BRES2022-0760BUILDING PERMIT
DESIGN & DEVELOPMENT
DEPARTMENT
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Permit Type:
Building Residential
Permit Number:
BRES2022-0760
Property Address:
48615 CALLE ESPERANZA
APN:
646121008
Legal Description
Property Zoning:
Valuation:
$7,600.00
PHONE (760) 777-7125
WWW.LAQUINTACA.GOV
APPLIED DATE: 10/21/2022
ISSUED DATE: 11/03/2022
CALIFORNIA
Owner: Mona Davidson
48615 Calle Esperanza, La Quinta, CA 92253
Applicant: Nilsa Y Apolinar
22982 ALCALDE DRIVE, LAGUNA HILLS, CA
92653
Contractor: Nilsa Y Apolinar / 990416
22982 ALCALDE DRIVE, LAGUNA HILLS, CA
92653
PRIOR TO THE ISSUANCE OF THIS PERMIT FOR CONSTRUCTION, ALTERATION, IMPROVEMENT, DEMOLITION, OR REPAIR THE OWNER, APPLICANT AND/OR
CONTRACTOR UNDER PENALTY OF PERJURY HAVE AFFIRMED WHEN APPLICABLE, THROUGH THE SUBMITTAL OF FORMS OR BY OTHER ELECTRONIC MEANS, THE
FOLLOWING:
LICENSED CONTRACTOR OR OWNER -BUILDER DECLARATION (1 or 2)
1) They are licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Professions Code, and the
referenced
License is in full force and effect, or;
2) That they are exempt from the Contractors' State License Law for the
reason(s) indicated by either (2)(a) and/or (2)(b), or (2)(c) where he or
she is exempt from licensure by a valid exemption. [Section 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
Contractors' State License Law (Chapter (commencing with Section 7000)
of Division 3 of the Business and Professions
Code] 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).)
a) As owner of the property, or my employees with wages as their sole
compensation, will do all of or portions of the work, and the structure is
not intended or offered for sale (Section 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an owner of
property who, through employees' or personal effort, builds or improves
the property, 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 it was
not built or improved for the purpose of sale.).
b) As owner of the property, will be exclusively contracting with licensed
c) Are exempt from licensure under the Contractors' State License Law.
As an Owner -Builder, they acknowledge that, except for their personal
residence in which they must have resided in for at least one year prior to
completion of the improvements covered by this permit, they cannot legally
sell a structure built as an owner -builder if it has not been constructed in
its entirety by licensed contractors. It is understood that a copy of the
applicable law, Section 7044 of the Business and Professions Code, is
available upon request when this application was submitted at the
following Web site:
http://www.Ieginfo.ca.gov/calaw.htm1.
DECLARATION REGARDING CONSTRUCTION LENDING AGENCY (If
applicable)
A construction lender will be used for completion of the improvements
covered by this permit and the name and information of which is on file for
public inspection during the regular business hours of the public entity.
Failure of the applicant to indicate the construction lender on the
WORKERS' COMPENSATION DECLARATION (1, 2 or 3)
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.
1) Has and will maintain a certificate of consent to self -insure for workers'
compensation, issued by the Director of Industrial Relations as provided for
by Section 3700 of the Labor Code, for the performance of the work for
which this permit is issued.
2) Has 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.
3) Certifies that, in the performance of the work for which this permit is
issued, shall not employ any person in any manner so as to become subject
to the workers' compensation laws of California, and agree that, if should
become subject to the workers' compensation provisions of Section 3700 of
the Labor Code, shall forthwith comply with those provisions.
NOTICE TO APPLICANT (1, 2 and 3)
1) Each person upon whose behalf this application was made, each person
at whose request and for whose benefit work is being 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 360 days from date of issuance of such
permit, or if cessation of work for 180 days will subject permit to
cancellation. On or after January 1, 2019, every permit issued shall become
invalid unless the work on the site authorized by such permit is commenced
within 12 months after its issuance, or if the work authorized on the site by
such permit is suspended or abandoned for a period of 12 months after the
time the work is commenced.
3) Certified that they read the application and state that the information
provided is correct. 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.
IMPORTANT: An Application for Permit was made to the Building Official,
subject to the conditions and restrictions set forth at the time of application,
which is now hereby an Issued Permit. If any part of the information being
supplied on this permit is inaccurate or untrue, please contact the City of La
Quinta at (760) 777-7125 immediately for correction.
