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BRES2019-0268
78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Permit Type/Subtype: Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: Applicant: ARMINEH SIMONIAN 54081 OAKH ILL LA QUINTA, CA 92253 T4ur4 4uQuift& DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT BUILDING RESIDENTIAL/REMODEL BRES2019-0268 54081 OAK H ILL 775061040 SIMONIAN / (9)WINDOW AND DOOR CHANGE -OUTS $16,000.00 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: ARMINEH SIMONIAN 54081 OAKH I LL LA QUINTA, CA 92253 l� Contractor: OWNER BUILDER AUG 16 2019 CITY OF LA QUINTA DESIGN & DEVELOPMENT DEPARTMENT Llc. No.: 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: _ License No.: Date: 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 allege'5l,exemption. Any violation of Section 7031.5 by any applicant for a permit sv)fi6ct5 the applicant to a civil penalty of not more than five hundred dollars ($500).: (M 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 ne year of completion, the owner -builder will have the burden of proving that he or did not build or improve for the purpose of sale.). [ I, as owner of the property, a m 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: ' r Owner: iZ& 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 Date: 8/16/2019 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. M rkers' 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 of the Labor Code, I shall forthwith comply with those provisions. Date: 8 /la Applicant: /]l/lilf7 RAJ% 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 `allowing issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not :ommenced within 180 days from date of issuance of such permit, or cessation of work or 180 days will subject permit to cancellation. certify that I have read this application and state that the above information is correct. agree to comply with all city and county ordinances and state laws relating to byfldlng :onstruction, and hereby authorize representatives of this city to enter up a above nentioned property for inspection purposes. 4 j 0G I )ate: Signature (Applicant or Agent): 1171,1___1 date: 18/16/2019 Application Number: Property Address: APN: Application Description Property Zoning: Application Valuation: Applicant: ARMINEH SIMONIAN 54081 OAKH I LL LA QUINTA, CA 92253 BRES2019-0268 54081 OAK HILL 775061040 SIMONIAN / (9)WINDOW AND DOOR CHANGE -OUTS $16,000.00 Owner: ARMINEH SIMONIAN 54081 OAKH I LL LA QUINTA, CA 92253 Contractor: OWNER BUILDER Llc. No.: Detail: WINDOW AND SLIDING GLASS DOOR CHANGEOUTS (3) SLIDING GLASS DOORS LIKE FOR LIKE.(2) SOUTH SIDE SLIDING DOORS, (6) WINDOWS ON WEST SIDE AND, (1) SOUTH SIDE WINDOW ABOVE SLIDING GLASS DOOR # 2. PER 2016 CALIFORNIA BUILDING CODES. DESCRIPTION ACCOUNT CITY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT CITY AMOUNT 1 RECORDS MANAGEMENT FEE 101-0000-42416 0 $10.00 Total Paid for RECORDS MANAGEMENT FEE: $10.00 DESCRIPTION ACCOUNT CITY AMOUNT SMI - RESIDENTIAL 101-0000-20308 0 $2.08 Total Paid for STRONG MOTION INSTRUMENTATION SMI: $2.08 DESCRIPTION ACCOUNT CITY 1 AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 DESCRIPTION ACCOUNT CITY AMOUNT DOOR/WINDOW, RETRO/REPAIR, EA ADDITION 5 101-0000-42400 0 $11.21 DESCRIPTION ACCOUNT CITY AMOUNT DOOR/WINDOW, RETRO/REPAIR, EA ADDITION 5 101-0000-42400 0 $11.21 DESCRIPTION ACCOUNT CITY AMOUNT DOOR/WINDOW, RETRO/REPAIR, FIRST 7 101-0000-42400 0 $67.24 DESCRIPTION ACCOUNT CITY AMOUNT DOOR/WINDOW, RETRO/REPAIR, FIRST 7 101-0000-42400 0 $67.24 DESCRIPTION ACCOUNT CITY AMOUNT DOOR/WINDOW, RETRO/REPAIR, FIRST 7 PC 101-0000-42600 0 $65.64 DESCRIPTION ACCOUNT CITY AMOUNT DOOR/WINDOW, RETRO/REPAIR, FIRST 