BRER2014-1031•C& 0 D 4 Qum& VOICE (760) 777-7125
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Application Number:
Property Address: .
APN:
Application Description:
Property Zoning:
Application Valuation:
BRER2014-1031
53671 AVENIDA MENDOZA
774132020
REROOF REMOVE ROCK TO CLASS A ROOFING
$4,900.00
Applicant:
FREDRICK RICHARDSON
P.O. BOX 6083
RANCHO BELAGIO, CA 92254
D Q �
NOV3=0
CITY OF LA QUINTA
COMMUNITY DEVELOPMENT DEPARTMENT
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 D. ' ' 3of t usiness a Professions Code,
and my License is in full force effect.
License Class: Lice a No.:
Dater/ / contract
OWNER-PUILDER 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 Professi6ns Code) or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a%
permit subjects the applicant to a civil penalty of not more than five hundred dollars
($500).:
(_) 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 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 Address:
..o:
PEA
Date: 11/3/2014
Owner:
JAVIER MAGANA
53671 AVENIDA MENDOZA
LA QUINTA, CA 92236
Contractor:
FREDRICK RICHARDSON
P.O. BOX 6083
RANCHO BELAGIO,CA 92554
(951)212-8338
Llc. No.:
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. 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 employ any person in any manner so as to become subject to the workers'
compensation laws of California, and a if I sho -e7come
ject to the
workers' compe ation provisi of Section 370 of a labor Cod shall forth th
cc with th e pvis'o
b�te: / Applicant:C o V
WARNING: FAILURE TO SECURE WOR7RS'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
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 inform " n is correct.
I agree to comply with all city and county ordina aws, elating to ilding
construction, d hereby authorize repres atives of this city t en r upon t bove
mentio�red p pe y for inspection purpo es.
Bate: / 3 ISignature (Applican ent):
FINANCIAL INFORMATION
•'" SCRIPTIONS^•:x�� °sa• -°'ACCOUNT 'r-y°t
aQTY $AMPUNT PAID'DATE.
BSAS SB1473 FEE
101-0000-20306
0 $1.00
$0.00
_ f
r PAIDBY� `•, rt y•�� ,t
p..
t
.j. . tM Y •s�METHQD £ Z"
'.`. w RECEIPT#
r h
t HEC' CLTD.BY
''
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00
:
DESCRIPTION d ; y =,
. ACCOUNT' M,CiTY'
tb
y AMOUNT , c,r:,
_;' .PAID a
PAID. DATE
RE -ROOF - FIRST 2,000 SF
101-0000-42404
0
$49.31.
$0.00
'PAIDBY x"
" i METHOD 1A 'r ".
�`'�:KRECEIBT•#
'CHECK#'# -
•,CLTD'BY:
1
DESCRIPTION s ;� ;"
> ACCOUNT s
`QTYAMOUNTr
PAID Y r `
.PAID DATE
RE -ROOF - FIRST 2,000 SF PC
101-0000-42600•
0
$98.62
$0.00
a s: PAIDrBY ,,k a > {' x
`tMETHOD Tfs, r.
5
' ;RECEIPT,# F '..z'+' i
?�� r ;CHECK # ,>>
CLT D BY':`
Total Paid forRE-ROOF: $147.93 $0.00
TOTALS:••
Description: REROOF REMOVE ROCK TO CLASS A ROOFING
Type: RE -ROOF Subtype:
Status: SUBMITTED
Applied: 11/3/2014 PJU
Approved:
Parcel No: 774132020 Site Address: 53671 AVENIDA MENDOZALA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 243
Lot: 9
Issued:
UNIT 23
CONTACTS
Lot Sq Ft: 0 Building Sq Ft: 0
Zoning:
Finaled:
�
a'NAME�TYPE�,�
� `'*: �: :. r-°----•-•.:,cry,;-:-:� a_'.
NAMEr r3 �a,:..
Valuation: $4,900.00 Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 =
No. Unites: 0
FAX
Details: REMOVE EXISTING ROCK ROOF TO DECK RE -ROOF WITH CLASS "A" COMPOSITION ROOFING ROOFING INSULATION & DECKING. 2013
CALIFORNIA BUILDING CODES. -.
