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12-0792 (RR)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: �:2'00000792 Property Address: 78-582— VENIDA LA FONDA APN: 770-143-006-106 -000000- Application description: RE -ROOF Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 1800 Applicant: 1�e Tiht 4�'I� ��ILI�t/ VOICE (760) 777-7012 FAX (760) 777-7011 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 7/17/12 Owner: FISCHER MICHAEL A ---------------------------- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 ( mencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License Class: License No.: .//C'ate: ,,.ntractor: _ �Q-----� - 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 �y applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: 1 �/) 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 contractors) licensed pursuant to the Contractors' State License Law.). I—) 1 am exempt under Sec. , B.&P.C. for this reason ate: -' 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: LQPERMIT Contractor: Owner 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 cclf-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 those provisions. ate:A ant: zalz WARN N�E TO SECURE ORKERS' 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 Director of Building and Safety for apermit 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 an ounty ordinances and state laws relating to building construction, and hereby authorize representatives of.tW county to enter upon the above-mentioned property or inspe n purposes. Dater nature (Applicant or Agent): Application Number . . . . . 12-00000792 Permit RE -ROOF Additional desc . Permit Fee 30.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 1/13/13 Qty Unit Charge Per Extension BASE FEE 30.00 ----------------------------------------------- 7 ------------------------------ Special Notes and Comments REPAIR & RE -ROOF WITH DIMENSIONAL 30 YEAR SHINGLES. R-30 INSULATION TO BE VERIFIED AT INSPECTION. 2010 CODES. ---------------------------------------------------------------------------- Other Fees . . ... . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid Credited ---------- - ------ =--------- ---------- ---------- ---------- Due Permit Fee Total 30'.00 .00 .00 30.00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1.00 .00 .00 1.00 Grand Total 31.00 .00 .00 31.00 - • 8'. t understand as an Own"uilder if I sell the property for which this perulit is issued, I may be bold liable for any financial or personal b#pd s .wsUIMod, by any subsequent.owaer(s) that result from any latent construction defects in the workmaaslt p. or mated4k 9.. I, understand I may obtain more information regarding my obligations as an -employee, foomm Slee Novenae Servioe� the Uuitod States Small Business Administration, the California Depactwent of Benefit Paymeatr. and the C"Ornia Division of Industrial Accidents. f also understand I may contact the California Contractors' State Uceam Board (CSS) at I- 800-321-CSI,B (2752) or www.cslb.ca.gov for more information about licensed contractors. *10. I am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the party legally and financially respousibi6 for proposed consuvetioQ "vkty, at the following address: 11.1 agree that, as the party legally and fiuwially responsible for this proposed oowgruction activity, i will abide by all applicable laws and require. mems dw govern t VMM-guilders as well as employers. 12.1 agree to notify the issuer of this form immediately of nay ate; dam, o€ cbau*s te,07 vftl+a iDfQfmsfim 1 have piovidod on this form. Licensed ooatractors arc regulated by taws designed to protect the public. If ym ombact with someone who docs not have a licca m rite Contractors' State Lim= aeatd may be uuMa to nobs yea with arty l loss YOU may sustain as a result of a oemptaiat. yow billy remedy against unlicensed Contra.ctm malt be in civil cortex. B is arse for YM IDM*MwA d ant i€ M w6coused Contractor % aaVkyoo of *A W&A&d or figm is b d vAtUt woM14 On PAY; Y Y bo k# dam es If you obta>ftt a ppsuii as Owen nerd wi* to bite Cars you wrti be mVen*&fer vapyiag V&Aff os not &M Coca