7 PC 101-0000-42600 0 $65.64 Total Paid for WINDOW/SLIDING GLASS DOOR/FENESTRATION: $288.18 BIZES2019,w 0248 Silo 0 1 oaac141U. .w 1 Y OF LA Q U y BUILDING DIVISION REVIEWED FOR. CODE CO PLIAN DATE S <<'L19BY C l-TY CITY ,� - t(4. I Qa t(4j CAL iFOR NIA PERMIT # St0r1- � 5 PLAN LOCATION: �/e5l� _ Project Address:570z) eoikll P��l Project Description: Zst- c� f�jUi JA�`ryA :I�J�ca APN #: IC cbl�teh'! r� /' v r k bt/% ter Applicant Name: Address: 5-'¢,o gj City, ST, Zip: v�h Telephone: Email: a1rYJ;rl�hs,inosr:��/� � Project Valuation $ //,660 Contractor Name: zj New SFD Construction: Address: C11- X1'" PW P �v+sue Conditioned Space SF City, St, Zip, ���,. �� Garage SF Telephone: �•7�p) �� 3 Patio/Porch SF / Email: ��',,,ca/�c����z�w�i��%,r/�n��o���7e�Fire Sprinklers SF State Lic: City Bus Lic: Architect/Engineer Name: Construction Occupancy: Address: Grading: City, St, Zip Telephone: �� Bedrooms: 2 Stories: ' # Units: Email: State Lic; City Bus Lic: Property Owner's Name: New Commercial / Tenant Improvements: Address: R ,o 64DW Lzjd Total Building SF City, ST, Zip 9Z2 - Construction Type: Occupancy: Telephone: LV101 Email: 78495 CALLE TAMPICO LA QUINTA, CA 92253 760-777-7000 57 OFFICE USE ONLY # Submittal Required Received Plan Sets Structural Calcs Truss Calcs Title 24 Calcs CVWD Fire Flow Letter Soils Report Grading Plan (PM10) Landscape Plan Subcontractor List Grant Deed HOA Approval School Fees Burrtec Debris Plan Planning approval Public Works approval Fire approval City Business License P.O. Box 1504 LA QUINTA, CALIFORNIA 92247-1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT PROPERTY OWNER'S PACKAGE (760)777-7012 FAX (760) 777-7011 Disclosures & Forms for Owner -Builders Applying for Construction Permits IMPORTANT! NOTICE TO PROPERTY OWNER Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified at P6? 1 G S / 0 0,54,4, /1 //S-1 C'J/ 5tl i We are providing you with an Owner -Builder Acknowledgment and Information Verification Form to make you aware of your responsibilities and possible risk you may incur by having this permit issued in your name as the Owner -Builder. We will not issue a building permit until you have read, initialed your understanding of each provision, signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this notice unless you, the property owner, obtain the prior approval of the permitting authority. OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION DIF71ONS: Read and irdlial each statement beloiv to signifyyou understand or verb this information. 1. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner -Builder" building permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as an Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person and his or her employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers on property. 2. I understand building permits are not required to be signed by property owners unless they are responsible for the constr�setion and are not hiring a licensed Contractor to assume this responsibility. //L3. I understand as an "Owner -Builder" I am the responsible party of record on the permit. I understand that I may protect myself from potential financial. risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my n7__ �4. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on pezr and contracts. i 5. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer" un.nder ate and federal law. 7 6. 