BRES2016-009878-495 CALLE TAMPICO. T. 0 D QuIAZ
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BRES2016-0098 Owner:
Property Address: 77435 CALLE MONTEREY MICHELLE HEILE
APN: 774074026 77435 CALLE MC
Application Description: MICHELLE HEILE / REMODEL LA QUINTA, CA 9
Property Zoning:
Application Valuation: $14,700.00
VOICE (760) 777-7125
FAX (760) 777-7011 .
INSPECTIONS (760) 777-7153
Date: 4/18/2016
w o
Ann i (1 2V r0
Applicant: Contractor: CROFLAQUINTA
HOME MEDICS HOME MEDIcs .CQMh?U� 1DpEVELOPMENTDEPARTMENT
83095 GREENBRIER DRIVE 83095 GREENBRIER DRIVE
INDIO, CA 92203 INDIO, CA 92203
(760)578-0137 '
LIc. No.: 908928
------------------------------------------------------------------------------------------_--
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: B License No.: 908928 11
Date: Cormtr" r
OWNER:BUILDER DEVILARATION
I hereby affirm under penalty of perjury that I a n1exempt 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 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:
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 a work for which this permit is issued.
red.
Ihave and will maintain workers' compensation insurance, as required by
Se00 of the Labor Code, for the performance of the work for which this permit
is 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 agree that+ if I should become subject to the
workers' compensation provisions of Section 3 00 of the Labor Code, I shall forthwith
comply with those provisions. .
WARNING: FAILURE TO SECURE WORKERS'
AND SHALL SUBJECT AN EMPLOYER TO CRIT
ONE HUNDRED THOUSAND DOLLARS ($10C
COMPENSATION, DAMAGES AS PROVIDED
INTEREST, AND ATTORNEY'S FEES.
4PENSATION COVERAGE IS UNLAWFUL-,
aL PENALTIES AND CIVIL FINES UP TO
Q. IN ADDITION TO THE COST OF
IN SECTION 3706 OF THE LABOR CODE,
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 county ordinances and state laws relating to building
construction, and hereby authorize representatives of this city o enter upon.the
above-mentioned property for inspection purposes.
Da e -w Signature•(Applicant:of Ag t):
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4/18/16
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Total Paid for RE -ROOF: $159.53
$159.53
•
,
Description: MICHELLE HEILE / REMODEL
Type: BUILDING, RESIDENTIAL Subtype: REMODEL Status: UNDER REVIEW
Applied: 3/31/2016 RSE
Approved:
Parcel No: 774074026 Site Address: 77435 CALLE MONTEREY LA OUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 186. Lot: 24 .
Issued:
UNIT 18
Lot Sq Ft: 0 Building Sq Ft: 0 * Zoning:
Finaled:.
Valuation: $14,700.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: REROOF DWELLING WITH "MALARKEY" BUILT-UP ROOFING #0850-0002. PRE -ROOF INSPECTION REQUIRED. REPAIR MAIN PANEL
BOX BREAKERS AND WIRING. ADD ELECTRICAL RECEPTACLES, !-BOXES AT EXTERIOR OF DWELLING - WEATHER PROOF GFI
PROTECTION REQUIRED. REPAIR / REPLACE TUB SPOUT. 2013 CODES.
ADDITIONAL SITES •
r•�- .'l. 1A 'V1�llf A'k" VV i r.... y fVl '..V
Printed: Monday; April 18, 2016 12:59:33 PM 1 of 3
., SYSTEMS
Printed: Monday, April 18, 2016 12:59:33 PM 2 of 3
SYST[MS
CO NTACTS
NAME TYPE
..' NAME
ADDRESSI
-. CITY
'STATE
:. . ZIP : -
--.PHONE:.:_ "FAX
;. = EMAIL 11
APPLICANT
HOME MEDICS
83095 GREENBRIER
INDIO
CA
92203
(503)281-3465
DRIVE
CONTRACTOR
HOME MEDICS
8309S GREENBRIER
INDIO
CA
92203
(503)281-3465
DRIVE
OWNER
MICHELLE HEILE
77435 CALLE
LA QUINTA
CA
92253
(503)281-3465
MONTEREY
FINANCIAL
INFORMATION
DESCRIPTION .
:ACCOUNT
QTY
AMOUNT
PAID
PAID DATE`
RECEIPT # ,
-CHECK # METHOD '
PAID BY,
•
:;BY
BSAS SB1473 FEE.
