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BRER2015-0021Applicant: CASTRO ROOFING INC P 0 BOX 122 THOUSAND PALMS, CA 92276 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I'am•licensed under provisions of Chapter 9:('c6mmencing with Section 70001of Division 3 of the Business and Professions, Code,, and my License is in full force and effect. license Class: C39 License No.: 828478 Dfte: 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's 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 sheds 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 riot more than five hundred dollars ($500).: (1 I, as owner of the property, or my employees with wages as,their sole compensation, will do the work, and the structure is not intended or offered,for sale. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who'builds or improves thereon, and who does the work himself or herself through his or her own employees; provided that the improvements are not intended or offered for sale' If, however' ,'the building or improvement is sold within one year of completion, the owner -builder will have'the burden of,proving that he or she did not build or improve for the purpose of sale.). (� I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. (Sec. 7044, Business and Professions Code: The:Contractors' i 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) licensedpursuant 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 Contractor: CASTRO ROOFING INC P O BOX 122 THOUSAND PALMS, CA 92276 (760)343-0092 Llc. No.: 828478 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. per is issued. 1 I have.arid 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: Policy Number: I certify that in the performance of the work for which this permit is issued, I shall not employany 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. � ��� Tate: Applic�ant: 1 WARNING[FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND,CIVIL FINES UP TO ONE H,UNDRED'THOUSAND D'OL'LARS ($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 ornission 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 c• o enter upon the above- m.entioned" r0ry for inspection purposes. ff C v Date: l / Signature (Applicant or Agent): C� VOICE (760) 777-7125 7!r->495'CALLETAMPICO 0 D FAX (760) 777-7011 LA gUINTA, CALIFORNIA 92253 COMMUNITY:DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT, Date: 3/3/2015 Application Number: Property Address: BRER2015 0021 52015 AVENIDA OBREGON n D jJ Owner: DONNA VIANA APN: , 773214012 101 LINDA.ISLE Application Description: VIANA RESIDENCE/ REROOF MAR U 3NEWPORT 2� 15 BEACH, CA 92253 Property Zoning: Application Valuation: $5,347.00' nnvnrt A..,,,._. Applicant: CASTRO ROOFING INC P 0 BOX 122 THOUSAND PALMS, CA 92276 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I'am•licensed under provisions of Chapter 9:('c6mmencing with Section 70001of Division 3 of the Business and Professions, Code,, and my License is in full force and effect. license Class: C39 License No.: 828478 Dfte: 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's 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 sheds 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 riot more than five hundred dollars ($500).: (1 I, as owner of the property, or my employees with wages as,their sole compensation, will do the work, and the structure is not intended or offered,for sale. