BRES2017-0343A.. .
78:`.495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address: .
APN:
Application Description:
Property Zoning:
Application Valuation:
Twit 4 4 Qu.ihro
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
BUILDING RESIDENTIAL/DWELLING - SINGLE FAMILY DETACHED
BRES2017-0343
80167 PALM CIRCLE DR.
600080024
RICHMOND/ 3 PATIO DOORS
$3,750.00
Applicant:
D WICK ENTERPRISES INC DBA THREE D CONST
1515 CROWN ST
REDLANDS, CA 92373
DEC 0 6 2011
CITY OF LA QUINTA
COMMUNITY DEVELOPMENT DEPARTMENT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that 1 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.: 618
;Date: 2 ca ( 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
anclFrofessions 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
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/6/2017
Owner:
MARY RICHMOND
80167 PALM CIRCLE DR
LA QUINTA, CA 92253
Contractor:
D WICK ENTERPRISES INC DBA THREE D CONST
1515 CROWN ST
REDLANDS, CA 92373
(909)335-4846.
LIc. No.: 818251
'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 3100 of the Labor Code, for the performance
of th 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 pemrmance 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 ofthe 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: 2 I 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 ($1001000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKJVOWLEDGEMENT
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 Ciy of la Quinta, its officers, agents, and
employees for any act or omission related t3 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 dale of i!!suance of such permit, or cessation of work
for 180 days will subject permit to cancellafon.
I certify that I have read this application anc 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 represe itatives of this city to enter upon the above-
mentioned property for inspection purposes.
Date: 2 I Signature (Applica it or Agent):
Date: 12/6/2017
Application'Number: BRES2017-0343 Owner:
PropeftV'Adidress: -80167 PALM CIRCLE DR MARY RICHMOND
APN: 600080024 80167 PALM CIRCLE DR
Application Description: RICHMOND / 3 PATIO DOORS LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $3,750.00
Applicant: Contractor:
D WICK ENTERPRISES INC DBA THREE D CONST D WICK ENTERPRISES INC DBA THREE D CONST
1515 -CROWN ST 1515 CROWN 5T
REDLANDS, CA 92373 REDLANDS, CA 92373
(909)335-4846
Llc. No.: 8182E1
---------------------------------------------------------------------------------------------
Detail: REPLACE 3 PATIO DOORS WITH LIKE FOR LIKE VINYL RETRO FIT
J
FINANCIAL •• •
,.r. •:--:,.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
502-0000-43611
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
Bin #
City of l.a Quinta
Building &r Safety Divlslon
Permit #
P.O. Box 1504, 78-495 Calle Tampico
La Qrdnta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address:((p nt GDleal Owner's Name:
A. P. Number:
Ciri7v�T�
Address: e016-7
Legal Description:
City, ST, Zip: L
Contractor: -7- lZ
QfJ�I� r f' Telephone: q4rZ _3&jo -Z _y
Address: E 64,r Project Description:
City, ST, Zip: j7 VQS aA 9817 Cf 1
.. Milli;
Telephone: � ' , • < `,�;,;;.
t•'v
State Lic. # : /gam
City Lic. ff-c%a o96
Arch., Engr., Designer-
esignerAddress:
Address:
City., ST, Zip:
Telephone:
Construction Type: Occupancy:
State Lic. 4:
%'%Y,/ Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: _
Civ v� `w S Sq. Ft.: # Stories: # Units:
Telephone # of Contact person: Estimated Value of Project: 3 7 S.
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKDVG
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Caics.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cafes.
Called Contact Person
Plan Check Balance
Title 24 Cafes.
Plans picked up
Construction '
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
god Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'"' Review, ready for correctlons/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
WE. WARD ISLE HOA
P.O. Box 1398
Palm Desert, CA 92261
�-ARQ�H17�CTURALR,ASCAPE VARIANCE RE VEST
DATE: �17 —�/ —
OWNER (S) NAME: Y -V lot.
