BRES2014-107678-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
BRES2014-1076
Property Address:
81200 KINGSTON HEA -(H
APN:
767490026
Application Description:
WINDOW CHANGE OUT.
Property Zoning:
Application Valuation:
$16,000.00
Applicant:
WIN -DOR INC
2220 E ORANGEWOOD AVE
ANAHEIM, CA 92806
T4t!t D VOICE (760) 777-7125
FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 7/28/2014
Owner:
RICHARD SWEENEY
81200 KINGSTON hEATH
LA QUINTA, CA 92253
JUL 2 S 2014
CITY OF LA QUINTA
TY DEVELOPMENT DEPARTMENT
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.
/'Da
cense Class: B. C17, C46 License No.: 54555
te: % —�ZZ > 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 ($500).:
(_) 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.).
(_) 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 Add
Contractor:
WIN -DOR INC
2220 E ORANGEWOOD AVE
ANAHEIM, CA 92806
(714)385-1202
Llc. No.: 545553
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 o e Labor Code,, I shall forthwith
comply with those provisions.
Datg!L !-V•tV —/1,f- Applicant
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 a upon the bove-
mentioned property for inspection purposes.
Date:,— Signature (Applicant or Agent):
FINANCIAL •
•
DESCRIPTION
ACCOUNT
CITY AMOUNT
'PAID
P41D DATE
BSAS SB1473 FEE
101-0000-20306
0 $1.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
SMI - RESIDENTIAL
101-0000-20308
0
$2.08
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $2.08 $0.00
DESCRIPTION
ACCOUNT
CITY'
AMOUNT
PAID
PAID DATE
DOOR/WINDOW, REPLACE FIRST 7
101-0000-42400
0
$60.06
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
DOOR/WINDOW, REPLACE, FIRST 7 PC
101-0000-42600
0
$108.68
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for WINDOW,/SLIDING GLASS DOOR/FENESTRATION: $168.74 $0.00
• •i
BFn.#
Cly}/ Qf Ld Qulhta
Building a Safety Division
P.O. Box 1504,78-495 Calle Tampico
La.Quinta, CA 92253 -:(760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: lo p W e�
Owner's Name:.
A. P. Number.
Address: _ LO O k.
Legal Description:
City, ST, Zip: t.�, Gi " ' � i z53
Contactor: , ^
W O C �- C
Telephone:
P �
;".•a
Address: Z, 2, Zp C D f C 2
Project Description:
City, ST, Zip: C
ckZ �0
v\ a J"'0
Telephone: -� $ — 1 Z° �✓'. : �r;�'C; .. ;%
State Lie. # : 5 City Lic. #; "017
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:v :�a g '
State Lie. #:'
�'wyau. ,�V
Name of Contact Person:
Construction Type:. Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: # Stories: # Unit;:
Telephone # of Contact Person:
Estimated Value of Project: I G U or vu
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Ree'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Structural CRIcs.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss C21cs.
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
S.M.L
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'^' Review; ready for correctionsfiissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P'.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
FAIRWAY
July 10, 2014
Richard -Sweeney _
81-200 Kingston Heath
La. Quinta, CA- 92253
Re: Architectural Application — 81200 King
Dear Homeowner:
The Architectural Committee has reviewed yoi
to install a patio cover at your residence.
receiving a copy of building permit from the C
After your application is approved enclosed is
complete .this form after tb.e. work is complete
completed.prcject can be inspected.
If you have any questions please contact Paula
Sincerely,
For the Architectural Revinv Committee
P A WEST Fairways Association
e jral
onald, CCAM, PCAM
enanager
Enclosure: Exhibit C = Compliance Review RE
cc: Lot File
Architectural Review Committee:
Post Office Box 1690 - La Quinta, California 92247 - P
3 ASSOCIATION
Heath
request to change the rear patio door, courtyard door and
& Committee voted to table the application subject to
of La Quinta.
xhibit C — the Compliance Review Request form. Please
and return it by mail or fax to the address below so the
At 760-862-6334 or Paula. lua nianagementtrust.com.
quest
(760) 776-5100 - Fax (760) 776-5111 - www.pgawestfairways.com
Customer Phone:
Name: s �-� e�� eu _ �r d.
kIN "ik D oR
ti
Custom Window / Door Lay -Out Form or
House Lay -Out Form
1k4 X CNH .qk,Y
$1- 2.tl 0 I�;,.SS�-oh NtaEh
Lc, Qom,: r.4a, CA q ZZS 3
Sc,o,pt d�- LA).or�l.
r e,n c�. . C�0 0 47
q 0 c
.INSTALLATION CERTIFICATE CF -6R -ENV -01
'Envelope Insulation; Roofing; Fenestration (Page 1 of 3).