101-0000-20306
0
$1.00
$1.00
4/18/16
R14839
CASH
HOME MEDICS
RSE
Total Paid for BUILDING STANDARDS ADMINISTRATION
$1.00
$1.00
BSA:
DEVICES, FIRST 20
101-0000-42403
0
$24.17
$24.17
4/18/16
R14839
CASH
HOME MEDICS
RSE
DEVICES, FIRST 20 PC
101-0000-42600
0
$24.17
$24.17
4/18/16
R14839
CASH
HOME MEDICS
RSE •
SERVICES
101-0000-42403
0
$24.17
$24.17
4/18/16
R14839
CASH
HOME MEDICS
RSE
SERVICES PC
101-0000-42600
0
$12.09
$12.09.
4/18/16
R14839
CASH
HOME MEDICS
RSE
Total Paid for ELECTRICAL:
$84.60
$84.60
FIXTURE/TRAP
101-0000-42401
0 •
$12.09
$12.09
4/18/16
R14839
CASH
HOME MEDICS
RSE
FIXTURE/TRAP PC
101-0000-42600
0
$12.09
$12.09
4/18/16
•1114839
CASH
HOME MEDICS
RSE
Total Paid for PLUMBING FEES:
$24.18
$24.18
RE-ROOF - EA
101-0000-42404
0
$11.60
$11.60
4/18/16
R14839
CASH
HOME MEDICS
RSE,
ADDITIONAL 1,000 SF
RE-ROOF -FIRST 2,000
101-0000-42404
0
$49.31
$49.31
4/18/16
R14839
CASH
HOME MEDICS
RSE
SF
RE-ROOF- FIRST 2,000
101-0000-42600
0
$98.62
$98.62
4/18/16
R14839
CASH
HOME MEDICS
RSE
SF PC
Total Paid for RE-ROOF:
$159.53
$159.53
Printed: Monday, April 18, 2016 12:59:33 PM 2 of 3
SYST[MS
_
BOND
INFORMATION
,
ATTACHMENTS
ll.
T
Printed: Monday, April 18, 2016 12:59:33 PM - 3 of 3
SYSTEMS
Bin.#
City of La. QWnta
Building &r Safety Division
Permit # 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Y RIGS Z01b— Building Permit Application and Tracking Sheet
Project Address:• ' - y 3� 4 I l 0 yl V e _ Owner's Name:7C_� (� �:��
A. P. Number:
Address: _1( -
3 C,- I I'e
Legal Description:
City, ST, Zip: Q "J"
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ContractoO
t h
hone:
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Address: n 9-5— �� r\ e
Project Description:
City, ST, Zip: �N i o C 3
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Telephone: n �7 _Q
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tr �e_e.
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State Lie. # : 0 $'%2
City Lie. #:
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Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
tr
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State to Lic. #
ProJetyPe�circle ne • New Add'n Alter Repairair Demo
Name of Contact Person:
......
Pr7LJAT�
Sq. Ft.:z Q 3
# Stories:
# Units:
Telephone # of Contact Person: 7 (p _ Z 7r 9'.9
Estimated Value of Project: L Q Q
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
Submittal
Req'd
Rcc'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"a Review, ready for corrections/issue
Electrical "
Subcontael'or List
Called Contact Person
Plumbing
Grant Deed
Plans picked up"
S.M.I.
II.O.A. Approval
Plans resubmitted
Grading
IN I10USE:-
Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees,
Total Permit ' es
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0850-0002 Malarkey Roofing Products: Pano Membrane; Built-Up. Off-White' 0,27 , 0.28' : 0.90 : 0.89. 28' P
fs Panocap and Modified ' 4 .. ;
Bitumen Sheet
Roofing
COOL ROOF RATING COUNCIL 44915th Street, Suite 400 TEL.(866) 465-2523 EMAIL; info@cooLroofs.org
Oakland. CA 94612 FAX (510) 482-4421
STATE OF CALIFORNIA .