C ► m D
PROPERTY ADDRESS: a
LOCAL PHONE:
--3oo 6 OTHERPHONE:jU�a=a9
MAILING ADDRESS:
(If different from property address)
The following modification is proposed and approval is requested for an
Architectural/Landscape Variance in accordance with the procedure
outlined in our CCRS. P ores
We understand that, if approval is granted, we will be responsible for the
costs of said modification, and any and all damage which may occur to an
common area property including but not limited to: sprinkler systems, y
utilities; building, lawns and plants. We further understand that al
modifications require thea 1 building
approval of the City of La Quinta and building
permits as they may require. The cost of these approvals
borne by us. We further agree that, if approved thmodificapermits
os w � be be
made in strict compliance with the plans as submitted with this application.
Please provide a complete narrative description of your modifi
and attach a copy of plans. cation
The modification we propose is:
Owner (s)Signature: ��i► j 4,�-A �,t �P JA
Submission Date:
11-3-17
W
SLKC---> G1Ar55 beoeS
( 79-
T
9 ® -79 k®
CITY OF LA. QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTR CT{ON
S DATE 11�,L�--
i
Y
Provide means of emergency escape and rescue from bedroom(s). The opening shall have a minimum
net clear opening of 5.7 square feet (S.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
shall have a finished sill height not more than 44 inches above the finished floor. (CRC §§R310.1.1—
R310.1.3)
: STS TE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require. HERS Field Verification
lcfn IC Ai T nc c c,. ;..ed n9H7\'
CCI IFr1RNIC FNFR(:V Cf1MMICSIr1N
CERTIFICATE OF INSTALLATION CF2R-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification (Page 1 of 10)
Project Name: MaryRichmond Enforcement Agency: Permit Number:
Dwelling Add rese:. 80167 Palm Circle Dr - 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 MR -ALT -01 shall first be registered
with a HERS Provider Data Registry.
Alterntinn.s to Saace Conditioning 5vstem5 that are exempt from HfR5 ,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 exemptfrom 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.
If more than one person has responsibility for 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 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 building inspector.
A. General Information
01
Project Name:
Mary Richmond
02
Date Prepared: 12/05/2017
03
Project Location:
$0167 Palm circle Dr
04
Building Front Orientation (deg):
.
05
CA City:La
Quinta
06
a
Number of Dwelling Units with Additions:
07
Zip Code:
92253
08
Fuel Type:
09
Climate Zone:
15
10
Total. Conditioned Floor Area (ft) (Addition):
11
Building Type:
single family residence
12
Slab Area (ft):
13
Project Scope:
Fenestration
CA Building Energy Efficiency Standards - 2016 Residential Compliance
July 2017
S ATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
CEC-CF2R-ALT-06-E (Revised ViV)
CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF INSTALLATION
CF2R-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS.Fleld Verification
(Page 6 of 10)
Project Name:Mary Richmond- Enforce ment Agency: -
Permit Number:
Dwelling Address: 80167.Palm Circle Drive city La Quinta
zip code 92253
Fenestration
L. Fenestration/Glazing
O1
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
Pella
37.85
East
0.27-
NFRC
0.23
NFRC
Glass Door
Pella
50.47
North
0.27
NFRC
0.23
NFRC
Glass Door
Pella
50.47
North
0.27
NFRC
0.23
NFRC
Glass Door
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
CFC-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 10 of 10)
Project Name: Mary Richmond Enforcement Agency: - Permit Number:
Dwelling Address`80167 Palm Circle - city La Quinta Zip Code 92253
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name:
Ruyel Culnlriings
Documentation Author Signature:
Documentation Author Company Name: Three D Construction
Date Signed: 12/05/2017
Address:
CEAMERS Certification Identification (If applicable):
320 E Stuart
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.
Responsible Builder/Installer Name: -
Roger Cummings
Responsible Builder/Installer Signature:
Company Name: (Installing Subcontractor or General Contractor or Builder/Owner)
Position With Company (Title):
Three D construction
Manager
Address:
320 East Stuart
CSLB License:
818261
City/State/Zip:
Phone
7
Date Signed:
Redlands CA 92374
909-335-4846
12/05/2017
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