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BRER2017-0043' 78-495 CALLE TAMPICO 0 T�i D 4 091AM VOICE (760) 777-7125 FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 5/15/2017 Application Number: BRER2017-0043 n //--\\ 0 wner: Property Address: 52940 AVENIDA RUBIO ROBERT LEE HOY APN: 773313010 y C 09 S MAPLE ST 5 Application Description: HOY RESIDENCE / REROOF MAY 1 2011U .GLEWOOD, CA 92253 Property Zoning: F 0 Application Valuation: $9,600.00 CITY OF lA OUf11TA Applicant: DESIGN AND DEVELOPMENT DEPARTMENT Contractor: SOTELO ROOFING SOTELO ROOFING OUTSIDE CITY LIMITS 45607 INDIAN RIVER RD INDIO, CA 92201 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 B i ess and Professions Code, and my License is in full force and effect. License Class: C39 License No.: 923179 0 n OWNER -BUILDER DFTION I hereby affirm under penalty of perjury that I OF from the Contractor's State License Law for the following reason (Sec. 703 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.). (_) 1, 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 Lender's Address: (760)902-8645 Llc. No.: 923179 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: STATE COMPENSATION INSURANCE FUND Policy Number: 1911701 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 Aecome subject to the workers' compensation provisions of Section 3700 of thEyiaoore, I shall forthwith comply witq those provisions. / I WARNING: FAILURE TO SECURE WORKERSVIN TION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRLTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($10,DDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDEDION 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 law&np o building construction, and hereby authorize representatives of this city to the above-menyojn / property for inspection purposes. Date:` `� (� Signature (Applicant or -Agent):_' Application Number: Property Address: APN: Application Description Property Zoning: Application Valuation: Applicant: SOTELO ROOFING OUTSIDE CITY LIMITS BRER2017-0043 52940 AVENIDA RUBIO 773313010 HOY RESIDENCE / REROOF $9,600.00 Owner: ROBERT LEE HOY 1109 S MAPLE ST INGLEWOOD, CA 92253 Contractor: SOTELO ROOFING 45607 INDIAN RIVER RD INDIO, CA 92201 (760)902-8645 LIc. No.: 923179 Date: 5/15/2017 Detail: TEAR OFF AND REROOF WITH 30 YEAR DIMENSIONAL SHINGLES, EMBER COLOR [CRRC: ICCESAC438 ] PER 2016 CALIFORNIA ENERGY CODE. DESCRIPTION ACCOUNT I QTY I AMOUNT BSAS SB1473 FEE IF 101-0000-20306 1 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT QTY AMOUNT RE -ROOF - EA ADDITIONAL 1,000 SF 101-0000-42404 0 $12.16 DESCRIPTION ACCOUNT QTY AMOUNT RE -ROOF - FIRST 2,000 SF 101-0000-42404. 0 $51.68 DESCRIPTION ACCOUNT QTY AMOUNT RE -ROOF - FIRST 2,000 SF PC 101-0000-42600 0 $103.36 Total Paid for RE -ROOF: $167.20 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY.ENHANCEMENT FEE: $5.00 Texo Bin # Permit 9; Project Address -5 Qty pf La Quinta Buifding St' Safety Division • 78-495 Catte Tampico La Quinta, CA 92253 - (760) 777-701,2 Building Permit Application .and Tracking Sheet Nv tri Owncr's Narne: �KpvC L -FL 0 A. P. Number: Address: 5 Zq'((-) 'KNEW V IS 41 Q Legal Description: City, ST, Zip: Contractor: �J �-O 0 FX N h Telephone: P one: .....................................:...:.:. Address: (40 _ 10?vv � U � - Project Description: ��-v� C(� City, ST, Zip: l—N�1 1, -1 2--Z,() f-00 (,I��Fi f N Telephone: e 1 nc: 0 \ 6 q02- '!0 State-Lic. #: CityLic. #.: Arch., Gngr., Designer: Address: City, ST, Zip: Telephone- aneY• Construction Type: Occupancy: P a 4: �c. State L tYPe (circle one • NewAdd'n Ar e ai r Demo Name of Contact Person: Sq. Ft.: a,1p O ' # Stories:# Units: Telephone # of Contact Person: l(-0 4S Estimated Value of Projel Of r IV 0—'— APPLICANT: DO NOT WRITE BELOW THIS LINE H Submittal Rcq'd Rcc'd TRACKING PERMIT FEES Plan Sets Plan Check submitted l Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cates. Called Contact Person Plan Check Balance. Tit!e 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, ready for corrections/issue Electrical Subcontactor List Called Contact Pcrson Plumbing Granl Decd Plans picked up S.M.I. II.O.A. Approval Plans resubmitted Grading IN HOUSE:- Reyiew, 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 Fees STATE OF CALIFORNIA Prescriptive Residential Alterations That Do Not Require HERS Field Verification RN CEC-CFIR-ALT-05-E (Revised 04/16) CALIFORNIA ENERGY COMMISSIW CERTIFICATE OF COMPLIANCE CF1R-ALT-05-E Prescriptive Residential Alterations That Do Not Require HERS Field Verification Page 1 of Project Name: Date Prepared: This compliance document is only applicable to simple alterations that do not require HERS verification for compliance. When HERS verification is required, a CF1R-ALT- 01 shall first be registered with a HERS Provider Data Registry. Alterations to