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BRER2014-104178-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: Applicant: SANDRA RAMIREZ 4000 PIERCE ST NO 311 RIVERSIDE, CA 92253 T-i+w 4 4Qumro COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT BRER2014-1041 52175 AVENIDA NAVARRO 773234020 REROOF WITH SHASTA WHITE CRRC:0890-0007 $6,000.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70001 of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: _ License No.::CONV:140528101254078613 Date: 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 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 fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: <qwl, 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 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/19/2014 Owner: SANDRA RAMIREZ 4000 PIERCE ST NO 311 RIVERSIDE, CA 92253 Contractor: SANDRA RAMIREZ 4000 PIERCE ST NO 311 RIVERSIDE, CA 92253 (714)746-7733 LIc. No.::CONV:1405281012540786 0 Z Z n O M O T �-A D C M0 0 a 4:- Am M �i 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: _ AM 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 3700 of the Labor Code, I shall forthwith comply with those/ provisions. Date: lI I Applicant: G�o� 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. 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 to enter upon the above- mentioned property for inspection purposes. Date: It/& /`T Signature (Applicant or.Agent): c1 l ✓r " `DESCRIPTION," FINANCIAL INFORMATION ACCOUNT, �'*' , , kQTY r' AMOUNT, t " PAID °PAID.DATE BSAS SB1473 FEE 101-0000-20306' - 0 , $1.00 $0.00 PAID'BY t ; METHOD ; �' �+ ,. RECEIPT# y CHECK #, ; CLTD'BY Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00 4,. ,. -DESCRIPTIONACCOUNT'• J QTY• :.,,,AMOUNT " ? `. PAID - T.4 PAID DATE RE -ROOF - EA ADDITIONAL 1,000 SF - 101-0000-42404 0 $11.60 $0.00 ` PAID BY -METHOD • '`=` , RECEIPT # CHECK #, F CLTD BY, ACCOUNT: .,,:QT1F. ," . --AMOUNT ' PAID PAID,DATE RE -ROOF - FIRST 2,000 SF 101-0000-42404 0 $49.31 $0.00" �. PAID BY A` ; ,' .METHOD RECEIPT { CHECK # _CLTD BY DESCRIPTION' =' �`;, ,ACCOUNT.- " 'QTY; : ;, F -'AMOUNT. R ' PAID , ..' „ PAID DATE RE -ROOF - FIRST 2,000 SF PC 101-0000-42600 0 $98.62 $0.00 PAID BY - --' . , _- "' - ? "' METHOD' RECEIPT # . 'r . `' CHECK # .. CLTD BY i Total Paid for RE -ROOF: $159.53 $0.00 TOTALS:.0 00 4 i Description: REROOF WITH SHASTA WHITE CRRC:0890-0007 Type: RE -ROOF Subtype: Status: SUBMITTED Applied: 11/19/2014 SKH Approved: Parcel No: 773234020 Site Address: 52175 AVENIDA NAVARROLA QUINTA CA 92253 Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 93 .. i' Issued: S � Description: REROOF WITH SHASTA WHITE CRRC:0890-0007 Type: RE -ROOF Subtype: Status: SUBMITTED Applied: 11/19/2014 SKH Approved: Parcel No: 773234020 Site Address: 52175 AVENIDA NAVARROLA QUINTA CA 92253 Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 93 Lot: 9 Issued: UNIT 11 Lot Scl Ft: 0 Building Sq Ft: 0 ' Zoning:Y ,, t,`r '' Finaled: Valuation: $6,000.00 Occupancy Type: Construction Type:: ;, Expired: ' No. Buildings: 0 No. Stories: 0 No. Unites: 0 , Details: REROOF WITH SHASTA WHITE [CRRC: 0890-0007] 2013 CALIFORNIA ENERGY CODE. n Printed: Wednesday, November 19, 2014 5:01:51 PM 1 of 2 • ' , •S'� ` CRWYS TEATS - ' - V _ i• r ; _'n fh"' `^ Vit.. .. , r • s � w hr's 4�..a. ." • .. ',•` } •.*,err *' `=4t. N ADDITIONAL CONDITIONS NAME TYPE"g ADDRE551 `• CITY d a+STATE ' ZIP `' `� PHONE !* IF •iNAME ,; ,' APPLICANT SANDRA RAMIREZ 4000 PIERCE ST NO 311 RIVERSIDE CA 92253 (714)746-7733 CONTRACTOR SANDRA RAMIREZ 4000 PIERCE ST NO 311 RIVERSIDE CA 92253 (714)746-7733 OWNER SANDRA RAMIREZ 4000 PIERCE ST NO 311 RIVERSIDE CA 92253 (714)746-7733 FINANCIAL INFORMATION ;r s+ ,' t _DESCRIPTION y; ACCOUNT F QTY v AMOUNT PAID, PAID DATE' . RECEIPT # s- s ., • CLTD CHECK q METHOD F:- _ +PAID BY •c BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: Printed: Wednesday, November 19, 2014 5:01:51 PM 1 of 2 • ' , •S'� ` CRWYS TEATS - ' - V _ i• r ; _'n fh"' `^ Vit.. .. , r • s � w hr's 4�..a. ." • .. ',•` } •.