BRER2016-0048- r .
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
BRER2016-0048
Property Address:
52625 AVENIDA VELASCO
APN:
773294018
Application Description:
LARSON / REROOF
Property Zoning:
�
Application Valuation:
$5,800.00
Applicant:
T M H ROOFING INC
28441 STONEY POINT COVE
MENIFEE, CA 92585
4 VOICE (760) 777-7125
FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153.
BUILDING PERMIT -
Date: 6/2/2016
Owner:
ERICA LARSON
52625 AVENIDA VELASCO
LA QUINTA, CA 92253 -
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.: 967811
Date: Contract
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 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
Lender's
C=
z
L
C.
Contractor:
�')
T M H ROOFING IN 6 O
lz
28441 STONEY P01 E
MIENIPEE;.CA 9258 z
ry C=
M 1
D
O
n
�
(951)255-5268
LIc. No.: 967811
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 t rk for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
Se tion 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 is issued, I
shall not employ any person in any manner so as to bec subject to the wor ers'
compensation laws of California, and agree that, ould become subje o the
workers' compensation provisions of Section 00 of the La Cod all forthwith
comply with tho a pr/o`visi ns.
Date: / 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 laws relating to building
construction, and hereby authorize representatives of this c' en er on the
above-m`enntio ed Voperty for inspection purposes.
Date: C� �� Signature (Applicant or Agent):
FINA I. INFORMATION
t; DESCRIPTION. a Ht ' : t j =ACCOUNT QTY AMOUNT . PAID =s PAID DATE':
BSAS SB1473 FEE 101-0000-20306 10 $1.00
$0.00
z;7 ,PAID BY .;r . �' € INIETHOD _ .'°.RECEIPT # .' ' r�`
4 u CHECK #; ssy
;CLTD BYE
'Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00- .',$0.00 "
ACCOUNT
QTY
YY AMOUNT
v
4? PAID ''`
f
PAID `DATE'
RE -ROOF - EA ADDITIONAL 1,000 SF
101-0000-42404
0
$11.60
$0.00
PAID.`BY a4,+€
.. za.
.-K METHODS �s:
..,.. h _ s:�
t s' 7
t z.;RECEI,PT #:..
CHECK # k
„CLTD BY
apt'DESCRIPTION ta ,E
_K
F._� ,;ACCOUNTrkAMOUNTs4et
M
+P W
3 AID
PAID""DATE,
RE -ROOF - FIRST 2,000 SF,
101-0000-42404
0
$49.31
$0.00
-c h PAID?BY z"�
~Ts,, i xs
METHOD
' RECEIPT # e t; ,
CHECK #
CLTD BY'�
$ t ,
.<
_ '
g "
_ PAID n
ATEACCOUNTDECRIPTION =
'PAID
RE -ROOF - FIRST 2,000 SF PC
101-0000-42600
0
$98.62
$0.00
" PAID.BY .,'` `{
p METHODS:tet
.', a
�r `RECEIPT # �w, ,
;t. CHECK #_ .t
'CLTD BY '
x.c...
Total Paid for RE -ROOF: $159.53 $0.00
TOTALS:.0 00
Description: LARSON / REROOF
Type: RE -ROOF
Subtype:
Status: UNDER REVIEW
Applied: 6/2/2016 SKH _.
Approved:
Parcel No: 773294018 Site Address: 52625 AVENIDA VELASCO LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE
LA QUINTA Block: 151
Lot: 5
Issued:
UNIT 16
Lot Sq Ft: 0
Building Sq Ft: 0
Zoning:
Finaled:
Valuation: $5,800.00
Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0
No. Unites: 0
Details: REROOF WITH LIGHT-OAKRIDGE- AMBER.COLOR [CRRC: 0890-0009] 2013 CALIFORNIA ENERGY CODE
FINANCIAL ,INFORMATION
Printed: Thursday, June 02, 2016 9:50:28 AM 1 of 2
CPWIYSTEkIS
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INSPECTIONS
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INFORMATION
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CL
J DESCRIPTION
ACCOUNT
Qw
AMOUNT
PAID--
:PAID DATE'
RECEIPT#
IDIBY
BSAS SB1473 FEE
0
$1.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION
$1.00 $0.00.
BSA:
RE -ROOF - EA
101-000042404
.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
101-6000-42600
0
$98. -62
$0.00
T
SF PC
Total Paid for RE -ROOF: $I59.53 $0.00
S. .. ... .. ... ..... . ............ .... ..... ...... .... . ....... ... .
. .. ......... . . . . . . .. .... . ..... . _.. I 1 1. .1. 0.00 �ig&.,53, � I 1--p— � .11.1.1 1. � ............. ........ .. .
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INSPECTIONS
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INFORMATION
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Printed: Thursday, June 02, 2016 9:50:28 AM 2 of 2 cB?WmTII
Bin #
City of La Quin to
Building 8Z' Safety Division
�� � `I 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Per r #i �
-'
Project Address: 5i-) 6-15 X76¢ f L,SC
Owner's Name: R-rcaa- 11¢14- C�
A. P. Number:
Address:
Legal Description:
Ci ST, Zi
City, P:
T
Contractor: J P'1 . D
e r G
•
Telephone:
P do S
Address: g 1-A/� TO�✓f �ed�.
