BRER2014-104478-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
c&t9r,, 4 4 Q"
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BRER2014-1044
Property Address:
48700 SAN PEDRO
APN:
646140013
Application Description:
REROOF HOT MOP CLASS A
Property Zoning:
of the work for which this permit is issued.
Application Valuation:
$13,500.00
Applicant:
is issued. My workers' compensation insurance carrier and policy number are:
DESERT VALLEY CONSTRUCTION & R
594 W 7TH STREET
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
SAN JACINTO, CA 92583
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
DEC 08 2014
CITY OF LA QUINTA
COMMUNITY DEVELOPMENT DEPARTMENT
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/8/2014
Owner:
PAULETTE MYERS
48700 SAN PEDRO
LA QUINTA, CA 92253
Contractor:
DESERT VALLEY CONSTRUCTION & R
594 W 7TH STREET
SAN JACINTO, CA 92583
(951)654-1980
Llc. No.: 447139
LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
I hereby affirm under penalty of perjury one of the following declarations:
9 {commencing with Section 7000) of Division 3 of the Business and Professions Code,
I have and will maintain a certificate of consent to self -insure for workers'
and my License is in full force and effect.
compensation, as provided for by Section 3700 of the Labor Code, for the performance
License Class: C39, B License No.: 447139
of the work for which this permit is issued.
/Oate: ll ga,lL� Contra t. 1 PiJ/ d /
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:
OWNER -BUILDER DECLARATION
Carrier: Policy Number:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
I certify that in the performance of the work for which this permit is issued, I
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
shall not employ any person in any manner so as to become subject to the workers'
city or county that requires a permit to construct, alter, improve, demolish, or repair
compensation laws of California, and agree that, if I should become subject to the
any structure, prior to its issuance, also requires the applicant for the permit to file a
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
signed statement that he or she is licensed pursuant to the provisions of the
comply with those provisions.
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 therefrom the
^'
A (/ L
Date: al't&y Appli
exempt and
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a
n
permit subjects the applicant to a civil penalty of not more than five hundred dollars
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
($500).:
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
(� 1, as owner of the property, or my employees with wages as their sole
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
compensation, will do the work, and the structure is not intended or offered for sale.
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
INTEREST, AND ATTORNEY'S FEES. .
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
APPLICANT ACKNOWLEDGEMENT
are not intended or offered for sale. If, however, the building or improvement is.sold
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
within one year of completion, the owner -builder will have the burden of proving that
the conditions and restrictions set forth on this application.
he or she did not build or improve for the purpose of sale.).
1. Each person upon whose behalf this application is made, each person at whose
(� I, as owner of the property, am exclusively contracting with licensed contractors
request and for whose benefit work is performed under or pursuant to any permit
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
issued as a result of this application , the owner, and the applicant, each agrees to, and
State License Law does not apply to an owner of property who builds or improves
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
employees for any act or omission related to the work being performed under or
the Contractors' State License Law.).
following issuance of this permit.
(� I am exempt under Sec. B.&P.C. for this reason
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.
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
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 I ws relating to building
construction, and hereby authorize representatives of this city enter upon the above•
mentionedpropertyfor inspection purposes.
Date: / o! rl� Signature (Applicant oryAgent.
IL4�"4LP7
1
m
INFORMATION
DESCRIPTION 'W
IACCOUNT' €�—AMOUNTS PAjDt ;: PAID DATE
. ;z t�ws�
.'QTY i
BSAS SB1473 FEE
101-0000-20306 0 $1.00 $1.00 12/8/14
,
PAID::BY'
€
y'� METHOD'? ¢RECEIPT # CHECK #, CLTD BY '.
DESERT VALLEY CONSTRUCTION & R
CHECK R3142 11690 MFA
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $1.00 $1.00
1)r DESCRIPTION -• ; #�'
x ACCOUNT
QTYa_x
AMOUNT
S zsx s�PAIDws=
PAID DATE'
x
r
r
RE -ROOF - FIRST 2,000 SF
101-0000-42404
0
$49.31
$49.31
12/8/14
F � 'qgX ... - x �
.s r '.;�PAID..BYa
�S C' '^' ' • i -*
METHOD
-.A "3_i Y 1 F� �
k ' t � t
#
CLTD BY
�*% Tz:RECEIPT,#
,'CHECK �
DESERT VALLEY CONSTRUCTION & R _
CHECK
R3142
11690
MFA.
