BRER2016-0025Applicant: Contractor: V CITYOFLAQUINTA
CADD WORKS INC CADD WORKS INC COMMUIWTYDEVELOPMENTDEPARTAic:I�JT
31475 CALLE HELENE 31475 CALLE HELENE
THOUSAND PALMS, CA 92276 THOUSAND PALMS, CA 92276
(760)272-5183
Llc. No.: 917955
---------------------------------------------------------------------------------------------
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.
�Licceense Class: B D06 C29 License No.: 917955
�Co�ntr�actor:
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`e_
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
Lender's
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 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.
WARNING: FAILURE TO SECURE(WORKERS' PENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLO IMINAL 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
ve- en 'oned property for inspection purposes.
Date: Signature (Applicant or Agen
�l
I
J [/
4 C` �V �
VOICE (760) 777-7125
78-495 CALLE TAMPICO
� D
FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 COMMUNITY
DEVELOPMENT DEPARTMENT
INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 4/4/2016
Application Number:
BRER2016-0025.
Owner:
Property Address:
51120 AVENIDA RAMIREZ
MIGUEL RODRIGUEZ
APN:
773062005
Application Description:
MIGUEL RODRIGEZ / RE ROOF
92253
D
I
Property Zoning:
Application Valuation:
$4,000.00
T1FR 0.42015
Applicant: Contractor: V CITYOFLAQUINTA
CADD WORKS INC CADD WORKS INC COMMUIWTYDEVELOPMENTDEPARTAic:I�JT
31475 CALLE HELENE 31475 CALLE HELENE
THOUSAND PALMS, CA 92276 THOUSAND PALMS, CA 92276
(760)272-5183
Llc. No.: 917955
---------------------------------------------------------------------------------------------
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.
�Licceense Class: B D06 C29 License No.: 917955
�Co�ntr�actor:
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`e_
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
Lender's
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 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.
WARNING: FAILURE TO SECURE(WORKERS' PENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLO IMINAL 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
ve- en 'oned property for inspection purposes.
Date: Signature (Applicant or Agen
�l
I
Description: MIGUEL RODRIGEZ / RE ROOF
Type: RE -ROOF Subtype:
Status: APPROVED
Applied: 4/4/2016 RSE
Approved: 4/4/2016 RSE
Parcel No: 773062005 Site Address: 51120 AVENIDA RAMIREZ LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 72
Lot: 18
Issued:
UNIT 9
Lot Sq Ft: 0 Building Sq Ft: 0
Zoning:
Finaled:
Valuation: $4,000.00 Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0
No. Unites: 0
Details: REROOF WITH LIGHT -WEIGHT MONIER ASPHOLT SHINGLE - CALIFORNIA MISSION BLEND COLOR [CRRC: 0890-0014] 2013
CALIFORNIA ENERGY CODE.
CONDITIONS
A
,. ....
FINANCIAL IIyF4RM TlQN,
Printed: Monday, April 04, 2016 1:09:14 PM 1 of 2
SYSTEMS
_ ,
.QTY
--7-77-
, - ,, ----�
_ 7-,_
,
[ .
-
_ -
-
CLTD
DESCRIPTIONACCOUNT
AMOUNT
PAID
PAID DATE -
RECEIPT #
CHECK #W-
METHOD
PAID BY .'
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$1.00
4/4/16
R14475
1227
CHECK
MIGUEL RODRIGUEZ
RSE
Total Paid for BUILDING STANDARDS ADMINISTRATION
$1.00 $1.00
BSA:
RE -ROOF - EA
101-0000-42404
0
$11.60
$11.60
4/4/16
R1447S
1227
CHECK
MIGUEL RODRIGUEZ
RSE
ADDITIONAL 1,000 SF
RE -ROOF - FIRST 2,000
101-0000-42404
0
$49.31
$49.31
4/4/16
R14475
1227
CHECK
MIGUEL RODRIGUEZ
RSE
SF
RE -ROOF -FIRST 2,000
101-0000-42600
0
$98.62
$98.62
4/4/16
R14475
1227
CHECK
MIGUEL RODRIGUEZ
RSE
SF PC
Total Paid for RE -ROOF: $159.S3 $159.53
TOTALS:.0$160.53
INSPECTIONS
IJARLNT PROJECTS
BOND INFORMATION
Printed: Monday, April 04, 2016 1:09:14 PM 2 of 2
SYSTEMS
.. t
Bin #
Permit #
Project Address: E31
o"
City of -La u, in to
Building 8r Safety Division -
78-495 Calle Tampico.
La Quinta, CA 92253 - (760) 777-7012
Building Perrhit Application and;Tracking•:Sheet
I-zo M& x IDA Roam Owner's Name: )w 60 6RA6
A. P. Number:
Address:
Legal Description:
City, ST, Zip: A,
Contractor: CArJ^ pyo t
� S !/J L.
Tele P hone:
Address: 3
17/b /b
i (�;vp� L�
Project: Description: 2 , rLoo F 5N IN %lz-S
City, ST, Zip:
Telephone: o 2 i S I 3
State Lic. #:
Sy`
City Lie.A.
