BRER2016-003478-495 CALLE TAMPICOtJI� ��NUCl/ VOICE (760) 777-7125
D FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
.
® � Date:
/13/ 113
Application Number:
BRER2016-0034
WA5141"TO#4 S6,
Owner:
Property Address:'
/{�=4�5
BETTY MURF
APN:
646150004
250 N WATE
E 3 0 MAY 13 2016
Application Description:
VILLAS OF LA QUINTA HOA / REROOF
WICHITA, KS2253
Property Zoning:
Application Valuation:
$7,489.00
CITYOFLAQUINTA
10MMUNnY
DEVELOPMENT DEPARTMEI
Applicant:
Contractor:
RONALD R WINKLE DBA ROOF
ASSET MANAGEMEN
RONALD R WINKLE DBA ROOF ASSET MANAGEMEN
77-584 BARONS CIRCLE
77-S84 BARONS CIRCLE
PALM DESERT, CA 92211
PALM.DESERT, CA 92211
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.: 677708
Date:—� s/3 `' Contract ro :
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 dollar's
($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
toconstruct 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. . BAP.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 Na
Lender's Address:
(760)772-8876
Llc. No.: 677708
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: X 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. // D
`
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 city to enter upon the
above-mentioned property for inspection purposes.
Date: . /� Signature (Applicant r Agen
a
f
FINANCIAL .• 1.
r +.DESCRIPTION. ^� r`x; {; ACCOUNT¢ :QTY tAMOUNT^ PAID I PAID'DATE=
..
a�
.s .r n 4 Y S $YC5 4
. �Y id i" f><..• A. .y_a .' "`B aw .. •7 1.'.a._: . .. : ,1 L5. X_ ...
BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 5/13/16
A
X PAID'BY� ' METHOD RECEIPT #§ s
+ HECK` LTD BY
RONALD R WINKLE DBA ROOF ASSET CHECK ¢35443 1019 RSE
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 -$1.00
,zs,DESCRIPTION °ACCOUNT
Y ,
QTY z
AMOUNT S v
X PAID " > n
{PAID DATE
• x
RE -ROOF - FIRST 2,000 SF
' 101-0000-42404
0
'$49.31
$49.31
5/13/16
q. @ Y'
{PAIDfBY-"}l,
METHOD x
-RECEIPT#
Al
'CHECK#
D'BY
s
y��
,;CLT ..
RONALD R WINKLE DBA ROOF ASSET r
CHECK
R15443
3019
RSE
Total Paid for RE -ROOF: $49.31 $49.31
TOTALS:
Description: VILLAS OF LA QUINTA HOA / REROOF
FINANCIAL
Type: RE -ROOF
Subtype:
Status: APPROVED -
Applied: 5/12/2016 SKH
Approved: 5/13/2016 RSE
Parcel No: 646150004 - Site Address: 48771 WASHINGTON ST LA QUINTA,CA 92253
Subdivision: TR 3455 & INT IN
COMMON AREAS Block:.
Lot: 3 -
Issued -
Lot Scl Ft: 0
- Building Sq Ft: 0
Zoning:. - - ' -
Finaled:
Valuation: $7,489.00
Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0
No. Unites: 0
Details:
Approved >.
-
ADDIT I •
CHRONOLOGY
w
a..CONDITIONS
, NAME,TYPE .:r.. ::.. �. -.:.NAME a.: - _ * + ',ADDRESSl CITY > ' : STATE. ^ ` ZIP PHONE .�. FAX ... EMAIL.
Printed: Friday, May 13,2016 3:17:34 PM 1 of 2 syST(mS
FINANCIAL
INFORMATION
Printed: Friday, May 13,2016 3:17:34 PM 1 of 2 syST(mS
Printed: Friday, May 13, 2016 3:17:34 PM 2 of 2
Orw-lYSTEMS
.. . . ........... ...... .... . . BOND
INFORMATION
...... .. . .. .....
. . ... ... .....
ATTACHMENTS�
DESCRIPTION
OUNT.w;_F., -1
... ................
A ' .AMOUNT
P
-PAID DATE
RECEIPT4�
HECK'#-*
'METHOD,
1^q'.;.
7
BSAS SB1473'FEE
101-0000-20306
0
$1i00
$1.00
5/13/16
R15443
1019
CHECK
RONALD R WINKLERSE
DBA ROOF ASSET
Total Paid for BUILDING STANDARDS ADMINISTRATION
$1.00 $1.00
BSA:
RE -ROOF -FIRST 2,000
1. 2404
01-0000-4 _F0
$49.31
5/131/16
1115443
1019
CHECK
RONALD R WINKLE
RSE
SF
�$49.31
DBA ROOF ASSET
Total Paid for RE -ROOF: $49.31 $4,931
... . . ........
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Printed: Friday, May 13, 2016 3:17:34 PM 2 of 2
Orw-lYSTEMS
.. . . ........... ...... .... . . BOND
INFORMATION
...... .. . .. .....
. . ... ... .....
ATTACHMENTS�
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........... ... . ..... . .. .... .. . ...... . ..
Printed: Friday, May 13, 2016 3:17:34 PM 2 of 2
Orw-lYSTEMS
Fammom , Me, i.
air`2e zdf�- CitY of La Q u>fn to .
Building 8L Safety Division
Permit # 13P 78-495.Calle Tampico
a�� La Quinta, CA 92253 - (760) 777-7012
J'"` Building Permit Application and Tracking Sheet •
Project Address: Y1.73/ Y 7i't Y? 771 i8 7 S e.m Owner's Name:
A. P. Number: . WA 5�� ��► A1lL
Address:
Legal Description:
City, ST, Zip:
Contractor: 3'
c t .c c� t
Telephone:
Address: %2o�G Nares
Project Description:
City, ST, Zip: o� Lcw •t si ..i9- 227.L
/�.'ft �s a 6. c - e 3
Telephone: 7G O – T 7 Y —Z 4o 3
State Lic. # : 47770Y
City Lie. #:
Arch., Engr., Designer.
