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BRER2017-005978-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: BRER2017-0059 Property Address: 78137 SAN TIMOTEO APN: 646160009 Application Description: TEAR OFF TILE AND RESTACK Property Zoning: Application Valuation: $62,680.00 Applicant: ROOF TILE SPECIALTY INC P 0 BOX 11257 PALM DESERT, CA 92255 T4t�t 4 41 Qu&m DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT 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 Cls �CC3 License No.: 81 Dater c ` Cot actor: OWNER -BUILDER DECLARATION VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/19/2017 Owner: J MAR ASSOC IVa 4004 GILLON AVE �E �" a' O DALLAS, TX 9225J� ` Co, Ci>3 13 Z01% . �NiryoEbOoP DU�,�"�. J ROOF TILE SPECIALTY INC ��NT��AATAfFn,T .P 0 BOX 11257 PALM DESERT, CA 92255 (760)200-0811 Lic. No.: 810537 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: REDWOOD FIRE AND CASUALTY INSURANCE CO Polity Number: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State ROWC809729 License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any I certify that in the performance of the work for which this permit is issued, I city or county that requires a permit to construct, alter, improve, demolish, or repair shall not employ any person in any manner so as to become subject to the workers' any structure, prior to its issuance, also requires the applicant for the permit to file a compensation laws of California, and agree that, if I should become subject to the signed statement that he or she is licensed pursuant to the provisions of the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division comply with those provisions. 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 Date; Ap�plipant: permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, (_) I, as owner of the property, or my employees with wages as their sole AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO compensation, will do the work, and the structure is not intended or offered for sale. ONE HUNDRED THOUSAND DOLLARS ($100,000).. IN ADDITION TO THE COST OF (Sec. 7044, Business and Professions Code: The Contractors State License Law does not COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE apply to an owner of property who builds or improves thereon, and who does the work INTEREST, AND ATTORNEY'S FEES. 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. . BAP.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: 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 abogeetione pr erty for inspe u osesDat\ "�� Si fiature (Applic or Agent): Date: .6/19/2017 ' Application Number: BRER2017-0059 Owner: Property Address: 78137 SAN TIMOTEO J MAR ASSOC APN: 646160009 4004 GILLON AVENUE Application Description: TEAR OFF TILE AND RESTACK DALLAS, TX 92253 " Property Zoning: Application Valuation: $62,680.00 Applicant: Contractor: ROOF TILE SPECIALTY INC ROOF TILE SPECIALTY INC P O BOX 11257 P O BOX 11257 PALM DESERT, CA 92255 PALM. DESERT, CA 92255 (760)206-0811 Llc. No.: 810537 Detail: TEAR OFF AND REPAPER AND RESTACK TILE. ONLY 1/2 OF THE HOUSE IS ENERGY REQUIRED. PER 2016 CALIFORNIA BUILDING CODE. FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $3.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:. $3.00 DESCRIPTION ACCOUNT QTY AMOUNT RE -ROOF - EA ADDITIONAL 1,000 SF 101-0000-42404 0 $72.96 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: $228.00 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 Bin # City of La Quinta Building u Safety Division 78-495 Calle Tampico La Quinta, CA 92253.- (760)777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: `7 t v l b Owner's Name: .A. P. Number: Address: Legal Description: City, ST, Zip: Contracto Telephone: le h P Address: �;oject Description: City, ST, Zip: Telene• Pho . 'Lie. �•, State Lie. # City #;"+ Arch., Engr., Designer. Address: City, ST, Zip: Telephone: o Construction Type:' Occupancy: YPe P cY: State • S to Lic. Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft: #Stories: #Units: Telephone # of Contact Person: ''l 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 Cites. Reviewed, ready for corrections Plan Check Deposit Truss talcs. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2wd Review, ready for correct ionsrissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up' S.M.I. H.O.A: Approval Plans resubmitted Grading IN HOUSE:- 3" 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 ,ROOF TILE SPECILATY P..O. BOX 11257 PALM DESERT, CA ;9225:5 CONTRACTORS LICENSE # $1.053.7 :Phone. 