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BRES2018-001078-495 CALLE TAMPICO D . aucK,1�/ VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 DDD FAX (760) 777-7011• DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 1/8/2018 Permit Type/Subtype: BUILDING RESIDENTIAL/REMODEL Owner: Application Number: BRES2018-0010 THOMAS SPENCER " Property Address: 78139 CRIMSON DR 78139 CRIMSON DR APN: 604024010 LA QUINTA, CA 92253 Application Description: THOMAS SPENCER WINDOW CHANGE OUT Property Zoning: Application Valuation: $2,625.85 Applicant: D Contractor: ROGER CUMMINGSJAN O Q 2018DD D WICK ENTERPRISES INC DBA THREE D CONST v 1515 CROWN ST REDLANDS, CA 92373 CITY OF LA QUINTA (909)335-4846 DESIGN AND DEVELOPMENT DEPARTMENT. LIQ. 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 iri full force and effect. License Class: B License No.: 818261 `Dare': & '� COntEactor. 5 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 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 t subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: ( ) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure isnot 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.). ( ) 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 am exempt under Sec. . B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name:_ Lender's Address: • WORKER'S COMPENSATION DECLARATION I hereby affirm under penally of perjury one ofthe 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 th rk for which this permit is issued. ave 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: ACE AMERICAN INSURANCE COMPANY 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 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. Rite. /—&^20/ !K ApPlic n 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 relating to building construction, and hereby authorize representatives of this city to enter upon the above- mentioned property for inspection purposes. -DZate- �� I� Signature (Applicant or Agent). lt4 Date: .1/8/2018 Application Number: BRES2018-0010 Owner: Prope"rty`Addiess: 'i' tl 78139 CRIMSON DR THOMAS SPENCER APN: 604024010 78139 CRIMSON DR Application Description: THOMAS SPENCER WINDOW CHANGE OUT LA QUINTA�CA 92253 Property Zoning: Application Valuation: $2,625.85 Applicant: Contractor: ROGER CUMMINGS D WICK ENTERPRISES INC DBA THREE D CONST 1515 CROWN ST REDLANDS,.CA 92373 (909)335-4846 LIc. No.: 818261 Detail: REPLACE 4 WINDOWS AND 1 ENTRY DOOR WITH WINDOW LIKE FOR LIKE. PER 2016 CALIFORNIA BUILDING CODES 1 r FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473. FEE 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00. DESCRIPTION ACCOUNT QTY AMOUNT SMI - RESIDENTIAL 101-0000-20308 • 0 $0.50 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.50 ' DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-000043611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE:': $5.00 DESCRIPTION ACCOUNT CITY AMOUNT DOOR/WINDOW, RETRO/REPAIR, FIRST 7 101-0000-42400 *0 $65.54 DESCRIPTION ACCOUNT CITY AMOUNT DOOR/WINDOW, RETRO/REPAIR; FIRST 7 PC � 101-0000-42600 0 $63.98 - Total Paid for WINDOW/SLIDING GLASS DOOR/FENESTRATION: $129.52 TOTALS: Bin # City ®f La Quanta BmUng ar Safety DMdon Permit # P.O. Box 1504, 78-495 Calle Tampico La Q1tlnP, G 92253 - (760) 777-7012 QQES'1o��,-Gc�d Building Permit APPlicatlon and Tracking Sheet, Project Address: Owner's Name: A. P. Number: Address: 7,9 l.3 (—v i0 q-- 1r� C�- Legal Description. d?.c,00 . City, ST, Zip: 6f4- Contractor: STAGJ e U/�� Telephone: Address: ?�O Project Description: 2 City. ST, Zip: 5 I" tis c/a - Telephone: State Lic. #: /$Z Arch., Engr., Designs: City Lie. #;®10 G 46 Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: Conslauction Type: Occupancy:: Project type (circle one): New.. Add'n Alta Repair Demo w J Sq. Ft.: # Stories: # Units. Telephone # of Contact Person:s 4.335 _ Estimated Value of Project: 0452!s— 452!s—APPLICANT. APPLICANT.DO NOT WRITE BM()W THIS UNE # Submittal Req'd Recd TRACMG PERMT FEES Plan Seta Plan Check submitted Item I ' i Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cates. C %Hed Contse. Person Plan Check Balance Title 24 Calea. Flares pietacd np F-- Construction Flood plain plan Plans msubmitted Mechanical Grading plan 21° Review, ready for corrections/issue Electrical Subcontaetor List Called Contact Person Plumbing Grant Deed Plans picked up SJALL H.O.A. Approval H ns resubmitted Grading IN HOUSE:- X13 Review, ready for eorrectionslissue Developer Impact Fee Planning Approval Ca?lted C.omaet Person A.LP.P. ' Pub. Wks. Appr Date Of permit i%ue I School Fees Total Permit Fees j 0 9 0 i� 2 10 V' cr 0 6 CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION M BY -it] E.