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BRER2015-0030Twit 4 Qubtm 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BRER2015-0030 Owner: Property Address: 49200 AVENIDA FERNANDO SHAMROCK APN: 658280017 423 E BENTON PL Application Description: O'CONNOR/RE-ROOF WITH APEX PRODUCT CHICAGO, IL 92253 Property Zoning: Application Valuation: $18,000.00 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/25/2015 Q N Applicant: Contractor: Lez O'CONNOR TOM MC GRAIL ROOFING C%8 49200 AVENIDA FERNANDO 8729 BEECHWOOD DRIVE LA QUINTA, CA 92253 ALTA LOMA, CA 91701 I(qlj 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 Class: C39 ' License No.: 673647 Dated >q_� Contractor: OWNER -BUILDER DECLARATION L 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 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.). (_ 11, 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 Na Lender's Address: (909)980-3329 Llc. No.: 673647 z —7 N WORKER'S COMPENSATION DECLARATION 1 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 oft rk for which this permit is issued. i I have and will maintain workers' compensation insurance, as required by Se ion 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 complywith those provisions. Date�AppIican 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 upo the above mentioned property for inspection purposes. Dat��� Signature (Applicant or Agent tw r STATE OF -CALIFORNIA RESIDENTIAL ALTERATIONS CEC-CF1 R -ALT -01-E Revised 06/14 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E Prescriptive Residential Alterations (Page 1 of 4) Project Name: Date Prepared: A. GENERAL INFORMATION 01 02 01 Project Name: 0cok.11kizN, 02 Date Prepared: , 03 Project Location: L 04 Building Front. Oiie6 ign`l(deg or cardinal): 05 CA City: 06 Number of Alt re edQwelling Units: 07 Zip Code: 08 Fuel Type; �, 09 Climate Zone: 10 Total,,Cgnyditi ned FloortArea (ft2)'1 11 Building Type 12 1 SIab,Area(ft2) Ate," 7 13 Project Scope: I _ 4M V �, 14 '"' B. BUILDING INSULATION DETAILS (Section 150.2(b)1) 01 02 03 04 05 06 r07 I 08; �09 10 11 -06 '07,0'08 09 10 11 12 13 "Proposed Required V. , Proposed Minimum Required Method of Frame Frame Depth Frame Spacing 0 v Appendix JA4 continuous Reference Cavity Insulation Deck Tnitial•Solar Aged. Solar Thermal SRI Aged Solar Thermal SRI Tag/ID Ass mbly Type Type I (inches) 1 (inches) I R value R value &9s Ufactor Table. Cell LI -Factor Comments fun IA + -40'lk V" NOTES . _ , , • Roof area covered by, builaing;integrated photouoltaic''panels and solar thermal panels are exempt from the above Cool Roof requirements. h t • Liquid field applied-coatingsmust comply wi (lation criteria from section 110.8(i)4. C. ROOF REPLACEMENT (Prescriptive Alteration, Sect 5 .2(b)1H) k. 01 02 03 04 05' -06 '07,0'08 09 10 11 12 13 R -value , Proposed Minimum Required Method of Roof CRRC Product ID. Number `oductTypee Deck Tnitial•Solar Aged. Solar Thermal SRI Aged Solar Thermal SRI Compliance Pitch Exception C, Ins lation Reflectance Re ectance Emi ce (Op ional) Reflectance Emittance (O`p� ional) fun + -40'lk V" NOTES . _ , , • Roof area covered by, builaing;integrated photouoltaic''panels and solar thermal panels are exempt from the above Cool Roof requirements. h t • Liquid field applied-coatingsmust comply wi (lation criteria from section 110.8(i)4. Registration Number: CA Building Energy Efficiency Standards - 2013 Residential Compliance Registration Date/Time: HERS Provider: June 2014 STATE OF CALIFORNIA RESIDENTIAL ALTERATIONS CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E Prescriptive Residential Alterations (Page 4 of 4) Project Name: Date Prepared: DOCUMENTATION AUTHOR'S DECLARATION STATEMENT' .% 1. 1 certify that this Certificate of Compliance documentation is accurate and. complete. 0 Documentation Author Name: Documentatio r Signature: ` x Company: J Signature Date Address: CEA/ HERS Certification IdeKttific'ation°(if applicable): ?�S City/State/Zip: Phone: RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: V 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 responsib'`'lllty, for the building,des•Iggniosystem design identified on this Certificate of Compliance (responsible designer). 3. That the energy features and performance specifications, materials, compo nests, and man ufact d—d evice` s„rfor the building design or system design identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 off the Galifornia Code of{Regulatlons. 