BRER2016-003078-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
c&tit 4 *4 Q"
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BRER2016-0030
Property Address:
51635 AVENIDA JUAREZ
APN:
773113007
Application Description:
MARLENE BRIDGES/ RE -ROOF
Property Zoning:
Application Valuation:
$7,000.00
Applicant:
RANCHO MIRAGE ROOFING
P 0 BOX 206
RANCHO MIRAGE, CA 92270
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
VALLEY COVE
MAY K D.
ontractor:
ANCHO MIRAGE'ROOFING
0 BOX 206
CITYOFLAQUINTA ANCHO MIRAGE, CA 92270
COMMUNITY DEVELOPMENT DEPARTMENT
(760)832-2013
Llc. No.: 938533
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.: 938533
CID =�l ` r -Contractor-.
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 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.).
(_) 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 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 N
Lender's Add
Date: 5/2/2016
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:- Polity 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
complywiththose provisions. � t
Date: .�J Z 6 Applicant: V� Y
WARNING: FAILURE TO SECURE WOR ERS' 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 upon the
above-mentioned property for inspection purposes.
Date: Signature (Applicant or Agent)/
DESCRIPTION
FINANCIAL •• •
ACCOUNT QTY AMOUNT
PAID
PAID DATE
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$1.00
S/2/16
PAID BY
METHOD
RECEIPT #
CHECK #,
CLTD BY
RANCHO MIRAGE ROOFING
CHECK
R15202
1167
RSE
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:
$1.00
$1.00
DESCRIPTION
ACCOUNT
QTY-
AMOUNT
PAID
PAID DATE
RE -ROOF - EA ADDITIONAL 1,000 SF
101-0000-42404
0
$11.60
$11.60
5/2/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
RANCHO MIRAGE ROOFING
CHECK
R15202
1167
RSE
DESCRIPTION -
..ACCOUNT
QTY
AMOUNT
'PAID
PAID DATE
RE -ROOF - FIRST 2,000 SF
101-0000-42404
0
$49.31
$49.31
S/2/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
RANCHO MIRAGE ROOFING
CHECK
R15202
1167
RSE
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RE -ROOF - FIRST 2,000 SF PC
101-0000-42600
0
$98.62
$98.62
5/2/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
RANCHO MIRAGE ROOFING
CHECK
R15202
1167
RSE
Total Paid for RE -ROOF:
TOTALS:.0
$159.53
$159.53
.•
Permit DetallS PERMIT NUMBER
e wy r€
City of La Quinta BRER20V -0030
e 0.
Description: MARLENE BRIDGES / RE -ROOF
Type: RE -ROOF Subtype:
Status: APPROVED
Applied: 5/2/2016 RSE
Approved: 5/2/2016 RSE
Parcel No: 773113007 Site Address: 51635 AVENIDA JUAREZ LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA , Block: 25
Lot: 1
Issued:
UNIT 2
Lot Sq Ft: 0 Building Sq Ft: 0
Zoning:
Finaled:
Valuation: $7,000.00 Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0
No. Unites: 0
Details:. SHINGLE - CALIFORNIA MISSION BLEND COLOR [CRRC: 0676-0089] 2013 CALIFORNIA ENERGY CODE.
Printed: Monday, May 02, 2016 2:19:39 PM 1 of 2 CJ ,
sysrerVts
DESCRIPTION
ACCOUNT.
CITY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
CL
BY
BSAS SB1473 FEE
161-0000-20306
0
$1.00
$1.00
5/2/16
R15202
1167
CHECK
RANCHO MIRAGE
RSE
ROOFING
Total Paid for BUILDING STANDARDS ADMINISTRATION
$1.00 $1.00
BSA:
RE -ROOF - EA
101-0000-42404
0.
$11.66
$11.60
5/2/16
R15202
1167
CHECK
RANCHO MIRAGE
.RSE
ADDITIONAL 1,000 SF
ROOFING
RE -ROOF - FIRST 2,000
101-0000-42404
0
$49.31
$49.31
5/2/16
R15202
1167
CHECK •
RANCHO MIRAGE
RSE
SF
ROOFING
RE -ROOF - FIRST 2,000 j
101-0000-42600
0
$98.62
$98.62
5/2/16
R15202
1167
CHECK
RANCHO MIRAGE
RSE
SF PC
ROOFING
Total Paid for RE -ROOF: $159.53 $159.53
:i .93
PARENT PROJECTS
REVIEWS
RETURNED STATUS REMARKS
REVIEW TYPE REVIEWER SENT DATE DUE DATE DATE NOTES
ATTACHMENTS
Printed: Monday, May 02, 2016 2:19:39 PM 2 of 2 r
SYSTEMS
Bin #
Permit #
�jzp (�3 ('�
Project Address.- 5 �G1_5 5
.City of La Quin to
Building 82• Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
A' VerA Owner's Name: 114Ak (eA.L 3ICL-Ide S
A.P.-Number:
'Address: 5—(
Legal Description:
City, ST, Zip: LA 6L j,kJ-4 , GA- I-OLL S 5
Contractor:gAA0 r 12
bd 0
_
T "
Address: PIo O 6
Project Description:
CityST, Zi
TeleP0
h ne- O Z— \
0
Z 3
State Lie. # : 7 S v 3
City Lie. #c
s Y S Gle7 S.ut
Arch., Engr., Designer:
Address:
City., ST, Zip: .
