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BRER2016-0052LICENSED 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: 6-6--16 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 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).: (� 1, 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 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 (760)772-8876 LIC. 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 toyk 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 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. Dater 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: 6/6/2016 Application Number: BRER2016-0052 Owner: Property Address: 49031 WASHINGTON ST ST VILLAS OF LA QUINTA APN: 646170006 .49005 WASHINGTON ST Application Description: VILLAS OF LA QUINTA / REROOF LA QUINTA, CA 92253 Property Zoning: Q Application Valuation: $7,200.00. co 0 a . 0 0 N 5 z O L Applicant: Contractor. ® � 5 o RONALD R WINKLE DBA ROOF ASSET MANAGEMEN RONALD R WINKLE DBA ROO ASSET M&NAGEMEN 77-584 BARONS CIRCLE 77-584 BARONS CIRCLE 4 _—�j PALM DESERT, CA 92213 PALM DESERT, CA 92211. • v z 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: 6-6--16 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 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).: (� 1, 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 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 (760)772-8876 LIC. 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 toyk 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 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. Dater Signature (Applicant or Agent) FINANCIAL •• • DESCRIPTION,r'�€ ACCOUNTS r QTY { . AMOUNT fe+:' PAID ', , err t lPAID:DATE' BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 ;+' aS t,•, .,.., .axe., �PAID�BY t z g;, t �x S. ;� f� ,> * .a„., ,y; i t -y .. ..... sMETHOD� ' ;RECEIPT # � r ;• CHECK # CLTD BY, E , .;`n �u Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:' $1.00 $0.00 -0 COUNT COUNTF QTY' ;AMOUNT PAIDt PAID DATE RE -ROOF - FIRST 2,000 SF 101-0000-42404 0 $49.31 $0.00 PAID:;BY1 ��€� METHOD' �, ;;RECEIPT# t:�CHECK# `;CLTDBY Y., ., �.,, _.... -Total Paid for RE -ROOF: $49.31 $0.00 TOTALS:• • 00 ' � -., f � .` •-! �,1 ., +, , lar '4• r� • ;, •` - •• M •N , - S f Description: VILLAS OF LA QUINTA / REROOF Type: RE -ROOF . Subtype: Status: UNDER REVIEW Applied: 6/6/2016 SKH Approved: 6/6/2016 SKH Parcel No: 646170006 Site Address: 49031, WASHINGTON ST ST LA QUINTA,CA 92253 Subdivision: TR 3455 & INT IN COMMON AREAS Block:. Lot: 24, Issued: Lot Sq Ft: 0 SBuilding Sq Ft: 0 Zoning: `' Finaled: - Valuation: $7,200.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 FINANCIAL INFORMATION Details: REROOF WITH LIGHT -SHINGLE FLAT ROOF SYSTEM [CRRC: 0890-0009] 2013 CALIFORNIA ENERGY CODE. Printed: Monday, June 06, 2016 9:08:47 AM 1 of 2 ' ' - ON"WSYSTrMS. ''ADDITIONAL - FINANCIAL INFORMATION SITES,, CHRONOLOGY CONDITIONS CONTACTS_ :ANAME TYPE m;ADDRESSl STATE t ZIP PHONE ` FAX < ENTAIL .NAME "'4: �:- f.... ,CITY , ' 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 . Printed: Monday, June 06, 2016 9:08:47 AM 1 of 2 ' ' - ON"WSYSTrMS. FINANCIAL INFORMATION Printed: Monday, June 06, 2016 9:08:47 AM 1 of 2 ' ' - ON"WSYSTrMS. Ou - .INSPECTIONS ' . BY- ' . - ^ ~.. BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 Total Paid for BUILDING STANDARDS ADMINISTRATION. . ^ RE -ROOF - FIRST 2,000 424 4 '~ BOND lNronMATION,, - ~ � \^ ATTACHMENTS ' Total Paid for RE -ROOF: $49.31 $0.00 - .INSPECTIONS ' . ' . - ^ ~.. . ^ '~ BOND lNronMATION,, - ~ � \^ ATTACHMENTS ' ^ � ' ___ _ _ -- --_- . ' Printed: Monday, June O6ZO169:08:47AM _ , 2of2 ' V Qin # Permit # . G Project Address: Qty Of La Q U i t to Building 8z Safety Division 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit. Application and Tracking Sheet w 3�. Owner's Name: A. P. Number: Address: Legal Description: City; ST, Zip: Contractor: �.� 'T Telephone: Address: v Project Description: City, ST, Zip:11 av ck a lyd� C4ZZ Telephone: e ne• Po . h (oo '7 s 7 y 9 0 3 State Lic. # : 477709 City Lie. #.: 744 8,r Arch., Engr., Designer: Address: City., ST, Zip: . ele h Telephone: > ��>;;::�;:.;>.;:;;:•::: " uc Constrtion T e: YP Occupancy: State Lic. #• Project type (circle one) Add'n - Neww Alter Repair r::D:em:o:] Name of Contact Person: Sq. Ft.: # Stories: #Units: Telephone # of Contact Person: Estimated Value of Project:. 