aro pmpt* funned sad the twu s Qf 6W w aovera�a. . Before a building permit cm be imted, this form must be completed and signed by the property owner and returned the agency responsible for 1ss409 *W VW=kL NoW A copy, of 9ke properV aww's 'az 'rr f4m M4 other va�ific�ft ao so dee dWmq & e Meed to be FIV4VUed when tllo pamit is hSMA to tiler* tfw Five owner's skmaawe. Signature of prop uty owrier . Date: Note: The following Authorization Form is required to be completed by the property owner only when designer an agent of the property owner to apply for a construction permit for the Owner -Builder. &WMR &M_N OF � TO ACT ON MOPttR't'Y ms's R � Faccludirlg.the Notice to PropFxty Owtxsr, the t"wtion of which I uaden'aand is my peraama►l raWoml4ty, 14eacby authc the fol%wi% pexaicut(0 to act as my 09=K;) to Vply for, sign, and F&tho dome mts necessu f to obuin as Owner-Buib Permit for my project. Scope of Construction Project (or Description of Work): Project Location or Address: Name of Authorizod Agent: :Address of Authorized Agent: Tel No I declare unde'r penalty of perjurythat t am the property owner for the address listed above and I personally filled out d information and certify its accuracy. Note. A copy of the owner's driver's license, forma notarizadom or other vc0cab acceptable to the agency is required to be presented when the permit is Issued to verify the property owner's sin uWwe Property Owner's Signature: Date: ANDICA `� ENERGY A Carl's Flooring Service Company 1.877.300.6803 A WWW.AndicaEnergy.com Commercial Residential III 11111111111111111111 Customer:41 �� Install Date:j�2lr� .Address: - Install Time: 4f City: j State: C Zip: Phone: (- Email: Previous R -Value: R -Value Installed: 9 Tvi)e of Insulation ins Payment Method: UCheck # [j C C # DCash Paid Exp. CSC Attic Sq. Feet:. /(.p© .Manufa.cturer: Sq. Footaqe Installed: Total Before Rebates: /.ZC-0 Rebates/Discounts: Total After Rebates: Service Agreement 1. Compensation to Andica Energy, LLC. In consideration of performance of this agreement, Andica Energy, LLC shall receive the payment for the amount set forth above prior to the work beginning. The R -Value amount of insulation to be installed is based upon the energy star standards. Payment shall be made at the time of signing this agreement unless otherwise agreed between the parties. A fee of $75.00 shall be assessed if a check is returned for any reason. If payment is not made in full, or is returned for any reason, Andica Energy, LLC will be entitles to file alien upon the property improved and the customer will be responsible for all the fees and cost associated there with. 2. Rebates. The customer acknowledges and understands that Andica Energy, LLC is strictly a home weatherization provider and is not affiliated in any way whatsoever with any gas, electricity, or other utility company or entity which may be offering any sort of rebate. Any rebates are solely at the control of the Customer. 3. Services Provided. All services provided by Andica Energy, LLC pursuant to this agreement shall be completed in reasonable workman like manner and according to industry standards. 4. Limited Warranty. Andica Energy, LLC warrants that all insulation installed pursuant to this agreement will be of good quality and installed in a proper manner only. After installation, Andica Energy, LLC is not liable for any damages caused by water, fire, flood, wind, leakage, animals, people or any other factor outside of the direct control of Andica Energy, LLC. S. Choice of Law. It is specifically agreed by the parties that any and all proceedings hereunder shall be governed by the laws of the State of California. 6. Waiver. The failure of either party to insist on the performance of any of the terms of this agreement, or the waiver of any breach of this agreement, shall not be construed as a waiver of any other term or condition of this agreement. 7. Partial Invalidity. The invalidity of any portion of this agreement shall not be deemed to effect the validity of any other portion of this agreement, shall not be construed as a waiver of any other team or condition of this agreement. 