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BRER2015-00321 78-495 CALLE TAMPICO Ct 0 Dil�II�Cl/ LA QUINTA, CALIFORNIA 92253COMMUNITY QEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: Property Address: APN: Application Description Property Zoning: Application Valuation: BRER2015-0032 52430 AVENIDA OBREGON 773255008 COVE/RENTERIA/REROOF .HOME WITH (CRRC jSHING $8,500.00 Applicant: GREGORY JAMES PULLON 6670 AMERSHAM PL RANCHO CUCAMONGA, CA 91739 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 Tof the Business and Professions Code; and my License is in full force and effect. �Date: License Class: C39 License No.: 952463 y cl �.� Contractor: �/ '— -1•' I hereby affirm under penalty of perjury that I arim 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 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation ofSection..7031.5 by any applicant f a permit subjects the applicant to a civil penalty of not more than five hundred doll rs . ($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' . 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 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 Add VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/9/2015 Owner: JUAN RENTERIA 82430 AVENIDA OBRE60N LA QUINTA, CA 92253 Contractor: GREGORY.JAMES PULLON 6670 AMERSHAM PL RANCHO CUCAMONGA, CA 91739 (562)749-1974 Llc: No.: 952463 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 tiy,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 Sectio3700.of.tlieLaborCode, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: Policy Number:_$1?}'/e7 Fvtih3 I certify thai 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: Applicant: WARNING: FAILURE TO.SECURE WORKERS' COMPEN .ATI N COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PE ALTIES 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'SFEES. 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'courity 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. gate:' 9 Signatdre.(Applicant or Agen STATE OF CALIFORNIA RESIDENTIAL ALTERATIONS CEC-CFIR-ALT-01-E Revised 06/14 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E Prescriptive Residential Alterations (Page 4 of 4) Project Name: 96ar-&PiA Date Prepared: 5/ 5 I S 'DOCUMENTATION AUTHOR'S DECLARATION STATEMENT,,' 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. — Documentation Author Name: C-7 �lJ Documentation Author Sige: ` - L►lv �, �+ .Company: \ Signature Date: - Address: /-G—X-73 ,CEA/ HERS CertificatigA Iden' icationNif applicable): V a> City/State/Zip: cl.o C�G�i►��;✓ c%� 9� ` 3 5 Phone:? qac 5 %Y9� RESP ONSIBLE.PERSON'S DECLARATION ST EM NT 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. I am eligible under Division 3 of the Business and.Professions Code to accept responsib"ility for the building des="i or system design identified'on this Certificate of Compliance (responsible designer). _ :. 