BRER2014-100478-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA.92253
i
Application Number: BRER2014-1004.
Property.Address: 79670 CORTEZ LN LN
APN: 600052013
VOICE(760) 777-7125
FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 7%29/2014
Owner:
Application Description: TEAR OFF/INSTALL RADIANT BARRIER AND FIBERGLASS SHINGLES
Property Zoning:
Application Valuation: $16,000.00
Applicant:
DESERT VALLEY CONSTRUCTION & R
594 W 7THSTREET
SAN JACINTO, CA 92583
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: C39. B License No.: 447139 ^ n
Dater'
At i
OWNER -BUILDER DECLARICTION 1`
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, Businessand 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
signedstatement that he or she is licensed pursuant to the provisions of the
Contractor'sState License Law (Chapter 9 (commencing with Section 7000) of Division 3
of the Business and Professions Code) or that he or sheds exempt therefrom andthe
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)::
(—Jll; as owner of the property, or myemployees 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'herselfthrough his or'her own employees, provided that,the improvements
are not intended oroffered 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:).
(_J I, as owner of theproperty, am exclusively contracting with licensed contractors
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
State.Licenseaaw does not apply to an owner of property who builds or improves
thereon, and who contracts for the projects wither contractor(s) licensed pursuant to
the Contractors' State License Law.).
(_)'Iam 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.).
I
Lender's Name:
Lender's Address:
ERIN MONCRIEF
79670 CORTEZ LANE
LA QUINTA, CA:92253
WORKER'S COMPENSATION. DECLARATION
I hereby afflrm under penalty'of perjury one of the following declarations:
I have -and will maintaln: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.
e and will maintain workers' compensation insurance, as required by
ter:
700 of the. Labor Code, forthe performance of the work for which this permit
My workers' compensation Insurance carrierand policy number are:
arri_ PolicyNumber:._
I certify that in the performance of the work for which this permftls 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
comply with those provisions. A //
Date: 7, 1'2 W % Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBACT'AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UPTO
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 permit subject.to
the conditions and'restrictions set forth on this application.
1. Each person upon whose behalf this appllcatlon is made, each person at Whose
request and for whose beneflt.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 actor omisslon.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 l have read this application and state that the above information is correct.
I agree to comply with all city,and countyordinancesand state laws'relatingto building
construction, and hereby authorize�representatives of this cityto ter upon the above -
Mentioned property,for Inspection purposes. / 4_ A
Date: Z42&/4 Signature (Applicant or Agent)
Contractor:
O
DESERT VALLEY CONSTRUCT ON R
N
594 W 7TH STREET
SAN JACINTO, CA 92583
Z
(951)654-1980
Llc. No.: 447139
WORKER'S COMPENSATION. DECLARATION
I hereby afflrm under penalty'of perjury one of the following declarations:
I have -and will maintaln: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.
e and will maintain workers' compensation insurance, as required by
ter:
700 of the. Labor Code, forthe performance of the work for which this permit
My workers' compensation Insurance carrierand policy number are:
arri_ PolicyNumber:._
I certify that in the performance of the work for which this permftls 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
comply with those provisions. A //
Date: 7, 1'2 W % Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBACT'AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UPTO
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 permit subject.to
the conditions and'restrictions set forth on this application.
1. Each person upon whose behalf this appllcatlon is made, each person at Whose
request and for whose beneflt.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 actor omisslon.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 l have read this application and state that the above information is correct.
I agree to comply with all city,and countyordinancesand state laws'relatingto building
construction, and hereby authorize�representatives of this cityto ter upon the above -
Mentioned property,for Inspection purposes. / 4_ A
Date: Z42&/4 Signature (Applicant or Agent)
DESCRIPTION
FINANCIAL •
ACCOUNT
,
QTY
AMOUNT
PAID
PAID DATE-
BSAS S81473 FEE
101-0000-20306
0
$1.00
$0.00
PAID:BY
METHOD'
RECEIPT `#
CHECK #
CL -TD 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
$11.44
$0.00
PAID -BY
_i
METHOD
-
.,RECEIPT#
CHECK #
CLTD BY
DESCRIPTION - -
ACCOUNT
-QTY
AMOUNT.
= PAID
PAID DATE
RE -ROOF - FIRST 2,000 SF
101-0000-42404
0
$48.62
$0.00
`PAID,BY .
METHOD
; RECEIPT #. ,
CHECK #
CLTD BY
I
DESCRIPTION
_ .ACCOUNT
QTY
AMOUNT
PAID'
PAID DATE.