*,err *' `=4t. N DESCRIPTION ` + ACCOUNT QTY "AMOUNT PAID PAID DATE RECEIPT #CHECK.# , r METHOD PAID BY CLTD- PRE -ROOF RE -ROOF - EA PROJECTSPARENT REVIEWS RETURNED TATUS REMARKS'-. y7 DATE NOTS d'v,.. f • a :' .r.,S . v {ji."`sK.JNfwi f :• • INFORMATION ADDITIONAL 1,000 SF 101-0000-42404 0 $11.60 $0.00 RE -ROOF - FIRST 2,000 101-0000-42404 0 $49.31 $0.00 ' SF RE -ROOF -FIRST 2,000 SF PC 101-0000-42600 0 $98.62 $0.00 •' Total Paid for RE -ROOF: $159.53 $0.00 TOTALS:r 0i �SEQID: INSPECTIONTYPES fay r• n INSPECTOR INSPECTIONS SCHEDULED' COMPLETED DATE' -,DATE RESULT REMARKS .,x * " s -F NOTES * `•.'Aet FINAL" ' PRE -ROOF REIEW TYPE YR PROJECTSPARENT REVIEWS RETURNED TATUS REMARKS'-. y7 DATE NOTS d'v,.. f • a :' .r.,S . v {ji."`sK.JNfwi f :• • INFORMATION Printed: Wednesday, November 19, 2014 5:01:51 PM 2 of 2 CLQ NAAFLw SYMMS T. s * � Nr' 9'014 11:54RM PIP Printing Riverside 9516821619 p.2 P,O. Box 1504 LA QUINTA, CALIFORNIA 92247.1504 78-495 CALLH TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT PROPERTY OWNER'S PACKAGE (760)777-7012 FAX (760) 777-7011 Disclosures & Forms for Owner -Builders Applying for Construction Permits IMPORTANT! NOTICE TO PROPERTY OWNER Deas Property Owner: An application for a building bas been subptitied in your name listing yourself as the builder of the property improvements specified at '5Q-r)z urQ� Ut,1xaJUkJ WC&,�.& Ca, Ci2ZSS . We are providing you with an Owner -Builder Acknowledgment and Iuf6imatlon Verification Form to make you aware of your responsibilities and possible risk you may incur by having this permit. issued in your name as the Owner -Builder: We will not issue it building permit until you have reed, Initiated your understanding of each provision, signed, and returned this form to us at our officiwl address Indicated. An agent of the owner cannot execute this notice unless you, the property owner, obtain the prior approval of the permitting authority. OWNERS ACKNOWLEI2SMCNT AIS VERIFICATION QFILTFORMATION DIRECTIONS: Read dnd (nfdal each statement below to signh) you understand or verify this Infirmadon. 1. 1 understand a fltequent practice of unlicensed persons is to have the property owner obtain an "Owner -Builder" building permit that erroneously implies that the property owner is providing his or her own labor and material personally. i, as an Owner -Builder, may be Meld liable and subject to serious financial risk for any injuriea sustained by an unlicensed person and Itis or her employees while worlang on my property, My homeowner's insurance may not provide coverage for those injuries. I am wilifi ly acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers oa my property. 2. 1 understand building permits arc not required to be signed by property owners unless they are responsible for the construction and are not hiring a licensed Contractor to assume this responsibility. �3. I understand as an "Owner -Builder" I am the responsible party of record on the permit. I understand that I may protect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own. 4. I understand Contractors are required by law to be licensed and bonded in California and to list their licensc numbers on permits and contracts, OrV 5. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value of my construction is at least five hundred dollars ($300), including labor and materials, I may be considered an "employer" under state and federal law. `y_6. I understand if I am considered an "employer" under state and federal law, I must register with the state and federal government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment compensation for each "employee." I also understand mT failure to abide by these laws may subject me to serious financial risk. � —7. I understand under California ContractoW State License Law, an Owner -Builder who builds single-family residential structures cannot legally build thein with the intent to offer them for sale, unless all work is performed by licensed subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed under contract with a licensed general building Contractor. 