BRES2018-001178-495 CALLE TAMPICO Ct 0 D "i - aNMUGI/
LA QUINTA,'CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype: BUILDING RESIDENTIAL/REMODEL "
Application Number: BRES2018-0011
Property Address: 53425 AVENIDA JUAREZ
APN: 774034021
Application Description: ROBERT HOLQUIN WINDOW CHANGE OUT
Property Zoning:
Application Valuation: $5,516.00
Applicant: D
ROGER CUMMING JAN 0 Q 2018
VOICE (760) 777-7125
. FAX (760) 777-7011 '
INSPECTIONS (760) 777-7153
Date: 1/8/2018
Owner:
ROBERT HOLGUIN
53425 AVENIDA JUAREZ
LA QUINTA, CA 92253
Contractor:
D WICK ENTERPRISES INC DBA THREE D CONST
1515 CROWN ST ,
REDLANDS, CA 92373
CITY OF LA QUINTA
DESIGN AND DEVELOPMENT DEPARTMENT (909)335-4846.
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: _ License No.: 818261
--'Date: �"8'Z�18 Contractor:
c
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
License Lbw 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 c
subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: .
U 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.).
( 11, 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
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 oa�k for which this permit is issued.
fe"'f 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: 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.
Date: Applicant
NTNG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
SHALL SUBJECT AN EMPLOYER TO CR IMINAL.PENALTIES AND CIVIL FINES UP TO
HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
PENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
REST, 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 1 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.. r-1.
I-� Zc� Ser
Date: � Signatu're (Applicant or Agent)
Y
�-•
Date: 1/8/2018
Application Number:
BRES2018-0011
Owner:
Property Address:
'5342.5 AVENIDA JUAREZ
ROBERT HOLGUIN
APN:
774034021
53425 AVENIDAJUAREZ
Application Description:
ROBERT HOLQUIN WINDOW CHANGE OUT
LA QUINTA, CA 92253
Property Zoning:
Application Valuation:
$51-516.00
Applicant:
Contractor:
ROGER CUMMING
D WICK ENTERPRISES INC DBA THREE D CONST
1515 CROWN ST
REDLANDS, CA 92373
(909)335-4846
• ----------------
------------------------ - - - - - -- - - - -
Llc. No.: 818261
- -
Detail: REPLACE [7] WINDOWS AND [1] SLIDING GLASS BOOR. PER 2016 CALIFORNIA
- - - - - - - - - - -;-
BUIL13ING CODES-
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
$0.72
Total Paid for STRONG MOTION INSTRUMENTATION SMI:. $0.72
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502.0000-43611
0
$5:00
.Total Paid for TECHNOLOGY ENHANCEMENT FEE: $S.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DOOR/WINDOW, RETRO/REPAIR, EAADDITION 5
I01-0000-42400
b
$10.92 .
DESCRIPTION
ACCOUNT
QTY
AMOUNT
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
Total Paid for WINDOW/SLIDING GLASS DOOR/FENESTRATION: $140.44
' j
Bin #
Permit #
Project Address:
A. P. Number:
Contractor:
Address:
City, ST, Zip:
State Lic. # : ![5/1�
Arch., Engr, Designer.
Address:
City, ST, Zip:
Telephone:
State Lie. #:
Name of Contact Person:
Telephone # of Contact Person:
# Submittal
Plan Sets
Structural Calcs.
Truss Cates.
Title 24 Calcs.
Flood plain plan
Grading plan
Subcoutactor List
Grant Deed
H.O.A. Approval
IN HOUSE: -
Planning Approval
Pub. Wks. Appr
School Fees
'd
City of La Quinta
Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Owner's Name: OL !a
Address: S -3W 5' AVE .TAv
City, ST, Zip: e A, t C4_ C
Telephone:
Project Description:
Lic. M(91
RM
W. .tF!il'� ...... Y
,y,' Construction Type: Occupancy:
Project type circle one): New Add'n Alter Repair Demo
1 Sq. Ft.: # Stories: # Units:
kC46 Estimated Value of Project.