1 understand if I am considered an "employer" under state and federal law, I must register with the state and federal government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment compensation for each "employee." I also understand my failure to abide by these laws may subject me to serious financial risk.l 7. I understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential structures cannot legally build them with the intent to offer them for sale, unless all work is performed by licensed subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed under contract with a licensed general building Contractor. S. I understand as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable for any financial or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the war nship or materials. 9. I understand I may obtain more information regarding my obligations as an "employer" from the Internal Revenue Service, the Ututed States Small Business Administration, the California Department of Benefit Payments, and the California Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at I- 800-3 l-CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors. I M I am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the party legally/6 nd financial) r sp[}nsible fo proposed onstruction activity at the following address: ,�A 11. I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all appli a laws and requirements that govern Owner -Builders as well as employers- 12. rI agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I have provided on this form. Licensed contractors are regulated by laws designed to protect the public. If you contract with someone who does not have a license, the Contractors' State License Board may be unable to assist you with any financial loss you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court. It is also important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working on your property, you may be held liable for damages. If you obtain a permit as Owner -Builder and wish to hire Contractors, you will be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers' compensation insurance coverage. Before a building permit can be issued, this form must be completed and signed by the property owner and returned to the agency responsible for issuing the permit. Note: A copy of the property owner's driver's license, form notarization, or other verification acceptable to the agency is required t .be presented when the permit is issued to verify the property owner's signature. Signature of property owner _ —Date; Irk 7 Note: The following Authorization Form is required to be completed by the property owner only when designating an agent of the property owner to apply for a construction permit for the Owner -Builder. AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an Owner -Builder Permit for my project. Scope of Construction Project (or Description of Work): �r0/, 3, W •"��s�w %C �u� I�r mt'N /' Project Location or Address: 54ktg/ � �i�1�� ha �!`r7/e, e�,V W"r Name of Authorized Agent: ��%�fy�l� :r� �.,1. .��r�Tel No 7�Q� �� //— /U 5�}3 Address of Authorized Agent: I declare under penalty of perjury that I am the property owtl for the address listed above and I personally filled out the above information and certify its accuracy. Note: A copy of th ner's driver's license, form notarization, or other verification to the agency is required to p� ente hen the permit is issued to verify the property owner's signature. Property Owner's Signature: — Date:. oj)e / 1� STATE OF CALIFORNIA Prescriptive Residential Alterations That Do Not Require HERS Field Verification CEC-CFIR-ALT-05-E;Rev,sed 04/16' CALIFORNIA ENERGY COMMISSION® CERTIFICATE OF COMPLIANCE CF1R-ALT-05-E Prescriptive Residential Alterations That Do Not Require HERS Field Verification Page 1 of 4 P'01y ct Name. Date Prepdrld' This compliance document is only applicable to simple alterations that do not require HERS with