BRER2015-0004} ).
Applicant:
PINSON CONSTRUCTION & DESIGN
69-202 DORAL WAY
CATHEDRAL CITY, CA 92234
JAN 0 9 2014
CITY OF LA QUINTA
COMMUNITY DEVELOPMENT DEPARTMENT
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: C35 -1k-
335 sLicense No.: 995012
Date: / ` (o Contractor.
' 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 Divisio .
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
permit subjects the applicant to a civil penalty of not more than five hundred dollars
($500).:
(_J 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.).
( )1, 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.). Ili
Lender's Name
Lender's
Contractor:
PINSON CONSTRUCTION & DESIGN
69-202 DORAL WAY
CATHEDRAL CITY, CA 92234
(760)578-1790
Uc. No.: 995012
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 should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with t se pro isions.
Vate: ` Applicant: (1
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
Znstruction, and hereby authorize representatives of this city to enter upon the above:
Fntioned property for inspection purposes. VV
'�
Date: A ��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: 1/9/2015
Application Number:
BRER2015-0004
Owner:
Property Address:
53025 AVENIDA VALLEJO
PINS CORP
APN:
774052025
53025 AVENIDA VALLEJO
Application Description:
1950 SUARE RE -ROOF NEW TILE
LA QUINTA, CA 92253
Property Zoning:
Application Valuation:
$3,000.00
Applicant:
PINSON CONSTRUCTION & DESIGN
69-202 DORAL WAY
CATHEDRAL CITY, CA 92234
JAN 0 9 2014
CITY OF LA QUINTA
COMMUNITY DEVELOPMENT DEPARTMENT
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: C35 -1k-
335 sLicense No.: 995012
Date: / ` (o Contractor.
' 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 Divisio .
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
permit subjects the applicant to a civil penalty of not more than five hundred dollars
($500).:
(_J 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.).
( )1, 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.). Ili
Lender's Name
Lender's
Contractor:
PINSON CONSTRUCTION & DESIGN
69-202 DORAL WAY
CATHEDRAL CITY, CA 92234
(760)578-1790
Uc. No.: 995012
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 should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with t se pro isions.
Vate: ` Applicant: (1
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
Znstruction, and hereby authorize representatives of this city to enter upon the above:
Fntioned property for inspection purposes. VV
'�
Date: A ��Signature (Applicant or Agent): \ �—
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E
Prescriptive Residential Alterations (Page 1 of 4)
Project Name: Date Prepared:
A. GENERAL INFORMATION
01
,M141
OS
Project Name: — d '2- H �
02
Date Prepared: ` dj
03
Project Location:
04
Building Front, O;,ientation(deg or cardinal):
05
CA City:
06
Number of AI`te ed D elling Units: -IWI&41
07
Zip Code:
08
Fuel Type: •' Q4 '
09
Climate Zone:
10
Total conditioned Floor�;Ahea (ft2) > a
11
Building Type
12
SIab, Area (ft2) ,\\.
1[ 13
Project Scope: 5 fe •-(�p d ..✓ t� Vl e
_
(,,'1N V . tom, ""
1 0 T. 1/2 f[ 1W 'VO
B. BUILDING INSULATION DETAILS (Section 150.2(b)1) ae.. w slRKt(
01
02
03
04
05
06_ ,oDI Q,,*07 08,t %09
10
11
Tag/ID
Assembly Type
Frame
Type
Frame
Depth
(inches)
Frame
Spacing
(inches)
/°`P,roposed 00 4
Required
Comments
Cavity .
R -value
." Appendix JA4
ntinuous Reference
�I`nsulation
R -value O^Mactor Table Cell
I LI -Factor
NOTES
• Roof area coveredby, buildingrintegratedolt�anels and solar thermal panels are exempt from the above Cool Roof requirements.
• Liquid field applied, coatings must comply with stallation criteria from section 110.8(i)4.
t
I � .,
a 9".ZtiJ W `1i"a, &%\._R
C. ROOF REPLACEMENT (Prescriptive Alteration, Se ct 150.2(b)1H).
, ` ,
01
02
03
04 � �
O5, \ 06
tt °t)70 08 09 10 11 12 13
Method of
Compliance
Roof
Pitch
Exception
.._
CRRC Product ID
{�. Number
R value%/
Deck
,.roductType, Insula�Gtio_n;
` Q Proposed Minimum Required
Initial Solar Aged Solar Thermal SRI Aged Solar Thermal SRI
Reflectance Reflectance Emittance (Optional) Reflectance Emittance (Optional)
l'+-
NOTES
• Roof area coveredby, buildingrintegratedolt�anels and solar thermal panels are exempt from the above Cool Roof requirements.