RE -ROOF - FIRST 2,000 SF PC
101-0000-42600
0
$97.24
$0.00
PAID BY
,METHOD
,RECEIPT #
CHECK #
CLTD BY
i
Total Paid for RE -ROOF:
TOTALS:•
$iS7.30
$0.00
��
Description: TEAR OFF/INSTALL RADIANT BARRIER AND FIBERGLASS SHINGLES
ADDITIONAL
Type: RE -ROOF
Subtype: Status: SUBMITTED
Applied: 7/29/2014 SKH
Approved:
Parcel No: 600052013 Site Address: 79670 CORTEZ LN LN LA QUINTA;CA 92253
Subdivision: TR 2180
Block: Lot: 73
Issued:
Lot Sq Ft: 0
Building Sq Ft::() Zoning:
Finaled:
Valuation: $16,000.00
Occupancy Type: Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0 No. Unites: 0
Details: RE -ROOF TEAR OFF/INSTALL RADIANT BARRIER AND FIBERGLASS SHINGLES
Printed: Tuesday, July 29, 201411:48:11 AM 1 of 2 CRsrsreMs
ADDITIONAL
CHRONOLOGY
�CONDITIONS
CONTACTS
TNAMETYPE, ' a :NAME'.: gQDRE$51
CI11
STATE
ZIP
PHONE FAX EMAIL
APPLICANT DESERT VALLEY CONSTRUCTION & R 594 W 7TH STREET
SAN JACINTO
CA
92583
(
•
FINANCIAL ••
DESCRIPTION ACCOUNT' . QTY AMOUNT
PAID
PAID DATE[RECE�ECK
CtTD
# METHOD. PAID, BY TD
BSAS SB1473 FEE 101-0000-20306 0 $1.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00
• $0.00
BSA:
Printed: Tuesday, July 29, 201411:48:11 AM 1 of 2 CRsrsreMs
DESCRIPTION
f' �.
,,ACCOUNT .
QTY
AMOUNT
PAID.
-
PAID' SAT E .
RECEIPT#
CHECK #�>
METHOD
. AID By
P
B
RE -ROOF - EA
101-0000-42404
0
$11.44
$0.00
ADDITIONAL 1,000 SF
RE -ROOF - FIRST 2,000
101-0000-42404
0
$48.62
$0.00
SF
RE -ROOF -FIRST 2,000
101-0000-42600
0
$97,24
$0.00
SF' PC
Total Paid, for RE -ROOF: $157.30 $0.00
PARENT PROJECTS
Printed: Tuesday,,July'29, 201411:48:11 AM 2 of 2 CN?. - "SYSTEMS
Prescriptive Certificate of Compliance; Residential Reroof CF -1 R-ALT-ReRoof
Project Address: t A Climate Zone Permit #
V Cd r-te Z.
ROOFING PRODUCTS (COOL ROOFS) §151(t)12
area, or 1,000 Ir, whichever Is less, the new
roofing area must meet the rooflng product "Cool Roor requirements of§152(b)1Hf, 152(b) M11, or 152(b)1Hi
Check applicable alterative or exception below if the roof alteration is exempt from the roofing product'Coot Roof"
❑ Cool roots'not required in Climates Zones 1-12,14, and 16 with a low sloped roof pitch (less.or2:12 pitch).
b Cool roofs not required in Climates Zones 1-9, and 16 with a.steep-sloped roofs (greater otctt than 2:12) and product weight less than.511blfe.
Alternatives to §152(b)1 Hi. and §152(b)Hfi, Steep -slope roof (pitch > 2.12)
Insulation with a thermal resistance of at least 0.85 hrle-617Btu or at least;a 3/4 inch air -space is added to the roof deck over an attic; or
O Existing ducts in the attic are insulated and sealed•aocording to §151(f)10; or
0 In climate zones 10,12 and 13, with 1 ftp of free ventilation area of attic ventilation for every 150 to of attic floor area, and
where at Ieast,30 percent of the free ventilation area is=within 2 feet verficat distance of the roof ridge; or .
O Building has at least R-30 ceiling insulation; or
q4--eQilding has radiant barrier in the attic meeting the requirements of §151(1)2; or
❑ Building has no ducts in the attic; or
❑ In climate zones 10, 11, 13 and 14, R-3 or greater roof deck insulation above vented attic.
Exception to §152(b)l Hili, Low -slope roof ( pitch:5.2:12)
❑ Building has no ducts in the attic.