FREDRICK RICHARDSON
P.O. BOX 6083
ADDITIONAL SITES
IF CHRONOLOGY 77
CONDITIONS
FINANCIAL INFORMATION
Printed: Monday, November 03, 2014 9:30:26 AM 1 of 2 - CB?SYSTEMS
CONTACTS
�
a'NAME�TYPE�,�
� `'*: �: :. r-°----•-•.:,cry,;-:-:� a_'.
NAMEr r3 �a,:..
,,. .,,...:� . -
ADDRESSSA
,� -.�r
CITY �;
at- ..'�
.� .STATE
ZIPm
„t`Fnr .»:
w.,PHONE
..,z�-ras:.._.c-�+
FAX
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"a fix. u•a,�._
APPLICANT
FREDRICK RICHARDSON
P.O. BOX 6083
RANCHO
BELAGIO
CA
92254 •
(760)972-0684
CONTRACTOR
FREDRICK RICHARDSON
- P.O. BOX 6083
RANCHO
BELAGIO
CA
92554
(760)972-0684
OWNER
JAVIER MAGANA
53671 AVENIDA
MENDOZA
LA QUINTA
CA
92236
(760)972-0684
FINANCIAL INFORMATION
Printed: Monday, November 03, 2014 9:30:26 AM 1 of 2 - CB?SYSTEMS
'
'
INSPECTIONS
E__',
"ReECEIPi
j
L_
4�1
WACCOUNT
DESCRIPTI,
FINAL"
AMOU
CHE( #
;METHOD
PAID BY7'
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION
$1.00 $0.00
BSA: I
RE -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: $147.93 $0.00
TOTALS: $148.93 $0.00
I. PARENT PROJECTS
ATTACHMENTS
Printed: Monday, November 03, 2014 9:30:26 AM 2of2 CR
WYSTEMS
INSPECTIONS
.jINSPECTION TYPEINSPECTOR,;.', ,' SCHEDULED COMPLETED
_E1
q DATE 'DATE
q
RESULT`•` REMARKS ;" ` NOTES r` " }
PRE -ROOF
FINAL"
I. PARENT PROJECTS
ATTACHMENTS
Printed: Monday, November 03, 2014 9:30:26 AM 2of2 CR
WYSTEMS
Bin.#
City. of, La Quin
Building 8L Safety Division
P.O. Box 1504,78-495 Calle Tampico
ia.Quinta, CA 92253 -:(760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: 53 (p-( 1' voll bA 1-4Etji---,C5
Owner's Name: . �/lt�P /�%A2srl►�
A. P. Number.
Address: 5-a(6-7(
Legal Description:
City, ST, Zip: t, gVlti'()k CA- 922-58
Contractor. •F-✓G�-(2tC,qL--
:. ¢
Tet hone �P --q7,2 —6 NINE
Project Description: t26'I`./ LW6
Address:
City, ST, Zip: i�Gl �`?i_A�1b g2SS4C>
,�;1
Teleph ells% oc /r�' �� 'fp. Q` ` i'n.y,. '
es�+ r,1
State Lic. City Lia #;
Arch, Eng., Designer.
%a �7 ��e�, {gam t�fiA
Address:
City., ST, Zip:
Telephone:.
/d X
State Lic. #::- :A� :
:�; 7,u"" ��. ,
Name of Contact Person:
Construction Type: . Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
-Sq. Ft:26V(>
# Stories:
it Units:
Telephone # of Contact Pers : 5-/) 2
Estimated Value of Proj 4lq6v—.
APPLICANT: DO NOT WRITE BELOW.THIS UNE
#
Submittal
Req'd
Reed
TRACMG
PERMIT FEES
Plan Sets
Plan Check submitted.Item
Amount
Structural Cabs.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Cales.
Called Contact Person
Pian Check Balance.
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Meehariicsl
Grading plan
2`a Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN ROUSE.-
'"` Review; ready for correctionsfissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
Office Location: SAN DIEGO
Proposal Date 09/26/2014 Job Number 17100938
0 009",
Sears Home Improvement Products, Inc.
Customer NameP.O.
