is required to be ,tied when the permit is issued7o verify the pro erty on net's siSnaAerr. Property 0%%mcr's Signature: 7 - -- - I STATE OF CALIFORNIA RESIDENTIAL ALTERATIONS CEC-CF1 R -ALT -01-E (Revised 06/14) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CI`111-ALT-01-E Prescriptive Residential Alterations (Page 2 of 4) Project Name: 14, Date Prepared: D. FENESTRATION/GLAZING AREAS ALLOWED (Section 25.0.2(b)1) 44l., 01 02 03 04 Alteration Type Orientation Maximum Allowed Q Comments 06 07 08 11 .arc. V11, "Cl " E. FENESTRATION/GLAZING PROPOSED AREAS AND EFFICIENCIES (Section 150.2.(b)1) 01 02 03 04 05 06 07 08 11 12 13 14 15 Combined Area Area Neth Maximum Exterior SHGC Tag/ Fenestration Frame Dynamic N, 5, W, E, or Removed Added All, . Aciclecl . 4�� P A11601 Shading from ID Type Type Glazing Roof ft2 ft.N! ea ft2 •U factor U -factor Source SHGC Source Device CFIR-ENV-03 V, " 31 N, ­vNet Added West Area,:, a -',fa�c'i!,i'i'f�e'nes,trati'on b Existing .+ Added W-Ji4ic"ing Fenestration Area c Maximum AlIq e West-faci,,n,,g,°F,,,,en,ej't',�.,,a,,,tion Areah-" d Is West -facing Fenestration Area caxi'm;� um Allowed West -*i4 c`ih�Ce nest rati e Ne i ons %t_��dded Fenest�3tGnXrea (all orientations) .49-4., f 't-E��i'sting +Added -Fenestration Area (alieil'e"6a Wbns) F, 9 Maximum-A'.!c�4d"FAestration Area (all orientations) h Is Existing + Addi4,'Fgnestration Area < Max-imurn Allowed Fenestration Area (all orientations) Registration Number: CA Building Energy Efficiency Standards - 2013 Residential Compliance Registration Date/Time: HERS Provider: June 2014 N STATE OF CALIFORNIA RESIDENTIAL ALTERATIONS CEC-CF1R-ALT-01-E (Revised 06/14) CALIFORNIA ENERGY COMMISSION �Vk 41, CERTIFICATE OF COMPLIANCE CF111-ALT-01-E Prescriptive Residential Alterations (Page 2 of 4) Project Name: o,j _72m1>_,,x Date Prepared: D. FENESTRATION/GLAZING AREAS ALLOWED (Section 15.0.2(b)1) rad 04,". t 01 02 03 I 4 Alteration Type Orientation Maximum Allowed Q C 06 07 08 E. FENESTRATION/GLAZING PROPOSED AREAS AND EFFICIENCIES (Section 156.2(b)1) 1�60 01 02 03 04 05 06 07 08 11 12 13 14 15 Combined Orientation Area Area N&V t, o Maximum W. Exterior SHGC Tag/ Fenestration Frame Dynamic N, 5, W, E, or Removed Added "qAdded Allo��'d Shading from ID Type Type Glazing Roof ft2 r.. ea ft2 a r Vactor Source SHGC Source Device CFlR-ENV-03 V, yt- 61 IL 7/ T, j 30 a Net Added Wei`fp'& Fenestration Arbd*4 b Existing + Added W.'e'sufallcing Fenestration c Maximum All wed West f aciOFenescam.t. tion Area zw d Is West -facing Fenestration Area < MaxiAurn Allowed West-?4ci'h'g Fenestration`' NT. 1_, ela, e _�Aclde tions) flet Added Fejiestr'atidn Area (al qAr rji t .f _A Exciting + Added;Fe Area (iileifehtWns) V, qjestration 9 Maximum,Ak'FAestration Area (all orientations) h Is Existing + Added Fenestration Area <','Aax-imum Allowed Fenestration Area (all orientations) Registration Number: CA Building Energy Efficiency Standards - 2013 Residential Compliance Registration Date/Time: HERS Provider: June 2014 STATE OF CALIFORNIA RESIDENTIAL ALTERATIONS CEC-CF1 R -ALT -01 -E (Revised 06/14) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CFIR-ALT-01-E Prescriptive Residential Alterations (Page 2 of 4) Project Name: 110 j 7_y -m Date Prepared: D. FENESTRATION/GLAZING AREAS ALLOWED (Section,150.2(b)1) 04 a. 01 02 03 03 Alteration Type Orientation Maximum Allowed ft2 Comments4.116l.- 05 06 07 0812 E. FENESTRATION/GLAZING PROPOSED AREAS AND EFFICIENCIES (Section 150.2(b)1) 01 02 03 04 05 06 07 0812 13 14 15 Combined Orientation Area AreaNev, Maximum Exterior SHGC Tag/ Fenestration Frame Dynamic N, S, W, E, or Removed Added A 16-4 V _ Shading from ID Type Type Glazing Roof ft2 0'3�r e a f t 2 '�? or '6%cj Vactor Source SHGC Source Device CFIR-ENV-03 ay i%� -a7' 77n— -2-7 1 a Net Added Wese-�ac-iln!Fenestration Areak b ­, N�'. Existing + Added Wes.-Yt-,facing Fenestrattcn.. ,.,ea c Maximum Allowed West -faciRg+erfe �f,rgtion Area d is West -facing Fenestration Area < MaxiA"Um4Allowed West-WKg_Fenestratior" �4 rq OY/ eAdded FenestratAn _4rea (all orientations) —,-,v f 7777� "A�'E�Nting + Add ed-;F.e'stration Area (alleiesqtations) 9 M '-FAestration Area (all orientations) aximum,A!V�ba' 4� r; h Is Existing + Ad8e*&enestra-tion Area <,'Aaximum Allowed Fenestration Area (611 'Ci�' '. orientations)_ Registration Number: CA Building Energy Efficiency Standards - 2013 Residential Compliance - - ----------- Registration DateMme: HERS Provider: June 2014 STATE OF CALIFORNIA RESIDENTIAL ALTERATIONS r CEC-CF1 R -ALT -01-E Revised 06/14 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E Prescriptive Residential Alterations (Page 2 of 4) Project Name: %2 Date Prepared: D. FENESTRATION/GLAZING AREAS ALLOWED (Section 150.2(b)1) v 04 , ; 01 02 03 Alteration Type Orientation Maximum Allowed ft2 Comments -f. — ill, a �.AK E. FENESTRATION/GLAZING PROPOSED AREAS AND EFFICIENCIES (Section 150.2(b)l) 01 02 03 04 05 06 07 08 11 12 13 14 15 wt Combined Orientation Area Area Nettie Maximum t°' Exterior SHGC Tag/ Fenestration Frame Dynamic N, S, W, E, or Removed Added rAdded Allowedlwp Shading from ID Type Type Glazing Roof ft2 ftt" Area ft2 U factor U•factor Source SHGC Z Source Device CF1R-ENV-03 D V t n ve4 Ej c P' Ate- 4 a Net Added West-,f�aciglgFenestration Areat, b Existing +Added,West;facmgFenestration Area CRY c Maximum Allowed West-facingaFM siration Area ." d Is West facing Fenestration Area < Maxirtium Allowed Wsstrfacing Fenestration' + Area,. r� f e f3et Added Feest�ation Area (all orientations) f k*Existing + Added Fenestration Area (all orientations) R, g ?:... • Maximum A�llc wed'Fenestration Area (all orientations) <; r h 1s Existing +Added Fenestration Area <maximum Allowed Fenestration Area (all 41 orientations tii, rrM1 L^... 3,V_ s,.t ,�� Registration Number: Registration Date/Time: HERS Provider: CA Building Energy Efficiency Standards - 2013 Residential Compliance June 2014 Project: gary morlock ' Project ID: 108 Sales Rep: robert ripley Created Date: 09/302016 Delivery / Pickup: Delivery Modified Date: 10272016 Print Date: 10272016 Customer. 0000000009 PO: Eat Delivery: Terms: _ ....-_.— .—._ Comments: (After Receipt of Order) 5-` . I• 1; —`i51:> „!:. if ; 4�Sfii In.:�. atE: - sE`s� �: a , A :rrc r f:ncn•o- . Ic Y.� ,}, -4K :11,:- '?ri;; S!:. 71 ..., .. ::Fr.G.'.:-'.l. .: - • d. I .. !!.!e ..,:..:.:9.f-:• �Uai:l ":..._ T,.•ka �.L.ry-�-� 7•� '4.. •:.:.J:.'. . f: Customer Name: Jobsite Contact: Address: - Address: Customer Phone: I Contact Phone: ` Fax: Fax: (Select Preference) Email: Email: - Manufacturer. Milgard. _ Item: 0001 Location: BDRM Quantity: 1 Tuscany, 8621T, SD, Net 92 314"x 9412", UF: 0.28, SGC: 0.21, VLT: 0.5 Custom Size F 5132" SunCoatMAX and 5132" Clear Glass r Slider #� Gas Filled: Argon Wide Z Bar , Upgrade Screen i EdgeGardMAX ' Item Total: $ Item Quantity Total: $ Clear Opening W: 40 718" He 91 12" SQ: 25.97 Fin Placement: Wide Z -Bar, Frame Accessory Application: 4 Sides; ' Sliding Direction: XO; Exterior Finish: White; Interior Finish: White; Energy Package: Title 24; Glazing: Dual Glazed (Insulated Glass); C Tempered: All; Outer Glass lite Option: SunCoatMAX; Inner Glass Lite Option: Clear, Glass Thick 1: 5132"; Glass Thick 2: 5132"; Spacer Type: EdgeGardMAX; Gas Filled: Argon; Handle Type: SmartTouch; Screen: Upgraded with Fiberglass mesh; STC: 33 CPD: MIL=A=137-02564-00001 r Line Item Comments:Customer Approval: . - -- ! Initials....-- Quote ID: 106 1 Of 5 10/27/2016 i Manufacturer. Milgard Item: 0002 Location: LIVING RM Quantity: 1 Tuscany, 86217, SD3, Net 1401!2" x 94", UF: 0.28, SGC: 0.21, VLT: 0.5 Custom Size 5/32" SunCoatMAX and 5/32" Clear Glass Gas Filled: Argon Slider #2 WideZ-ear Upgrade Screen EdgeGardMAX , — - -- Item Total: $ Clear Opening W: 381/2" H: 91" SQ: 24.33 item Quantity Total: $ 0 0 Fin Placement: Wide Z -Bar, Frame Accessory Application: 4 Sides: Sliding Direction: O/XO; Exterior Finish: White; Interior Finish: White; Energy Package: Title 24; Glazing: Dual Glazed (Insulated Glass); Tempered: All; Outer Glass Lite Option: SunCoatMAX; Inner Glass Lite ` Option: Clear, Glass Thick 1: 5/32"; Glass Thick 2: 5132"; Spacer Type: EdgeGardMAX; Gas Filled: Argon; Handle Type: Smart7buch; Screen: Upgraded with Fiberglass mesh; STC: 33 CPD: MIL -A-137-02564-00001 Line Item Comments: a Customer Approval: Initials Manufacturer: Milgard Item: 0003 Location: KITCHEN Quantity: 1 • _ Tuscany, 8621T, SD, Net 69" x 781/2", UF: 0.28, SGC: 0.21, VM 0.5 Custom Sae 1/8" SunCoatMAX and 1/8" Clear Glass Gas Filled: Argon Slider #3 ° Wide Z -Bar Upgrade Screen EdgeGardMAX v Item Total: $ Clear Opening W: 30"H: 76 112"SQ: 15.94 Item Quantity Total: $ Fin Placement: Wide Z -Bar, Frame Accessory Application: 4 Sides; 0 Sliding Dlredion: XO; Exterior Finish: White; Interior Finish: White; Energy Package: Title 24; Glazing: Dual Glazed (Insulated Glass); Tempered: All; Outer Glass Lite Option: SunCoatMAX; Inner Glass Lite Ll Option: Clear, Glass Thick 1: 118"; Glass Thick 2: 1/8"; Spacer Type: EdgeGardMAX; Gas Filled: Argon; Handle Type: SmartTouch Screan: ,i Upgraded with Fiberglass mesh; STC: 29 CPD: MIL -A-137-02567-00001 Line Item Comments: Customer Approval: ^ Initials- Quota to,. 106 2 Or 5 10/!72016 r Manufacturer: Milgard Item: 0004 Location: BDRM & OFFICE ` Quantity: 2 Tuscany, 8170T, HV, Net 68 1/2"x 45 1/4", UF: 0.3, SGC: 0.21, VLT: 0.48 118" SunCoatMAX and 1/8" Clear Gas Filled: Argon Window #4 Standard Z -Bar Item Total: $ Clear Opening W: 31 11/16" H: 421/4" SQ: 9.30 Item Quantity Total: $ Fin Placement: Standard Z -Bar, Sliding Direction: XO; Exterior Finish: White; Interior Finish: White; Energy Package: Title 24; Glazing: Dual Glazed (Insulated Glass); Outer Glass Lite Option: SunCoamw; Inner Glass Lite Option: Clear, Glass Thick 1: 1/8"; Glass Thick 2: 1/8"; Spacer Type: EdgeGard; Gas Filled: Argon; Screen: Standard with Fiberglass mesh; STC: 29 CPD: MIL -A-224-0518800001 Une Item Comments: - Customer Approval: _ Initials Manufacturer Milgard Item: 0005 Location: BATH RM " Quantity: 1 Tuscany, 8270T, SH, Net 25 3/8" x 35 3/8"; UF: 0.28, SGC: 0.21, VLT: 0.48 118" SunCoatMAX Tempered and 5132" Rain (Obscure) Tempered Gas Filled: Argon Window #5 Standard Z -Bar Item Total: $ � Clear Opening W: 22 318" H: 13 3/16" SQ: 2.05 Item Quantity Total: $ lv) Fin Placement: Standard Z -Bar; Horizontal Vent Set: 17 15/16"; Vent Height: One Half; Exterior Finish: White; Interior Finish: White; Energy Package: Title 24; Glazing: Dual Glazed (Insulated Glass); Tempered: All; Outer Glass Lite Option: SunCoatMAX; Inner Glass Lite Option: Rain (Obscure); Glass Thick 1; 1/8'; Glass Thick 2: 5/32"; Spacer Type: Foam; Gas Filled: Argon; Screen: Standard with Fiberglass mesh; STC: 33 CPD: MIL -A-225-06323-00001 j Line Item Comments: Customer Approval: i Manufacturer. Milgard Item: 0006 Location: KITCHEN . r Quantity: 2 Styleline Vinyl, 6270, SH, Net 24"x 41 1/2", UF:,0.3, SGC: 0.22, VLT: 0.52 , 1/8" SunCoatMAX and 1/8" Clear Gas Filled: Argon - Window #6 Glass Breakage Warranty: Yes - Accessory Package: Yes Standard Z -Bar Item Total: $ Clear Opening W: 21 1/2" H: 17 318" SQ: 2.59 Item Quantity Total: $ Fin Placement: Standard Z -Bar, Horizontal Vent Set: 21"; Vent Height: One Half; Exterior Finish: White; Interior Finish: White; Comfort Package: Yes; Energy -Package: Tine 24; Glazing: Dual Glazed (Insulated Glass); Outer Glass Lite Option: SunCoatMAX; Inner Glass J� Lite Option: Clear, Glass Thick 1: 1l8"; Glass Thick 2 118"; Spacer Type: EdgeGard; Gas Filled: Argon; Accessory Package=Yes; Glass Breakage Warranty --Yes; Screen: Standard with Fiberglass mesh; STC: 29 CPD: MIL -A-154-03797-00003 ' Line Item Comments: Customer Approval: _ Initials aiwte w: 106 3 ors - 10427120+6 Manufactkrrer. Milgard _ Manufacturer: Milgard Item: 0007 Location: KITCHEN Quantity: 3 Styleliine Vinyl, 6370, PW, Net 231/2" x 401/2", UF: 0.27, SGC: 0.25, VLT: 0.58 Window #8 1/8" SunCoatMAX and 1/8" Clear _ Gas Filled: Argon -- Glass Breakage Warranty: Yes Item Total: $ Window #% Accessory Package: Yes Item Quantity Total: $ Standard Z -Bar White; Interior Finish: White; Energy Package: Title 24; Glazing: Dual Item Total: $ Fin Placement: Standard Z -Bar, Exterior Finish: White; Interior Finish: Item Quantity Total: $ White; Comfort Package: Yes; Energy Package: Title 24; Glazing: Dual Glazed (Insulated Glass); Outer Glass Lite Option: SunCoatMAX; Inner Glass Lite Option: Clear, Glass Thick 1: 1/8"; Glass Thick 2: 1/8"; Spacer Type: EdgeGard: Gas Filled: Argon; Accessory Package=Yes; Glass Customer Approval: .......... . Breakage Warranty --Yes; STC: 28 CPD: MIL -A-152-02195-00001 Initials Manufacturer. Line Item Comments: Customer Approval: Item: 0009 Location: KITCHEN Initials Manufactkrrer. Milgard _ Item: 0008 Location: DINING Quante: 2 Tuscany, 8170T, HV, Net 44 314"x 57 3/8", UF: 0.3, SGC: 0.21, VLT: 0.48 1/8" SunCoatMAX and 1/8" Clear Window #8 Gas Filled: Argon Standard Z -Bar -- Item Total: $ Clear Opening W: 1913/16" H: 54 3/8" SQ: 7.48 Item Quantity Total: $ Fin Placement: Standard Z -Bar, Sliding Direction: XO; Exterior Finish: White; Interior Finish: White; Energy Package: Title 24; Glazing: Dual Glazed (Insulated Glass); Outer Glass Lite Option: SunCoatMAX; Inner ' Glass Lite Option: Clear, Glass Thick 1: 1/8"; Glass Thick 2:118"; Spacer Type: EdgeGard; Gas Filled: Argon; Screen: Standard with Fiberglass mesh; STC: 29 CPD: MIL -A-224-05188-00001 Line Item Comments: Customer Approval: .......... . Initials Manufacturer. Milgard Item: 0009 Location: KITCHEN Quantity: 1 Tuscany, 8370T, PW, Net 3712" x 72 7/8", UR 0.27, SGC: 0.22, VLT; 0.51 1/8" SunCoatMAX Tempered and 1/8" Clear Tempered Gas Filled: Argon Window #9 Standard Z -Bar EdgeGardMAX Item Total: $ Fin Placement: Standard Z -Bar; Exterior Finish: White; Interior Finish: Item Quantity Total: $ White; Energy Package: Title 24; Glazing: Dual Glazed (Insulated Glass); Tempered: All; Outer Glass Lite Option: SunCoatMAX; Inner Glass Lite Option: Clear, Glass Thick 1: 1/8"; Glass Thick 2: 1/8"; Spacer Type: EdgeGardMAX; Gas Filled: Argon; CPD: MIL -A-2313-01341-00001 Line Item Comments: Customer Approval: Initials Manufacturer. Item: 0010 Location: GARAGE Quantity: 1 Tuscany, 837.0T, PW, Net 19 518"x 68 5/8", UF: 0.27, SGC: 0.22, VLT: 0.51 1/8" SunCoatMAX and 1/8"Matelux (Obscure) Gas Filled: Argon ti Window #10 StandardZ-ear EdgeGardMAX Item Total: $ Fin Placement: Standard Z -Bar, Exterior Finish: White; Interior Finish: Item Quantity Total: $ White; Energy Package: Title 24; Glazing: Dual Glazed (Insulated Glass); Outer Glass Lite Option: SunCoatMAX; Inner Glass Lite Option: Matelux (Obscure); Glass Thick 1:1/8"; Glass Thick 2:1/8"; Spacer Type: EdgeGardMAX; Gas Filled: Argon; CPD: MIL -A-236-01341-00001 Line Item Comments: Customer Approval: Initials Other Charges: SUBMITTED BY: SUB TOTAL (taxable): ACCEPTED BY: SUB TOTAL (non-taxable): - -- -------- TAXES ( 0.000 DATE: d--ewLen TnTu . Notice (if any): For warranty information please visit vwvw.milgard.comlcar"rid-wa " Please note that actual NFRC energy values may vary from those reported In CTB quote due to variations that may occur during the manufacturing process. In most cases variations will be minimal. Please contact your Milgard location with questions or concerns regarding this potential variation. Handing is viewed from outside looking In "X" indicates operable panel. "O" Indicates fixed panel. 15 Items. ADDITIONAL INFORMATION: ' This Quota Is valid for 30 days. This is an estimate only and does not Include delivery charges. I understand that this order will be placed according to these specifications and is nonrefundable.