3. That the energy features and performance specifications, materials, compon0ts and manufactured `evie r.the building design orsystem design identified on this Certificate of ri A Sep Compliance conform toAhe'requirements of Title 24, Part 1 -and Part 6 ofthe California Code oftRegulations. 4. The building design features: or' system design features identified o h'I�ss Certificate of Compliance -are consistenttiWitth t e 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. ofthis Certificate of Compllanceshall be made��a��vailable with the building Permlt(s) issued for the building, and made available to the enforcement agency for inpections. l thiss'CertificgteAof Compliancy red to be included the documentation the builder to the building all applicabe understand that a regii�stergpy"of r,;equ� with provides owner at occupancy. AW Responsible Designer Namme:� 1 Resp'o'nsible Designer Signature: /@ Company: 10 Date Signed: //-W Address: ', ,0 V / /zzZ 7 1054 c � / b License: C', 9S2 G City/State/ZiP sr .. Phone: /ZAN C � Cl rM :�,� C, /23 C 5 9 —/77 i For assistance or: -questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300. Registration Number: Registration Date/Time: HERS Provider: CA Building Energy Efficiency Standards - 2013 Residential Compliance June 2014 STATE OF CALIFORNIA RESIDENTIAL ALTERATIONS CEC-CFIR-ALT-01-E Revised 06/14 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E Prescriptive Residential Alterations (Page 1 of 4) Project Name: 1ZC—rJ-F6V_ T2, o i P&,,jcd ,v-eNT - Date Prepared: y 1� A. GENERAL INFORMATION _ 01 Aft. 01 Project Name: e L (g rJ T 02 Date Prepared: 03 Project Location: 4 g- L­v�n(, DA 0g E&O l L'1 v I , 1 04 Building Front-O��ieritation(deg or cardinal): 05 CA City: UPS \-, I .>J ,A 06 . Number of AI a edZgwelling Units: b' 07 Zip Code: S ZZ S 08 . Fuel Type:' tl, ° 09 Climate Zone: 30Total Gon�diL oned Floor Area (ft2)? 31 Building Type 12 1 SIWkra(it 2) 'A,VY 13 Project Scope: - _ t ., .a. WYA "I V. 10- N& TV B. BUILDING INSULATION DETAILS (Section 150.2(b)1) 01 02 03 04 05. 06 _ .=Z'$_ 07 I 08at1`lKQ9 10 it Tag/ID Assembly Type Frame Type Frame'_ Depth (inches) FrameContinuous Spacing (inches) Proposed Required Comments Appendix JA4 . Reference Cavity Insulation R -value, R -value ,'Ufac_tor _,Table. Cell U -Factor w. r VVIO V NOTES+ • Roof area covered by builiiing integrated photovoltaic-panels"and solar thermal panels are exempt field ngss from 110:8(i)4. from the above Cool Roof requirements. • Liquid applie must comply with,469tallation criteria section . a. . - - @. , t '% Tr®'0 - . ' _ ,& fid" C. ROOF REPLACEMENT (Prescriptive Alteration, t 150.2(b)1H)_ `�!