Box 522290
JAVIER MAGANA
1
CE V V110
F59
Home Improvement Products
1024 Florida Central Parkway
Longwood, FL 32750-7579
Customer's Home Phone
Customer's Work Phone
(760) 972-0684
Phone (800)469-4663
Street Address
ESTIMATE AND PROPOSAL
Contractor License/Registration Number
53671 AVENIDA MENDOZA
Roofing
CA (721379)
City
State
ICA
LA QUINTA
JZipCode
92253
Is installation within city limits?
(Yes/N0: YES
Installation Address County RIVERSIDE
Billing Address (if different from above)
City
State
Zip Code
Project Consultant Name & License No. (if applicable)
JOHN KOLACZ 90253 NAA
Descri tion of the Project and,Descri tion of the Sig nificant, Materials to be Used.and E ui ment to be installed
The work to be done under this contract includes the following (where checked):
Specifications (0 = Included ❑ = Not Included)
Preparation 1. R1 Tear off existing roof shingles down to wood deck on entire house.
2. 0 Inspect wood deck for rotten wood.
3. ® Replace any rotten wood found in the deck area at a rate of $ 2.75 per square foot.
PLEASE NOTE: this amount is not included in the TOTAL PRICE shown below*.
Customer and Sears agree that the TOTAL PRICE will be amended via a Contract Change Authorization form to add the costs
of replacing rotten wood in the deck area discovered after existing roofing materials are removed.
Customer(s) initials
Installation 4. ® Fumish and install Exterior Shingle:
TYPE: SUPREME COLOR: ONYX BLACK
5. ® Fumish and install 30# FELT underiayment over roof decking.
6. ® Fumish and install ice & water eave & valley protector.
7. Q Fumish and install starter shingle on all eaves.
8. Q Fumish and install/replace any deteriorated "L" flashing.
9. 0 Fumish and install metal drip edge along rake edges and eaves.
10. ❑ Fumish and install skylight systems. ❑ Reuse existing
11. Q Fumish and install new vent covers on all vent -pipes.
12. Q Fumish and install attic ventilation system (Check all applicable):
❑ Turbines ❑ Power vents 0 Shingle -over ridge vents
® Off -ridge vents , ❑ Soffit vents
13. ❑ Fumish and install new flat roof Exterior Protection System: COLOR:
Gutters 14. ❑ Fumish and install guttering: COLOR:
15. ❑ Dispose of old guttering.
Clean-up 16. Q Clean-up and removal of all job-related debris including excess materials. (Extra materials are shipped with each job to avoid
delays). Manufacturer warranty will be sent upon completion of installation.
Sears recommends that Customers have their chimney siding or mortar betwieen brick, stone, or blocks inspected periodical) b a rofessional and tuck pointed
and/or waterproofed as needed. Sears shall not be responsible for chimney integrity other than Customer(s) initials
replacing the flashing in conjunction with the. installation of the roofing materials described above.
Additional work to be done: INSTALL INSULATION ADD TO EXISTING TO MAKE R 56-60, REINSTALL GUTTERS
Work NOT to be done: Repairs and replacement of any damaged existing structural members. Interior repair to walls or ceilings including sealing,
painting, and/or drywall repair. Removal and/or re -installation of items that may otherwise impede Sears' ability to install a new
roofing system prior to installation. Examples include, but are not limited to, satellite dishes, solar panels, pool heating panels,
gutter protection systems, TV antennas, HVAC systems, and weather equipment.
NO WINDOWS AT THIS TIME
SPECIAL INSTRUCTIONS: No INSTALLATION FORM OCT 17-20
All of the above check boxes, "Work NOT to be done," "Additional work to be done," and Customer(s) initials
"Special
Instructions" sections have been reviewed and explained to me.
SR1-CA (Dig.) Rev 08/13/12 Page 1 of 5
eck A License - License Detail - Contractors State License Board Page 1 of
Contractor's License Detail for License # 643209
ISCLAIMER: Alicense status check provides information taken from the CSLB license database. Before relying on this
formation, you should be aware of the following limitations.
CSLB complaint disclosure is restricted by law (B&P 7124.6) If this entity is subject to public complaint disclosure, a link for complaint disclosure will appear below. Click on thl
link or button to obtain complaint and/or legal action information.