4. The building design features or system design features identified on.tiiis Certificate of Complianceare consistent'with ttie information provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to the en o cement agene_y f&approval with this b ding permit application. ancess permits) S. I will ensure that a registered copy of this Certificate of Com.pl all be made.available with the building issued for the building, and made available to the enforcement agency for inspections. I that this CertificateNof Compliance is d'to be included documentation builder building all applicable understand a registered copy of requ with the the provides to the owner at occupancy. y Responsible Designer Name: 'Responsible Designer Signature: Company: V NO� Date Signed: Address: License: City/State/Zip: ` Phone: For assistance or)questions regarding the Energy Standards, contact th.e Energy Hotline at: 1-800-M-3300. Registration Number: Registration Date/Time: HERS Provider: CA Building Energy Efficiency Standards - 2013 Residential Compliance June 2014 DESCRIPTION FINANCIAL INFORMATION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RE -ROOF - EA ADDITIONAL 1,000 SF 101-0000-42404 0 $185.60 $0.00 PAID BY 'METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RE -ROOF - FIRST 2,000 SF 101-0000-42404 0 $49.31 $0.00 PAID BY METHOD RECEIPT # CHECK #• CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RE -ROOF - FIRST 2,000 SF PC 101-0000-42600 0 $98.62 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forRE-ROOF: TOTALS; $333.53 $334.53 $0.00 00 Description: O'CONNOR/RE-ROOF WITH APEX PRODUCT NAME TYPE NAME Type: RE -ROOF Subtype: Status: UNDER REVIEW Applied: 3/25/2015 SKH Approved: Parcel No: 658280017 Site Address: 49200 AVENIDA FERNANDO LA QUINTA,CA 92253 Subdivision: LA QUINTA GOLF ESTATES 1 Block: Lot: 150 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $18,0.00.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: RE -ROOF WITH TITLE 24 APPROVED APEX PRODUCT. PRE -ROOF INSPECTION IS REQUIRED AFTER TEAR OFF. 2013 CALIFORNIA ENERGN CODE. 8729 BEECHWOOD DRIVE ALTA LOMA CONDITIONS NAME TYPE NAME ADDRESSI CONTACTS CITY STATE ZIP PHONE FAX EMAIL APPLICANT O'CONNOR 49200 AVENIDA FERNANDO LA QUINTA CA 92253 CONTRACTOR TOM MC GRAIL ROOFING 8729 BEECHWOOD DRIVE ALTA LOMA CA 91701 OWNER SHAMROCK 423 E BENTON PL I CHICAGO IL 1 92253 Printed: Wednesday, March 25, 2015 10:21:55 AM 1 of 2 SYSTEMS Permit Details PERMIT NUMBER Q� City of La Quints BRER, 0�1�5LQ 37 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD • BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: RE -ROOF - EA 101-0000-42404 0 $185.60 $0.00 ADDITIONAL 1,000 SF RE -ROOF -FIRST 2,000 101-0000-42404 0 $49.31 $0.00 SF RE -ROOF - FIRST 2,000 101-0000-42600 0 $98.62$0.00 SF PC Total Paid for RE -ROOF: $333.53 $0.00 TOTALS:$0.00 PARENT PROJECTS BOND INFORMATION Printed: Wednesday, March 25, 2015 10:21:55 AM 2 of 2 CPWSYS7EMS Bing City of La Quinto. Building a Safety Division Permit # P.O. Box 1504, 78-495 Calle Tampico . La Quinta, CA 92253 -'(760) 777-7012 Building Permit Application and Tracking Sheet Project Address:_ �00 ner's Name: A. P. Number: Address: Legal Description: City, ST, Zip: Contractor:Telephone: C .. .;;;<;•<? Address: 7 a—� © Project Description: City, ST, Zip:T7�F i%'16� Z o I ` Telephone:: « :« <: • �.: State Lic. # : 7 36 City Lic. #; Arch_ Engr„ Designer: Address: City., ST, Zip: Telephone:honc• <<':^" ^»z>`.><<?>='<r"> '` `` aneY• Construction Type: Occupancy: State Lic. #: o'ect c circle one : New Add'n Alter Repair- Demo Pr J P ) cP Name of Contact Person: Sq. Ft.: #Stories: #Units: Telephone #,of Contact Person: �� %�'� Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE tt Submittal Rcq'd Rcc'd TRACKING PERMIT TEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cala. Called Contact Person Plan Check Balance. Ti tie 24 Cal cs. Plans picked up :,j Construction Flood plain plan Plans resubmitted j Mechanical Grading plan tad Review, ready for corrections/issue Electrical Subeontaetor List Called Contact Person Plumbing Grant Decd Plans picked up S.M.T. I1.O.A. Approval Plans resubmitted Grading IN I10USE:- Jrd Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contacl.Person A.I.P.P.. Pub. Wks. Appr Date of permit issue School Fe'cs Total Permit Fccs AW