BRES2018-006878-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
4.4 Qu�&
DESIGN& DEVELOPMENT DEPARTMENT
BUILDING PERMIT
BUILDING RESIDENTIAL/REMODEL
BRES2018-0068
78311 TERRA COTTA CT
604022006
KOLBERG [3) WINDOW 11] SGD REPLACEMENT
$4,314.00
Applicant: t
D WICK ENTERPRISES INC DBA THREE D CONST
330 EAST STUART
REDLANDS, CA 92373
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/15/2018
Owner:
ED KOLBERG
78311 TERRA COTTA
LA QUINTA, CA 92253
`Q Contractor:
D WICK ENTERPRISES INC DBA THREE D CONST
-15
330 EAST STUART
FEB 15 2018 REDLANDS, CA 92373
CIT`f OF LA QUINTA (909)335-4846
COMMUNITY DEVELOPMENT DEPARTMENT Llc. No.: 818261
LICENSED CONTRACTOR'S DECLARATION
1 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.: 818261
Date: S Contractor:
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
subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
I ) 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 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
ofa rk 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: 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. 1_��
Date: 2 b 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 thisapplication 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.
Date:, S Signature (-Applicant or Agent):
Date: 2/15/2018
Application Number:
BRES2018-0068
Owner:
Property'Address:
78311 TERRA COTTA CT
ED KOLBERG
APN:
604022006
78311 TERRA COTTA
Application Description:
KOLBERG [3] WINDOW [1] SGD REPLACEMENT
LA QUINTA, CA 92253
Property Zoning:
Application Valuation:
$4,314.00
Applicant:.
Contractor:
D WICK ENTERPRISES INC DBA THREE D CONST.
D WICK ENTERPRISES INC DBA THREE D CONST
330 EAST STUART .
330 EAST STUART
REDLANDS, CA 92373
REDLANDS, CA 92373
(909)335-4846 .
Llc. No.: 818261
--------------------------------------------------------------------------------
Detail: REPLACE 3 WINDOWS AND 1 SGD LIKE FOR UKE.,PER 2016 CALIFORNIA BUILDING CODES.
FINANCIAL •• •
,.ZESCRIPTION ACCOUNTQTY 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
$0.56
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.56
DESCRIPTION
r 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 La Quinta
Building 8r Safety Division
Permit #
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
$•Gn6 $
Building Permit Application and Tracking Sheet
Project Address:19-5tll W4
Owner's Name: .(
Address: 7'z5'S% I -.Cf14-
City, ST, Zip: C—A. 41v1
A. P. Number:
Legal Description:
Contractor �►-1 :
-�d►`�
lU�
Tele hone
Address• Sn E ►4r�-
Project Description:
City, ST, Zip: c
Telephone:�C
A
State Lic. # : ikle�'26 f
City Lic. #0 016.9
Arch., Engr., Designer.
Address:
City., ST, Zip:
Telephone:
x.'
Construction T
�'�v^w�`' YPe: Occupancy:
State Lic. #:
^ U_ i/+$l . �•
..<n' w;ru Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: (
1MyvtmS Ft.:
Sq. # Stories: # Units:
Telephone # of Contact person: Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal Req'd Recd TRACHING PERMIT FEES
Plan Sets
Plan Check submitted Item
Structural Cafes.
Amount
Reviewed, ready for corrections Plan Check Deposit
Truss Calcs.
Called Contact Person Pian Check Balance
Tide 24 Cafes.
Plans picked up Construction
Flood plain plan
Plans resubmitted Mechanical
Grading plan
2nd 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:-
J d Review, ready for correctionsliissue Developer Impact Fee
Planning Approval
Called Contact Person A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
r1
STA. ;' )F CALIFORNIA •'
-0'4&riptive Residential Alterations That Do Not Require HERS Field Verification
rcr_e GHo_AI r_nc c /o_ -gid -1-1
CERTIFICATE OF INSTALLATION
CALIFORNIA ENERGY COMMISSION -WW
CF2 R -ALT -05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
02
(Page 1 of 10)
Project Name:. T
Enforcement Agency:
Permit Number: .
Dwelling Address•-
City
(_
04
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 CF1R-ALT-05 and CF2R- ALT -OS Compliance Documents. Possible exemptions from duct
leakage testing include: less thon.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 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 res onsibili ty for installation -of theitems on this certifcate; pcerlfrcate`applicv6l— o ti`e'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:
02
Date Prepared:
!�1 f� .
03
Project Location:
04
Building Front Orientation (deg):
05
CA City:
C �(
06
Number of Dwelling Units with Additions:
07
Zip Code:
2
J
08
Fuel Type: .
09
Climate Zone:
S.
10
Total Conditioned Floor Area (ft) (Addition):
11
Building Type:
12
Slab Area (ft);
13
Project Scope:
X14 C�
CA Building Energy Efficiency Standards - 2016 Residential Compliance July 2017
STATE!)F 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: - Enforcement Agency: Permit Number:
Dwelling Address: CItY O' „/)
Zip Code
5 3
Fenestration
L. Fenestration/Glazing
01
02
03
04
0S
06
07
08
09
10
11
12
Tag!ID
Manufacturer/
Brand
Fenestration-
Area (ft)
Orientation
Chromogenic
U -factor
Source
SHGC
Source
Fenestration
Tye
Exterior Shading
Devices
(Describe)
Comments/Special Features
f
t IC -�
I.S
a C`7
r -
o
04V
�l
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 QF CALIFORNIA
0'rescriptive Residential Alterations .That Do Not Require HERS Field Verification
CEC-CF2R-AL7-05-E (Revised 07/171
CERTIFICATE OF INSTALLATION
CALIFORNIA ENERGY COMMISSION
CF2R_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: .^ City
F+
Zip cod
2a s -
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. I certify that this Certificate of Installation documentation Is accurate and complete.
Documentation Author Name:
\�
Documentation Author Signature:
Documentation Author Company Name:
Date Signed:
Address: ` `} y
CEA/HERS Certification Identification (If applicable):
City/State/Zip:
Phone:
WS
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 Installationshall 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: `
V w1 vx S
Responsible Builder/Installer Signature:
Company Name: (Installing Subcontractor or Generai Contractor o Bullder/Owner)
r
Position With Company (Title): Z�
Address: `� ^ _ � �
�(
CSLB License:
City/State/Zip: ^ __rPhone
n c It
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
n
o �
CITY OF LA QUINTA o 4
BUILDING & SAFETY DEPT. X '
APPROVED
FOR CONSTRUCTION 05
DA' %� I BY 0 ( X %(
® o
Sam) 8
0 a
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DA
,6QfSZo1B-��
8j117'CR2A
ID
o
'-'A