Space Conditioning Systems that are exempt from HERS verification requirements may use the CF1R-ALT-0S and CF2R-ALT-05 Compliance Documents. Possible exemptions from duct leakage testing include: less than 40 ft of ducts were added or replaced; or the existing duct system was insulated with asbestos; or the existing duct system was previously tested and passed by a HERS Rater. If space conditioning systems are altered and are not exempt from HERS verification, then a CFIR-ALT-02 must be completed and registered with a HERS Provider Data Registry. Alterations. that utilize close Cell Spray Polyurethane Foam (ccSPF) with a density of 1.5 to less than 2.5 pounds per cubic foot having an R -value other than 5.8 per inch, or Open Cell Spray Polyurethane Foam (ocSPF) with a density of 0.4 to less than 1.5 pounds per cubic foot having on R -value of 3.6 per inch, shall complete and register a CFIR-ALT-01 with a HERS Provider Data Registry. If more than one person has responsibility for installation of the items on this certificate, each person shall prepare and sign a certificate applicable to the portion of construction for which they are' responsible. Alternatively, the person with chief responsibility for construction shall prepare and sign this certificate for the entire construction. All applicable Mandatory Measures shall be met. Temporary labels shall not be removed before verification by the building inspector. A. General Information 01 Project Name: 02 Date Prepared: 03 Project Location: 52 _0/`iQ Avg—P1b A V—\)? ( Q. ` V 04 Building Front Orientation (deg or cardinal): 05 CA City: 06 Number of Altered Dwelling Units: .07- Zip Code: 0 1 25 J 08 Fuel Type: 09 Climate Zone: 10 Total Conditioned Floor Area (ft): 11 Building Type: ' 1„�e.� 12 Slab Area (ft) 13 Project Scope (Select all that apply): ❑ B, Insulation ❑ D. & E. Fenestration/Glazing - ADD ❑ G. Space Conditioning System (Heating, Cooling, Duct system) ❑ Lighting E C—Roof;Replacement ❑ D. & F. Fenestration/Glazing - REPLACE ❑ H. Water Heating System ❑ Include Mandatory Measures? CA Building Energy Efficiency Standards.- 2016 Residential Compliance April 2016 STATE OF CALIFORNIA Prescriptive Residential Alterations That Do Not Require HERS Field Verification �r t CEC-CFIR-ALT-05-E Revised 04/16 CALIFORNIA ENERGY. COMMISSION --a, CERTIFICATE OF COMPLIANCE CF1R-ALT-05-E Prescriptive Residential Alterations That Do Not Require HERS Field Verification . Page 2 of 3 Project Name: Date Prepared: C. Roof Replacement (Prescriptive Alteration, Section 150.2(b)1H) 01 02 03 04 05 06 07 08 09 10 11 12 13 Proposed Minimum Required Method of Compliance Roof Pitch Exception CRRC Product ID Number. Product . Type R -value Deck Insulation Initial Solar Reflectance Aged Solar Reflectance Thermal Emittance SRI. (Optional) Aged Solar Reflectance Thermal Emittance SRI (Optional). oo ORION Delete Ro� _6 . NOTES: • Roof area covered by.building.integrated photovoltaic panels and solar thermal panels are exempt from'the above Cool Roof requirements. • Liquid field applied coatings must comply with installation criteria from.Section 110.8(1)4. r CA Building Energy Efficiency Standards - 2016 Residential Compliance April 2016 STATE OF CALIFORNIA Prescriptive Residential Alterations That Do Not Require HERS Field Verification CEC-CFIR-ALT-05-E (Revised 04/16) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CF1R-ALT-05-E Prescriptive Residential Alterations That Do Not Require HERS Field Verification Page 3 of 3" Project Name: Date Prepared: DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Autho Nanme,: Documentation Author Signature: \ n r ^ Company: 4f5b-,�E� Signature Date: Address, CEA/ HERS Certification I e tlflcatl i icable): ate/Zip. �1 O C A 2'Z ci Phone: 760) 102--$-&(f i RESPONSIBLE PERSON'S DECLARATION STATEMENT 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. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance (responsible designer). 3. That the energy features and performance specifications, materials, components, and manufactured devices for 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 California Code of Regulations. 4. The building design features or system design features identified on this Certificate of Compliance are consistent with the 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 of this Certificate of.Compliance shall be made available with the building permit(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 required to be included with the documentation the builder provides to the building owner at occupancy. Responsible Designer Name: Responsible Designer Signature: Company: Date Signed: Address: License: City/State/Zip: Phone: For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300. CA Building Energy Efficiency Standards - 2016 Residential Compliance April 2016