• 01 02 '"03 04,_ 05 k . 06 g tOT,if 08 09 10 11 12 13 ® R -value e�� Deck Proposed Minimum Required %Initial Solar Aged Solar. . Thermal SRI Aged Solar Thermal SRI Reflectance Reflectance Emittance (Optional) Reflectance Emittance (Optional) Method of Compliance Roof . Pitch: CRRC�d'uct ID Exception. . Number 1y *roduct Type , , Insulation w. r VVIO V NOTES+ • Roof area covered by builiiing integrated photovoltaic-panels"and solar thermal panels are exempt field ngss from 110:8(i)4. from the above Cool Roof requirements. • Liquid applie must comply with,469tallation criteria section w Registration Number: Registration Date/Time: HERS Provider: CA Building Energy Efficiency Standards - 2013 Residential Compliance June 2014 IN MIN Vic• ,�+ l • • r',k' .�. f "�'v�l, �..;. ^f3bdY,$�':iN#�.i`Y£yr '4 .. 4 `tY�'�]A .,, v'iiY { fly+>+FY'•{(i fie"ofi'yltY�. Id� "43 �'�' 4 A`�d.Y. {, °r., �' - 4lt�t?. �}•.i+"i. i�E,#i. ...,F.. � �.w jam.}.3Wtii. �i �.'Y•V"e�1`�'*i.'Y Sti ..'u`� �`'� ` .D,ESCRIPTION"W`xr�,,! �:.r}�1u��^:r= p. g � >=��ACCOUNT�+�, s� �',�.�.���*�z`�QTY�" �z'�: ,��iAMO.UNT,EF�,"�� �;.�•� P{AIDu'p PAIDUAT:E d, �.. _:.'�-1..R>3@:ei:',:L.Sk�I4 RC�2^+`:�1•.ehL5���3��x:Y�. 3:���, 4�'s.�„t�iA..Y.2',.,..Ir,:Cti.tifi'..�V.G��t.T�,n`t� t..%Y.'..iJ� tR4d''.�i[LiCla-vTi^'.'-W4F.y1'.rs..�,i.�$YA� �t_F��R'i"r.'is�4E4'�4„2�.Y,iHk-(mM.`YC.:'r. f.'<¢. _.4:kG'^..'n°fl.�Gi�:4s7w.Ri:!T BSAS SBT473'FEE 101 0000-20306�p 0 $1w.00 ` ' $0.00 •_-• t 4#,?"�'G'�`"k +'atm' ', ��t� n�' ' Va �k ,. s 4. ,,~,'cw '„d.9 �b'Y?"�'�' ,� 3���.,t a��a� � �+�'�;`"�?PAIDBY�i��' �`:b•, `�`' ,s;��" METHOD t�;�� �L�,�� �.''~��.:rt k's�:3sY�. F�.�,-...:•.Sa,� r r3 .wsz zt�,'1.��„b"i+'�u't��'I,'�si,3$crA�stzr,4�o,'ntr+s�i+.�,!,��v�vu'�ft�.:., e��d. :,fir -.n. , ht✓�SrT7'"..G”. i' eb��?�'�'9. `! �•�•r�• a, �•.�.ys..5� o.�.,t ���ni„a, �'C¢•' #�' �� �RECEIPT�#.�:'; ,^r ��s.ca,CHEC.K�.#. � - CLTjUaBY�;.x: �.ts��.l�aat•, ,A^n7 :+n�s�:...re: `iii#��:n 4.,.,Sr,.»�.:iur..0 ac3zrr<s[:m;r.,'f �•�a'f�:trs..K•A Total Paid forB.UILDINGSTANDARDS ADMINI$TRATION,BSAt ,:. ,. $100 $0.00 .:P_ XRrrk witt.a,�^ v MY s Y4i ��[[UESCRIPTIONa ,�.��3d(�•S{.�':Sx"MkE} w.?SflrYMa1�Y:��z'i�]`�+ ,'x 4; -ti _x ACCOUNTp [yaQTY>�y k'',34'4 1 :'NL.h ��:,Y1: i:�!}rLYiP1,`.H,9�Si'!�sfzt-T q` AMOUNT�yy :SV'34.4•f1JPIrYY. _Y.7s?.:'f�-1 i2 jPAIO �) 'PAID•,DAT;E. UYUi12f{YI�, )e <RTvd. .'M�1 i+ 1,�AKSr'�1�84##MM2:� RE -ROOF - EA ADDITIONAL 1,000 SF 101 0000 42404: :. _. 0' .. ` $11.60:.. " $0.00 ....,y ... �:,.1 �. i§XWi'��"a'�crw”.r,-3'+'.5��'b'ti�}._�'��-�`Wsasi «H,ysPAIDsBYz,k , a v '��METHOD��•. k'M1m., ):�' s�riYk'3n�.+k'ywiQr.. ��.r+•.t�-b1 F,yi'+' ,iz,r+.':'i-:'N.;a d�rF Suc: ar�y,{a, ;�y;,c 'r.'c��.i�ic �?e+RECEIPTs# .,.tn„+\'.T: 'eC•x y., ,gyp CHECK{# y �'.^�j]I.4�#y'-L'3tf]'d'' aCLTD�BY {n�.. ' y xzsr � :'RT`q. i 'id'-£f;.