a HERS Provider Data Registry. HERS verification is required, a CF1R-ALT- Alterations to Space Conditioning Systems that are exempt from HERS verification requirements may use the CF1R-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 on 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 SCf0�( ©�'� 02 Date Prepared: 03 Project Location: 04 Building Front Orientation (deg or cardinal): 05 CA City: L� QUINTA 06 Number of Altered Dwelling Units: 07 Zip Code: �� Z S 08 Fuel Type: 09 Climate Zone: I - 10 Total Conditioned Floor Area (ft2): 11 Building Type: DV� 12 Slab Area (ft) 13 Project Scope (Select all that apply): ❑ B. Insulation ❑ D. & E. Fenestration/Glazing - ADD ❑ C. Roof Replacement ❑✓ D. & F. Fenestration/Glazing - ❑ G. Space Conditioning System (Heating, Cooling, Duct system) ❑ Lighting REPLACE ❑ H. Water Heating System ❑ Include Mandatory Measures? CA Building Energy Efficiency Standards - 2016 Residential Compliance April 2016 STATE OF CALIFORNIA Prescriptive Residential Alterations That Do Not Require HERS Field Verification CEC-CFIR-ALT-05-E (Revised 04/15) CERTIFICATE OF COMPLIANCE Prescriptive Residential Alterations That Do Not Require HERS Field Verification D. Fenestration/Glazing Allowed Areas and Efficiencies (Section 150.2(b)1) 01 02 03 04 Existing 05 06 1 Maximum Maximum Allowed Allowed Fenestration Existing Maximum Maximum Maximum Maximum Fenestration West -Facing for All West -Facing Allowed Allowed Allowed Allowed Alteration for All Fenestration Orientations Fenestration U-Factor U-Factor SHGC SHGC Type Orientations (ftZ) . Area Only (ftZ) (ftZ) Area (ftZ) (Windows) I (Skylights) (Windows) I (Skylights) CALIFORNIA ENERGY COMMISSION CF111-ALT-05-E Page 2 of 4 07 Comments F. Fenestration/Glazing Proposed Areas and Efficiencies - Replace (Section 150.2(b)113) 01 02 03 04 05 06 07 08 09 10 11 12 13 14 Tag/ID Fenestration Type Frame Type Dynamic Glazing Orientation (N, S, W, E) Area Removed (ftZ) Area Added (ftZ) Net Added Area (ftZ) U-factor Source SHGC Source Exterior Shading Device Combined SHGC from CFIR-ENV-03 I DUAL �i4a>f w NY L s 0 0 3 Ic >`I ° .201 .22- ° • 30 -2-Z 15 Add R©w Delete Row Net Added West -facing Fenestration Area _ 16 Is Net Added Fenestration Area < for west -facing fenestration? r Yes r No 17 Net Added Fenestration Area (all orientations) 18 Is Net Added Fenestration Area <_ 0 for all orientations? r Yes r No 19 Proposed Fenestration U-factor (Windows) 20 Required Fenestration U-factor (Windows) 21 Is the proposed Fenestration U-factor <_ the Required Fenestration U-factor? r Yes r No 22 Proposed Fenestration SHGC (Windows) 23 j Required Fenestration SHGC (Windows) CA Building Energy Efficiency Standards - 2016 Residential Compliance April 2016 STATE OF CALIFORNIA Prescriptive Residential Alterations That Do Not Require HERS Field Verification EC-CHR-ALT-05-E (Revised 04/16) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CF1R-ALT-05-E Prescriptive Residential Alterations That Do Not Require HERS Field Verification Page 2 of 4 'roject Name: Date Prepared: D. Fenestration/Glazing Allowed Areas and Efficiencies (Section 150.2(b)1) 01 02 Maximum 03 04 Maximum Existing Allowed Allowed Fenestration Existing Fenestration West -Facing for All West -Facing Alteration for All Fenestration Orientations Fenestration Type Orientations (ftz) Area Only (ftz) (ftz) Area (ftz) 05 06 Maximum Maximum Maximum Maximum Allowed Allowed Allowed Allowed U-Factor U-Factor SHGC SHGC (Windows) (Skylights) (Windows) (Skylights) F. Fenestration/Glazing Proposed Areas and Efficiencies - Replace (Section 150.2(b)113) 01 02 03 04 05 06 07 08 09 10 11 12 13 14 Tag/ID_ Fenestration Type Frame Type Dynamic Glazing Orientation (N, S, W, E) Area Removed (ftz) Area Added (ftz) Net Added Area (ftz) U-factor Source SHGC Source Exterior Shading Device Combined SHGC from CF1R-ENV-03 'C)-JAL Pam V I NYC W 0 0 .27 .2Z . Z3 (� t k it i k it \AJ 0 •'30 •22 �c tc 0 .30 •22 Add(gpw Dele%Row \AJ . 