• Liquid field applied, coatings must comply with stallation criteria from 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
RESIDENTIAL ALTERATIONS
CEC-CFIR-ALT-01-E Revised 06/14 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E
Prescriptive Residential Alterations r (Page 4 of 4)
Project Name: 4T -'; •-0 -2 S XV -z- --y a.9k s2 I I Z1Ld Date Prepared: fit
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. I certify that this Certificate of Com 'a ce documentation is accurate and complete.
Documentation I Vor Namel
Documentation Author Sign ur'
Company:
t� $
Signature Date:rt
L00 C�—
Nk Wo
Address: , , el
�—
CEA/ HERS Certification I fitfifit`atn (if applicable): .
or
City/State/Zip:
- \
Phone:C( f �� l -7'p O
io
r
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certifythe following under penalty of perjury, �.
g p ty p � ry, under the laws of the State of California:
Compliance is
1. The information provided on this Certificate of true and correct.
O,
2. 1 am eligible under Division 3 of the Business and Professions Code to accept respons'b ty for the building,dessiigaor system design identified on this Certificate of Compliance (responsible
designer).
'sand
3. That the energy features and performance specifications, materials, componen manufacturred�`�`d45ic for the building design or system design identified on this Certificate of
Compliance to the requirements Title 24, Part 1 and Part 6 of the Code of(Regulations.
conform of California
4. The building design features or system design features identified on this Certificate of Co pliance are'consisten-wit_he information provided on other applicable compliance documents,
worksheets, calculations, plans and specifications submitted to theenforcement agency'for,�approval with this�bu building permit application.
blb for building, to the agency
5. 1 will ensure that a registered copy of this Certificate. of Compllance;shall be made, ava I with the buil g grmlt(s) issued the and made available enforcement
for all applicable inspections. I understand that a regist ed ca�p'�bi this Certificate of Compliance is r.•equlred to be included with the documentation the builder provides to the building
owner at occupancy. ,cn,, K.A0
Respon goer me: ' �► C
VIC- r c�S
Responsible Designer Signature:
Ir
Company: - —
Date Signed:
Address: _}
License:
City/State/Zip:4 "'
C2
Phone:
�
For assistance or�questions 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
_C 4r .T
DESCRIPTION�t, �� _'ACCOUNT QTY AMOUNTU''
?
PAID' G . •
'PAID DATE'
BSAS SB1473 FEE
101-0000-20306 0 $1.00
$0.00
BY ` rx`+
"� '0' ` s : 'METHOD �`�w r 4 ji` t. N, RECEIPT#
oCHECK #^ 4
+CLTD BY
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00
DESCRIPTION . '`_ ��, N
y
�CtTY
i'`AMOUNT14 ,�
",� ;PAID''
`PAID DATE..
RE -ROOF - FIRST 2,000 SF
101-0000-42404
FINANCIAL
INFORMATION
$0.00
_C 4r .T
DESCRIPTION�t, �� _'ACCOUNT QTY AMOUNTU''
?
PAID' G . •
'PAID DATE'
BSAS SB1473 FEE
101-0000-20306 0 $1.00
$0.00
BY ` rx`+
"� '0' ` s : 'METHOD �`�w r 4 ji` t. N, RECEIPT#
oCHECK #^ 4
+CLTD BY
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00
DESCRIPTION . '`_ ��, N
' '$ACCOUNT i .� '
�CtTY
i'`AMOUNT14 ,�
",� ;PAID''
`PAID DATE..
RE -ROOF - FIRST 2,000 SF
101-0000-42404
0
$49.31
$0.00
:PAID BYA '� s
t �•'' ' ,,:'METHOD i 4r
`# ., RECEIPT#a r
"CHECK"#
CLTD BY
`'A n', DESCRIPTION ?