-�:t2744?4.8.flir' � ���� ... � ; DESCRIPTION r" ;� ti.?oa k�is'*�..wa..3e.n.. a.e ,..�a;k n.;u a,a,:e.G:.,.•z4`} ;A!`'� �- � � . _ ,�'hT �M-S'•dr•',#8 ..."`�;,'cVJ %�, A000UNT3 ? ,u344,a„+.,s ..*r,'�Y,3�u3r,�''Ji. a.�,��.,� s „y+b� -QTY �•.^�,'a.; , '.�zr"'3W3•fr�}.;�' _ r*a .;AMOUNT sh.';;:c;Frr�z.,;8r� �:�'"• r' .>yp'tY i!�' .:'° �• lf.AIU. a.....,emcr:�'-.,rs+�. e'z-"::�P:itis�.y�it,rtdi.�y PAIDdUATE' ?., �,�:.�Yn:t,,.� RE -ROOF - FIRST 2;000 SF" _t 101 0000-42404' ”' ; 0 _ .. $49:31 $0;00 ;� � .: ~�.. ri`• y"�S '...tF.dijC:.t'�{• c•'t ,—rs . � ��f.` .�` a".� ''�. z s , METHOD, ���,,. ,.^s�. �-a,a.�4s:�aq',za.�,t�adx.�z, a �`.A '�''y�iP''£aror#.:;,ya '°`i� =.'-f Mia RECEIO �.,ac',�+sita�#�',., i 't �w.Pr.,'. I",W.,CHECK,#��� .�.:i.-,+...,.c,uz,.:xw.,_, s £71� ��^�y:.k,;}'�fYi `. . NP -1 fl! AN �'t„�sth^.: at, ,r. r ;X;L.:,3;iKlt?e'E:ixg'tLra'r: »: 'Y ' F,1''j ra' UESCRIPTIONk k5 ��.,a:,'ru.ua.n..t;ixrsn..t,..f:£siisi�.-i5a'.ih3'.sc,'b.tfi.�a.�cw^irµil•?„''i,..x. % ..i - iP'. 'fat;BcaJjs a.."3�' ,P'• + � s�ACCOUNT 3R&� 7}'.' ,i5,re.,*§ +:w-' R ,?r ,F9.r':Re, -^ Yri ;G •, fa QTYAMOUNT t� .4�nx�.k.f ,c':L£�c:,: snsul:s,t!.;kc ., �5R;^h+:v=.n2K,rt'`a,:WG'v.`....tf�:5,bM 7. MW `�,.F A"Yi-- k � PAID ^ rks'� .v ttiY .,�•_ PAIDUATE�i RE -ROOF - FIRST;2,000 SF PC 101 0000 42600 0. $98.62 $0.00 +`s:i' Gsisk. �;h"Vy'i •.`i�; " sa'F �,'zo rw. - t! .u..- ! ' - IPAIDBY` 13§' C.r na t:;r t y:: `y;r• a.e 4 �-$ r" r METNODx''F ; "",. - k��i . r� 3� j,� +.'. Tc'r ' _: RECE PTF#�FaCHECKCLTUB �a -c,: t,ZFag.ui 4, i �•"° s"�Eg ..gfat<:{csc ai r R Total Paid for RE.71 r . r ROOF y $159 53, ..$0.00 Description: COVE/RENTERIA/REROOF HOME WITH [CRRC ]SHING CONDITIONS Type: RE -ROOF Subtype: Status: UNDER REVIEW Applied: 4/8/2015 SKH Approved: Parcel No: 773255008 Site Address: 52430 AVENIDA OBREGON LA QUINTA,CA 92253 Subdivision: SANTA CARMELITA VALE LA QUINTA - Block: 12 Lot: 8 Issued: UNIT 1 .�.., .� „ �Y. CITY -.:r'.�`-T-"• ".c ��ew- .N.,; ..STATE:• _ ZIP:> Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $8,500.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 6670 AMERSHAM PL Details: REROOF 2100 SQ FT CRRC12-14-0001 ASPHALT SHINGLE PER 2013 CALIFORNIA BHUILDING CODES APPROVED PER SK. CHRONOLOGY CONDITIONS CONTACTS ;i24�w-.�--Kase -�uxr � ¢ ��,.;, .`� , ��:�;. .,.� �t:t--:..� '"�"NAME:TYPE�J'::5�� x � �'-;.a,NAME� � �`-- `. - ��s.-�a�--_.�,-y:....=:. ". - �ADDRE551 �.i'. .�.., .� „ �Y. CITY -.:r'.�`-T-"• ".c ��ew- .N.,; ..STATE:• _ ZIP:> .�s�z afi; arc,, t� ,•t�� .� ', > .v �.:. � _�;,*:,-..A .,. ��:PHONE:�4 => �y'�`�--FAX�.4. � P •.EMAIL,.-^���.�,.: r ,w-+�}.+•--hw - .ms= ,,., v�'�q-,g�.•?�e ��3^.'::^ia _,:?�+�w.`X'. :�',�.j�.� .. ....a..+1s4`�°. ..«... ,,z+ -e. S. *af:. _X>1 ...'V+-...,..n4.Sfr -_.._ � _. ,,�;-�-^�j� - f-�::" ._.. pYK.Lii�#3.