76.0-200-08.11 Fax 760=200,0801 A: proposal.submitted to:: jA Dolan General. Contracting Inc. :*V, -JA DOLEIN GENERAL CONTRACTOR INC Mailing:Address: 74047 Hwy Ill -Palm Desert CA Suite.L226. , S .; .74040. Job.Address: 78-137 San Timoteo.La:Quinta CA. Phone:. Char ciU'Cta� Yuri`= e z, try i SM: 760.84t2346 Vescription of, work to be performed; Replace.all plastic roof drainswithnew copper.lock.ring type. InstallW:" star.foam fan fold to..all flat roof surfaces fastened with.screws.and plates.. Install: M 60 mil fastened with screws and plates and heat welded seams.. InstaIl'IB system roof jack for aff. hvac and plumbing: penetrations. Install,IB banding system to all roof,flashings:and seal with caulking Install one lay, er. primed dens. deck to all metal gutter. Apply IB systems 60 sheet to all gutter systems. Apply; IB systems:premanufactured corner at all wall' terminations.. 'Tile areas:. Remove all roof .tile and stacks.. Sweep clean,roof'surface and:dispose of debris.. Install two layers 40#:tile liner nailed .to all roof surfaces. Replace.roof to walls o4metal:;(excludes.Z-Bar). Re-installxctof tile: to, manufactures specifications'. Standard concrete red.and black flashed to be;installed on backside of roof. Clean jgb'.ste of, all roofing: debris:; Twenty yearlB system warranty for all flat:roof areas ` Ten-year warranty roof:tile roof decks Five-year Gutter lined PVC: system. $62,680;00 City. Building permits additional to .contract price s STATE OF CALIFORNIA Prescriptive Residential Alterations That Do Not Require HERS Field Verification 7' t :EC-CFIR-ALT-05-E (Revised 04/1 CALIFORNIA ENERGY COMMISSION�� CERTIFICATE OF COMPLIANCE CF1R-ALT-05-E Prescriptive Resid ntial Alterations • That Do Not Require HERS Field Verification Page 1 of 3 Project Name: Date P epar This compliance document is only applicable to with a HERS Provider Data Registry. not require HERS verification for compliance. When HERS verification is required, a CFIR-ALT- 01 shall first be registered Alterations to Space Conditioning Systems that are exempt from HERS verification requirements may use the CFIR-ALT-OS 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 on 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 an 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 responsibilityfor installation of the items on this certificate, each person shall prepare and sign o 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 veriftation by the building inspector. nformation A. General Information- 01 Project Name: 02' Date Prepared: F03, Project Location: r, -. 04 Building Front Orientation (deg or cardinal): CA City:. \ \ �J 06 Number of Altered Dwelling Units: 07 Zip Code:��� O8 Fuel Type: 09 Climate Zone: 10 Total Conditioned Floor Area (ft): 11 Building Type:- 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 R 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 Ans CEC-CF1 R -ALT -05-E (Revised 04/16) CALIFORNIA ENERGY, COMMISSION k9WW CERTIFICATE OF COMPLIANCE -CFIR-ALT-05.-E Prescriptive Resident' Alterations T*I\DqNot Require HERS Verificati ,n Page 2 of 3 Project Name: Date �J 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 R -value Method of CRRC Product Product Deck Initial Solar Aged Solar Thermal SRI Aged Solar Thermal SRI Compliance Roof Pitch Exception ID Number Type Insulation Reflectance Reflectance Emittanoe (Optional) I Reflectance Emi ttance -(Optional) OG q W .(o D -e Ifle,116401 ......... ......... . . . . . . . NOTES: • Roof area covered by building integrated photovoltaic panels and solar thermal panels are exempt from the above Cool Roc.f requirements. • Liquid field applied coatings must comply.with installation criteria from Section 110.8(i)4. 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 CFIR-ALT-05-E Prescriptive. Residential Alterations That Do Not Req ire HERS Field Verification.. Page 3 of Project Name: (� A ,^ _ �4 A , Datef�repare , DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 cerVy that this Certificate of Compliance document tion is accurate and complete. Documen ti n Author Name: _ Documentation Autho SI ature: P i Cam an KD_ Signature Date: \�. -HERS Address. 707 Certification IdentlFlcation if applicable): City/State/Z Phone" ­Jr O P RESPONSIBLE PERSON'S DECLARATION 5 TEMENT 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. S. 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 occu ancy. Responsible DeZr Name. Responsible Deslgr4V Signature: Compan Date Signed: Address:Zb License: City/State/2i r t� \_ ^ I.��ly\ ���� Phone: < J Z� vLj 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 1016.