Other Exceptions
O Roofing area is covered by building integrated; photovoltaic panels and solar thermal panels are exempt from the Cool Roof criteria.
l7 Roof constructions that have thermal mass over the roof membrane with at least 25 Ib/ft2.are exempt from the Cool' Roof criteria.
NOTE. If any one of the altematives or exception is checked the Aged -Solar Reflectance and Thermal Emittance, requirements for roofing
products in § 118(i) are not applicable. Do not fill table below.
NOTE: When a Cool Root is required, the installing: contractor shall complete and submit the' CF -6R -ENV -01 for final inspection.
Declaration Statement
Roof Slope
Product Weight
Product
Aged Solar
Thermal
Name:Signature
CRRC Product Io Plumber'
5. 2:12 > 2:12
< 51M? Z 516V
Type?
Refledance3'4
Emittance
SRIS
1
❑
❑
❑
❑
C Phone:
❑4
Note: H no CRRC-1 label is available, this compliance method cannot be used, use the PerformanceApproach to show cornyliance,
1. The. CRRC Product 10 Number can be obtained from the Cool Roof Raft-Cound1s,Rated Product Directory at www.eoolroofs.on3(Dmducts&earch.nfm
2 Indicate the type o% product is beingwsed for the rooftop. i.e. single -ply roof, asphalt root, metal roof, eta
. Jf the Aged Reflectance isnot available in the Cool Roof Rating Counal's Rated Produd•Directory then use'the Initial ReBectanee value from the same
dliectoly aid use ithe equation- n a calculated aged value. wherep is the FMW Solar Reflectance.
4. Check box 0 the Aged Reflectance is -a calculated value using the equation above.
5. Calculate the, SRI value by using the SRI- Worksheet at httPYAvww.energv ca:ooyX#e24(and enter the resulting value in the SRI Column above and attach
acopy of the SRI- Worksheet to the CF -1R.
o apply Liquid Field Applied Coatings, the coating must be applied across the entire, root surface and meet the dry mil thickness or coverage
!'
e mended by the coatings manufacturer and meet minimum performance requirements listed in §118(1)4. Select the applicable coating:
❑ Aluminum -Pigmented. Asphalt Roof Coating ❑ Cement -Based Roof Coating ❑ Other
NOTE: When a Cool Root is required, the installing: contractor shall complete and submit the' CF -6R -ENV -01 for final inspection.
Declaration Statement
• ,I certify under penalty of perjury, under the laws of the State of Califomia, the information provided on this form is accurate and complete.
• 1 certify that the energy features and, performance specifications identified on this Certificate of Compliance:conforrn to the requirements of Title 24, Parts
1 and 6 of the California Code of Regulations.
Name:Signature
/14 CeLa_C
.t
144-
Company:
Company:
Date:
Address -
S9 y
License:
,�j
ijr/State2ip:
C Phone:
C
For assistance or queskfons regarding the Energy Standards, contact the Energy Hotline at: 1,800-772-3300.
sin
Submittal
Cit} Of La QuInta
Building a Safety Division
P.O. Box 1504, 78-495 Calle .Tampico .
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Pennic #
`(
Project Address: 7
orfez,Owner's
Name:
A. P. Number:
Address:
04
Legal Description:,
City, ST, Zip: elor
Telephone:
Contractor:
Address: • S!
Project Description:
City, ST, Zip:
•
Telephone: QSf: 6 5" �{� 7
Truss Cates.
•
State Lic. #1:
Called Contact Person
City Lic: #:
Plan Check•Balance.
Arch., Engr., Designee:
Title ZI Cales.
'A":
Ptaus.picked up
City, ST, Zip:
Construction
Telephone:
State Lic..#:
Flood plain plan
Conduction Type: Occupancy:
Project type (circle.one): New Add'n Alter Repair Demo
Name of Contact Person:
Plans resubmitted
Sq. FL - U V
# Stories:' r
# Units
Telephone *,of Contact Person:
t/, t j 517
Estimated Value of Project: U ''
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Redd
TRACMG
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Review4 ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check•Balance.
Title ZI Cales.
Ptaus.picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°' Review, ready for correctionslissue
Electrical
Subcontactor List.
Called Contact Person
Plumbing
Grant Deed
Plans picked"up
SALL
If.OJL Approval
Plans resubmitted
Grading.
IN HOUSE:-
3" Revlew, ready for correetionslissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
'Pub. Wks. Appr
Date of penult issue
School Fees
i
Total Permit Fees