Project Description:
City, ST, Zip: j'►7fir/�.��� `�9' %1 sS�
1
Telephone:
P o e.• r S - 6
f
State Lic. # :
qity Lie. #.:
Arch.; Engr., Designer:
Address:
City., ST, Zip:
Telephone:
Con truct'
s ton Type: Occ c
u an
Z. ��8 P Y:
f f
State to Lic. #:
ProJect type (circle one): New Add'n Re a• Demo
Name of Contact Person: 1�7,-4
Sq. Ft.: y �v
#Stories: C
#Units: [
Telephone # of Contact Person: �f'�Q 9' j�a. —a- Sri %
Estimated Value of Project: $ o0
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 Cales.
Called Contact Person
Plan Check Balance
Title 24 Cates.
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 ROUSE:-
'^! 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
CERTIFICATE OF COMPLIANCE
,Prescriptive Residential Alterations
Project.Name: UA 25 6
CALIFORNIA ENERGY COMMISSION
Vill
CF1R-ALT-01-E'
(Page 1 of 4)
Date Prepared:
A. GENERAL INFORMATION.
01 '
44► I •
Ol
Project Name:
02-
Date Prepared: G 6
03
Project Location: ra Lgs-ene)
04
Building Front. Orientation (deg or cardinal):
05
CA City: .¢ -
06
Number of Altered•',Uwelling Units: #"^
07
Zip Code:
08
Fuel Type,
09
Climate Zone:
10
Tofal,Conditioned Floor?Area (ft?):
11
BuildingT e
YP
12
( ) tA`V%0 w.
Siab,A1h a' ft2
13
Project Scope:
Aged Solar Thermal SRI
Compliance
B. BUILDING INSULATION DETAILS (Section 150.2(b)1)
01 '
02 •
03
04
05.I
08 09
10
11
Tag/ID
Assembly Type
Frame
Type
Frame
Depth
(inches)
Frame-.
Spacing
(inches)
Proposed '�
Required
Comments
Continuous
Cavity Insulation
R -value R-value;`U*factor
�)b�pRp-e.ef1enrde1inx
ce
U Factor
Table, Cell
Method of
Roof
CRRCP�,rrod��tD
De k,
Initial Solar Aged Solar Thermal SRI
Aged Solar Thermal SRI
Compliance
Pitch
Exception
Number
oduct Type :
, lnsulatlon
Reflectance Reflectance Emittance (Optional)
Reflectance Emittance (Optional)
CooL, 00t-
y
S'9D - o'oo 44r;
C. ROOF REPLACEMENT(Prescriptive Alteration, Sec4tion150.2(b)1H)
01
02
03
04 A:�'
05�,
06
+ 177 08 09 10
11 12 13
R -value
Proposed
Minimum Required
Method of
Roof
CRRCP�,rrod��tD
De k,
Initial Solar Aged Solar Thermal SRI
Aged Solar Thermal SRI
Compliance
Pitch
Exception
Number
oduct Type :
, lnsulatlon
Reflectance Reflectance Emittance (Optional)
Reflectance Emittance (Optional)
CooL, 00t-
y
S'9D - o'oo 44r;
rAt i2sJ6 ,
'
..
8.,11- IR Id-
NOTES - y� �i►
• Roof area covered may, builaing;integrated phi5to�v61 a panels and solar thermal panels are exempt
Liquid field must comply withinsallation from section 110.8(i)4.
from the above Cool Roof requirements.
-
• applied,coatingscriteria
'
Registration Number: Registration Date/Time:
CA Building Energy Efficiency Standards - 2013 Residential Compliance
HERS Provider:
June 2014
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
! CEC-CFIR-ALT-01-E Revised 06/14
CERTIFICATE OF COMPLIANCE
..Prescriptive Residential Alterations .
Project Name: a
CALIFORNIA ENERGY COMMISSION
CF1R-ALT-01-E
- (Page 4 of 4)
Date Prepared:
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT.
1. 1 certify that this Certificate of Compliance documentation is accurate and complete. ° ,•, '�
Documentation Author Name:
17TH Z-.
Documentation Author Signature: '`• ""'
.4.✓
- . Ok AM -
Company:
Signature Date:.
Address:
-,, .9
CEA/ HERS Certification I e0ificatio&(if applicable):
City/State/Zip:
.L ✓l�r!'��- C r �G�S-�T J_
Phone: �?jl
SFR ( S
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information Certificate Compliance is -- �'
provided on this of true and correct.
on ' f
2. I am eligible under Division 3 of the Business and Professions Code to accept responsiblIlty�for the building eslg�n or system design identified this Certificate of Compliance (responsible
designer).
3. --That the energy features and performance specifications, materials, components,.and manufact a dev c for the building design or system design identified on this Certificate of
Compliance conform to the requirements of Title 24, Part 1 and Part 6of tthe California Code ofcR 7utations.
building features features
4. The design or system design identified on this Certificate of Compliance -are consistent wlthh.tlie information provided on other applicable compliance documents,
worksheets, calculations, plans and specifications submitted .to the enfo cement agency approval with this building permit application.
Copy a permit(s) for
5. I will ensure that a registered of this Certificate of Compllan shall be made:availa-"lb with the building issued the building, and made available to the enforcement agency
for inspections. I that this Certificate Compliance is to be includ documentation the builder building
-all applicable understand a registered copyy of of required y, provides to the
-
owner at occupancy. -
Responsible Designer Name: /: — t
Responsible Desig ige:
'Company : �. $¢e
Date signed:
Address:
License: �7
City/State/Zip: ""
Phone:
7 XV
For assistance or -questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.
Registration Number: Registration Date/Time:
CA Building Energy Efficiency Standards - 2013 Residential Compliance
HERS Provider:
June 2014