Printed: 3/5/25 4:43 pm Page 1 of 5
BUILDING PERMIT
Permit Type: Building Residential
Permit Number: BRES2022-0760
Property Address: 48615 CALLE ESPERANZA
application does not relieve that person of the requirement to give the
construction lender preliminary notice from that duty.
Printed: 3/5/25 4:43 pm Page 2 of 5
BUILDING PERMIT
Permit Type: Building Residential
Permit Number: BRES2022-0760
Property Address: 48615 CALLE ESPERANZA
DAVIDSON / [61 WINDOWS AND [21 PATIO DOOR CHANGE OUTS *** REPLACE [61 RETROFIT WINDOWS [21 PATIO DOORS
THROUGHOUT DWELLING. THIS PERMIT DOES NOT INCLUDE ANY ALTERATIONS TO EXISTING PENETRATIONS. 2019 CALIFORNIA
BUILDING CODES
�nstructinn Dpta
Residential Work Type Remodel Conditioned Square 0 Grading Required? No
Footage
Number of 8 Number of Flag or 0 New Electrical Square 0
Door/Window Light Pole(s)? Footage
Retrofit/Repair
Type Group Sq Ft Value
Invoice No. Fee
Fee Amount
Amount Paid
PERM IT-BRES2022-076 DOOR/WINDOW, RETRO/REPAIR, FIRST 7 PC
$71.78
$71.78
0 TECHNOLOGY ENHANCEMENT FEE
$8.00
$8.00
BSAS SB1473 FEE
$1.00
$1.00
DOOR/WINDOW, RETRO/REPAIR, EA ADDITION 5
$12.25
$12.25
DOOR/WINDOW, RETRO/REPAIR, FIRST 7
$73.53
$73.53
RECORDS MANAGEMENT FEE - MAJOR
$22.00
$22.00
Total for Invoice PERMIT-BRES2022-0760
$188.56
$188.56
Grand Total for Permit
$188.56
$188.56
Workflow Step / Action Name Action Type
Start Date
End Date
Inspections v.1 10/21/2022 0:00
----------------------------------------------------------------------------------------------------------------------------------------
FINAL** v.1 Inspection
Application Completeness Check v.1
-------------------------------------
---------------------------------------------------------------------------------------------------
Confirm Fees Paid v.1 Generic Action
----------------------------------------------------------------------------------------------------------------------------------------
Submittal Document Verification v.1 Generic Action
Plan Check v.1
----------------------------------------------------------------------------------------------------------------------------------------
Building Major Review v.1
Receive Submittal
Permit Issuance v.1
----------------------------------------------------------------------------------------------------------------------------------------
Contractor / Owner -Builder Information v.1
Generic Action
----------------------------------------------------------------------------------------------------------------------------------------
Verify & Invoice Fees v.1
Generic Action
----------------------------------------------------------------------------------------------------------------------------------------
Ready to Issue v.1
Generic Action
----------------------------------------------------------------------------------------------------------------------------------------
Verify Fee Payment & Issue Permit v.1
Generic Action
----------------------------------------------------------------------------------------------------------------------------------------
Print, Attach, and Email Building Permit v.1
Create Report
Inspections - Do Not Pour Concrete Until Approved v.1
--------------------------------------------------------------------------
-------------------------------------------------------------
Setbacks v.1
-
Inspection
----------------------------------------------------------------------------------------------------------------------------------------
Underground Plumbing v.1
Inspection
-------------------------------------------------------------
v.1
Inspection
Printed: 3/5/25 4:43 pm Page 3 of 5
BUILDING PERMIT
Permit Type: Building Residential
Permit Number: BRES2022-0760
Property Address: 48615 CALLE ESPERANZA
Footing v. Inspection
----------------------------------------------------------------------------------------------------------------------------------------
Slab v.1 Inspection
Inspections - Cover No Work Until Approved v.1
Roof Nail v.1
Inspection
----------------------------------------------------------------------------------------------------------------------------------------
Okay to Wrap v.1
Inspection
----------------------------------------------------------------------------------------------------------------------------------------
Framing v.1
Inspection
----------------------------------------------------------------------------------------------------------------------------------------
Rough Electrical v.1
Inspection
----------------------------------------------------------------------------------------------------------------------------------------
Rough Mechanical v.1
Inspection
----------------------------------------------------------------------------------------------------------------------------------------
Rough Plumbing v.1
Inspection