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who'builds or improves thereon, and who does the work himself or herself through his or her own employees; provided that the improvements are not intended or offered for sale' If, however' ,'the building or improvement is sold within one year of completion, the owner -builder will have'the burden of,proving that he or she did not build or improve for the purpose of sale.). (� I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. (Sec. 7044, Business and Professions Code: The:Contractors' i 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) licensedpursuant 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 Contractor: CASTRO ROOFING INC P O BOX 122 THOUSAND PALMS, CA 92276 (760)343-0092 Llc. No.: 828478 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. per is issued. 1 I have.arid 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: Policy Number: I certify that in the performance of the work for which this permit is issued, I shall not employany 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. � ��� Tate: Applic�ant: 1 WARNING[FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND,CIVIL FINES UP TO ONE H,UNDRED'THOUSAND D'OL'LARS ($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 ornission 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 c• o enter upon the above- m.entioned" r0ry for inspection purposes. ff C v Date: l / Signature (Applicant or Agent): - .. .�'. ,sC nxr5BX %m—" DESCRIPTION';�E, ACCOUNT TYAIVIOUNT a PAIDk AID°DATE I AS S61473 FEE'. 101 000020306 ; 0 . $1x00 $1.00. 3/3/15 ...i L"a'''.LS i�l�:. '' g k " {S `d "fir .XyV""F G+ F d, -E+' 'c' 6Y T +� h, METHOD, ,� -.?'.-�f y"' ,� •,,:r:R _ d ..E. S-'. RECEIPT # CHECK# CLTD BY �� EPAID �f ���s's'.`a''t.Xa�::. c..'i�'%.LL"."2" c �` .«vi-�--�': „�!z±b'*s.-���'.'''�C?5x:��rm"Y.cr_�'c`�"..,"`ez���.aiw'? s� �it» ��. - .tua �E's'4�,: �4%C>..�,"x.s�'�''ivs 6.5�..s�a'S.•.�' Ski: �.r°.'?tkfm:J?�EF'...s„�`*i CASTRO ROOFING INC CHECK 113866, 14675 MFA Tota"I Paid forBUILDING'STAWARDS AD MINISTRATION'BSa' $3 00 $1.00 �-. �m'� ,..y;. . E...'.�"'�:�1:E=..r'. � K �':-�%:"` r 5"�'. ;� �r"'S•' �k ��:,:�s°e,�iA�i>��Y G'� ;� 1 s �y '� =C�,� .. � � ` a �`y- : "�,E -,?ax„�,E..�z.3 _.a'r �' .:.�:�'��' -"� ik', A:�n`:M�i�z's,a-,h<.��rY�, �xEG�""`, � .:. -. 1�`?. C v:z.; rt� „x.:.:. ..��"�•°i. �?fnt�ir�'` f�+i`:S�i�fa;:�?,.:4..�:.. ....>ka .x.f�r..ii^,���.;.',Fas: -.�4z�a's..?-.o :iF��'a:�'¢,e�,.w:.i:": 4_ �>.�13.:;�as.Yc..:�L>Y.= RE=ROOF FIRST 2,000 SF 101 0000=42`404 p ` 0° $49 31 u $49 31 3/.3/15 ,'. :.PAID.BYMETHOD � �` : i` . � � # ;f: ,C # ME, �'i3 fii+iv"Ii CITD BY :��`�,� . -�. ��' ��;....�>7.'��a�.�.�°.�....�k ,RECEIPT _;,�'t, E.�rax.� r .�`r�. ,tee ;�`,�x���= CASTRO ROOFING INC CHECK ° �R3866 _14675. MFA .y l�` � pESCRIPTION �-1011 Y ACCOUNTS �k WEA ti-�'�6 PAI4D DATE tl > y CI , K EAMOUzN .., .,..., 1911 RE=ROOF-'FIR,ST 2,000 SF '.•' 101 0000 42404: t Oa5 " $49 31 = .$49.31..' 3/3/15 tMl ON METHOD, RECEIPT #r� CHECK #� CLTD BY sa�PA DBY:.._-. . _. _.� . GASTRO ROOFINGiNC r 6CHECK .. �, ? R3866� 14675 MFA x RE ROOF FIRST 2,000;SF PC ,� 1010000-02600 0• }; $98 62 $98.62 3/3/15 ,-£�&�A-��'S� Y.li • MNY3E,�T#HO=7.h'D�Y�.5�„ E.YG3...E# .r3.C=R. �!�l{h11 �M#k'&n."rIrcyj �- � CL?E�Tr�D �Bj:+3YF^�. xok�E�3c���-.{�s�� kY�S:iE�&,3P`"eAn�trIrD:!{YB-s �...rt�cr�' .<'�s � E>i�75v� i �. ���R-0���TRi'�tu41x- e�: , ,R�.E.'.�sE �..V' 4a. #'F:R=Yfi e?I."�Rv�,T'7 �.¢Ny ". .+4� 6`.Kv{ "NW CASTRO ROOFING,INC CHECK , 113866",,.) 14675 MFA ;Total PaidyforREROOF{ x$197 24 '` $197.24, :.:3AS WIN 3; 0 --A APPLICANT I Pi6jii' TH"OUSAND-° LMS "w"M fi CONTRACTOR CASTRO'kociFiNd"INC P -,Box 122 U 1111 1111. CA 92276 PALMS ProcessiSummary F tb�", S U Typ�; IkEbF�" :s6btypF:. App, le :.3/4/2015 MFA. OWNER DONNA VIANA pP*ro�ed-._'3jj"/`!61SMFA.