15 Net Added West -facing Fenestration Area 16 Is Net Added Fenestration Area <_ for west -facing fenestration? r Yes rv<o 17 Net Added Fenestration Area (all orientations) 18 Is Net Added Fenestration Area <_ 0 for all orientations? Yes G No 19 Proposed Fenestration U-factor (Windows) 20 Required Fenestration U-factor (Windows) 21 Is the proposed Fenestration U-factor <_ the Required Fenestration U-factor? Yes r No 22 Proposed Fenestration SHGC (Windows) 23 Required Fenestration SHGC (Windows) CA Building Energy Efficiency Standards - 2016 Residential Compliance April 2016 STATE OF CALIFORNIA Prescriptive Residential Alterations That Do Not Require HERS Field Verification CEC-CF 1 R-ALT-05-E (Revwsee 04116) CERTIFICATE OF COMPLIANCE CALIFORNIA ENERGY COMMISSION CF1R-ALT-05-E I Prescriptive Residential Alterations That Do Not Require HERS Field Verification Page 3 of 4 1 SeF-pun 24 Is the Proposed Fenestration SHGC <_ the Required Fenestration SHGC? Yes r No 25 Proposed Fenestration U-factor (Skylights) 26 Required Fenestration U-factor (Skylights) 27 Is the proposed Fenestration U-factor <_ the Required Fenestration U-factor? Yes r No 28 Proposed Fenestration SHGC 29 Required Fenestration SHGC 30 Is the Proposed Fenestration SHGC <_ the Required Fenestration SHGC? rulyes r No CA Building Energy Efficiency Standards - 2016 Residential Compliance April 2016 STATE OF CALIFORNIA Prescriptive Residential Alterations That Do Not Require HERS Field Verification CEC-CF1R-ALT-05-E,'Rev,se0 04/16) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CF1R-ALT-05-E Prescriptive Residential Alterations That Do Not Require HERS Field Verification Page 4 of Project Name: I Date Prepared: DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentations ftf Namef €7oeumen onAut 'Sig Lure' Signature Date: J/ Q Address: p �L J�—� � CEA/HERS Certification Identification (if applicable): City/State/Zip: 4� 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 Compliance is true and correct. 2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance (responsible designer). 3. That the energy features and performance specifications, materials, components, and manufactured devices for the building design or system design identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations. 4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. 5. 1 will ensure that a registered copy of this Certificate of Compliance shall be 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 Compliance is required to be included with the documentation the builder provides to the building owner at occupancy. �^ ResponsibleDesigner Name: % Responsible Designer Sig atur � ! Company: Date Signed: Address: License: City/State/Zip: 1-7 Phone,��� Q� 7 75 — 105 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 April 2016 CALIFORNIA WINDOW and DOOR FE 75-091 ST. CHARLES PLACE UNIT G PALM DESERT, CA 92211-9056 ". 