'DESCRIP,TION '"
'} `ACCOUNT""
QTYAMOUNTg'
PAID t ;-+
IPAID DATE
�� p
RE -ROOF - FIRST 2,000 SF PC
101-0000-42600
0
$98.62
$98.62
12/8/14
PAID BYs�:s, ,
' ` �INIETHOD "ILI.tl
;fRECEIPT # `x`'
CHECK # x
CLTD BYrr'
n
SF
DESERT VALLEY CONSTRUCTION & R
CHECK
R3142
11690
MFA
Total Paid forRE-ROOF: $147.93 $147.93
TOTALS:
1
m
Description: REROOF HOT MOP CLASS A
Type: RE -ROOF Subtype: Status: SUBMITTED
Applied: 12/8/2014 MFA
Approved:
Parcel No: 646140013 Site Address: 48700 SAN PEDRO LA QUINTA,CA 92253
Subdivision: LA QUINTA GOLF ESTATES 1 Block: Lot: 18
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $13,500.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
SAN JACINTO
Details: REROOF WITH HOT MOP CLASS A] 2013 CALIFORNIA ENERGY CODE.
Printed: Monday, December 08, 2014 2:51:04 PM 1 of 2
srsrcnns
ADDITIONAL
'CONDITIONS
NAME TYPE I fl , k F NAME A ADDRESSl_ , ,
CONTACTS
CITY
STATE ;ZIP
PHONE-,' < FAX .:` • ;- EMAIL g
APPLICANT DESERT VALLEY CONSTRUCTION & R
594 W 7TH STREET
SAN JACINTO
CA
92583
(760)393-2071
CONTRACTOR DESERT VALLEY CONSTRUCTION & R
594 W 7TH STREET
SAN JACINTO
CA
92583
(760)393-2071
OWNER PAULETTE MYERS
48700 SAN PEDRO
LA QUINTA
CA
92253
(760)393-2071
Printed: Monday, December 08, 2014 2:51:04 PM 1 of 2
srsrcnns
ATTACHMENTS
Printed: Monday, December 08, 2014 2:51:04 PM 2 of 2 -.
SYS7E/v1S
-,-
-... _
- __ _ _ __ __
_._ __ __.__.
_ ___ _
_ _ .___.W
_ _--
CLTD
DESCRIPTION
ACCOUNTQTY17
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
- °BY
RE -ROOF : FIRST 2,000
101-0000-42404
0
$49.31
$49.31
12/8/14
R3142
11690
CHECK
DESERT VALLEY
MFA
SF
CONSTRUCTION & R
RE -ROOF - FIRST 2,000
101-0000-42600
0
$98.62
$98.62
12/8/14
R3142
11690
CHECK
DESERT VALLEY
MFA
SF PC
CONSTRUCTION & R
Total Paid forRE-ROOF: $147.93 $147.93
•.93 �:
ATTACHMENTS
Printed: Monday, December 08, 2014 2:51:04 PM 2 of 2 -.
SYS7E/v1S
Bin 4-1--
City of La Quinta.
Building &r Safety Division
P.O. Box 1504, 78 495 Calle Tampico .
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: S 2
Owner's Name: e
A. P. Number:.
Address: YJ 700 S
Legal Description:
City, ST, Zip: C
Contractor: or:
Telephone: �
Address: S�y
Project Description: d/
City, ST, Zip:
Telephone:
'� �'�:::;;;>;:::�;•::<:x:.;:;:;;;::>;::r»:>
State Lic. # : l f y%l3
City Lie. M.
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
,..:<:..,.:.,.,.,..,...,..�.;;....,:..
Conshvction Type: Occupancy;
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.: 3�
# Stories:/ l
#Units:
Telephone #,of Contact Person. %
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES.
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss C21cs.
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 Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN IIOUSE:-
'`" 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 Fees
STATE OF CALIFORNIA 1 ,
RESIDENTIAL ALTERATIONS,,
CEC-CFIR-ALT-01-E Revised 06114 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CFIR-ALT-01-E
Prescriptive Resid ntial Iterations (Page 1 of 4)
Project Name: %fit a Date Prepared:: /_r.Vfy/1y
A. GENERAL INFORMATION
01
02
01
Project Name: Au e -el?
02
Date Prepared: �•."'
