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BRER2017-009078'-495 CALLE TAMPICO: LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: Applicant: BAZUA ROOFING P 0 BOX 818 MECCA, CA 92274 BRER2017-0090 52165 AVENIDA VELASCO 773224019 . STAFFORD / REROOF $9,400.00 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 Cl a s: C39. B License No.: 62 ( /n` 8/12223 Date: 001'7 Contractor:4LECLDO '✓l+•ZM4 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that.l 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 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 Address: 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' compensate , as provided for by Section 3700 of the Labor Code, for the performance of t for which this permit is issued. ZI have and will maintain workers' compensation insurance, as required by 37000Sef 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: STATE COMPENSATION INSURANCE FUND Policy Number: 9131126 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 comply wit those provisions. /q1 /A`�,, Date: �% Applicant: 4,616,06 7/�' ZL-t 4 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 upon the above-mentioned property for inspection purposes.. Date: ! J't%�7 Signature (Applicant or Agent) x VOICE (760) 777-7125 FAX (760) 777-7011 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT 17w Owner: Q LYA STAFFORD W 53995 AVENIDA MENDOZA f¢— ® LA QUINTA, CA 92253 CD w C G � a ® u.. C7 LU 11.J Contractor: c!7 U BAZUA ROOFING Z P0BOX 818 Z I MECCA, CA 92274 W (.760)776-7663 LIc. No.: 628223 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 Cl a s: C39. B License No.: 62 ( /n` 8/12223 Date: 001'7 Contractor:4LECLDO '✓l+•ZM4 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that.l 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 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 Address: 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' compensate , as provided for by Section 3700 of the Labor Code, for the performance of t for which this permit is issued. ZI have and will maintain workers' compensation insurance, as required by 37000Sef 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: STATE COMPENSATION INSURANCE FUND Policy Number: 9131126 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 comply wit those provisions. /q1 /A`�,, Date: �% Applicant: 4,616,06 7/�' ZL-t 4 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 upon the above-mentioned property for inspection purposes.. Date: ! J't%�7 Signature (Applicant or Agent) x Date: 9/6/2017 Application Number:, BRER2017=0090 Owner:', Property Address: 52165 AVENIDA VELASCO LYA STAFFORD APN: 773224019 J 53995 AVENIDA MENDOZA Application Description: 'STAFFORD / REROOF . LA QUINTA, CA 92253 Property Zoning: 'Application Valuation: $9,400.00 Applicant: Contractor: BAZUA ROOFING BAZUA ROOFING PO BOX 818' PO BOX 818 'MECCA, CA 92274 1 MECCA, CA 92274 r (760)776-7663" .� ------------------------------------ Llc. No.: 628223 Detail: REROOF WITH ASPHALT SHINGLE Ar IBER,COLOR [CRRC: 0890-0009] 2056 CALIFORNIA ENERGY -CODE. J 1 f u Y FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT QTY AMOUNT RE -ROOF - EA ADDITIONAL 1;000 SF 101-0000-42404 0 $12.16 DESCRIPTION ,ACCOUNT CITY. AMOUNT RE -ROOF - FIRST 2,000 SF 101-0000-42404 0 •, $51:68 DESCRIPTION ACCOUNT QTY 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 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 TOTALS: $173.20 J Bin# City of La Quinta Building & Safety Division 78-495 Calle Tampico wqo La Quinta, CA 92253 - (760) 777-7012 W Building Permit Application and Tracking Sheet Permit# Project Address:1 G s 0/ 0 vcwv,� � /'� rV Owner's Name: z ^l4 Fr re A.P. Number Address: Legal Description: City, ST, Zip: Contractor: 1�(il)O �ZN Telephone: Address: 1 y Project Description: ' City, ST, Zip: Telephone: 76 W Y 1 - - State Lic. #: /,,, 2 f 2 2 City Lic #: Q, C ` D, (� _ O o q 3 Arch, Engr., Designer: Address: City, ST, Zip: Telephone: Construction Type: Occupancy: State Lic. #: Type • Proj777.1 New. Add'n Alter Repair Demo Name of Contact: Vc Ct A 6 L' `� 2 � SgFt: � #Stories # Units: Telephone of Contact:. J 5� 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 IN-HOUSE 3rd Rev, Ready for corrections/ Developer Impact Fee Planning Approval Called Contact Person A.1.P.P. Pub. Wks. Apps Date of permit issue School Fees Total Permit Fees , STATE OF CALIFORNIA Prescriptive Residential Alterations That Do Not Reauire HERS Field Verification V6 ON EC-CFIR-ALT-05-E (Revised 04/16) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CF111-ALT-05-E Prescriptive Residential Alterations That Do Not Require HERS Field Verification Pagel of 3 Project Mame: / '! q / �'�•y� /� S /tP Y ��✓r�fi V�� % S�/(� SI /Tr 50� Da Fr ' ' V /7 This compliance document is only applicable to with a HERS Provider Data Registry. do not require HERS verification for is required, a CF1R-ALT- 01 shall first be registered Alterations to Space Conditioning Systems that are exempt from 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 ducts. were added or replaced; or the existing duct system was insulated with asbestos; or the existing. duct system was previously tested and passed by a HERS.Roter. If space conditioning systems are altered and are not exempt from HERS verification, then a CF1R-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 I.S to less than 2.S. pounds per cubic foot having an R -value other than 5.8 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 an R -value of 3.6 per inch, shall complete and register a CFIR-ALT-01 with a HERS Provider Data Registry. If more than one person has responsibilityfor installation of the items on this certificate, each person shall prepare and sign a certificate applicable to the portion of construction for which they are responsible. Alternatively, the person with chief responsibilityfor construction shall preppie and sign this certificate for the entire construction. All applicable Mandatory Measures shall be met. Temporary labels shall not be removed before verification by the building inspector. A. General Information 01 Project Name: 02 Date Prepared: G9/.0/7 03 Project Location: Z. / / /1 �.1�� I r'iL� v 04 Building Front Orientation (deg or cardinal): 05 . CA City: d w 06 Number of Altered Dwelling Units: 07 Zip Code: 2 2 (�-3 08 Fuel Type: 09 Climate Zone: 10 Total Conditioned Floor Area (ft): 11 Building Type: 2 I�r, 4,00, j K- (� 5 t 12 Slab Area (W) t f 13 Project Scope (Select all that apply): ❑ B. Insulation ❑ D. & E. Feriestration/Glazing - ADD Q C. Roof Replacement ❑. D..& F. Fenestration/Glazing - ❑ G. Space Conditioning System (Heating, Cooling, Duct system) ❑ Lighting REPLACE ❑ H. Water Heating System ❑ Include Mandatory Measures? CA Building Energy Efficiency Standards - 2016 Residential Compliance April 2016 s F STATE OF CALIFORNIA 1407'w CEC-CFIR-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 2 of 3 Project Name: ✓ IV 10 iA5( O / A F O (1� Date Prepared: ! 7 C. Roof Replacement *(Prescriptive Alteration, Section 150.2(b)1H) of 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) Reflectance Emitta (Optional) lip 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 Compliance April 2016 'tTATE OF CALIFORNIA 'Prescriptive Residential Alterations That Do Not Require HERS Field Verification F0111 C-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: / (� /J Lam( 5r 0 _ i 7 �'G JC Date DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Docume tation Author Name: L 2GDO (A Docum tation Author Signature: 1(d 0 S14z Company: 2U� N6 Signature Date: 9 moi? Address: D CEA/ HERS Gbrtificiftion Identification (if applicable): City/State/Z- �- c z z s Phone: RESPONSIBLE PERSO 5 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). t 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 Compliance 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 pfovides to the building owner at occupancy. Responsible Designer Name: - . (.F2 (:�6ry ►��t2u ✓+ Responsible Designer Signa ure: c Company: 0&x)rrw� Date Signed`. Address: Address- 0. 60K8'[ License: 2- rZ 2- 3 City/State/Zip: M(;eci X22 s `i phone: ? d , S -7 r./5-7 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