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BRER2017-0086
78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T4'N' 4 ,eu'Quunfw DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT VOICE (760)777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/23/2017 Application Number: BRER2017-0086® Owner: Property Address: 51615 AVENIDA VELASCO T SDG INV APN: 773133017 ® ® 0 BOX 1177 Application Description: REROOF / SHINGLES CENTRO, CA 92253 Property Zoning: AUG 2 3 2017 Application Valuation: $7,705.00 CITY OF LA, QUINTA Applicant: DESIGN AND DEVELOPMENT DEPARTMENTPontrador: PALM DESERT CONTRACTORS ALM DESERT CONTRACTORS P O BOX 2795 P O BOX 2795 i PALM DESERT, CA 92261 PALM DESERT, CA 92261 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: B. C39 License No.: 477507 Date: Contracto OWNER -BU 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).: (_)1, 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 contra ctor(s).licensed pursuanVto 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 Name: Lender's (760)346-2420 Llc. No.: 477507 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 nurnber are: Carrier: STATE COMPENSATION. INSURANCE FUND Policy Number: 9165351 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 Co ith comply with those provisions. - V. Date: �—Z ��I� Applican 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 permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person of 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 u above-mentioned property for inspection purposes. Date: a — Signature (Applican � Date: 8/23/2017 Application.Number: BRER2017-0086 Owner: -Property Address: 51615 AVENIDA VELASCO JDT SDG INV APN: 773133017 P 0 BOX 1177 Application Description: REROOF /SHINGLES. EL CENTRO, CA 92253 Property Zoning: Application Valuation: $7,705.00 Applicant: Contractor: PALM DESERT CONTRACTORS PALM DESERT CONTRACTORS P 0 BOX 2795 P 0 BOX 2795 PALM DESERT, CA 92261 • PALM DESERT, CA 92261 (760)346-2420. Lit. No.: 477507 Detail: TEAR OFF AND REROOF WITH. [CRRC: 0890-0002] SHINGLES. PER 2016 CALIFORNIA ENERGY CODE. t' � I o FI l 1 FORMATION • {. DESCRIPTION ACCOUNT QTY AMOUNT DESCRIPTION BSAS SB1473 FEE. 101-0000-20306 0 $1.00. QTY AMOUNT Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 TECHNOLOGY ENHANCEMENT FEE DESCRIPTION ACCOUNT QTY AMOUNT RE -ROOF - EA ADDITIONAL 1,000 SF 101-0000-42404 0 $12.16 DESCRIPTION ACCOUNT QTY AMOUNT RE -ROOF - FIRST 2,000 SF 101-0000-42404 0 $51.68 DESCRIPTION ACCOUNT CITY. AMOUNT RE -ROOF - FIRST 2,000 SF PC 101-0000-42600 0 $103.36 Total Paid for RE -ROOF: $167.20 DESCRIPTION -ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Bin# City of La Quinta Building & Safety Division 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit# Project Address: _ t G 1 e- %21L Owner's Name: A.P. Number Address: Legal Description: City, ST, Zip: Contractor: /�^ ✓•3 �-3`-•-�J Telephone: Address:r? . Project Description: . City, ST, Zip: (2 Telephone;, 26 State Lic. —7 City Lie #: Arch, Engr., Designer: Address: City, ST, Zip: Telephone: State Lia #: Construction Type:. Prej. Type New Add'n Occupancy: Alter Repair Demo Name of Contact: SgFt: i #Stories # Units: Telephone of Contact: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd 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 2nd Rev, Ready for corrections / Electrical: Subcontractor List Called Contact Person Plumbing: Grant Deed Plans Picked Up S.M.I. HOA Approval Plans Resubmitted Grading FN=HOUSE 3rd Rev, Ready for corrections / Developer Impact Fee Planning Approval Called Contact. Person' A.I.P.P. .Pub. Wks. Apps Date of permit issue School Fees Total Permit Fees STATE OF CALIFORNIA . Prescriptive Residential Alterations That Do Not Require HERS Field Verification. CEC-CF9R-ALT-05-E Revised 04/16 CERTIFICATE OF COMPLIANCE. Prescriptive Residential Alterations That Do Not Require HERS Field Verification Project Name: CALIFORNIA ENERGY This compliance document /s only applicable to simple alterations that do not require HERS verification for compliance. When HERS verification is required, a CFIR-ALT- 01 with a HERS Provider Data Registry. CFIR-ALT-05-E Page 1 of 3 Alterations to Space Conditioning Systems that are exemptfrom HERS verification requirements may use the CFIR-ALT-05 and CF2R- ALT -05 Compliance Documents. Possible exemptions from duct leakage testing include: less than 40 ft of d6cts.were odded..or replaced; or the existing duct'system was insulated with asbestos; or the existing dud 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 S.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 on R -value of 3.6 per inch, shall complete and register a CFIR-ALT-01 with a HERS Provider Data . Registry. elf more than one person has responsibilityfor installation of the items on this certificate, each person shall prepare and sign p certificate applicable to the portion of construction for which they are responsible. Alternatively, the person with chief responsibilityfor construction shall prepare and sign this certificotefor the entire construction. All applicable Mandatory Measures shall be met. Temporary lobels'shall not be removed before verification by the building inspector. A. General Information 01 Project Name: 02 Date Prepared: 03 Project Location: s— i� I 04 Building Front Orientation (deg or cardinal): 05 CA City: ©_ 06 ' Number of Altered Dwelling Units:'. 07 Zip Code: 08 Fuel Type: 09 Climate one: 10 Total Conditioned Floor Area (ft 2): .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 ✓❑ C. Roof Replacement ❑ D. & F. Fenestration/Glazing - REPLACE ❑ H. Water'Heating System ❑ Include Mandatory Measures? CA Building Energy Efficiency Standards - 2016 Residential Compliance 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 CF.IR-ALT-05-E Prescriptive. Residential Alterations That Do Not Require'HERS Field Verification Page 2 of 3 Project Name: - Date Prepared: 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 Emittance (Optional) I Reflectance Emittance (Optional) co 85IN_X�Id z WV 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. CA Building Energy Efficiency Standards - 2016 Residential ComplianceApril _2016 a S'rATE OF CALIFORNIA Prescriptive Residential Alterations That.Do Not Require HERS Field Verification`. CEC-CF1 R -ALT -05-E Revised 04/16) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CF1R-ALT-05-E Prescriptive Residential Alterations That Do.Not Require HERS Field Verification Page 3 of 3 Project Name: y - Date Prepared: - DOCUMENTATION AUTHOR'S DECLARATION STATEMENT I. 1 certify that this Certificate of Compliance docurilentation is accurate and complete. Documentation Author Na e: I — 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 Complian'c'e 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.docurne.nts, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. 5. I 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. CA. Building Energy Efficiency Standards - 2016 Residential Compliance April 2016