'�t A000UNT 4, j
°QTYa
',' AMOUNT,', z
*t'PAID-, {3 '�'
'PAID'DATE
RE -ROOF - FIRST 2,000 SF PC
101-0000-42600
0,
$98.62,
$0.00
METHOD�y. , `
# ' RECEIPT #,T "
., „CHECK #rfi
"CLTD Blf":_
Total Paid for RE -ROOF: $147.93 = $0.00
TOTALS:00
Description: 1950 SUARE RE -ROOF NEW TILE
CONDITIONS
Type: RE -ROOF Subtype:
Status: UNDER REVIEW
Applied: 1/9/2015 PJU
Approved: -
Parcel No: 774052025 Site Address: 53025 AVENIDA VALLEJO LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 219
Lot: 2
Issued:
UNIT 21
NAMETYPE
etc�A^� #NAME." x
Lot Sq Ft: 0 - Building Sq Ft: 0
Zoning:
Finaled:
ZIP-
�' `PHONE
tiFAX
Valuation: $3,000.00 Occupancy Type: ,,
Construction Type: _
Expired:
No. Buildings: 0 No. Stories: 0
No. Unites: 0
_
Details:' RE -ROOF 19.50 SQUARE FEET REMOVE OLD ROOF INSTALL NEW LIGHT WEIGHT TILE 2013 CALIFORNIA BUILDING CODES APPROVED
" PER J.F.
0IIIIIIIIIIIIIIIIIIN 0
ADDITIONAL SITES
CHRONOLOGY
FINANCIAL INFORMATION
Printed: Friday, January09, 2015 4:35:38 PM 1 of 2 CR SrSTEMs
CONDITIONS
CONTACTS
NAMETYPE
etc�A^� #NAME." x
N t?'ADDRESSl
s `,CITY'
�-STATES
ZIP-
�' `PHONE
tiFAX
APPLICANT
PINSON CONSTRUCTION & DESIGN
69-202 DORAL WAY
CATHEDRAL
CA
92234
-
t
CITY
CONTRACTOR
PINSON CONSTRUCTION & DESIGN
69-202 DORAL WAY
CATHEDRAL
CA
92234
CITY
r OWNER
PINS CORP
53025 AVENIDA
LA QUINTA
CA
92253
_
-
VALLEJO
FINANCIAL INFORMATION
Printed: Friday, January09, 2015 4:35:38 PM 1 of 2 CR SrSTEMs
QID-N�OECTIONTYPE INSPECTOR: I SCHEDULED'
RESULT REMARKS
NOTES`�'�,
DATE
DATE
FINAL"
PRE -ROOF
PARENT PROJECTS
'A
7.
4
-1
'RECEIPT..;#,'
'METHOD,
CLTD'
DESCRIPTION
CCOUNV,..
AMOUNT -,
PAID'
-PAID DATE
C
,CHECK
:PAID
BY S
i I
ATTACHMENTS
ho
BSAS SB1473 FEE
'101-0000720306
0
$1.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION
$1.00 $0.00
BSA:
RE -ROOF - FIRST 2,000
101-0000-42404
0
$49.31
$0.00
SF
RE -ROOF -FIRST 2,000
101-0000-42600
$98.62
$0.00
SF PC
Total Paid for RE -ROOF: $147.93 $0.00 7_7
TOTALS: $148.93 $0.00
QID-N�OECTIONTYPE INSPECTOR: I SCHEDULED'
RESULT REMARKS
NOTES`�'�,
DATE
DATE
FINAL"
PRE -ROOF
PARENT PROJECTS
Printed: Friday, January 09, 2015 4:35:38 PM 2 of 2 CRW.IYSTEMS
BOND
INFORMATION
i I
ATTACHMENTS
ho
Printed: Friday, January 09, 2015 4:35:38 PM 2 of 2 CRW.IYSTEMS
Iain #
Permit #
Project Address: S-3-62-5-
CCS}/ of La Q U7n to .
-Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico .
La Quinta, CA 92253 - (760) 777-7012.
Building Permit Application and Tracking Sheet
Ve( I �6 9 Owner's Name: co
A? P. Number:
Address: >
Legal Description:
City, ST, Zip:
Contractor: S 0. ,�.
M1 1'J �'}'1 0*
Telephone:
Address: 1 — Zv 'Z.
ap rpt I W ee3y
Project.Description:.1 rd'O
City, ST, Zip:. C oT Z3 Y
�tiv�� C l ✓%. s
Tcle hone: f o lo
State Lie. #: S d l i—
City Lie. #;
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
P
>;;.,.::<:<:<:::'::»<;>'::>::s•;s:<;
;;;>:::.>;;:.;:::;; ...: ; •>.:.:.::<.;.;::,.:
Construction Type: Occupancy:
YP
State Lie. #:
D w Add'n Alter Repair e
, Project type (circle one): New mo
Name of Contact.Person:
Sq. Ft.:
#Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project:
it Submittal Req'd
APPLICANT: DO NOT WRITE BELOW THIS LINE
Rec'd TRACKING PERMIT FEES.
Plan Sets
PIan 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
2"' Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
N.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'"' Review, ready for eorrcctionsrissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees