BRES2017-034678-495 CALLE TAMPICO
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LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype: BUILDING RESIDENTIAL/REMODEL
Application Number: BRES2017-0346 /� n
Property Address: 78785 WAKEFIELD CIR O
APN: 604431006
Application Description: DEVINE RESIDENCE / WINDOW CHA EJ UTA
�JEC �J17
Property Zoning:
Application Valuation: $1,975.00
COMMUNIND rOF�
OQUINTA P44EIVTD
EVEL
Applicant: ARTRj,��T
D WICK ENTERPRISES INC DBA THREE D CONST
1515 CROWN ST
REDLANDS, CA 92373
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
.9 (commencing with Section 70001 of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: B Licen`e No.: 818261
ate /2 LS t c ;actdva-
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).: J .
(_) I, as owner of the property, or my employees with wages as their sole
compensation, will do the work, and the structure is not intended or offered for sale.
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
apply to.an owner of property who builds or improves thereon, and who does the work
himself or herself through his or her own employees, provided that the improvements
are not intended or offered for sale. If, however, the building or improvement is sold
Within one year of completion, the owner -builder will have the burden of proving that
he or she did not build or improve for the purpose of sale.).
(_) 1, 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 am exempt under Sec. B.&P.'C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for
the performance of the work for which this permit is Issued (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
- INSPECTIONS (760) 777-7153
Date: 12/8/2017
Owner:
KAREN DEVINE
78785 WAKEFIELD;CIR
LA QUINTA, CA 92253
Contractor:
D WICK ENTERPRIYES INC DBA THREE D CONST
1515 CROWN ST
REDLANDS, CA 92373
(909)335-4846
Llc. No.: 818261
WORKER'S COMPENSArON 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 370C of the Labor Code, for the performance
of the work for which this permit Is Issued.
I have and will maintain workers' ccmpensation.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 insuranca carrier and policy number are:
Carrier: ACE AMERICAN INSURANCE COMPAN- Policy Number: RWCC64394769
I certify that in the performance of the work for which this permit is issued, I
shall not employ any person in any mannersoas to become subject to the workers'
compensation laws of California, and agree th 9t, if I should become subject to the
workers' compensation provisions of Section _700 of the Labor Code, I shall forthwith
comply with those provisions.
Date. 12 ( SpUcant�-.- y
WARNING: FAILURE TO SECURE WORKERS' CCMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMI JAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FCR 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 tills application.
1. Each person upon whose behalf this app0cation 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 owrer, 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 ct issuance of such permit, or cessation of
work for 180 days will subject permit to cancellation.
I certify that'l have read this application and ;tate that the above information is correct.
I agree to comply with all city and county oMinances and state laws relating to building
construction, and hereby authorize represerratives of this city to enter upon the
above-mentioned property for inspection prrposes.
D to ^2 (
Si%g. , 1Applica or Agent):
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY AMOUNT
BSA5SB1473 FEE
101-0000-20306 0 $1.00
Total Paid fdr BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SMI - RESIDENTIAL
101-0000-20308
0
.$0.50
Total Paid for STRONG MOTION INSTRUMENTATION -SMI: '' $0.50
DESCRIPTION
ACCOUNT
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT I
DOOR/WINDOW; 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
Bin #
•
CltY bf jb Q Ui'nta
Building &r Safety Division
Permit #
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) -777-7012
fs
Building Permit Application and Tracking Sheet
Project Address: 7
— W r, tC Owner's Name: k� Z�)-.
A. P. Number:
Address:
7S 78,sz-
Legal Description:
City, p: (, ST, Zip: + 4-W
Contractor: /JyP.
;.-
Telephone:
Address: %� ErV1'
Project Description:
City, ST, Zip:
7 '70'
.
•
Telephone: 929 _3,35— y Xyl fb ���,<,;, ,�•:. ;r,�:';. � ,fir
G I
�
State Lic. #
City Lic. # .* (-04
,
Arch., Engr., Designer:
•
Address:
City., ST, Zip:
Telephone:
i :tom{i mw.
;r,•,.;, •. Construction Type: Occ�ancy
"
State Lic. #:
.f:s%almss„H Project type (circle one): New ' Add'n Alter
Repair Demo
Name of Contact Person:
�u S Sq. Ft,: # Stories: # Units:
Telephone # of Contact Person: Q, 00, sms c{ Estimated Value of Project
` APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal
Req'd Recd TRACMG EERMIT FEES
Plan Sets
Plan Check submitted Item
Amount
Structural Calcs.
Reviewed; ready for corrections Plan Check Deposit
Truss Coles.
. 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 r S.M.I.
H.O.A. Approval
Plans resubmitted Grading
INHOUSE:-
'"' Review, ready for correctlonsfissue Developer Impact Fee '
Planning Approval
Called Contact Person A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
' Total Permit Fees i
STATE OF CALIFORNIA • '
Prescriptive Residential Alterations That Do Not Require HERS Field, Verification
CEC-CF21R-ALT-05-E Revised 07/17
rel Mnonue "11=0r_v rnnnnnlccinnl
CERTIFICATE OF INSTALLATION'" CF2R-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification (Page 1 of 10)
Project Name: `. F Enforcement Agency: :. ' ^ :J ".M1.