8. Entire Agreement. This agreement constitutes the entire agreement between the parties, and any prior understanding or representation of any kind preceding the date of this agreement shall not be binding on either party to the extent not incorporated into this writing. 9. Modification of Agreement. Any modification of this agreement or additional obligation assumed by either party in connection with this agreement shall be binding only if in writing singed by each party. 10. Attorney's Fees. In the event that any action is filed by Andica Energy, LLC in relation to this agreement, the customer shall be responsible for all attorneys fees and costs incurred by Andica Energy, LLC in said action. 11. Assignment of Rights. The rights of each party to this agreement are personal to that party and may not be assigned or transferred to any other person, firm, corporation, or other entity without prior, express, and written consent of the other party. 12. Paragraph Heading. The titles to the paragraphs of this agreement are solely for the convenience of the parties and shall not be used to explain, modify, simplify, or aid in the interpretation of this aareement. Andica Rep Date / "71 6/ Andica Tech Date Customer Signature Date riptive Certificate of Ace- 4 A ROOFING PRODUCTS (COOL ROOFS) §§151(1)12 I rcerooT CF -1 R-ALT-ReRoof 1 the area of exterior roof surface to be replaced exceeds q area must most the roofing product "Cool Roor reoul or Zone Of the existing roof area, or 1,000 fe, whichever is less, the new its of §152(b)1 Hi, 152(b)1 Hfi, or 152(b)1 Hiii. the roof alteration is exempt from _ requirements:: 11Cool roofs Dg required In Climates Zones 1-12,14, and 16 with a low sloped roof pitch gess or_ 2:12 pitch). ❑ Cool roofs Dot required in Climates Zones 1-9, and 16 with a steep -sloped roofs (greater pitch than 2:12) and product weightless than 5Ab/ft2. Alternatives to §152(b)i HI and §152(b)HIi, Steep -slope roof (pitch > 2:12) ❑ Insulation with a thermal resistance of at least 0.85 hrfe-OFBtu or at least a 314 inch air -space is added to the roof deck over an attic; or ❑ Existing ducts in the attic are insulated and sealed according to §151(1)10; or ❑ in climate zones 10, 12 and 13, with 1 ft2 of free ventilation area of attic ventilation for every 150 ft2 of attic floor area, and where at least 30 percent of the free ventilation area is within 2 feet vertical distance of the roof ridge; or Building has at least R-30 ceiling insulation; or ❑ Building 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,-R3 or greater roof deck insulation above vented attic. Exception to §152(b)1Hill, Low -slope roof ( pitch 5 2:12) ❑ Building has no duds in the attic Other Exceptions ❑ Roofing area is covered by building integrated; photovoltaic panels and solar thermal panels are exempt from the Cool Roof criteria. ❑. Roof constructions that have thermal mass over the roof membrane with at least 25 MM are exempt from the Cool Roof criteria. IM. If any one of the a/ternadves or exception Is checked the Aged Solar Reflectance and 1`)hermal l=mKtance requirements for roofing )roducts in §118(1) are not applicable. Do not rill table below. Roof Slope s 2:12 > 2:12 ❑ ❑ ❑ ❑ Note: If no CRRC-1 label is available, this compliance method cannot be used, use the Performance Approach to show compliance, The CRRC Product l0 Number can be obtained from the (cool Roof Rating Count's Rated Product Directory at www poo1mofs.orv/oMM&W r_Ch oho Indicate the b'pe of product is being used for the roof top, f. e. singl"ly roof, asphalt roof, metal roof, etc. If the aged Reflecterrce is not available in the Cool R directory and oof Rating Councills Rated Product Directory than use the Initial Reflectance value from the same use the equation (0.2+0 T(p� _ 0.2) to obtain a calculated aged value. Where pis the ►nftlaf Sola Check box if the Aged Reflectance is a'calculated value using the equation above. r Reflectance. Calculate the SRI value by using the SRI- Worksheet at htto✓IWww enerov ca oov 1e24,i atopy of the SRI- Worksheet to the CF -1 R. and enter the resu/ting value in the SRI Column above and attach Product Weight 51bW i 5ib/fe Product Type' Aged Solar Reflectance3'4 Thermal Emhtanoe SRI ❑ 13❑4. 