- X. ParceFNo:.7hF21412'.:�. '-e•cici.s1 b� X'*­ 92253' -_i SUbdivis. Ion: SANTA-CARMIELITA VALE LA . QUINTA' -Block: 2- L6t :Isso' �t�13/201� MFA-'. UNIT 1 - Lot Scl Ft: 0 Building Scl Ft: 0 Zoning: 0 QccpOahcy Type: ConstrUction T valuation: �5'1347.0 yp6� -"8730/2015,MFA Opir6d..' No. Buildin s--.0 No:Pnites' 0, APPLICANT STRROOF" I N�G' INC'I N04: Pi6jii' TH"OUSAND-° LMS 'CA`'" fi CONTRACTOR CASTRO'kociFiNd"INC P -,Box 122 THOUSAND. CA 92276 PALMS OWNER DONNA VIANA 101 LINDA ISLE NEWPORT CA, 92253' BEACH Printed: Tuesday, March 03., 2015 3:24:42 PM 1 of 2. CRWSYSTEMS PARENT PROJECTS BOND INFORMATION Printed: Tuesday, March 03, 2015 3:24:42 PM 2 of 2 ' SYSTEAAS V CLTD• DESCRIPTION ACCOUNT QTY AMOUNT "PAID PAID DATE RECEIPT #' CHECK #~ METHOD PAID BY BY •, BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 3/3/15 R3866 14675 CHECK CASTRO ROOFING INC MFA Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $1.00 BSA: RE -ROOF -FIRST 2,000 101-0000-42404 0 $49.31 $49.31 3/3/15 R3866 14675 CHECK CASTRO ROOFING INC MFA SF RE -ROOF -FIRST 2,000 101-0000-42404 0 $49.31 $49.31 3/3/15 R3866 14675 CHECK CASTRO ROOFING INC MFA SF RE -ROOF - FIRST 2,000 -101-0000-426000 $98.62 $98.62 3/3/15 R3866 14675 CHECK CASTRO ROOFING INC MFA SF PC Total Paid for RE -ROOF: $197.24 $197.24 TOTALS: $198.24 $198.24 PARENT PROJECTS BOND INFORMATION Printed: Tuesday, March 03, 2015 3:24:42 PM 2 of 2 ' SYSTEAAS Bin !f City-of La Quina. Building &z afety-Division. ". P.0: B6k,1504 x~78-495 Q116 Tampico La Quinta, CA..92253 - (760) 777=7012 .. Building Permit Application: and Tracking Sheet !. Permit # Project Address: O I V x,) IJ6 obl^f 0/J . Owner,'s Name: ' On AiA U►Anne, • A. P. Number:- Address: Legal Description:. Cit ;. ST;.Zip: Contractor: C A 5� 0 I. : Address: .�. b 0 '�'Zti Project Description: Itxwa'�C; r Ate,. City, ST, Zip: k0 i N0 P-JAS-{ D9 l r AAj C k _ l 1. TIhoe e ne• r^ P d 00101 ..#•.: r F c0 I State,Lic. # : - �%U. h. fl ' . ' .. Ciry Lie. Arch., Engr., Designer: Address: City, ST, Zip: Telephone:Construction :::::•>::<;: Type: n Occupancy: :- State Lie. #: Project typc,(circle one): New : Add'n Alter Repair Demo Name of Contact Person:. vim.\ L ..Sq: Ft.:. } 'I�Ot) # Stories:. Units: Telephone Contact Person:: '� 6"�:� 0,`i �� �.�. -Estimated:Value of. Project: 5 x`{71 APPLICANT: DO NOT WRITE:BELOW. THIS; LINE . # Submittal Req'd Rec'd.. TRACICINC . PERMIT FEES. Plan Sets Plan Check submitted- Item . Amount Structural Calcs. Reviewed, ready. for corrections Plan Check Dcposit: Truss Cates.. Called Contact Person Plan Check-Balance. . Title 24 Calcs. :Plans;picked ups Construction Flood plain plan. Plans resubmitted Mechanical Grading plan 12°.° Review, ready for corrections/issue Electrical Subcontactor List, Called Contact Person Plumbing , Grant Dccd Plans picked up H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 'rd Review, ready for corrcctionstissue Developer, Impact Fee Planning Approval Called Contact: Person' A•I.P.P. Pub. Wks. Appr Date of.permit issue. School Fccs Total Permit Fees: STATBOF CALIFORNIA RESIDENTIAL ALTERATIONS CE 1R,ALT-0f-E Revised 06114 CALIFORNIA ENERGY COMMISSION f9 CERTIFICATE OF COMPLIANCE . ' MR -ALT -01-E Prescri tine Residential Alterations (Page 1 of 4) Prolect Name: Date Prepared: A. GENERAL INFORMATION 01 .02 Ol ! Project Name: t A n Jcnu 02 Date Prepared: 3 t S •03 I Project Location:I $ t�) O °'" 04 Builds Front Orientation (deg or cardinal): 'OS CA 0f Number of Altered`Dwelfl Units: .07; Zip Code: °t 225 3 08 Fuel e: '09' ' atmate Zone: 10 Total Conditioned.Floor, Area (ft:2): n 'eulldln"` J e' 12 Slab Area ft2 13 Prio'- ject -Sco e: Table Cell -00 B. gUILDING-INSULATION DETAILS.(Section 1503(6)1) 01 .02 03 04:.- 05 Ob 073 • . 