�� cIl CL o W V fn a' Cc Q � i F N V N E N i c O C O p � ) y 00 N a! oa) a ai o 3 0' °p 0 L .c O O y O � cL E _ N w O OOp ,G O F- C=7 O t O C N y n v`- e� 4! f0 vhf � M o o «, w �, aL ctr`�'� N � STATE-bIl!"+CALIFORNIA Prescriptive Residential Alterations That Do Not Require HERS Field Verification CEC-MR-ALT-05E (Revised 07/171 CERTIFICATE OF INSTALLATION Vl1LIrV RIV 1r CIVCRIl1 VVIVIIVIV CF2R-R-ALT-05-E Prescriptive Residential Alterations That Do Not Require HERS Field Verification (Page 10 of 10) Project Name: —rAldw ks �• ^ Enforcement Agency: Permit Number. Dwelling Address: 7�i�///3 (2 �A C^�rC �� ,IL Jv ic./ city 614 Zip Code 122 -7 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Installation documentation is accurate and complete. Documentation Author Name: �1�C" 'vac vLti ams Documentation Author Signature: Documentation Author Company Name:�g . 2�f cN^ Date Signed: Address: "S20 4- CEA/HERS Certification Identification (If applicable): City/State/Zip: on— Phone: �Q � �35 � G •� Ol7l 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. Responsible Builder/Installer Name: &6%2&e CwLc IM / „` is Responsible Builder/Installer Signature: Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) S Position With Company (Title): Address: 20 / CSLB Ucense: G Z f• p Z City/State/Zip; Phone _ Date Signed: /_ _ 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 STAT {�lnT-CALIFORNIA Prescriptive Residential Alterations That Do Not Require HERS Field Verification CEC-CF2R-ALT-05-E Revised 07/17 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF INSTALLATION CF2R-ALT-05-E Prescriptive Residential Alterations That Do Not Require HERS Field Verification (Page 6 of 10) Project Name: � p Enforcement Agency: Permit Number. Dwelling Address: city (..IZip Code � 3 Fenestration L. Fenestration/Glazing 01 02 03 04 05 06 07 08 09 10 11 12 Tag/ID Manufacturer/ Brand . Fenestration Area (ft2) Orientation Chromogenic U -factor Source SHGC Source Fenestration Type Exterior Shading Devices (Describe) Comments/Special Features M I )UM !A .30 Pfeea ZZ Nfom I 0i10cow N 44- I04�,,,p 25. S ,v 14 3 a NF9C 1,--z 0f NDd VJ ►a- uUI1a f.P -7.0 o N) •tea fvc -�?Z Vic wiNcivJ A) J ��- �,�oiar� • Ppo?e�4 4�0 Nr9-c, NIN>0(f-j W4- N/A__ 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 4 S. ATNF CALIFORNIA Prescriptive Residential Alterations That Do Not Require HERS Field Verification rFr-rF9R-AI T114;: to—i—A n7117� CERTIFICATE OF INSTALLATION CALIFORNIA ENERGY COMMISSION 'qqW' CF2 R -ALT -05-E Prescriptive Residential Alterations That Do Not Require HERS Field Verification (Page 1 of 10) Project Name: Enforcement Agency: Permit Number: Dwelling Address: J 03 Project Location: Zip Code�3 This compliance document is only applicable to simple alterations that do not require HERS verification for compliance. When HERS verification is required, a CF1R-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 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 dud 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 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. •••-• •••�•• �••� r-�•��•• ••�� •...1...-.r-LyJV1 rr,—,,,,L,Vr, WJ urc ncrfu un LIMN ceralfcare, each person snag prepare and sign a certificate ap)Ylicdtile to the portion of construction for which they are responsible. Alternatively, the person with chief responsibility for 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 buildina insaector. A. General Information 01 Project Name: -T- � Kee 02 Date Prepared: 03 Project Location: -7 t.-13 nieiW �B� �.� 04 Building Front Orientation (deg): 05 CA City: / U X.T-q-„ Cr 06 Number of Dwelling Units with Additions: 07 Zip Code: 2Z S 3 08 Fuel Type: 09 Climate Zone: / 10 Total Conditioned Floor Area (ft) (Addition): 11 Building Type:do, CZ) , 12 Slab Area (ft 2y. 13 Project Scope: -p T e-1_ t -A ounamg tnergy tmaency atanoaras - ZUlb nesiaentlal Compliance July 2017