8 SEARCH RESULTS Selected filters Manufacturer: Owens Corning Roofing and Asphalt, LLC Primary product type: Steep Slope: Asphalt Shingles PRINT EXPORT ALL PRODUCTS CRRC PROD. ID. MANUFACTURER: BRAND PRODUCTTYPE COLOR SOLAR REFLI o.89 I MODEL 28 i 31 0.94 0.91 28 - Initial 0890-0001 Owens Coming Roofing and Asphalt, LLC: Steep Slope: Asphalt Bright White 0.27 130 Classic®, Supreme® Shingles Shasta White I o.89 0.90 2.8 132 Red, Orange, o.z6 0.28 0890-0007 Owens Coming Roofing and Asphalt, LLC: Steep Slope: Asphalt Bright White 0.26 Duration® Shingles Yellow, alta White , + 0890-0005 Owens Corning Roofing and Asphalt, LLC: Steep Slope: Asphalt Tan 0.28 Duration® Premium Shingles ` o890-0002 Cool Shingles Frosted Oak Steep Slope: Asphalt Bright White o.26 0.28 o890-0004 Owens Coming Roofing and Asphalt, LLC: Steep Slope: Asphalt Grey 0.27 Duration® Premium Shingles 8 Cool Shingles Harbor Fog O + CTANCE 3 year 0.29 0.28 0.28 0.30 THERMAL EMITTANCE SRI initial 3 year initial 3 year o.89 I 0.92 I 28 i 31 0.94 0.91 28 Shingles i 30 o.89 0.91 29 130 Cool Shingles Sage • I o.89 0.90 2.8 132 MORE INFO .F 0 90-0003 wens Coming Roofing and Asphalt, LLC. Steep Slope: Asphalt Green 0.28 0.29 1 0.90 0.88 29 30 1 + , Duration® Premium_ Shingles Cool Shingles Sage • I o890-0006 Owens Coming Roofing and Asphalt, LLC: Steep Slope: Asphalt Red, Orange, o.z6 0.28 10.89 i3O,91 ' 26 • . 30 Duration® Premium' Shingles Yellow, V , + Cool Shingles Sunrise Multicolor ` o890-0002 Owens Coming Roofing and Asphalt, LLC: Steep Slope: Asphalt Bright White o.26 0.28 0.90 gg 0.91 { 27 ' 30 Oakridge®, Duration Premium®, Shingles V + Duration® R ' 1 Shasta,White o890-0008 Owens Coming Roofing and Asphalt, LLC: Steep Slope: Asphalt Bright White 0.25 0.28 0.94 0.91 27 . 30 ! + TruDefinition Duration Shingles Shasta White COOL ROOF RATING COUNCIL 44915th Street, Suite 400 TEL (866),465-2523 EMAIL: info@coolroofs.org Oakland, CA 94612 FAX (510) 482-4421 Certificate 3146.01 STATE OF CALIFORNIA RESIDENTIAL ALTERATIONS CALIFORNIA CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E Prescriptive Residential Alterations (Page 4 of 4) Project Name: Date Prepared: DOCUMENTATION AUTHOR'S DECLARATION STATEMENT ...V 1. 1 certify that this Certificate of Compliance documentation is accurate and complete.. Documentation Author Na Documentation Author Signature: f'' Company: ` Signature Date: /' ) Address: CEA/ HERS Certification Identifl6too appal ble): 116 City/State/Zip: Phone: n RESPONSIBLE PERSON'S DECLARATION STATEMENT t, � I certify the following under penalty of perjury, under the laws of the State of California: iy(v. 1. The information provided on this Certificate of Compliance is true and correct. g 2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building e`'s or system design identified on this Certificate of Compliance (responsible designer). 3. That the energy features and performance specifications, materials, componerits'manufactyqred;devlcefor 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 0jifornia Code of 'Regulations. 4. The building design features or system design features identified ont�iis Certificate of Compliance are consistent information provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to the'enforcement agen�cIff r approval with this building�permit application. S. I will ensure that a registered copy of this Certificate of Compklia cece,S ll be made,av�able with the bu(Iding pormit(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;r�eqyu�ired to be included with the documentation the builder provides to the building owner at occupancy. ' Cx t"t `�-�` Responsible Designer Signature: Responsible Designer Name:, Company: t `� � N1 � �� A.9 Date Signed: \ * G Address: _yds License: � � 4.i r City/!hate/Zip:+ Phone: 7 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 STATE OF CALIFORNIA y RESIDENTIAL ALTERATIONS CEC-CFIR-ALT-01-E Revised 06/14 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CF111-ALT-01-E Prescriptive Residential Alterations (Page 1 of 4) Proiect Name: Date Prepared: A. GENERAL INFORMATION 01 02 01 Project Name: 0-Y-7- Q•' 02 Date Prepared: . % 4 03 Project Location: n A, 04 Building Front Orientatlon (deg or cardinal): 05 CA City: 06 Number of Alteredb;ii@ling Units: \ 07 Zip Code: 08 Fuel Type: x t% . 