Site Address: Enforcement Agency: Permit Number:
K;; La
if more than one person Inas respotrsibility,for installation of the iteuts on this certificate, each person shall prepare and sign a certificate
applicable to the portion of construction for u-hich tire,, are responsible; alternatively, the person with chief responsibility for construction shall
prepare and sign this cert fcate for the entire construction. .411 applicable ,blandatory,lleasures with check boxes require to be checked to ensure
the mandatory measures have been met.
Description of Insulation
1. RAISED FLOOR
Material: Brand Name:
Thickness (inches): Thermal Resistance (R -Value):
❑ § 150(d): Minimum R-13 insulation in raised wood -frame floor or equivalent U -factor.
2. SLAB FLOOR/PERIMETER
Material: Brand Name:
Thickness (inches): Thermal Resistance (R -Value):
Perimeter Insulation Depth (inches):
❑ § 150(1): Nater absorption rate for the insulation material alone without facings is no greater than 0.3%; water vapor permeance
rate is no greater than 2.0 perm/inch and shall be protected from physical damage and UV light deterioration.
3. EXTERIOR WALL
a. Insulation Type (e.x. Batt, Loose Fill, Spray Foam)
a. Thermal- Resistance (R -Value):
b..Insulation Type (e.x. Batt, Loose Fill, Spray Foam) b. Thermal Resistance (R -Value):
Brand:
Spray/Loose Fill) Installed Actual Thickness Spray/Loose fill)
(inches): Contractor's min installed weight/ftz Ib
Manufacturer's installed weight per square foot to achieve Thermal Resistance (R -Value)
❑ §I50(c): Minimum R-13 insulation in wood -frame wall or, equivalent U -factor.
Exterior Foam Sheathing (rigid Insulation)
Material: Brand Name:
Thickness (inches) : Thermal Resistance (R -Value)
4. FOUNDATION WALL
Material: Brand Name:
Thickness (inches): Thermal Resistance (R -Value):
5. CEILING
Batt or Blanket Type: Brand Name:
Loose Fill Type: Thermal Resistance (R -Value):
Spray Foam Type: Brand Name:
Installed Actual Thickness (inches): Contractor's min installed weight/ft' lb
Manufacturer's installed weight per square foot to achieve Thermal Resistance (R -Value):
❑ §150(x): Minimum R-19 insulation in wood -frame ceiling or equivalent U -factor.
6. ATTIC ROOF INSULATION AND/OR ATTIC RADIANT BARRIER
Material: Brand Name:
Material: Brand Name:
Thickness (inches): Thermal Resistance (R -Value):
❑ § 118(a): Insulation installed meets Standards for Insulating Material.
❑ § 150(g): Mandatory Vapor barrier installed in Climate Zones 14 or 16.
2008 Residential Compliance Forms August 2009
INSTALLATION CERTIFICATE CF -6R -ENV -01
Envelope —Insulation; Roofing; Fenestration (Page 2 of 3)'.
Site Address: Enforcement Agency: Permit Number:
Description of R ofing Products
CRRC Product ID
Manufacturer
Manu fact urer/B mnd Name
(GROUP LIKE RODUCTS)
Product
Roof
Roof
Product
Initial Solar
Aged Solar
Thermal
Numbert
Information
Brand/Model
Type
Area
Slope
Weight n
Reflectance
Reflectance
Emillance
2
rpt
❑3
3
❑3
R
a
5
1: The CRRC Product 1D Number can be obtained front lire Cool Roof Rating Council's Rated Product Directory at
vvvv.coolroofs. org/products/scarcli. plrp
2. 77ne weight in lbs per square feel of the roofing product being installed.
