BRES2018-006478-495 CALLE TAMPICO .
LA QUINTA 'CAUTORMA'92253
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7125
FAX (760) 777 -7011 -
INSPECTIONS (760) 777-7153
Date: 2/13/2018
Permit Type/Subtype: BUILDING RESIDENTIAL/REMODEL Owner:
Application Number: BRES2018-0064 NANCY QUESENBURY
Property Address: 51105 AVENIDA MENDOZA 51105 AVENIDA MENDOZA
APN: 773073009 LA QUINTA,CA 92253
Application Description: QUESENBURY/ (6) WINDOW CHANGEOUTS
Property Zoning:
Application Valuation: $2,553.00
Applicant:Q LJ Contractor:
D
D WICK ENTERPRISES INC DBA THREE D CONST . D WICK ENTERPRISES INC DBA THREE D CONST
1515 CROWN ST t 1515 CROWN ST
REDLANDS, CA 92373 FEB 13 2018 REDLANDS, CA 92373 '
" CITY OF LA QUINTA
COMMUNITY DEVELOPMENTDEPARTMENT (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: B License No.: 81826
Date:
-2_11!� 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).:
(_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.).
(
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
Lender's Address:
• WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by Section 3760 of the Labor Code, for the performance
of theAork for which this permit is issued.
JC71 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 1 should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with those provisions.
Date: L 13 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 undee 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.—�
Date: 2 13 1e< Signature (Applicant or Agen
Date: 2/13/2018
Application Number: BRES2018-0064
Owner:
Property Address:-' =` ;% ; 51105 AVENIDA MENDOZA
NANCY QUESENBURY
APN: 773073009
51105 AVENIDA MENDOZA
Application Description: QUESENBURY / (6) WINDOW CHANGEOUTS
LA QUINTA, CA 92253
' Property Zoning:
Application Valuation: $2,55310.
Applicant:
Contractor:
D WICK ENTERPRISES INC DBA THREE D CONST
D WICK ENTERPRISES INC DBA THREE D CONST
1515 CROWN ST
1515 CROWN ST
REDLANDS, CA 92373
REDLANDS, CA 92373
(909)335-4846
-------------------------------------------------
Llc. No.: 818261
----------------------------------------
(6) WINDOW REPLACEMENTS TOTAL - (2) WINDOWS AT NORTH SIDE OF PROPERTY, (3) ON WEST SIDE OF PROPERT"AND (1) AT SOUTH SIDE OF
PROPERTY. PER 2016 CALIFONIA ENERGY CODE.
FINANCIAL INFORMATION
_pESCRIPTION ACCOUNT QTY AMOUNT
BSAS SB1473 FEE 101-0000-203Q6 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
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
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: $129.52
.0
Bin #
City of La Quints
Building a Safety Division
Permit # P.O. Box 1504, 78-495 Calle Tampico
D� La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address:s 1 Owner's Name: Q
A. P. Number: Address:
15 VI:A
Legal Description: City, ST, Zip: I ,& X% --- k%& rl .9K M
Z)
\(jam Telephone:t112it.a» I
Address: w�, �-
'r \ Project Description:
City,
Telephon - 9
State Lic. IF : bxSZA I City Lie. #;
Arch., Engr., Designer.
Address:
City, ST, Zip:
Telephone:
State Lie. #:
Name of Contact Person:
Telephone # of Contact person:
# I Submittal
Plan Sets
Structural Calcs.
Truss Calcs.
Title 24 Cafes.
Flood plain plan
Grading plan
Subcontactor List
Grant Deed
H.O.A. Approval
IN HOUSE: -
Planning Approval
Pub. Wks. Appr
Schodl Fees
Total Permit Fees
'�•
Construction Type
Occupancy
�, ..� ..mfr;
Project type (circle one):
)
New Add'n Alter Repair Demo
.�,h%v,£'�%{N•r.{� • • t��.:. �'
n•
a�Y�1 Oti.-N� Sq. Ft.:#Stories: # Units:
33S—LA W Q(D Estimated Value of Project: S S�
APPLICANT: DO NOT WRITE BELOW THIS LINE
Recd TRAGUNG
PERMIT FEES
Plan Check submitted
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 correctionstissue
Electrical
Called Contact Person
Plumbing
Plans picked up
S.M.I.
Plans resubmitted
Grading
' Review, ready for corrections/'issue
Developer Impact Fee
Called Contact Person
A.I.P.P.
Date of permit issue
Total Permit Fees
c
t�
® 4
0
0
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
rrr-r C7o-al T-nr-c 10-A—A n7H7%
UMLIf VKIVIH CIVCKI�T UVMMIJJIUIV
CERTIFICATE OF INSTALLATION
CF2R-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification (Page 1 of 10)
Project Name: Q `JC Enforcement Agency:
Permit Number:
Dwelling Address:L City
tIJ M d L% /d
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.
••--• - -••-•• -••- r-•--•• ^•^� •--r- ^••ll•'• I..,. ••••••••••• -i ..... ....� LO.. J.LL.U, caL.r persan snarl prepare unu sign a cernpcare appucame ro me 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 buildina inspector.
A. General Information
01
Project Name:
W A S
02
Date Prepared:
Z— 13-1
03
Project Location:
S 11S t:t,QA
04
Building Front Orientation (deg):
05
CA City:
J �Ri4
06
Number of Dwelling Units with Additions:
07
Zip Code:
S 'a]
08
Fuel Type:
09
Climate Zone:
` c��'
10
Total Conditioned Floor Area (ft) (Addition):
11
Building Type:
\
12
Slab Area (ftZ):
13
Project Scope:
1-- WNA a9•a
CA Building Energy Efficiency Standards - 2016 Residential Compliance July 2017
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
CFC-CF7R-AI T -n -;-F M—i—ri n7/171
Ut%LIr'VKNIH CNCKLoT GVMMIASIVN
CERTIFICATE OF INSTALLATION
CF2R-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification (Page 6 of 10)
Project Name:
Enforcement Agency:
Permit Number.
Dwelling Address:
Cih'
Zip Code
Fenestration
L. Fenestration/Glazing
01
02
03
04
05
06
07
08
09
10
11
12
Tag/ID
Manufacturer/
Brand
Fenestration
Area (ftZ)
Orientation
Chromogenic
U -factor
Source
SHGC
Source
Fenestration
Type
Exterior Shading
Devices
(Describe)
Comments/Special Features
l
LC,aa►
I S
il.%
N
1013
,a
N
w ►
IJ 4
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 OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
CEC-CF2R-ALT-05-E (Revised 07/171
CERTIFICATE OF INSTALLATION
UALII-UKNIA tNtKUY UUMMIJSIUN +
Documentation Author Name: t.
CF2 R -ALT -05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
(Page 10 of 10)
Project Name:
Enforcement Agency:
Permit Number:
Dwelling Address: ArI
-Sl s �* ^ �� "`��
City/State/Zip: Q
CA SIM -74-
Zlp Code
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name: t.
Documentation Author Signature:
96 GX JV`n YV\ t S
Documentation Author Company N — �w Com`
��✓A.a�
Date Signed:
2 — 13- 1
Address: \
CEA/HERS Certification Identification (If applicable):
City/State/Zip: Q
CA SIM -74-
Phone:
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:
Responsible Builder/Installer Signature:
Company Name: (Installing Subcontractor or Ge4n al Contractorroor Builder/owner)
Position With Company (Title): M\
` �
Address:
/L
zc)
CSLB License: 1 \ 8_ I 1
City/State/Zip:
Pho
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