----------------------------------------------------------------------------------------------------------------------------------------
Rough Fire Clearance v
Generic Action
----------------------------------------------------------------------------------------------------------------------------------------
Shower Pan v.1
Inspection
----------------------------------------------------------------------------------------------------------------------------------------
Insulation v.1
Inspection
----------------------------------------------------------------------------------------------------------------------------------------
Drywall Nail v.1
Inspection
----------------------------------------------------------------------------------------------------------------------------------------
Exterior Lath v.1
Inspection
----------------------------------------------------------------------------------------------------------------------------------------
Gas Test v.1
Inspection
----------------------------------------------------------------------------------------------------------------------------------------
Sewer Connection v.1
Inspection
Inspections - Masonry v.1
Inspections - Electrical for Meter Release v.1
------------------------------------------------------------------------------
Temporary Power v.1
Inspection
----------------------------------------------------------------------------------------------------------------------------------------
Temp Use of Permanent Power v.1
Inspection
Inspections - Final v.1
09/07/2023 16:24
-------------------------------------------------------
Final Fire v
Inspection
----------------------------------------------------------------------------------------------------------------------------------------
Final Building v.1
Inspection 09/07/2023 16:24 09/08/2023 10:51
----------------------------------------------------------------------------------------------------------------------------------------
Final Building v.2
Inspection 09/08/2023 16:22 09/11/2023 12:33
Certificate of Occupancy v.1
----------------------------------------------------------------------------------------------------------------------------------------
Certificate of Occupancy v.1
Create Report
Construction or work for which a permit is required shall be subject to inspection by the building official and such construction or work
shall remain visible and able to be accessed for inspection purposes until approved. Approval as a result of an inspection shall not be
construed to be an approval of a violation of the provisions of the applicable code and other ordinances of the jurisdiction. Inspections
presuming to give authority to violate or cancel the provisions of the applicable code and other ordinances of the jurisdiction shall not be
valid. It shall be the duty of the owner or the owner's authorized agent to cause the work to remain visible and able to be accessed for
inspection purposes. Neither the building official nor the jurisdiction shall be liable for expense entailed in the removal or replacement of
any material required to allow inspection.
It shall be the duty of the holder of the building permit or their duly authorized agent to notify the building official when work is ready for
inspection. It shall be the duty of the permit holder to provide access to and means for inspections of such work that are required by this
code.
A building or structure shall not be used or occupied in whole or in part, and a change of occupancy of a building or structure or portion
thereof shall not be made, until the building official has issued a certificate of occupancy therefor as provided herein. Issuance of a
certificate of occupancy shall not be construed as an approval of a violation of the provisions of the applicable code and other ordinances
of the jurisdiction. Certificates presuming to give authority to violate or cancel the provisions of this code or other ordinances of the
iurisdiction shall not be valid.
Printed: 3/5/25 4:43 pm Page 4 of 5
BUILDING PERMIT
Permit Type: Building Residential
Permit Number: BRES2022-0760
Property Address: 48615 CALLE ESPERANZA
A person shall not make connections from a utility, a source of energy, fuel, or power, or a water system or sewer system to any building
or system that is regulated by the applicable code and other ordinances of the jurisdiction for which a permit is required, until approved by
the building official.
Printed: 3/5/25 4:43 pm Page 5 of 5
V
W6
---------------CALLE ESPERANZA--
3
Renewal
bvAndersen
hwM .......,. �...,,— ..... . ......
amiMrM Cnmpotde FF Low
IObp Svc :.
Dual kpon smaL4m
13C.A49974-006
ENERGY PERFORMANCE RATINGS
U•Factar ;U SVI-P Solar Heat Gain Cooffiosent
0.29 0.21
AWITIONAL PER_FURMANCE RATINGS
Visible Tran"luence
0.49
ONI.Nt.-r..�....I. N. f......-M...n.Mo.
...NM
!l, Rn prat naa Gw.
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.