09 '10 11 Tag,AD Assembly Type Frame T Frame Depth inches Elaine SpacingCavity _ Inches _08 'Proposed Re ulred Comments R -value Continuous Insulation R:value •.U -factor Appendix7A4,. Reference ` U -factor Table Cell -00 �,� 16 6 D, o i NOTES • Roof: area covered by building integrated photovoitalcoanels and Solar thermal "Is,are exempt from the above,Cool Roof requirements. • Uquid field applied coatings must`.comply with installation criteria from section -110.8(1)4. r C. ROOF=ROLACEMENT (Prescriptive -Alteration; Sectio n`150.Z(b)1H) t Ol- 02 031: ` 04 05 A6•• 07 '.'ba 09 10 Il 12: 13 Method of . Com liance: - Roof Pitch Exce tion CRRC Product IDDeck Number Product Type R -value Insulation Pro osed Minimum Re ulred InitlalSolar Aged Solar Thermal SRI _ Reflectance Reflectance Emittance. (Optional) Aged Solar Thermal SRI Reflectance Emrttance , (Optional) c 1 -00 �,� 16 6 D, o i NOTES • Roof: area covered by building integrated photovoitalcoanels and Solar thermal "Is,are exempt from the above,Cool Roof requirements. • Uquid field applied coatings must`.comply with installation criteria from section -110.8(1)4. r Registration Number: Registration OafeRme: HERS Provider: CA Building Energy Efficiency Standards.- 2013 Residential Compliance June 2014 ., STATE OF CALIFORNIA RESIDENTIAL ALTERATIONS CE 1R -ALT -01-E Revised 08/14 CAUFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CRR -ALT -01-E Preser(ptive.Residentiai Alterations (Page 4 of 4) Prolecf Name: \ )`� a r, hQ k kr\ Q1 _ Date Prepared: 3 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT, 1. ' I cern ' that this Certificate of Compliance documentation is accurate and complete. Daturtfentation AuthorName: Documentation Author Signature:. Company.. Signature Date: - Address CEA/ HERS Certification Weiitificatlon (if applicable): CUV/state%11p: Phone: R4SP_ON4IBLE PERSON,s:DEaAAATioN STATEMENT certify the following under penalli .of perjury; under the laws:of the State of:Califomia: 1 ' The information provided on tills CertiHcate:of Compliance is true and correct . 2. .1 am eligible under Division°3 of the: Business acid Professions Code to{accept;responsibility for the building design. or. system design identified on this Certificate of Compliance (respon{ibis . deslei)•. -... a f;n 3 That the energy features and performance spectficatior[s materials; components;:and manufactured devices for the building design or system design identified on this Certificate of Lomplfance conform to the requirements of Tide 24,- 1 and Part:6'ofahe California Code of Regulations. 4 ' ;Tile building desiin'features or system design features identified oh this Certificate of Compliance ale consistent with information provided'on other_applicable compliance documents, worksheets; calculations; plans andspedfications stitimitied o.tPie enforcement;agenc ,forapprovai wtth this bulldingperm tapplication. - S. , -,;twill erisiire that a registered . " of:this Certificate of Compliance shall:be made available wltfi'the,building permits) issued for the.building,'and made availatiie to the'enforcement agency' for all pppJicable,inspectlons; l understand that a registered copy .of -this Certificate of Compliance if'required to be lnduded.wtth:the documentation the builder: provides to the building owner atoccu an Responsible Designer Nar ie:. k Responsible 0 er Signa re: �L Co,npany : 'Date Signe d: Address: License: _ aty/state/Zip: Phone: . 60- qS-00'Z For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: i-BDG-772-33Do. Registration Number: , Registration Date/Time: HERS Provider: CA Building Energy Efficiency Standards - 2013 Residential Compliance June 2014 0 '