13❑ ❑4 o apply Liquid Field Applied Coatings, the coating must be applied across the entire roof surface and meet the dry mil thickness or coverag, scommended bythe coatings manufacturer -and meet minimum performance requirements listed in §118(1)4. Select the applicable coating: 7 Aluminum -Pigmented Asphalt Roof Coating ❑ Cement -Based Roof Coating ❑Other BOE When a Cool Roof is required, the In contractor shall complete and submit the CX6R-ENV-(11 fnr Gnat in enartinn • I certify under penalty of perjury, under the laws of the State of California, the information provided on thls form is accurate and complete. • I certify that the energy features and.performance specifications identified on this Certificate of Compliance conform to the requirements of Title 24, Parts 1 and 6 of the California Code of Regulations. (S�GI Signature: Company: � ,� l' ate: z&a �a P. :ss: ' (� License: Phone: �� For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300. bin ;rt Permit # floo/ JC Project Address: A. P. Number: # Submittal Plan Sets Structural Calcs. Truss Calcs. Title 24 Calcs. Flood plain plan Grading plan Subcontactor List Grant Deed II.O.A. Approval IN HOUSE: - Planning Approval Pub. Wks. Appr School Fees City of La Quinta Building 8L Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet (/614 wner's Name: I& Z .n— 7 7 77,77 ST, zip: % Lic. #: Recd TRACKING Plan Check sub 'tt d Occupancy: Add'n Alter Repair Demo Q #Units: n DDr� PERMIT FEES Total Permit Fees Amount mi Item :�Rcvicwed,rections Plan Check Deposit Called Contact Person Plan Check Balance Plans picked up Construction Plans resubmitted Mechanical 2nd Review, ready for corrections/issue Electrical Called Contact Person Plumbing Plans picked up S.M.1. 'Plans resubmitted Grading d'd Review, ready for corrections/issue Developer Impact Fee Called Contact Person A 1 P P Date of permit issue Total Permit Fees Amount 78-105 CALLE ESTADO - LA QUINTA, CALIFORNIA 92253 - (619) 564-2246 April 25, 1990 Quality Mortgage 74-935 Highway 111, Suite C3 Indian Wells, CA 92210 SUBJECT: M37ROPERTY AT 78-582-AVENIDA LA FONDA To Whom It May Concern: Pursuant' to your written request of April 23, 1990, relative to the above subject, this letter outlines the information you requested. The subject property is a triplex structure, which is currently a nonconforming building and use located in the SR Zone District, which is a single family lone. Under Section 9.152.070 of the La Quints Municipal Code, reconstruction -or rebuilding and continued use of the structure would be allowed only if it were to be damaged by fire, explosion, flood or other uninduced natural or unavoidable catastrophe. The reconstruction or rebuilding of the use could not be expanded beyond what was existing prior to the damage. Section 9.152.080 permits normal maintenance and repair to nonconforming structures, but precludes any structural additions to such structures. This, again, relates to the expansion of nonconforming uses and structures. No room additions, carports, etc. could be built to further the operation of the use and/or structure. I have enclosed a copy of Chapter 9.152 pertaining to Nonconforming Uses and Structures for your information. CS/LTRWKWQfM ADDRESS - P.O. BOX 1504 - LAlOUINTA, CALIFORNIA 92253 Should you have any questions, please contact the undersigned. ,Very truly yours, JERRY HERMAN PLANNING & DEVELOPMENT DIRECTOR elY Wallace H. Nesbit Associate Planner WHN:ccs Attachment cc: Tom Hartung, Building Official Building file; 78-582 Avenida La Fonda CS/LTRWN.020 -2- To uafityn or a`�e FHANA CONS RUOCTIONii«DNAL_ 74-935 Highway 111 Suite C3 ** n Indian Wells, California 92210 Tom Andrews (619) 773-2882 Office Loan -Officer (619) 328-4757 Home Voice Pager (619) 432-2570 .i er our to ' V. rSa7�b,,, I r, 4*1e e v. cL, 40 �Pv d CL:* ; nn Pt, n- spa-LY'Su �� c.�" y f b iktpf « nod" b_—rrLQG•v1S%1 �- 1 t 4 Ti1a, OU,, .Pp - ,o q,ua,�'o Gt. Co i1 d r a n Ppm V_o v U. -A i{ C -'ha po L0' e +0 W k o r, ; -(- r n CCM c� ,g -a� 74 -q -3_S-_ 11I 5� k;z& ( ct4 . b I q-- ,-)-7 C-: 8 � a- - ice' _