600 i. 760 773 1053 Quote Name: Amy Simonina Customer: CALIFORNIA WINDOW and DOOR Payment Terms: Sales Representative: Rich Nestor Mobile: rich@californiawindowanddoor.net Comments: Billing Information Name: CALIFORNIA WINDOW and DOOR Address: Phone: 760 773 1053 IJ Fax: Email: Line: 1 Location: Quantity: 1 Trinsic, 2670, SD2, Wide Z-Bar, Ext Tan/Int Tan U-Factor:.29, SHGC:.22, VT:.51 Viewed From Exterior Quote Number: SQP01002937 1 Created Date: 8/6/2019 Modified Date: 8/16/2019 PO Number: Total Units: 10 Total Scl Ft: 331.00 Est. Delivery: Shipping Information Name: Address: Phone: Fax: Email: Size: Net Frame 95 1/2" x 95 1/2" Net Frame 95 1/2" X 95 1/2" Model: Sliding Door Two Panel Handing: XO Energy Package: Title 24 Glass: 3/16" SunCoatMAX (Low-E) Tempered over 3/16" Clear Tempered Other Glass: Gray EdgeGard Spacer with Argon Frame Accessories: Application=3 Sided Hardware: Contemporary Handle, Keyed Lock, Keyed A Like Other Options: Glass Breakage Warranty, Standard Glazing Bead Screen: Upgraded with Fiberglass Mesh Ratings: STC: 31, OITC: 24, Tested: LC30 Clear Opening: W 42 3/8"H 92 1/2" Sq. Ft. 27.22 Egress: Yes Other Ratings: CPD: MIL-A-293-00296-00001 Customer Approval: Quote Number: SQP01002937 1 Print Date: 8/16/2019 Page 1 of 6 Line: 2 location: Quantity: 1 Trinsic, 2670, SD3, Wide Z-Bar, Ext Tan/Int Tan U-Factor:.29, SHGC:.22, VT:.51 y E T T 7 Viewed From Exterior Size: Net Frame 119" x 95 1/2" Net Frame 119" X 95 1/2" Model: Sliding Door Three Panel Handing: X00 Energy Package: Title 24 Glass: 3/16" SunCoatMAX (Low-E) Tempered over 3/16" Clear Tempered Other Glass: Gray EdgeGard Spacer with Argon Frame Accessories: Application=3 Sided Hardware: Contemporary Handle, Keyed Lock, Keyed A Like Other Options: Glass Breakage Warranty, Standard Glazing Bead Screen: Upgraded with Fiberglass Mesh Ratings: STC: 31, OITC: 24, Tested: R20 Clear Opening: W 33 11/16"H 92 1/2" Sq. Ft. 21.64 Egress: Yes Other Ratings: CPD: MIL-A-293-00296-00001 Line: 3 location: Quantity: 1 Trinsic, 2670, SD2, Wide Z-Bar, Ext Tan/Int Tan U-Factor:.29, SHGC:.22, VT:.51 Size: Net Frame 95 1/2" x 81" Net Frame 95 1/2" X 81" Model: Sliding Door Two Panel Handing: XO Energy Package: Title 24 Glass: 3/16" SunCoatMAX (Low-E) Tempered over 3/16" Clear Tempered Other Glass: Gray EdgeGard Spacer with Argon Frame Accessories: Application=3 Sided Hardware: Contemporary Handle, Keyed Lock, Keyed A Like Other Options: Glass Breakage Warranty, Standard Glazing Bead Screen: Upgraded with Fiberglass Mesh Ratings: STC: 31, OITC: 24, Tested: LC30 Clear Opening: W 42 3/8"H 78" Sq. Ft. 22.95 Egress: Yes Other Ratings: CPD: MIL-A-293-00296-00001 Viewed From Exterior Customer Approval: Customer Approval: .11 611 IV Quote Number: SQP01002937_1 Print Date: 8/16/2019 Page 2 of 6 Line: 4 • Location: Quantity: 1 Trinsic, 2170, HV, Standard Z-Bar, Ext Tan/Int Tan U-Factor:.30, SHGC:.22, VT:.50 Size: Net Frame 33" x 43" Net Frame 33" X 43" Model: Half Vent I Handing: Half Vent XO E,. Energy Package: Title 24 Glass: 3/16" SunCoatMAX (Low-E) over 1/8" Clear I Other Glass: Gray EdgeGardMAX Spacer with Argon Hardware: SmartTouch Lock •` Other Options: Glass Breakage Warranty, Standard I Glazing Bead i Screen: Standard with Fiberglass Mesh I Ratings: STC: 32, OITC: 26, Tested: LC25 i I Clear Opening: W 14 1/8" x H 40 1/2" Sq. Ft. 3.97 Other Ratings: CPD: MIL-A-294-02348-00001 Viewed From Exterior une: Location: Quantity: 1 Trinsic, 2170, HV, Standard Z-Bar, Ext Tan/Int Tan U-Factor:.30, SHGC:.22, VT:.50 Size: Net Frame 68" x 58" Net Frame 68" X 58" Model: Half Vent Handing: Half Vent XO Energy Package: Title 24 Glass: 3/16" SunCoatMAX (Low-E) over 1/8" Clear Other Glass: Gray EdgeGardMAX Spacer with Argon Hardware: SmartTouch Lock Other Options: Glass Breakage Warranty, Standard Glazing Bead Screen: Standard with Fiberglass Mesh Ratings: STC: 32, OITC: 26, Tested: LC25 Clear Opening: W 31 5/8" x H 55 1/2" Sq. Ft. 12.19 Egress: Yes Other Ratings: CPD: MIL-A-294-02348-00001 Viewed From Exterior Customer Approval: Customer Approval: J i Ii! ;h, Quote Number: SQP01002937_1 Print Date: 8/16/2019 Page 3 of 6 Line: 6 Location: Quantity: 2 Trinsic, 2370, PWR2W, Standard Z-Bar, Ext Tan/Int Tan U-Factor:.28, SHGC:.23, VT:.52 