03
Project Location:
04
Building Front•d I Maf)on'(deg or cardinal):
05
CA City: L a
06
Number of Alfi d g elling Units: O
07
Zip Code:
08
Fuel Type: k ,
09
Climate Zone: -
10
T,pta),Con1 ieioned Floor>A"`ea (ft?)l -
11
Building Type
12
Siab , °to(ft2) {t`! •,
13
Project Scope:
I I 1 .1 . a �Ilwl � - W, 'W
B. BUILDING INSULATION DETAILS (Section 150.2(b)1)
01
02
03
04
05
06,"'�„ `" 67 08 09
10
11
Tag/ID
Assembly Type
Frame
Type
Frame
-Depth
(inches)
Frame
Spacing
(inches)
lPP,coposed
Required
Comments.
ntinuous YR Appendix JA4
Cavity �glhsulation Reference
R val„ae R -value ,> U,factor Tabl,e.: Cell
U Factor
Deck
Compliance
Pitch Exception
Number
PYoductType
1nsLla�tion
Reflectance Reflectance Emittance (Optional) Reflectance Emittance (Optional)
Ct=dre�y'
re2S G
C. ROOF. REPLACEMENT (Prescriptive Alteration, Secti�n,150.2(b)1H)
01-
02 03
04
05�,
<P 06
0'6,70 08 09 10 11 12 13
re` .
a
R -value 11,111%
._
Pro osed Minimum Re uired
*tInitial Solar Aged Solar Thermal SRI Aged Solar Thermal SRI
Method of
Roof
CRRC Product ID
Deck
Compliance
Pitch Exception
Number
PYoductType
1nsLla�tion
Reflectance Reflectance Emittance (Optional) Reflectance Emittance (Optional)
Ct=dre�y'
re2S G
NOTES
• Roof area covered by building --integrated photovoltaiapanels and solar thermal panels are exempt from the above Cool Roof requirements.
• Liquid field t from 110.8(i)4.
applied o gss must comply with�installation criteria section
Registration Number:' Registration Date/Time: HERS Provider:
-CA Building Energy Efficiency Standards - 2013 Residential Compliance June 2014
1
91
STATE OF CALIFORNIA -
RESIDENTIAL ALTERATIONS
CEC-CFIR-ALT701-E Revised 06/14
CERTIFICATE OF COMPLIANCE
Prescriptive Resi ential Iterations
Project•Narne:' B"1'
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1: Ice fy that this Certificate
i'+fic`atLe of Compliance documentation is -ac
CALIFORNIA ENERGY COMMISSION
MR-ALT701=E,
(Page 4 of 4)
Date Prepared:
,IAM
� r
ndcomplete.
r• ,
. 3
F
For assistance or�questions.regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.
Registration Number: Registration Date/Time: x ' _ HERS'Provider:
'CA Building Energy Efficiency Standards - 2013 Residential Compliance June 2014
curatea
Docu ent ion Author N
Documentation Author Signature: ,
1�+.:..
-Company: �
'Signature Date:- ;, • - - - -K
Address:
CEA/ HERS Certification Ideniificaatiion (if applicablel:
City/State/Zip:
Phone: _
RESPONSIBLE PERSO DECLARATION STATEMENT �, r
I certify the fol owing 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 respons'bl' lityfor the buildmg degnior system design Identified on this Certificate of Compliance+(responsible .
•designer).
3. 'That the energy features and performance specifications; materials, co.mponKenntss, 0 man6fact6rre dewc 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 C, alifornia Code of'Regulations.
"building design features design `are
4: The or system features identified on thisCertificate ofYC6mplianc consisten�tll tf a information provided on other applicable compliance documents,
Worksheets, cy''fo pproval-with
calculations, plans and specifications submitted to the enforcement age this building permit application.
4, - s� 4 "k
S. I will ensure that a registered copy of this Certificate of Cor tplianceishall be made au Mable with the build g pgrmlt(s) issued for the building, and made available to the enforcement` agency
for all applicable inspections. I understand that a registered co, py of this Certificate oaf 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:
' >s
Date Signed:
Address:
LI, nse: r
City/State/Zip: �. '�
Phone: -
Q'
r• ,
. 3
F
For assistance or�questions.regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.
Registration Number: Registration Date/Time: x ' _ HERS'Provider:
'CA Building Energy Efficiency Standards - 2013 Residential Compliance June 2014