3. Check box if the Aged Refleclairce is a calculated value rising the equation below, footnote d.
a. !f the aged reflectance is not available in the Cool Roof Rating Council's Rated Product Director, then use the. initial reflectance valrte from the
direcron, and use the equation (0.2 t0.7( ;,,;,,tet — 0.2) ro obtain a calculated aged vahte.
✓ OCHECA APPLICABLE BOX BELOW IF E.t'EAIPT FROM THE ROOFING PRODUCT "COOL ROOF" REQUIREMENT. -
0 The roof area covered by building integrated photovoltaic panels and building integrated solar thennal panels are exempt from the above Cool
Roof criteria.
❑ Roof constructions that have thermal mass over the roof membrane with a weight of at least 25 lb/f12 is exempted from the above Cool Roof
criteria.
To apply Liquid Field Applied Coatings, the coating i ntst be applied with a nninintrtnn dry mil thickness of 20 mils across the entire roof surface and
ureei mbninitmi perfartnance re itirentenls listed in d118(i)3 and Table 118-C. Select then licabie coatis
❑ Aluminum -Pigmented Asphalt RoofCoatin ❑ Cement -Based Roof Coating ❑ Other
✓ ❑ CRRC-1 Label Attached to CF -GR
(Note i ito CRRC-1 label is available, this compliance method cannot be used and another method is required to meet compliance).
FENESTRATION/G
LAZING
Item
Manu fact urer/B mnd Name
(GROUP LIKE RODUCTS)
Product
U-
factor'
Product
SFIGC'
N
of
Panes
NFRC
Certified" 2
Total Quantity
of Like Product
(O liotal)
Area
ft2
Add. Exterior
Shading Dev,
or Overhung
Comments/
Location/ Special
Features
2
rpt
3
R
a
5
b
7.
8.
1. Use rahtes from a fenestration product's NFRC Certified Label. For fenestration products without au NFRC label. rise the default values%rout Section 116. Table
116-A and 116-B of the 1008 Euetgp EfficiencyStandards.
1. NFRC Label Cervi tcates shall not be removed until the building les ector has rerilied the e>Tcieucy. Enter Yes or No.
❑ §116(a)l: Doors and windows between conditioned and unconditioned spaces designed to limit air leakage.
❑ § 116(a)2 and 3: Actual fenestration products installed are equivalent to or have a lower U -factor and/or a louver SHGC than that specified on
the Certificate of Compliance (Form CF -I R).
❑ §1 16(a)4: Fenestration products (except field -fabricated vvindovvs) have a label listing the certified U -Factor, certified Solar Heat Gain
Coefficient (SHGC), and infiltration that meets the requirements of§10-111(a)
❑ § 117: Exterior doors and windows weather-stripped; all joints and penetrations caulked and scaled.
2008 Residential Compliance Forms August 2009
0
INSTALLATION CERTIFICATE CF -6R -ENV -01
Envelo e — Insulation; Roofing; Fenestration (Page 3 of 3)
Site Address: Enforcement Agency: Permit Number:
is t- o eu�ti l t„
DECLARATION STATEMENT
• 1 certify under penalty of perjury, under the laws of the State of Califamia, the information provided on this form is true and correct.
• 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction, or an authorized representative
of the person responsible for construction (responsible person).
• I certify that the installed features, materials, components, or manufactured devices identified on this certificate (the installation) conforms
to all applicable codes and regulations; and the installation is consistent with the plans and specifientions approved by the enforcement
agency.
• 1 reviewed a copy of the Certificate of Compliance (Cr -IR) form approved by the enforcement agency that identifies the specific
requirements for the installation. 1 certify that the requirements detailed on the CF -I R that apply to the installation have been met.
• 1 will ensure that a completed, signed) copy orthis Installation Certificate shall be posted, or made uvitiluble wilh the building
permil(s) issued for the building; and made uvaihrble to the enforcement agency for all applicuhle inspections. I understand that a
signed copy of this Installation Certikienle is required to be included with the documentation the builder provides to the building
owner at occupancy.
Company Name: (Installing Subcontractor or General Contractor or Builder/Owner)
U3 ' r
Responsible Person's Name:
NPA X
Responsible Person's Signature:
CSLB License: �D—a;
5 553
Signed:
-Z�1 u
Po ' on With Company (Title):
V- CA
2008 Residential Compliance Fornts Augits[ 2009