APPLICANT: DO NOT WRITE BELOW THIS LINE
Recd
TRACKING
Plan Check submitted
PERMIT FEES
Item
Amount
Reviewed, ready for corrections
Plan Check Deposit
Called Contact Person
Plan Check Balance
Plans picked up
Construction
Plans resubmitted
Mechanical
2°" Review, ready for corrections/issue
Electrical
Called Contact Person
Plumbing
S.M.I.
Plans picked up
Plans resubmitted
Grading
Developer Impact Fee
A.I.P.P.
3" Review, ready for corrections/issue
Called Contact Person
Date of permit issue
Total Permit Fees
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BUILDING & SAFETY D'E-PT..
APPROVED�
FOR CONSTRUCTION
DATE Allf BY 'Ail t.
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STATE OF CALIFORNIA
Pres-. ipti Residential Alterations That Do Not Require HERS Field Verification
CEC-CF2R-ALT-05-E Revised 07/17 CALIFO Is
CERTIFICATE OF INSTALLATION n— ENERGY COMMISSION
CF2R-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification (Page 1 of 10)
Project Name:nt
Agency: Permit Number:
Dwelling Address: Z 5-- !� S `_,—t4 vP
City / ' �� Zip Code
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 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 passed by a
HERS Rater. If space conditioning systems are altered and are not exempt from HERS verification, then a CF1R-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.
If -more -than -one-person hos-responsibilityfor-installation-of the -items -on -this -certificate each'person shall prepare grid signccertificate 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 insaector.
A. General Information .
01
Project Name:
f
02
Date Prepared:
b
03
Project Location:
�UF S�vnz
IG
04
Building Front Orientation (deg):
05
CA City:
/ V ,!� JQ
C�Qls—
06
Number of Dwelling Units with Additions:
07
Zip Code:
08
Fuel Type:
09
Climate Zone:
f
10
Total Conditioned Floor Area (ft) (Addition):
11
Building Type:
12
Slab Area (ft
13
Project Scope:..`
CA Building Energy Efficiency Standards - 2016 Residential Compliance July 2017
e:;
STATE OF CALIFORNIA
Presc�riptive Residential Alterations That Do Not Require HERS Field Verification
CFC-CF7R-AI T-n-q.F lRavicwd n7/171
CERTIFICATE OF INSTALLATION
�.nurUrtrvrrl crvcrt�l wmmlaalUry
CF2R-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
(Page 6 of 10)
Project Name: Q&—ine 4— Com/
Enforcement Agency:
06
Permit Number.
Dwelling Address:S3 ZS_ VE -:1409
0
City
G.� i) - ,.
10
Zlp Code �__>
Fenestration
L. Fenestration/Glazing
01
02
03
04
05
06
07
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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
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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
STATE 0R--CALIFG;4NlA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
CEC-CF2R-ALT-05-E (Revised 07/17) rei known onir=on-v rneua cc nni
CERTIFICATE OF INSTALLATION CF2R-ALT-05-E
Prescriptiv Residential Alterations That Do Not Require HERS Field Verification (Page 10 of 10)
Project Name: 1
Enforcement Agency: Permit Number:
Dwelling Address: -�VQEa
cityCIA Zip Code ly
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
ivt lit �
Documentation Author Signature:
Documentation Author Company Name- T�
Date Signed:
Address:,?20 V� �
CEA/HERS Certification Identification (If applicable):
City/State/Zip:
Phone: Q fir- ^ U S_` -CT
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 occjUancy.
Responsible Builder/Installer Name: e-oResponsible
Builder/Installer Signature:
Company Name: (Installing 5 b to or GeneI Contractor qquilder caner 1
tib
Position With Company (Title):
Address:
CSLB License:
City/State/Zip:
Phone a
Date Signed:
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.
(It CA Building Energy Efficiency Standards - 2016 Residential Compliance July 2017