BRES2018-007378-495 CALLE TAMPICO
1 A-QUtNTA, CA0FORN IA"92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
TAtyl 4
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
BUILDING RESIDENTIAL/REMODEL
BRES2018-0073
50180 VISTA MONTANA
777020013
SHIMMICK / (2) WINDOW REPLACEMENTS/ LIKE FOR LIKE
$8,176.00.
Applicant:
D WICK ENTERPRISES INC DBA THREE D CONST
1515 CROWN ST
REDLANDS, CA 92373
E.F. B 2 2 2018
CITY OF La QUIIUTA
C0 JMUNITY DEVE110RIENT DEPARTP, ENT
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.: 818261
Date: Z 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.).
(1 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 Na
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
JOHN SHIMMICK
50180 VISTA MONTAl'
LA QUINTA, CA 92253
Contractor:
D WICK ENTERPRISES
1515 CROWN.ST
REDLANDS, CA 92373,
(909)335-4846
Llc. No.: 818261
Date: 2/22/2018.
N i
c�
UC --'DBA f EEi D -C
WORKER'S COMPENSATION DECLARATION
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'
:ompensation, as provided for by Section 3700 of the Labor Code, for the performance
:if work for which this permit is issued.
have and will maintain workers' compensation'' nsurance, as required by
lection 3700 of the Labor Code, for the performance of thework for which this permit is
ssued. My workers' compensation insurance carrier and policy number are:
Carrier: EXEMPT 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'
:ompensation laws of California, and agree that, if I should become subject to the
Norkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
:omply with tho a provisions.
Date: 2 b Applicant: C�
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
DNE 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 enter upon the above-
mentioned property for inspection purposes.
Date-.-,42Z4a Signature (Applicant or Agent)
r
Date: 2/22/2018
Application Number: BRES2018-0073
Owner:
Proj"fAfldfew.::• `' 50180 VISTA -MONTANA
JOHN SHIMMICK
APN: 777020013
50180 VISTA MONTANA RD
Application Description: SHIMMICK / (2) WINDOW REPLACEMENTS / LIKE FOR LIKE
LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $8,176.00
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
Detail: (2) SLIDER GLASS DOOR REPLACEMENTS AT EAST AND SOUTH PROPERTY. LIKE FOR LIKE GLASS SLIDER REPLACEMENTS. PER 2016 CALIFORNIA
ENERGY CODE
FINANCIAL •• •
:,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
$•1.06
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $1.06
.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
F$63.98
Total Paid for WINDOW/SLIDING GLASS DOOR/FENESTRATION: $129.52
Bin #
City of La Quinta
Bullding 8r Safety DM don
P.O. Box 1504, 78-495 Calle Tampico
La Qufita, CA 92253 - (760) 777-7012
00Z t Building Permit Application and Tracking Sheet
Permit #
aIZE s2ar�
Project Address: o V )Si4 (rVT TfID t `
A. P. Number:
Legal Description:
Contractor: Com' ,%d w
Owner's Name: k- !#j S }.1} 1 VVx w\ \ 0' 1 C
Address: SO AID V 51,,,E
City, ST, Zip: L
Telephone: SAO-? `5 I71�2
Project Description:
Address: F.� -,s-roA, a�
City, ST, Zip: 01A, A, azV
Telephone..l�Q
State Lic. # : ' City Lic. #:p tocd-1 ro
Arch., Engr., Designer.
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:#Stories:
# Units:
Telephone # of Contact Person: �} 33i — y6
Es�� Value of Project:
APPLICANT:
DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Reed
TRACIMG
PERMIT FEES
Plan Seta
Plan Check submitted
Item
Amount
Structural Cala.
Reviewed, ready for corrections
Plan Check Deposit
Trans Cala.
Called Contact Person
Pian Cheek Balance.
Title 24 Cala.
Pians picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" Review, ready for eorrectious/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.1-
H.O.A. Approval
Plans resubmitted
Grading
IN SOUSE:-
Review, ready for eorrectionstiasoe
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wlrs. Appr
Date of permit issue
School Fees
Total Permit Fen
T.'
Ox
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVE®
FOR CONSTRUCTION
X
DA BY
Z
Z
•
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oVx(
it
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
CEC-CF2R-ALT-05-E Revised 07117 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF INSTALLATION CF2R-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification (Page 1 of 10)
Project Narne: �RNtW `^ A w ` % o -K-
Yv4 V�'
Enforcement Agency: Perm(t Number:
Dwelling Address:
' �� �� • `r0�. 9
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 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.
I ..._. - _11_11 _..- _...._- . __�_.._._....,1— .............. , 1.-,,., ,,1..111., ,.1...j,,,,,,., -wr. J1.1—i „rur,1 putu ur,u gyri u t.ef tgrwte uppmuore to me porrion of construcvon jor wnfcn mey 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 insaector.
A. General Information
01
Project Name:
� i C
02
Date Prepared:
L�
03 .
Project Location:
4QJ)VJr Pa
04
Building Front Orientation (deg):
05
CA City:L
v t u� �,,
06
Number of Dwelling Units with Additions:
07
Zip Code:
Q77,7- !>
08
fuel Type:
09
Climate Zone:
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
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
CEC-CF2R-AlT-nS-F !Revised n7/171
L.
17,11, I
CERTIFICATE OF INSTALLATION
t AUr-UKNIA tNtKUT L U1V1MIJJIVN
02
CF2 R -ALT -05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
(Page 6 of 10)
Project Name: 1 Y� `_ _ Y -L 1(2,Enforcement
Agency:
08
Perm(t Number.
Dwelling Address: O I f,
city Ln art 1 �-
12
Zip Code
Fenestration
L. Fenestration/Glazing
01
02
03
04
05
06
07
08
09
10
11
12
Tag/ID
Manufacturer/
Brand
Fenestration
Area (ft)
Orientation
Chromogenic
U -factor
Source
SSHHGC
Source
Fenestration
Type
Exterior Shading
Devices
(Describe)
Comments/Special Features
r�(ft)�
77,7
5
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 07/17)
CERTIFICATE OF INSTALLATION
UALIr-UKNIA CNtKUT UUMMIZ.NUN
CF2R-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
(Page 10 of 10)
Project Name: Jh ' �♦ \ /� Enforcement Agen1'
�w �:
Date Signed:
l m
Perm(t Number.
Dwelling Address:
-S-co
O cb i4r it j A -c City L-io, (00\
City/State/Zlp: Wt
L
Zip Code n ^
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Installation documentation is accurate and complete.
Documentation Author Name: I O
(J W\ YVI
Documentation Author Signature:
Documentation Author Company Name:
CA—
Date Signed:
l m
Address: Xl,� rte- ��c.,+o a -o �.
CEA/HERS Certification Identification (If applicable):
City/State/Zlp: Wt
L
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:
m ivy �
Responsible Builder/Installer Signature:
Company Name: (Installing Subcontractor or General Contractor or Builder/Owner)
Position With Company (Title):
Address: 320
CSLBLicense: �� \
6
City/State/Zip:
Phone r� � t ,R p /
Date Signed: ` 24
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