BRER2015-0056Applicant:
DOVE ROOFING AND CONSTRUCTION
6402 SUNBURST
JOSHUA TREE, CA 92252
+ 4 2015 U I
JUL �
GOMMURITY OEVELOPPAp-�'
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 {commencing with Section 70001 of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: B. C39, C36, C35 License No.: 8711003
Date: -7 S� Contractor&.1der"m r2 It—
OWNER-BUILDER
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 A
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 Na
Lender's Address:
Contractor:
DOVE ROOFING AND CONSTRUCTION
6402 SUNBURST
JOSHUA TREE, CA 92252
(760)366-3252
Llc. No.: 871103
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 shoul5pecome subject to the
workers' compensation provisions of Section 3700 of th//,q,/,p( bor Code, I shall forthwith
comply with those provisions.
Date: 7 % S /,f' Applicant:
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 lawy relating to building
construction, and hereby authorize representatives of this city to ter upon the above•
mentioned property for inspection purposes. 411-
Date: / 1 S 1 S Signature (Applicant or Agent):
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: 7/15/2015
Application Number:
BRER2015-0056
Owner:
Property Address:
77400 CALLE CHILLON
CARLOS GARCIA
APN:
774153023
77 400 CALLE CHILLON
Application Description:
REMOVE & REPLACE EXISTING ROOF INSTALL NEW SHINGLES
LA QUINTA, CA 92253
Property Zoning:
Application Valuation:
$7,200.00
Applicant:
DOVE ROOFING AND CONSTRUCTION
6402 SUNBURST
JOSHUA TREE, CA 92252
+ 4 2015 U I
JUL �
GOMMURITY OEVELOPPAp-�'
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 {commencing with Section 70001 of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: B. C39, C36, C35 License No.: 8711003
Date: -7 S� Contractor&.1der"m r2 It—
OWNER-BUILDER
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 A
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 Na
Lender's Address:
Contractor:
DOVE ROOFING AND CONSTRUCTION
6402 SUNBURST
JOSHUA TREE, CA 92252
(760)366-3252
Llc. No.: 871103
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 shoul5pecome subject to the
workers' compensation provisions of Section 3700 of th//,q,/,p( bor Code, I shall forthwith
comply with those provisions.
Date: 7 % S /,f' Applicant:
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 lawy relating to building
construction, and hereby authorize representatives of this city to ter upon the above•
mentioned property for inspection purposes. 411-
Date: / 1 S 1 S Signature (Applicant or Agent):
FINANCIAL INFORMATION
DESCRIPTION
ACCOUNT,V
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 forBUILDING 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
$11.60
$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
t'_ ACCOUNT r
QTY •
. r 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:.0
$159.53
$0.00
00
Description: REMOVE & REPLACE EXISTING ROOF INSTALL NEW SHINGLES
Type: RE -ROOF Subtype: Status: UNDER REVIEW
Applied: 7/15/2015 PJU
Approved:
Parcel No: 774153023 Site Address: 77400 CALLE CHILLON LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA AT VALE LA QUINTA Block: 201 Lot: 12
Issued:
UNIT 19
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $7,200.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: REMOVE EXISTING ROOF & INSTALL NEW SHINGLES 2600 SQ FT APPROVED PER JF.2013 CBC
Printed: Wednesday, July 15, 2015 1:34:39 PM 1 of 2
RWYSTEMS
CHRONOLOGY
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESSI
CITY
STATE
ZIP PHONE FAX EMAIL
APPLICANT
DOVE ROOFING AND CONSTRUCTION
6402 SUNBURST
JOSHUA TREE
CA
92252
CONTRACTOR
DOVE ROOFING AND CONSTRUCTION
6402 SUNBURST
JOSHUA TREE
CA
92252
OWNER
CARLOS GARCIA
77 400 CALLE CHILLON
LA QUINTA
CA
92253
Printed: Wednesday, July 15, 2015 1:34:39 PM 1 of 2
RWYSTEMS
DESCRIPTION
ACCOUNT
QTY
-AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
7LTD
BY
RE -ROOF - EA
101-0000-42404
0
$11.60
$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
1-07
$98.62
$0.00
SF PC
Total Paid for RE -ROOF: $159.53 $0.00
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED RESULT REMARKS NOTES
DATE DATE
PRE -ROOF BLD
FINAL" BLD
REVIEWS
REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED " STATUS REMARKS NOTES
DATE
BOND INFORMATION
Printed: Wednesday, July 15, 2015 1:34:39 PM 2 of 2
CRWYSTEMS
STATE OF CALIFORNIA
+RESIDENTIAL ALTERATIONS
CEC-CFIR-ALT-01-E Revised 06/14 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CFIR-ALT-01-E
Prescriptive Residential Alterations (Page 1 of 4)
Proiect Name: -7 7 ADO Q a II e- C in,'1i co Date Prepared: 7 15 /.T
A. GENERAL INFORMATION
0i
02
Ol
Project Name:
02
Date Prepared: n.