Address:
City., ST, Zip:
Telephone:
e one:
P
Contru
s cti n type: e: Occupancy:
Y P
State Lic . #•
Project hPa (circle one • New airAdd'nAIterRe Demo
Name of Contact Person:
Sq. Ft.: Ittow
# Stories:
# nits:
Telephone # of Contact Person:
Estimated Value of Project: –7I(c( 'S—
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal .
Req'd
Reed
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 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" Review, ready for corrections/issueElectrical
Subcontactor List
Called Contact Person .
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
.IN HOUSE:-
'"! Review, ready for corrections/issuc
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 CALIFORNIARESIDENTIAL ALTERATIONSCEC-CFIR-ALT-01-E (Revised 06/14) CALIFORNIA ENERGY COMMISSIONCERTIFICATE OF COMPLIANCE CFIR-ALT-01-EProject Name: V. jtk-5 of- L., J Date Prepared:
A. GENERAL INFORMATION
01
01 Project Name:
02
Date Prepared:
03 Project Location:_ %f2lj !Y& ;7
04
Building Front, C6eriiatlbr�(deg or ca�ojnal):
05 CA City:
06
Number of Ali e&DiWilling Units:
07 Zip Code:
08
-
Fuel Type:_
F1-1 TBuilding Type
12
SIW§.XtEY(ft2)
13 1 Project Scope:
Proposed
W. ose
B. BUILDING INSULATION DETAILS (Section 150.2(b)l)
01
02
03
04
05
06
10
08 09
10 11 12 13
Proposed
W. ose
Methiod of
ntc
CR Pr
"o
EYeck
nitial Solar
jllkontinuous
SRI Aged Solar Thermal SRI
Compliance
I
Exception
4110h
Reflectance
Frame
Frame
Reference
Frarne
Depth-
Spacing
Cavity
Tag/ID
Assembly Type
Type
(inches)
(inches)
R-va,lu
R -value r,�
ell
Comments
C. ROOF REPLACEMENT (Prescriptive Alteration, SeCtt6h06.2(b)1H),:,V,1.
40
08 09
10 11 12 13
Proposed
Minimum Required
Methiod of
ntc
CR Pr
"o
EYeck
nitial Solar
Aged Solar Thermal
SRI Aged Solar Thermal SRI
Compliance
I
Exception
4110h
Reflectance
Reflectance Emittance
(Optional) Refle ance
-------------
NOTES
• Roof area covered by bulldingi�ntegrated phbto'.�".bli9'it.':$aneIs and solar thermal panels are exempt from the above Cool Roof requirements.
gs; must com i�stallation criteria from section 110.8(1)4.
• Liquid field applie&cq�affin' ply
=
Registration Number: ne»,trkionoate/T|me: HERS Provider:
�u��m
[ABuilding cne9ms�cencv8andan]s �u3nedden�a|Com�unce
H
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CEC-CFIR-ALT-01-E (Revised 06/14)
CERTIFICATE OF COMPLIANCE
Prescriptive Residential Alterations
Project Name: V 116"s of
Date Prepared:
CFI R -ALT -01-E
(Page 4 of 4)
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Compliance documentation is accurate, and complete.
Documentation Author Name'
,: Documentation Author S' uY pS ,^;;
'
� S.
Company:
Signature Date: Srj �'I =.. {� �jh-er;N a' p��+,}�' ,� - •
Address:"
O SL O
CEA/ HERS Certification IdehlIfica loflif applicable) ih '11i1
y
City/State/tip:
Phone p4
u �snc1 .�tirt. la 22%
nrwr
��`S7YZW%d:;3
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certify the following under penalty of perjury, under the laws of the State of California ia-�j
t
1. -The information provided on this. Certificate of Compliance is true and correct.1klt?
2. 1 am eligible under Division 3 of the Business and•Professions Code to accept responsifiillty;for the building°desigmor system design Identified on this Certificate of Compliance (responsible
`F s:"• z:
designer). f a
3. That the energy features and performance specifications, materials, compondh'ts7idnXmanufactured 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 Ca��fornia Code of'•12egulafiolis.
4. The building design features or system design features identified on this Certificate of,( }are conslstentwith tli`e information provided on other applicable compliance documents,
worksheets, calculations, plans and specifications submitted to the el forcement agerj'cy`�forfap•provaI with �hls kfuilding permit application. ,
S. I will ensure that a registered copy of this Certificate of Compliabe6a, all be made a5Nihle with the building lie mit(s) issued for the building, and made available to the enforcement agency
for all applicable inspections. I understand that a registered cop ' of this Cert ficate o�f:Compliance islrequir, to be included with -the documentation the builder provides to the building
owner at occupancy. - e r,.,. nit �- All
Responsible Designer Name: , n• , �n.4rt
FIs 16, ;F
i1
•)Responsible Designer . Signature:
��
�y.l •L2 y17y �A,
••�}l ,1...
Company: s q;�dry p; y :'
Date Signed:
`YYlit
.
Address:. -� a:..` ••
.:t.v„!'sy; 4>•
License: -
•Citi,. _
City/State/Zip:a<>,. �•>a ';ti^'^''L.7
Phone:
`tii q, tit
• ,��1;^'= „ Vis; � ,
................. ..._ . ..... .._ .................. .. .._. _... ...
For assistance or"tquestions 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