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BRER2016-0041LICENSED 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: 1 License No.: 677708 Date: 5/,LO "'Contractor: L 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 Name: 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: 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. 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. applicabon 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 S�^cl e --Signature (Applicant or Agent): 5 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: 5/20/2016 Application Number: BRER2016-0041 Owner: Property Address: 48995 WASHINGTON ST".00F CONRAD LOPES APN: 646150021 400 OCEANGATE NO 800 Application Description: VILLAS OF LA QUINTA HOA /LONG BEACH, CA 92253 Property Zoning: IApplication Valuation: $7,489.00 .Applicant: + tPEKP wfl . Contractor: RONALD R WINKLE DBA ROOF ASSET MANAGEMEN RONALD R WINKLE DBA ROOF ASSET MANAGEMEN 77-584 BARONS CIRCLE 77-584 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: 1 License No.: 677708 Date: 5/,LO "'Contractor: L 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 Name: 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: 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. 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. applicabon 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 S�^cl e --Signature (Applicant or Agent): if • �._i �*. `. • , ,y .- �• � i - .t t�i � y � :7 b T �E? r '. ' r F: t {. ,' Y.•S .F"�9 .R ., ..r h�' .. '{+ *'h ''�+• • - ♦. _ .r ;. � .3 t.S+r 5. ...J ,. s *., '''• ' .Y ,f b, ( - T i 1 't 't j_a rw •GAJ r Y l J ; ' t • ^ �" . �� •4t . ` !'^• i • - ''rte ^�} _ y rte, . !: _ -!� -C'' �. w h • r` • .. •. +y.lw � .�} i i �. ! '. P� � • .... ..! ;• �! ' � s i F '•'mow � _ - '' - i "` +'•;L b - `LTM ; t ' 4*x7 + f Description: VILLAS OF IA QUINTA HOA / REROOF CHRONOLOGY Applied to Approveed, . Type: RE -ROOF Subtype: Status: APPROVED Applied: 5/20/2016 MFA Approved: 5/20/2016 MFA Parcel No: 646150021 Site Address: 48995 WASHINGTON ST LA QUINTA,CA 92253 Subdivision: TR 3455 & INT IN COMMON AREAS' Block: 'Lot: 20 — Issued: Lot Sq Ft: 0 Building Sq' Ft: 0 Zoning:. Finaled: Valuation: $7,489.00 Occupancy. Type: Construction Type: Expired: 11/14/2016 crw No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: LIKE FOR LIKE COMP SHINGLES CRRC 0890-0009 PER 2013 CALIFORNIA BUILDING CODE. y ADDITIONAL CHRONOLOGY Applied to Approveed, . j CONTACTS •.'. _ _ l - � . _ r t' a � '1 � n- � e s � 4 f K..s. � . � *-?^ {#fY xT° NAME TYPE �.. - �- -z, NAME '� ADDRESS`' 'CITY N ;.YSTATE ZIP.;r°- ;PHONE'= ADDITIONAL CHRONOLOGY CONDITIONS t CONTACTS NAME TYPE �.. - �- -z, NAME '� ADDRESS`' 'CITY N ;.YSTATE ZIP.;r°- ;PHONE'= _m a >' , . „i ;FAX APPLICANT RONALD R WINKLE DBA ROOF ASSET 77-584 BARONS CIRCLE PALM DESERT CA 92211 MANAGEMEN CONTRACTOR RONALD R WINKLE DBA ROOF ASSET 77-584 BARONS CIRCLE PALM DESERT CA 92211 MANAGEMEN OWNER CONRAD LOPES 400 OCEANGATE NO LONG BEACH CA 92253 800 Printed: Friday, May 20, 2016 2:19:28 PM 1 of 2 .. l - SYS7EM5 INSPECTIONS ,*,sicll�ljINSPECT16N PE '9�1 SPE _SCHEDULED� -'1jM I r 0 PRE -ROOF JFU PARENT PROJECTS ..... ... .... . REVIEWS .............................. ..... . ......... ........................................ ... ........... .. -7 5,0F§TATUS­,�'A� �O 1ARkS �V' 7, tEN NOTES;z ,,,T,'REVIEW 7Y �`RE09W SENT'D, -76 —A, ........ . ... .. ... . .... d .. .. . . .. .... ........ BOND INFORMATION, . .. .. ... .. .. ....... .... . ... .. ... . . ATTACH ME NTS.� . . ....... . . .... .. .. .... .... .... .. ..... . .... . . . ..... . . .......... .. Printed.: Friday, May 20, 2016 2:19:28. PM 2 of 2 SYSTEMS CRRW 4 ° DESCRIPTION F-;ACCQUNT a QTY, AMOUN.T. ­` PAID PAID DATE,.-! RE El CHECK# :.. METHOD PAID BY ... ki BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 Total Paid for BUILDING STANDARDS ADMINISTRATION $0.00 BSA: -ROOF FIRST500 .RE 101=0000-42404 01.wO000-42404 0 $49.31 $0.00 Total Paid for RE -ROOF: $49.31 $0.00 TOTALS:' -'$50.31- $0.00 . .......... . .... ... INSPECTIONS ,*,sicll�ljINSPECT16N PE '9�1 SPE _SCHEDULED� -'1jM I r 0 PRE -ROOF JFU PARENT PROJECTS ..... ... .... . REVIEWS .............................. ..... . ......... ........................................ ... ........... .. -7 5,0F§TATUS­,�'A� �O 1ARkS �V' 7, tEN NOTES;z ,,,T,'REVIEW 7Y �`RE09W SENT'D, -76 —A, ........ . ... .. ... . .... d .. .. . . .. .... ........ BOND INFORMATION, . .. .. ... .. .. ....... .... . ... .. ... . . ATTACH ME NTS.� . . ....... . . .... .. .. .... .... .... .. ..... . .... . . . ..... . . .......... .. Printed.: Friday, May 20, 2016 2:19:28. PM 2 of 2 SYSTEMS CRRW STATE OF Cr L,,,FORNiA° RESIDENTIAL ALTERATIONS CEC-CF1 R -ALT -01-E (Revised 06/141 CERTIFICATE OF COMPLIANCE CALIFORNIA ENERGY COMMISSION Prescriptive Residential Alterations CF1R-ALT-01-E Project Name: (Page 4 of 4) t Date Prepared: '1Z 2 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT ' 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. t�+ ' Documentation Author Name: Documentation Author S' urY. Company: Wt,�-\C / i fi� j Signature Date:10,, Address:S� xQ I 5 1— CEA/ HERS Certification Idefitl�cat,!q fllf applicable): t' City/State/Zip: �'� J� a� g y ,y 0.` Phone: 22 6 1sL `W 0 ` S 7 Y „,i RESPONSIBLE PERSON'S DECLARATION STATEMENT Je.. "wF 144 -& 16j? . p certify the following under penalty of perjury, under the laws of the State of California: 1 1. The information provided on this. Certificate of Compliance is true and correct. 01 0 4. 2. I am eligible under Division 3 of the Business and Professions Code to accept responslblli afor the building,de"slg�n'.ror system design identified on this Certificate of Compliance (responsible designer). 3. That the energy features and performance specifications, materials, comporye,ri�ts manufactu "d de31'ces for the bu'(Itling design or system design identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 the t?allfornia Code ofrt zur M�gulatlons. 4. The building design features or system design features Identified on this Certificate of Co pllance�are consistenwih"e information provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement agen@" f�o approval with t�F»s buil�ing permit application. 5. 1 will ensure that a registered copy of this Certificate of Com • I a ; ce�stiall be mad , 'v`ailable with the building -�N' g pgrmlt(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a registejed t qpy"of this CertifIda J Compliance is,reijuired'to be included with the documentation the builder provides to the building owner at occupancy. 5 Responsible Designer Name: dltd"spd�sible Designer Signature: u Company:_.. •°" % _ Date Signed: Address: t —Al _ � ; �s License: Phone: gel For assistance ors`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 STATE OF- ,;LIFORNIA RESIDENTIAL ALTERATIONS CEC-CFIR-ALT-01-E Revised 06/14) CERTIFICATE OF COMPLIANCE CALIFORNIA ENERGY COMMISSION -01 CF1R-ALT-E Prescriptive Residential Alterations (R -ALT of -E Project Name: , �� of � va- Date Prepared: 1,...,1, .3 A. GENERAL INFORMATION 01 02 03 04 05 06 ira 07 I 08,E 09 10 11 Ol Project Name: 02 Date Prepared: '" S 03 Project Location: 9 9�T— 04 Building Front (deg or cardinal): CA City: 06 .dfientation Number of ACWed 4welling Units: f ^i 07 07 Zip Code: 08 Fuel Type: .4 . 09 Climate Zone: 10 T.,ota1,.Contlifioned Floor}Area'(#t2)? 11 Building Type 12 1 Srib, Arei"�(ft2) o� _ . 13 Project Scope: Frame Depth B. BUILDING INSULATION DETAILS (Section 150.2(b)1) 01 02 03 04 05 06 ira 07 I 08,E 09 10 11 r P,r poised s Required Frame Frame ;t Continuous 4 Appendix JA4 Frame Depth Spacing Cavity insulation Reference Tag/ID Assembly Type Type (inches) (inches) R -value R -value ^U, Table Cell " U -Factor Comments OrN �.. .� asV.AA tir: C. ROOF REPLACEMENT (Prescriptive Alteration, SectfAi,150.2(b)1H).4 �; 01 02 03 04 M.. `�? �� 06 08 09 10 tv y R-valuei Proposed De knitial Solar Aged Solar Thermal SRI Method of Roof INC Product ID Compliance Pitch Exception N,pmber ProductTye Ins_ latio Reflectance Reflectance Emittance (0 tioi NOTES S- • Roof area covered by, builaigintegrated photo of apanels and solar thermal panels are exempt from the above Cool Roof requirements. • Liquid field appliedcoatmgss must comply wit �nstallatlon criteria from section 110.8(i)4. Registration Number: Registration Date/Time: CA Building Energy Efficiency Standards - 2013 Residential Compliance 11 1 12 1 13 Minimum Required Aged Solar Thermal SRI Reflectance Emittance (Optioi s fr . %. HERS Provider: June 2014 1