+•.•ie.i+R�.W4wfx;.. �5y.� � G,A?:.:#':'ti�:�,4 ��. r �-...;..4i-�. "'� ..... .�. »i>�'A..� 7�t�r (C 4.%: �±�'��. '. t?t% ""moo-,- $ Y. �.x�+e*a >•Y-'a:'.M :!� .'e. .. i.: A. ��Fff C.t`�a'i2.+.aW::' APPLICANT GREGORY JAMES PULLON 6670 AMERSHAM PL RANCHO CA 91739 CUCAMONGA CONTRACTOR GREGORY JAMES PULLON 6670 AMERSHAM PL RANCHO CA 91739 CUCAMONGA OWNER JUAN RENTERIA 82430 AVENIDA LA QUINTA CA 92253 OBREGON FINANCIAL INFORMATION '. Printed: Thursday, April 09, 2015 2:25:59 PM l of 2 SYS 7EM S INSPECTIONS ww - Qf6 !4INSP I MPL ED,� E w. I E SCHEDULED. :CO E'' E _Ml� 'R ARK PRE -ROOF BLD :RECEIPT # FINAL" BLD A .�P PAI Q DATE" # K ,METHOD ID BY BSAS SB1473 FEE 101-0000-.20306 0, $1.00 $0.00 Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: R ' E -ROOF - EA 101-0000-42404 0 $11.60 $0.00 ADDITIONAL 1,000 SF R&ROOF -FIRST 2,000 101-0000-42404 0 $49.31 $0.00 SF RE -ROOF - FIRST 2,000 101-0000-42600 0 $98.62 $0.00 SF PC Total Paid for RE -ROOF: $159.53 $0.00 TOTALS: $160.53 $0.00 INSPECTIONS ww - Qf6 !4INSP I MPL ED,� E w. I E SCHEDULED. :CO E'' E _Ml� 'R ARK PRE -ROOF BLD FINAL" BLD Printed: Thursday, April 09, 2015 2:25:59 PM 2 of 2 c9ewSYSTEMS Bin #City Permit # bwL LZ 15 Project Address: S Z of La Quinta. Building8t• Safety Division P.O. Box 1504;'78=495`Calle Tampico . La Quinta,. CA 92253-(760),,777-70'12.. Building Permit A' lication and Tracking Sheet Yt:NiOft ^ �i��Qap Owner's Name:' ` JZ/ N - �N � I A A. P. Number: Address: 'YL -(3,o AVEnI 1 i)A O*F3)ZeL-7 u Legal Description:City; ST, Zip: LIA- Q j, Z-2 S Contractor:6R - ✓ �� r��Ft N . Telephone: Address: 01 ��A 0 n AVC If Ob -S-1 Project Description: -6�.v- OFA pub R City, ST, Zip: V-Plrl1G a C11,1Kl✓vt0""tn� 1113: F ItJ' t I s,(Sr1�Ll Tele hone: P oti S 1��4 � C-ta State Lic. # : SZ _ City Lie. #; 4 Arch., Engr., Designer: Address: City., ST, Zip: Telephone: Construction Type: a Occupancy: State Lie. #: d n Alter emo c rc ProecttyPcJ leone'New Ad Name of Contact Person:Sq. F[.: Z�) OO #. Stories: # Units: Telephone #,of Contact Person: Estimated Value of Project: vsvV APPLICANT: DO.'NOT WRITE BELOW THIS LINE tl Submittal Rcq'd Rec'd'' TRACKING PERMIT.FEES Plan Sets Plan Chcck submitted Item Amount Structural Cafes.Rcvic`vcd; rcady'for-corrections Plan Clicck Dcposit Truss•Calcs. .Called Contact Person Plan Check Balance. Title 24 Calcs. Plans picked up. Construction Flood plain plan Plans resubmitted Mechanical Grading plan god Review, ready for corrections/issue Electrical. Subcontactor List Called Contact Person Plumbing Grant Decd Plans picked.u.p S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 'rd Revicw; ready for correctionstissuc Developer Impact Fee Planning Approval Called Conlact-Person . -AJ.P.P.. Pub. Wks. Appr Date of permit issue School Fccs . Total Permit tees