Telephone: h
one:
'.
n e•
Co tructi
s on T Y P Occupancy:
Lie. #:
moStato
ProJe ct tYPa (circle one): New Add'n Alter Repair air De
Name of Contact Person: 11 jpr4/z-1 0I1 Z,- o
S Ft.: 2 d b
# Stories:
# Units:
Telephone # of Contact Person: � � 2 _
Estimated Value of Project: /. t�Q O
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 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 Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
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
RESIDENTIAL ALTERATIONS ,
CEC-CFIR-ALT-01-E Revised 06/14 CALIFORNIA ENERGY COMMISSION(
CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E
Prescriptive Residential Alterations (Page 1 of 4)
Proiect Name: Date Prepared: S
A. GENERAL INFORMATION
01
02
01 Project Name:
02
Date Prepared: J[- . 2 — i 6
03 Project Location: �--Az,. V 2
04
Building Front Orientation (deg or cardinal):
05 CA City: (..� U1J� 1 /i C ,4 .
06
Number of Altered Dwelling Units:
07 Zip Code: Z Z 53
08
Fuel Type:
09 Climate Zone:
10
Total Conditioned Floor Area (ft2):
it Building Type C S ate.'
12
Slab Area (ft2)
j
13 Project Scope: Q -C---
I :
B. BUILDING INSULATION DETAILS (Section 150.2(b)1)
01
02
03
04
05
06 07 08 1 09
10
11
Tag/ID
Assembly Type
Frame
Type
Frame
Depth
(inches)
Frame
Spacing
(inches)
Proposed
Required
Comments
Cavity
R -value
Appendix JA4
Continuous Reference
Insulation
R -value LI -factor Table Cell
LI -Factor
Aged Solar Thermal SRI
Reflectance Emittance (Optional)
-
T16
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(i)4. I
C. ROOF REPLACEMENT (Prescriptive Alteration, Section 150.2(b)1H)
01
02
03
04
05
06
07. 08 09 10
11 12 13
Method of
Compliance
Roof
Pitch
Exception
CRRC Product ID
Number
Product Type
R -value
Deck
Insulation
Proposed
Minimum Required
Initial Solar Aged Solar Thermal SRI
Reflectance Reflectance Emittance (Optional)
Aged Solar Thermal SRI
Reflectance Emittance (Optional)
-
T16
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(i)4. I
Registration Number: Registration Date/Time: HERS Provider:
CA Building Energy Efficiency Standards - 2013 Residential Compliance June 2014
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS 1. 54 ;
CEC-CF1R-ALT-01-E Revised 06/14)CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF113-ALT-01-E
Prescriptive Residential Alterations (Page 4 of 4)
Proiect Name: I Date Prepared:
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Compliance documentation is accurate and complete..
Documentation Author Name:
Documentation Author Signature:
Company:
Signature Date:
Address:
CEA/ HERS Certification Identification (if applicable): .
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:
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 Complianr.P 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.
Registration Number: Registration Date/Time: HERS Provider:
CA Building Energy Efficiency Standards - 2013 Residential Compliance June 2014
Uancho Miraoe Uccfine
Box 206 Rancho Mirage
zip (92270)
?60- 932-2013
Client property ID
Owner: Marlene Bridges
Property: 51635 Av Juarez LaQ
Client W/O #_
Date: 4/29/16
Vendor: Gate Code: k,-)/%�
Contact: Map: Phone:
Directions:
Instructions: Painter Rob Shebe 200-7257
Work: Description: INSTALL SHINGLE R O O F
Fax:
Prep & clean roof : Remove red rock /
Install perimeter facia board 2x6 unpainted / $45/10 ft / est $990 4je— _p
Install. Sliding door sill cap $100. / 0
Install 25 yr Dimensional shingle / Title 24 / color Shasta = lite grey $5,800
Deposit of $2700 paid to RWC Building Products -$2,700
Permit fee / reed check $100
4
Balance Due
Lic 938533 / Bonded & Insured.
INVOICED. BID INVOICED AMOUNT
Signatur Name: M"NATL Date: J��o