RESIDENTIAL•ALTERATIONS
CEC-CFIR-ALT-01-E Revised 06/14 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE MR -ALT -01-E
Prescriptive Residential Alterations (Page 1 of 4)
Project Name: Date Prepared: — (p
A. GENERAL INFORMATION
01
02
01 Project Name: V-
02
Date Prepared:
03 Project Location: r
04
Building Front Orieration (deg or cardinal):
05 CA City:
06
Number of Alfa' r7pd;Dwelling Units: W�i
Zip Code:
08
Fuel Type:
09 Climate Zone:'
10
Toai Qdni ltlOned Floor?Afea '(ft2) '
L07
11 Building Type
12
SPa;b.A'i;,eav(ft2) %%'to
13 Project Scope:
Deck4
E"'0 . WA "
J C .
B. BUILDING INSULATION DETAILS (Section 150.2(b)1)
01
02
03
04
05 06 '"' .W07 I 0809 .
�-
10
11
Tag/ID
Assembly Type
Frame
Type
Frame
Depth
(inches)
P,rd-sed
Frame t0ntiusppendix JA4
Reference
Spacing Cavity Insulation
(inches) R -value, R -value "� ,;,faitor Table; Cell
Required
Comments
U -Factor
'nitial Solar Aged Solar Thermal SRI Aged Solar Thermal SRI . .
Method of
Roof
u
0
Deck4
Compliance
Pitch
Exception
Num/b�e/ry . t
roduct Type
nsula oh
.._yam
Reflectance Reflectan;7ce Emlitta/nce (Optional) Reflectance Emittance (Optional)
C. ROOF REPLACEMENT (Prescriptive Alteration, Section\06.2(b)1H)
01
02
03
04
05
06
'67 08 09 10 it -12 13
Itoduct
R -value'
' Proposed Minimum Required
'nitial Solar Aged Solar Thermal SRI Aged Solar Thermal SRI . .
Method of
Roof
C R R C ID
Deck4
Compliance
Pitch
Exception
Num/b�e/ry . t
roduct Type
nsula oh
.._yam
Reflectance Reflectan;7ce Emlitta/nce (Optional) Reflectance Emittance (Optional)
000
zo,. 'i.
Ag JN
`N:�16- 0.2-7 J' �i O. f. , n. e�r.� 0- '
I
.
NOTES y Y dvUJ i "v Vv a .. S r.
• Roof area covered by building,integrated phbtouoltakpanels and solar thermal panels are exempt from the above Cool Roof requirements.
• Liquid field applied oating§must comply with nnifallation criteria from section 110.8(i)4.
i Registration Number: Registration Date/Time:
CA Building Energy Efficiency Standards - 2013 Residential Compliance
HERS Provider:
June 2014
STATE O•r CALIFORNIA
RESIDENTIAL ALTERATIONS
CEC-CF1 R -ALT -01-E Revised 06/14CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E
Prescriptive Residential Alterations (Page 4 of 4).
Project Name: Date Prepared:
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Compliance documentation is accurate and complete. 0,
Documentation Author Name:
Documentation Author Signature: Al
Company:
Signature Date:
Address:CEA/
WX
HERS Certification Identificatlon0(ifappiicable):
City/State/Zip:
Phone:
RESPONSIBLE PERSON'S DECLARATION STATEMENT * r
1 certify the following under penalty of perjury, under the laws of the State of California:r
1. The information provided on this Certificate of Compliance is true and correct.
2. I am eligible under Division 3 of the Businessand Professions Code to accept respons l ty for the building,dAMg�.or system design identified on this Certificate of Compliance (responsible
designer). —
-design
3. That the energy features and performance specifications, materials, compo ndliit: _nd manufactu�re�db es,for the building design or system identified on this Certificate of
Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the Ca�)fornia Code of1kegula4lons.
4. The building design features or system m design features identified on thi C,ertificate.of C6mpliance are consisstenntt'i'V3ItCh�th information provided on other applicable compliance documents,
worksheets, calculations, plans and specifications -submitted to th fo'rcement agency"for. proval with this bu:LrOing permit application.
5. 1 will ensure that a registered copy of this Certificate of Compllance,shall be made.avail blb with the buil�i%n , p m t(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 ff.Compliance is rec ui eel'to be included with the documentation the builder provides to the building
owner at occupancy. ,
Responsible Resigner Na e: �. ,
RE3p11 I Designer Signature:
Company :`
Date Sig d:
,..
Address: y •"ti q„ .`
Licen : -
O a- ,� �.,,
City/State/Zip: , 'kVV I
%
Phone:
-0/37'
1MxA
For assistance or.questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.
Registration Number: Registration Date/Time:
CA Building Energy Efficiency Standards - 2013 Residential Compliance
HERS Provider:
June 2014