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
«:
x x.
s
on tructi
C s on Type:Occupancy:
YP
Lic.#
S
ecircle ne N w Add'n ltr Reir
a
Demo
Project
Name of Contact Person:
2�� a roU i LA r-,
Sq. Ft.: W 0
#Stories:
# Units:
Telephone # of Contact Person: 7 tot),2�-2 SI �'3
Estimated Value of Project: 14, o oQ
APPLICANT:. DO" NOT;NRITE.BELOW-THIS 'LINE
H
Submittal
Req'd
Recd •
' TRACKING
PERMIT FEES'
Plan Sets
Plan'Checksubmitted
Item
Amount
Structural Calcs.
.'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"" Review,.ready for corrections/issue
Electrical
Subcontactor List
Called ContactPerson,
Plumbing
Grant Deed
Plans picked,up
S.M:I.
14.0.A. Approval
Plans resubmitted
Grading
IN ROUSE:-
°rJ Review, ready for correctionMissue
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
RESIDENTIAL ALTERATIONS
CEC*-CFlR-ALT-01-E (Revised 06/14) CALIFORNIA ENERGY COMMISSION
CERTIFICATE -OF COMPLIANCE CF1R-ALT-01-E
PrescriptiVe Residential Alterations D . ate Prepared: 4 (Page 1 of 4)
A. GENERAL INFORMATION
03 Project Location: 511-2o AVeO I ()A PA K k "7z, 04 Building Front:(fr,1enjiaf1'pn'(deg or cardinal):
05 CA City LA tA 016 Number'of Alt rpajOwelling Units: V^
09 'Climifte16hi- 10
'
�SAOILDING. IN'
r
` rA' VU —W' -. .
Registration Number:
cABuilding Energy Efficiency smnuarus 2o10Residential Compliance
`
neoistraVvpoate/nme: HERS Provider:
—
June 2014
Ail AW09
Tag ID
Assembly Type
Frame
Type
Frarne
Depth
ches)
F rame
Spacing
(inches)
Rr ID
CRRC. ocl
Cavity 7
R-va wk
C.on t. inuous
&Insulation
11P�0�111rponcli.�
JA4
Aged Solar Ther mal SRI
11016Etance Emittance (Optional).
0192
NOTES N�
Roof area -cover(- $g int
!d by,buil8l taike pa:nels and Solar th al panels are exempt from the above Cool Roof requirements.
Liquid field applied coatiQgs must comply withdinstallation criteria from section 110.8(i)4.
Registration Number:
cABuilding Energy Efficiency smnuarus 2o10Residential Compliance
`
neoistraVvpoate/nme: HERS Provider:
—
June 2014
Method of
'Compliance
Roof
Rr ID
CRRC. ocl
R -value
[Deck,
Proposed
Minimum Required
ar
"Elni'tial Solar Aged Sol.' Thermal SRI
nce- Reflectance Emittance (Optional)
Aged Solar Ther mal SRI
11016Etance Emittance (Optional).
0192
NOTES N�
Roof area -cover(- $g int
!d by,buil8l taike pa:nels and Solar th al panels are exempt from the above Cool Roof requirements.
Liquid field applied coatiQgs must comply withdinstallation criteria from section 110.8(i)4.
Registration Number:
cABuilding Energy Efficiency smnuarus 2o10Residential Compliance
`
neoistraVvpoate/nme: HERS Provider:
—
June 2014
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CERTIFICATE OF COMPLIANCE CF1R-ALT-0I-E
Prescriptive Residential Alterations (Page 4 of 4)
Project Name: &H M6l.,S (LiE-fLocFIN 6 Date Prepared: 4.4• Zoi 4
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.' _
Documentation Author Name:
�(CA 2 o 'A row
Documentation Author Signature:
tl:A
Company:' - a .. , _ _
toe-.
`Signature`D`ate: _
4 4:20
oo tNM,4S
Address:
CEA/ HERS Certification Ideptificatlonl(if applicable):, x�
314ZS . G.:U 4 i uis r
City/State/Zip: -
T(iovSpNl�.
Phone:
RESPONSIBLE PERSON'S DECLARATI.ONSTATEMENT
I certify the following under -penalty, of:perjury under thedaws of the State of`Californla
1. The information provided 'on ,this Certificate of Compliance Is true and correct?
Psystem'design
2. lam ellglbleJunder'Division 3 of:the Business and Professions Code to accept resporislblh for.the building'destg�aln or identified on this Certificate of Compliance (responsible
designer).
A313. That the energy features an'd performance specifications; materials, compo nests dnd manufactured devlcesrfor the building design orsystem design identified on this Certificate of
Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the Carforirla Codeof{Regula4ions
a ., _ :. ..
4. The,buildi'rig design features or system design features idenUfiied on this Certificate of Compliance are consistbriEWith the information provided mother applicable compliance documents,
worksheets, calculations, plans and specifications submitted to.the`e o cement agency approval with his building permit application
S. .' I will ensure that a registered copy, of this Certificate of Compl anceMall be made:av ilablewith the buildi g permits) issued'for the building,'and made available to the enforcement. agency
-0k, 1. this Certificate of 11 Compliance is
for all applicable inspections. I understand that a registered irreed'to be included 1.with the documentation the builder provides to the building
.r
owner at occupancy.
Responsible Designer Name:Responsible
Designer Signature:
Rei cam_ ,VV
Company:
s
.'Date Signed:.
CA (�� , c : -.
4- 4 2o 16
Address:
License`.
City/State/Zip:
VUUS, C1A�122�1b
Phone:
C�foo
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