03
Project Location: 420 C - Of fit'` ltl
'04
Building Front d e.ntation (deg or cardinal):
05
CA City: �,1�
06
Number of Alto, Owelling Units: V: va
07
ISI'ab
Zip Code: Q'2 2 $
08
Fuel Type;
'09
Climate Zone:
•10
�oLal,Condjtibned Floor�eaA�(fL2)>
11
Building Type �.� 1
12
Area (ft2)�
13
Project Scope:
I& .`ya'• w IV
B. BUILDING INSULATION DETAILS (Section 150.2(b)1)
0i
02
03
04
05 06 07 O8 s `,A9
10
11
05i , ° 06
# 6,7A08 09 10 11 12 13
04
R -value �'
�,�
Proposed Minimum Required
� Jnitial Solar Aged Solar Thermal SRI Aged Solar Thermal SRI
Method of
Roof
&'14,006sed 0,11
Required
QecdIN
Compliance.
Pitch
Exceptionto
f umber' ,n
Frame
Appen' dix JA4
FrameContinuous r Reference
�'nsulationT
Frame
Depth
Spacing Cavity •
Tag/ID
Assembly Type
Type
(inches)
(inches) Rvalue R-value4qc�tor* TableCell
U -Fac tor
Comments
r..
C. ROOF REPLACEMENT (Prescriptive Alteration, Seetion3,950.2(b)iH),.
=t. �'
01
02
03
04 �.,1P
05i , ° 06
# 6,7A08 09 10 11 12 13
R -value �'
�,�
Proposed Minimum Required
� Jnitial Solar Aged Solar Thermal SRI Aged Solar Thermal SRI
Method of
Roof
CRRC'P,rrod'uct ID
QecdIN
Compliance.
Pitch
Exceptionto
f umber' ,n
i ;product Type , rinulation
Reflectance Reflectance Emittance (Optional) Reflectance Emittance (Optional)
4
.
NOTES.
• Roof area coveredby, build integrated ph"�otolt�aie'panels and solar thermal panels are exempt from the above Cool Roof requirements.
from
• Liquid field applied';coatings must comply with!nstallation criteria section 110.8(i)4. .
Registration Number: Registration Date/Time: HERS Provider:
CA Building Energy Efficiency Standards - 2013 Residential Compliance June 2014
STATE OF CALIFORNIA F V
RESIDENTIAL ALTERATIONS
CEC-CFIR-ALT-01-E Revised 06/14 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CFIR-ALT-01-E
Prescriptive Residential Alterations (Page 4 of 4)
Proiect Name: 7 % ioo �a lie �h,`I lacy Date Prepared: 7
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT I —*, –'`1
1. 1 certify that this Certificate of Compliance documentation is accurate and complete. tr
M
Documentation Author Name:
Documentation Author Signature:
Company: r
Date:
ate:
Address:
V02 W�QVC04
CEA/ HERS Certification Ide tificaton (if applicable):
City/State/Zip:
Phone:
RESPONSIBLE P ERSON'S. DECLARATION STATEMENT ,+
I certify the following under penalty of perjury, under the laws of the State of California:
%4, "
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 liility for the building clesign.lor system design identified on this Certificate of Compliance (responsible
• 1�
designer). �,�`•
3. That the energy features and performance specifications, materials, components and manufactured�devices for the binding 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-Vulations. . r
4. The building design features design features identified on this Certificate Compliance information documents,
or system of are consistent,wlttV..the provided on other applicable compliance
worksheets, calculations, plans and specifications submitted :to the epforcement agenc for, approval with this uil' ing permit application.
with
5. 1 will ensure that a registered copy of this Certificate of Compl �`� eshall be made aT�able the buildiggep rmit(s) issued for the building, and made available to the enforcement agency
for all applicable inspections. I understand that a registe�rd c`opyof this Certi Ica oV Compliance isired to be included with th documentation the builder provides to the building
owner at occupancy.
Responsible Desi ner Name: ^ ?
jResspbhsible Designer Signature:
Company.' _ ,,
9%,
Dou �QGS "� (cJ 4
Date Signed:
L l G—CtC,
Address:
Sir, z �
License:
7/6
�/
o s,c
City/State/Zip: s V "� � "`
(. �f2Z�2
'
Phone:
`Jds re_e
For assistance or-` uestions 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
Bin #
City of La Q uin to
Building 8r 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: % % efpoCRl (.G C(Al'jo
Owner's Name: `
A. P. Number:
Address: % `{O O C 2 VL 1
Legal Description:
City, ST, Zip: Z -r -t
Contractor: v2 {� o�
D Kt�
P
- '
Address: ( Lw-
Project Descr iption:
City, ST, Zip: JOU!l /2�.� cl 2Z s 2
e tMc7 t/e Krlbji IrOCJd—
Tel one: r
eh 7
P Hca
3 b 2S
3
...........................................
a .� �, �
�°t � I
State Lie. #: 7 if 03 City Lie. #;
Arch., Engr., Designer:
Z G G S g
Address: MA—
y v —City,
City, ST, Zip:
hone:
IX
CaTe!e cuPancY:
e: Occupancy:
n TY
n tructi P
Lie. #
StateL
Repair Demo.
Add'n AlterRep
Project type (circle one): New
Name of Contact Personl
:X,r&
Sq. Ft.: :5,2
Units:
Telephone # of Contact Person: -7k,U %027&'5.3
Estimated Value of Project: %700 .
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 Cafes.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°d 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:-
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