7Z0 O APPLICANT: DO NOT WRITE BELOW THIS LINE +9 Submittal Req'd Rcc'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cafes. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person x Plan Check Balance" Title 24 Cales. Plans picked up Construction " Flood plain plan Plans resubmitted Mechanical Grading plan 2°" Review, ready for corrections/issue Electrical Subcontactor List Called Contact•Pcrson f Plumbing Grant Dced 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 or permit issue " School Fees, Total Permit Fees STATE OF CALIFORNIA 75 -RESIDENTIAL ALTERATIONS CEC-CFIR-ALT-01-E (Revised 06/14) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E Prescriptive Residential Alterations (Page i of 4) Project Name: Date Prepared: A. GENERAL INFORMATION 01 01 1 Project Name: w 02 Date Prepared: 03 Project Location: V ?0 23-, V 2_034 Y-20 Vj- 44 ,' 37- 04 Building Front Orientation (deg or cardinal): 05 CA City: 06 Number of Alieied'.Dwelling Units: 07 Zip Code: 3 08 Fuel Type: 09 Climate Zone: 10 Total Conditioned Floor. Area (ft2)-' 11 Building Type 12 Slibkr6i h2) Z40,60 13 1 Project Scope: /Ze- ea. B. BUILDING INSULATION DETAILS (Section 150.2(b)1) 01 02 03 04 05 06 09 10 11 01 02 03 04 05"., opr4osed Required 08. 09 10 11 12 13 , Appendix JA4 R -value Proposed Minimum Required Frame Frame SRI Cgntinuous !.V . Reference. Method of Roof CRRC Orocl6ct ID Frame Depth Spacing. Cavity Insulation " - :!, Number Numb Product Tag/ID Assembly Type Type I (inches) 1 (inches) R -value 4 ? R -value U746ctor Table Cell U -Factor Comments Z2- 9Z 2_ o :r IL F77 NOTES C. ROOF REPLACEMENT (Prescriptive Alteration, Sec - tion; -'l 5-0. 2 (b) 1 H):, 01 02 03 04 05"., y 06 07.x- 08. 09 10 11 12 13 �t4, R -value Proposed Minimum Required ":Initial Solar Aged Solar Thermal SRI Aged Solar Thermal SRI Method of Roof CRRC Orocl6ct ID 0 e c Compliance Pitch Exception Number Numb Product I' nsulati6ri Reflectance 'Reflectance Emittance (Optional) Reflectance Emittance (Optional) Z2- 9Z 2_ o :r IL NOTES • Roof area covered by building.integrated photqVqltaic panels and solar thermal panels are exempt from the above �', Cool Roof requirements. ��i • Liquid field appliedcoatings'must complyWith.t.installation criteria from section 110.8(i)4. 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 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE ' MR -ALT -01-E Prescriptive Residential Alterations (Page 4 of 4) Proiect Name: as v �� ,n�-a t°t Date Prepared: DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Documentation Author Signat g - Company: � Signature Date: Address: CEA/ HERS Certification Ideritificatiod(if applicable):' 7 be kt City/State/Zip: Phone: 2.10 3. T66 RESPONSIBLE PERSON'S DECLARATION STAT MENT I certify the following under penalty of perjury, under the laws of the State of California 1. The information provided on this Certificate of Compliance is true and correct. 2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building'desigp=or system design identified on this Certificate of Compliance (responsible designer). 3. That the energy features and performance specifications, materials, compone nts, and manufactured.d'evices_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 California Code of Regulations. 4. The building design features or system design features identified on this'Certificate of Compliance`are consistent-wlth a information provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement agency for,., approval with this building permit application. 5. 1 will ensure that a registered copy of this Certificate of Compllance:shall be made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a registered'eopy'of this Certificate of Compliance is required to be included with the documentation the builder provides to the building owner at occupancy. Responsible Designer Name: '-Responsible Designer Signature: Company: P Y� Date Signed: . Address: License: AF City/State/Zip: , 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