09 Climate Zone: 30 Tot@I,Condjtioned Floor,Area (ft2):> C 11Building.Ty e I okW 12 Slab Aria --(#11:2) A\,k Xt4 13 1 Project Scope: Q�►' r A — We .j B. BUILDING INSULATION DETAILS (Section 150.2(b)1) 01 02 03 04 05 061 08-r 1i 99 10 11 Tag/ID Assembly Type Frame Type I Frame Depth (inches) Frame Spacing 1 (inches) Ar Rropoed f -A s Required Comments ContinuousILI Cavity Insulation R -value< 's R -value #"i 0' } ;'4 -factor Appendix 1A4 Reference I LI -Factor Table Cell ' NOTES' • Roof area covered b , building integrated photovoltaic panels and solar thermal panels are exempt from the above Cool Roof requirements. • Liquid field applied ;'coatings`must comply witinstallation criteria from section 110.8(1)4. � i` w C. ROOF REPLACEMENT (Prescriptive Alteration, on'150.2(b)1H) 01 02 03 04 C;s r -P 0S), 06 C"07 08 09 10 11 12 13 Method of Compliance Roof Pitch Exception CRRC`ProdD • Number o PfOduct Type R -value �, ick-, tlnsulaUon 74WO Proposed Minimum Required `Initial Solar Aged Solar Thermal SRI Aged Solar Thermal SRI Reflectance Reflectance Emittance (Optional) Reflectance Emittance (Optional) ' NOTES' • Roof area covered b , building integrated photovoltaic panels and solar thermal panels are exempt from the above Cool Roof requirements. • Liquid field applied ;'coatings`must comply witinstallation criteria from section 110.8(1)4. Registration Number: Registration Date/Time: HERS Provider: CA Building Energy Efficiency Standards - 2013 Residential Compliance June 2014 Nov '18 2014 11:54AM PIP Printing Riverside 9516821619 Din Cifty of La Quinta BuNding 8C Safety MISIOn Petmlt # P.O. Box 1504, 78.495 Glle TaMPICO to QuInta, CA 92253 • (760) 777-7012 Building Permit Application and Tracking Sheet p.4 ProjectAddran: �j��-�"}lj AI*r..dZt► Qwner•eName: A. P. Number: Atldtrss' -III-A O+,a- Legal D=r' City, 8T, Zlp: Ct 3 Contractor: Tcl h . t Project Description: 1QC,2 Address: City, ST, Zip: Plan Check dubmltted Telephone: Item Amount State Lia. # : Ci Li,. ,#; , Arch., Ettgr., Designer: Reviewed. ready for corrections Address: Plan Check Deposit City,, ST, Zip: Telephone: State Lic. #: Name of contact Person: Construction Type: 000upancy:S�`11t° project type (circle one): New Add% Al Dano Sq. Ft.:ZQt�C7 it Storla: N Unita I'eiephAtic a;f,of Gontttet Yeraon: K(� ��1(tr-lSh Erstirnatod Yldue of Project: S APPLICANT: DO NOT WRITE BELOW THIS LINE 1i Submittal Re 'd Iteo•d TRACKING PIrliMli F> Plan Sets Plan Check dubmltted Item Amount Struciural CRIeg. Reviewed. ready for corrections Plan Check Deposit Trate Cales. Called Conta6t Penson Plan Cheek lBalante 11de 24 Caps, Plans picked up Coaetrucdoa Flood plain plan plans resubmtroed Mccbankal Grading plan V! Review, ready Ibr cormcdoneliwue Electrical SubcontacwrLlst Called ContaetPerson Plumbing Gra nt Dccd Plc tie plcked up s•.I. H.O.A. Approval I•lans resubmitted Gradlne IN HOt18111- Review, ready for correctlonaRssue Developer hapset Fee _......-.....PlaArtlRgApprov41... --..___ _ ___-. Ca11aA..t:onlactPerson----......._.._.._.........---. _.... •A.iP.P-....•., ,.--_ ,--:T--..–.-_..------- Pub. Wks. Appr Date of permit issue Schad] Pecs 'Coral Perml l %amb i • W W 78-105 -CALLE ESTADO LA QUINTA, CALIFORNIA 92253 (619) 564-2246 March 23, 1992 To Whom It May Concern: The structure located at 52-175 Avenida Navarro is located in an "X" flood zone (Areas of,500 year flood; areas of 100 year flood with-average depths of less than 1 foot or with drainage areas less,than 1 square mile; and areas protected by levees from 100 year flood) per the revised F.I.R.M. (panel 060709 0005 B, effective August 19, 1991) for La Quinta. If you have any questions, feel free to contact me. Sincerely, BUILDING AND'SAFETY Tom Hartung Director of Building a d Safety TH/lc MAILING ADDRESS P.O. BOX '1504 LA QUINTA, CALIFORNIA 92253