Karen Devine - -
Permit Number.
,
Dwelling Address:. 78785 Wakefield Circle ' ' '- -' --" city.. La Quinta - - �;�,- ' .` ' '
Zip Code 92253 "
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,aie-exempt from HERS verification requirements may use the CFIR-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 passedbyd -,-
HERS Rater. If space conditioning systems are altered and ore not exempt from HERS verification, then a CFIR-ALT-02 must be completed and registered with a HERS Provider Data Registry. T
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 5.8 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 CFIR-ALT-01 with a HERS Provider Data
Registry.
If more than one person has responsibilityfor 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 t • -
01
Project Name:
Karen Devine
02
Date Prepared:
12/08/2017
03
Project Location:
78785 Wakefield Circle -
04
Building Front Orientation (deg):
'�..
05
CA City:
La Quinta �
06
Number of Dwelling Units with Additions:
-• -
s '
07
Zip Code:
92253
08
Fuel Type:
t
's-
09
Climate Zone:
15 •
10
Total Conditioned Floor Area (ft2) (Addition):
• T' ' '
11,
Building Type:
SFR
12
Slab Area (ft 2):
. +.
i
13
Project Scope:
Fenestration
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CA Building Energy Efficiency Standards - 2016 Residential Compliance -
July 2017
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
rcr_rroo_el r_nc_o ID—A.-A n7147N
r:Gl IFnRNIA FNFRr:y r:nMMICCInN 0
CERTIFICATE OF INSTALLATION CF2R-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification (Page 6 of 10)
Project Name: Karen Devine
Enforcement Agency:
Permit Number.
Dwelling Address: 78785 Wakefield Circle
city La Quinta
zip Code
Fenestration
L. Fenestration/Glazing
01
02
03
04
05
06
07
08
09
10
11
12
Tag/ID
Manufacturer/
Brand
Fenestration
Area (ft)
Orientation
Chromogenic
U -factor
Source
SHGC
Source
Fenestration
Type
Exterior Shading
Devices
(Describe)
Comments/Special Features
Milgard
25.59
South
0.30
NFRC
10.20
NFRC
Window
Milgard
25.29
South
0.30
NFRC
0.20
NFRC
Window
M. Fenestration/Glazing — Additional Requirements
01 For existing buildings the U -factor and SHGC values should be the same or better than the required Energy Commission prescriptive requirements.
02 Temporary labels should not be removed until verified by the building inspector.
03 The fenestration product manufacturer's installation specifications shall be followed when installing these products. The space between the fenestration product and
rough opening shall be completely filled with insulation. If batt insulation is used, it is cut to size and placed properly around the fenestration product.
The responsible person's signature on this compliance document affirms that all applicable requirements in this table have been met.
CA Building Energy Efficiency Standards - 2016 Residential Compliance July 2017
~ w
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
CEC-CF2R-ALT-05-E (Revised 07/17)
CALIFORNIA ENERGY COMMISSION 19
CERTIFICATE OF INSTALLATION
CF2R-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
(Page 10 of 10)
Project Name: Karen Devine
Enforcement Agency:
Permit Number:
Dwelling Address: 78785 Wakefield Circle
I `"y La Quints
zip Code 92253
I
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name: Roger Cummings
Documentation Author Signature:
Documentation Author Company Name:
Date Signed: . 12/08/2017
Address:
un F: stuart
CEAMERS Certification Identification (If applicable):
City/State/Zip: Redlands Ca 92374
Phone: 909-335-4846
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 Installation is true and correct.
2. 1 am either: a) a responsible person eligible under Division 3 of the Business and Professions Code in the applicable classification to accept responsibility for the system design, construction,
or installation of features, materials, components, or manufactured devices for the scope of work identified on this Certificate of Installation, and attest to the declarations in this statement,
or b) I am an authorized representative of the responsible person and attest to the declarations in this statement on the responsible person's behalf.
3. The constructed or installed features, materials, components or manufactured devices (the installation) identified on this Certificate of Installation conforms to all applicable codes and
regulations and the installation conforms to the requirements given on the Certificate of Compliance, plans, and specifications approved by the enforcement agency.
4. 1 will ensure that a registered copy of this Certificate of Installation shall be posted or made available with the building permit(s) issued for the building, and made available to the
enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of Installation is required to be included with the documentation the builder provides
to the building owner at occupancy.
ResponsibleBuilder/installer Name: Roger Cummings
Responsible Builder/InstallerSignature:
Company Name: (Installin Subcontractor or General Contractor or Builder/Owner)
Three D Construction
Position With Company (Title):
Manager
Address: 320 E Stuart
CSLB License: 818261
city/state/zip: Redlands Ca 92374
Phone 909-335 4846
Date Signed: 12/08/2017
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.
CA Building Energy Efficiency Standards - 2016 Residential Compliance
July 2017
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Provide•means of emergency escape and rescue from bedroom(s). The opening shall have a minimum _
net clear opening of 5.7 square feet (5.0 square feet for grade floor). The minimum net clear opening
height shall be 24 inches. The minimum net clear opening width shall be 20 inches. All escape windows
,k shall have a finished sill height not more than 44 inches above the finished floor. (CRC §§R310.1.1—
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