0 /�Y k'o✓ap, Size: Net Frame 60" x 40" Net Frame 60" X 40" Model: Slider Picture Two Wide Energy Package: Title 24 Glass: 3/16" SunCoatMAX (Low-E) over 1/8" Clear Other Glass: Gray EdgeGardMAX Spacer with Argon Other Options: Glass Breakage Warranty, Standard Glazing Bead Ratings: STC: 31, OITC: 26, No Ratings Other Ratings: CPD: MIL-A-292-02348-00001 Viewed From Exterior une: Location: Quantity: 1 Trinsic, 2170, HV, Standard Z-Bar, Ext Tan/Int Tan U-Factor:.30, SHGC:.22, VT:.50 Size: Net Frame 68" x 58" Net Frame 68" X 58" Model: Half Vent Handing: Half Vent XO Energy Package: Title 24 Glass: 3/16" SunCoatMAX (Low-E) over 1/8" Clear Other Glass: Gray EdgeGardMAX Spacer with Argon Hardware: SmartTouch Lock Other Options: Glass Breakage Warranty, Standard Glazing Bead Screen: Standard with Fiberglass Mesh Ratings: STC: 32, OITC: 26, Tested: LC25 Clear Opening: W 31 5/8" x H 55 1/2" Sq. Ft. 12.19 Egress: Yes Other Ratings: CPD: MIL-A-294-02348-00001 Viewed From Exterior Customer Approval: Customer Approval: Quote Number: SQP01002937_ 1 Print Date: 8/16/2019 Page 4 of 6 Line: 8 Quantity: 1 Location: Trinsic, 2170, HV, Standard Z-Bar, Ext Tan/Int Tan U-Factor: 30, SHGC:.22, VT:.50 Size: Net Frame 44" x 16" Net Frame 44" X 7 Model: Half Vent Handing: Half Vent XO Energy Package: Title 24 Glass: 3/16" SunCoatMAX (Low-E) over 1/8' Other Glass: Gray EdgeGardMAX Spacer wit Hardware: SmartTouch Lock Other Options: Glass Breakage Warranty, St; Glazing Bead Screen: Standard with Fiberglass Mesh Ratings: STC: 32, OITC: 26, Tested: LC25 Clear Opening: W 19 5/8" x H 13 1/2" Sq. Ft. _. Other Ratings: CPD: MIL-A-294-02348-00001 Viewed From Exterior Line: y Location: Quantity: 1 Trinsic, 2170, HV, Standard Z-Bar, Ext Tan/Int Tan U-Factor:.30, SHGC:.22, VT:.50 E C� Viewed From Exterior Size: Net Frame 68" x 58" Net Frame 68" X 58" Model: Half Vent Handing: Half Vent XO Energy Package: Title 24 Glass: 3/16" SunCoatMAX (Low-E) over 1/8" Clear Other Glass: Gray EdgeGardMAX Spacer with Argon Hardware: SmartTouch Lock Other Options: Glass Breakage Warranty, Standard Glazing Bead Screen: Standard with Fiberglass Mesh Ratings: STC: 32, OITC: 26, Tested: LC25 Clear Opening: W 31 5/8" x H 55 1/2" Sq. Ft. 12.19 Egress: Yes Other Ratings: CPD: MIL-A-294-02348-00001 Customer Approval: Customer Approval: Quote Number: SQP01002937_1 Print Date: 8/16/2019 Page 5 of 6 CITY OF LA QUINTA SUB -CONTRACTOR LIST JOB ADDRESS PERMIT NUMBER ' , !4 -07�,S8OWNER oN (A,IJ ! BUILDER -f 1Qll This form shall be posted on -the job with the Building Inspection Carta at all times in a conspicuauspiace. Only persons appearing on this list or their employees are authorized to work on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance of building permit. For each applicable trade, all information reauested below must be comn'eted by annlir.ant_ "On File" is not an arcentahle resnnnse_ -rmde.! Classification Gon.tractor -- :. State. ConfCaot;Ws-Lic6nse. Workers Comperisation Itls.urance City 8 sin..e s. Lie rise Company Name Classification (e.g. A, B, C-8) License Number (xxxxxx) Exp. Date (xx/xx/xx) Carrier Name (e.g. State Fund, CalComp) Policy Number (Format Varies) Exp. Date (xx(xx/xx) License Number (xxxx) Exp. Date (xx/xx/xx) EARTHWORK (C=12) CONCRETE (C-8) FRAMING (C-5) STRUGT. STEEL (C-51) MAS. ONRY (.C-2W ` PLUMBING (C-36) L..ATH:-PLASTER.. (:.C-351. DRYWALL (C-9). HVAC :(G-20) ELECTRICAL:(C-Id) . ROOFING (C-39):: .............. _-- SHEET :METAL (G. 443): FLOORING ('C-15). GLAZING (:C=17) FoVi1A W i w bolw 3 C! 2353 0/30fol I N.S.0 LATION:I (G-2) SEWAGE° DISP.:(C-42) PA:INTI:NG (C-33) CEIRAN(I:C TILE (.C=54) CABINETS (.C-6). FENCING (C•13) LANDSCAPING (C-27) POOL (C-53)