Per B&P 7071.17 , only construction related civil judgments reported to the CSLB are disclosed.
Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration.
Due to workload, there may be relevant information that has not yet been entered onto the Board's license database.
Business Information
FREDERICK RICHARDSON CONSTRUCTION
P O BOX 6083
MORENO VALLEY; CA 92554
Business Phone Number:(951) 653-6132
Entity Sole Ownership
Issue Date 04/25/1992
Expire Date 04/30/2016
License Status
, (This license is current and active.
II information below should be reviewed.
Classifications 1
I
B - GENERAL BUILDING CONTRACTOR
Bonding Information
Contractor's Bond
State 01 Calitorrna� SE BOARD
«RACTORS STA
•CONTTE �ICEI`1
INDIV
643209
FREoERICK RVRDSON
I CONSTRUCTION
s license filed a Contractor's Bond with OLD REPUBLIC SURETY COMPANY. `
nd Number: W150122788 4
nd Amount: $12,500 !�
ective Date: 03/01/2012
ntractor's Bond History.
Workers' Compensation
C�yfi..0-10, C39
B
0413012016
AdOlk
WWW.cslb.ca.gov
Phis license is exempt from having workers compensation insurance; they certified that they have no employees at this time.
Effective Date: 08/08/2014
Expire Date: None
Norkers' Compensation History
Miscellaneous Information
07/22/2014 - C39 CLASS REMOVED PER REQUEST
ps://www2.cslb.ca.gov/OnlineServices/CheckLicenseIl/LicenseDetail.aspx?LicNum=643209 11/3/20
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CALIFORNIA
CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E
Prescriptive Residential Alterations Page 1 of 4)
Project Name: _ 74\/f Gl Date Prepared: // Y5, /
A. GENERAL INFORMATION
01 .
02
01
Project Name:
05
02
Date Prepared:
03
Project Location:
"7 ( Y��I 7� �N707�
04
Building Front Orieritation (deg or cardinal):
05
CA City:
Required
06
Number of Altered pwelling Units:
07
Zip Code:
Table. Cell
08
Fuel Type: r, '
09-.
Climate Zone:
10
Total Cpri'dltioiied Floor;Area'(ft2)>
_ .. .mow _
11
Building Type
12
SIab,Area`(ft2)'�
13 1
Project Scope:
t?�J�
j ` ' r A �'`
i
B. BUILDING INSULATION DETAILS (Section 150.2(b)1) .
01 .
02
03
04
05
06 ,aA t x.,. 07 1 08 Q9
10
11
Tag/ID
Ta /ID
Assembly Type
Frame
Type
Frame
Depth
(inches)
Frame
Spacing
(inches)
"
,,*Proposed iowp .1
Required
I Comments
Continuous
�.
Cavity Insulation
R -value, R -value i'
,¢> U.,;factor
ihAppendix JA4 '
Refeence
r
I U -Factor
Table. Cell
NOTES'i
• Roof area covered by, building integrated photovoltaic panels and solar thermal panels are exempt
• Liquid field applied tiogs must comply with,installation criteria from, section 110.8(i)4.
from the above Cool Roof requirements.
C. ROOF REPLACEMENT (Prescriptive Alteration, Secti'on60.2(b)11-1 ..
0414
01
02
03
04
051s.
. 4 06
YQ7 08 09 10 11 12 13
Method of
Compliance
Roof
Pitch
Exception
CRRCAr, 0duct ID
Nuber ,
+PProduct Type
R-value
Deck
�nsulati�on
Propos d Minimum Re uired
"'Initial Solar Aged Solar Thermal SRI Aged Solar Thermal SRI
Reflectance Reflectance Emittance (Optional) Reflectance Emittance (Optional)
NOTES'i
• Roof area covered by, building integrated photovoltaic panels and solar thermal panels are exempt
• Liquid field applied tiogs must comply with,installation criteria from, section 110.8(i)4.
from the above Cool Roof requirements.
Registration Number: Registration Date/Time:
CA Building Energy Efficiency Standards - 2013 Residential Compliance
HERS Provider:
June 2014