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HS - LC25 Re®u Slider xxol FF
Ratings May %lar; - Check Individual Window
Label For Exact Rating
Window And Door
Replacement
ALL WORK SHALL CONFORM TO THE
2019 CALIFORNIA BUILDING CODE
2019 CALIFORNIA ELECTRICAL CODE
2019 CALIFORNIA MECHANICAL CODE
2019 CALIFORNIA RESIDENTIAL CODE
For Energy Efficiency Per CRC310.2.5
U-Factor 0.30 SHGC 0.23
SMOKE & CARBON MONOXIDE ALARMS
Smoke Alarms in All Bedrooms and Halls
Carbon Monoxide Alarms Outside All Sleeping
Areas - CRC R315.2, .3 & R314.1, .3
All Bedrooms Must Have At Least One
Window Or Door Opening Directly To The
Exterior Meeting This Criteria:
Minimum Clear Width = 20"
Minimum Clear Height = 24"
Min. Area = 5.7 Sq. Ft. ( 5.0 Sq. Ft. For
Grade Floor Residential )
Maximum Sill Height = 44"
CITY OF LA QUINTA
BUILDING DIVISION
REVIEWED FOR
CODE
COMPLIANCE
DATE 10/21 /2022 BY AA #
REPLACE [6] RETROFIT WINDOWS
[2] PATIO DOORS THROUGHOUT
DWELLING. THIS PERMIT DOES
NOT INCLUDE ANY ALTERATIONS
TO EXISTING PENETRATIONS.
2019 CALIFORNIA BUILDING
CODES
UOTING WATCR
WAAGE" MEWRAW
STUCCO HA511 W TUCf t) Ur
UNNO WARR MCMBKW
A MIWMUM OF V
ANGtMN 5CALAM
MACUR RQO-
TRIM Un TO
ACCEPT P114115 MNC TRIM
MDtP3tN IIISEMT
APPROVED ANDER5EN IN5ERT, WINDOW
ANDER5EN PATIO DOOR DETAIL
Door
Win.
Room
Size
Existing
Size
New
Egress
Win
Total
Sq. Ft.
W1
DIN
22 x 57 PIX
22 x 57 RBA PIX
9
W2
DIN
57 x 57 XO
57 x 57 RBA XX
23
W3
DIN
22 x 57 PIX
22 x 57 RBA PIX
9
W4
KIT
34 X 40 XO
34 x 40 RBA XX
9
W5
KIT
46 x 58 XO
46 x 58 RBA XX
19
W6
KIT
170 x 58 XO
70 x 58 RBA XX
1 38
D1
LIV
141 x 79 PDS
141 x 79 RBA PDS-Tempered
77
D2
MBED
95 x 79 OX
95 x 79 RBA PDS-Tempered
52
Total 235
Name Mona Davidson
Address 48615 Calle Esperanza Renewal by Andersen LLC.
City, Zip La Quinta, 92253 22982 Alcalde Drive, Suite 100
Phone 760-409-2942 Laguna Hills, CA 92653
Year Built 1995 (714) 259-5120 LIC. 990416
Drawn By: Tracy Jones RF#: 2513278
LEGEND: J013:2218323 GC
XX SLIDER -SLIDER XO SLIDER -FIXED GW GARDEN WINDOW CST CASEMENT PIX PICTURE WINDOW
AWN AWNING WINDOW DH DOUBLE HUNG SH SINGLE HUNG PDS PATIO DOOR SLIDER
RBA Renewal By Andersen Dual Glaze Low - E -4 Windows
SCOPE of WORK:
Replacing 6 windows and 1 patio slider with new Renewal by Andersen replacements
into original openings, Like for like changeouts.
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
CEC-CF1R-ALT-05-E (Revised 01/20) CALIFORNIA ENERGY COMMISSION��
CERTIFICATE OF COMPLIANCE CF1R-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification Page 1 of 4
Project Name: DAVIDSON Date Prepared: 10/21/22
This compliance document is only applicable to simple alterations that do not require HERS verification for compliance. When HERS verification is required, a CF1R-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-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 greater 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 CF1R-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:
DAVIDSON
02
Date Prepared:
10/21/22
03
Project Location:
48615 Calle Esperanza
04
Building Front Orientation (deg or cardinal):
05
CA City:
La Quinta
06
Number of Altered Dwelling Units:
07
Zip Code:
92253
08
Fuel Type:
09
Climate Zone:
15
10
Total Conditioned Floor Area (ft):
11
Building Type:
Single Family
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 - 2019 Residential Compliance January 2020
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
CEC-CF1R-ALT-05-E (Revised 01/20) CALIFORNIA ENERGY COMMISSION��
CERTIFICATE OF COMPLIANCE CF1R-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification Page 2 of 4
Project Name: DAVIDSON Date Prepared: 10/21/22
D. Fenestration/Glazing Allowed Areas and Efficiencies (Section 150.2(b)1)
01 02 03 04 05 06 07
Maximum
Maximum
Existing
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 (ft2)
Area Only (ft2)
(ft2)
Area (ft2)
(Windows)
(Skylights)
(Windows)
(Skylights)
Comments
F. Fenestration/Glazing Proposed Areas and Efficiencies - Replace (Section 150.2(b)1B)
Note: Doors with greater than or equal to 25 percent glazed area are considered glazed doors and are treated as fenestration products.
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
(ft2)
Area
Added
(ft2)
Net
Added
Area (ft2)
Proposed
U-factor
Proposed
U-factor
Source
Proposed
SHGC
Proposed
SHGC
Source
Exterior
Shading Device
Combined
SHGC from
CF1R-ENV-03
W1
Operable
Non-metal
N
9
9
0
0.29
NFRC
0.21
NFRC
W2
Operable
Non-metal
N
23
23
0
0.29
NFRC
0.21
NFRC
W3
Operable
Non-metal
N
9
9
0
0.29
NFRC
0.21
NFRC
W4
Operable
Non-metal
N
9
9
0
0.29
NFRC
0.21
NFRC
W5
Operable
Non-metal
N
19
19
0
0.29
NFRC
0.21
NFRC
W6
Operable
Non-metal
N
38
38
0
0.29
NFRC
0.21
NFRC
D1
Operable
Non-metal
N
77
77
0
0.29
NFRC
0.21
NFRC
D2
Operable
Non-metal
N
52
52
0
0.29
NFRC
0.21
NFRC
Add Row
Delete Row
15
Net Added West -facing Fenestration Area
0
16
Is Net Added Fenestration Area <_ for west -facing fenestration?
r Yes r No
CA Building Energy Efficiency Standards - 2019 Residential Compliance January 2020
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
l�ll
GEC-CF1R-ALT-05-E (Revised 01/20) CALIFORNIA ENERGY COMMISSION��
CERTIFICATE OF COMPLIANCE CF1R-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification Page 3 of 4
Project Name: DAVIDSON Date Prepared: 10/21/22
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)
0.29
20
Required Fenestration U-factor (Windows)
0.30
21
Is the proposed Fenestration U-factor 5 the Required Fenestration U-factor?
4 Yes r No
22
Proposed Fenestration SHGC (Windows)
0.21
23
Required Fenestration SHGC (Windows)
0.23
24
Is the Proposed Fenestration SHGC <_ the Required Fenestration SHGC?
if 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?
r Yes r No
28
Proposed Fenestration SHGC
29
Required Fenestration SHGC
30
Is the Proposed Fenestration SHGC <_ the Required Fenestration SHGC?
r Yes r No
CA Building Energy Efficiency Standards - 2019 Residential Compliance January 2020
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
l�ll
GEC-CF1R-ALT-05-E (Revised 01/20) CALIFORNIA ENERGY COMMISSION��
CERTIFICATE OF COMPLIANCE CF1R-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification Page 4 of 4
Project Name: DAVIDSON Date Prepared: 10/21/22
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature: Digitally signed by Jones, Tracy,a95897
Jones, Tracy,a95897
Date: 2022.10.2108:06:11-07'00'
Company:
RENEWAL BY ANDERSEN OF ORANGE COUNTY
Signature Date:
Address:
CEA/ HERS Certification Identification (if applicable):
22982 ALCALDE DR
City/State/Zip:
Phone:
LAGUNA HILLS CA 92653
714-259-5120
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.
Responsible Designer Name:
Responsible Designer Signature: Digitally signed by Jones, Tracy,a95897
Jones, Tracy,a95897 Date: 2022.10.21 08:06:28 -07'00'
Company:
Date Signed:
RENEWAL BY ANDERSEN OF ORANGE COUNTY
Address:
License:
22982 ALCALDE DR
990416
City/State/Zip:
Phone:
LAGUNA HILLS CA 92653
714-259-5120
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.
CA Building Energy Efficiency Standards - 2019 Residential Compliance January 2020