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BRER2016-0051LICENSED 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: V / Contractor:lG� �/% 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 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 fo, the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Na Lender's Add (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 oft ork for which this permit is issued. L 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: Aoolicant:� 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. -/� ' _ Dat �6 - �' /G.Signature (Applicant or Agent): �'�'lX�2%�oov C` VOICE 777-7125 (760) 78-495 CALLE,TAMPICO V FAX (760) 777-7011COMMUNITY LA QUINTA, CALIFORNIA 92253 DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153. BUILDING PERMIT Date: .6/6/2016 Application Number: BRER2016-0051 Owner: Property Address: 49025 WASHINGTON ST ST z ' ! UJ VILLAS OF LA QUINTA `�-----F=) APN: 646170005 49025 WASHINGTON Sa Application Description: VILLAS OF LA QUINTA / REROOF LA QUINTA, CA 92253 < o Property Zoning: � z Application Valuation: $7,200.00 n.Applicant:Contractor: o RONALD R WINKLE DBA ROOF ASSET MANAGEMEN RONALD R WINKLE DBA ROOFAS� SEP MANA6L, 77-584 BARONS CIRCLE 77-584 BARONS CIRCLE J li I PALM DESERT, CA 92211PALM DESERT, CA 92211 o 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: V / Contractor:lG� �/% 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 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 fo, the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Na Lender's Add (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 oft ork for which this permit is issued. L 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: Aoolicant:� 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. -/� ' _ Dat �6 - �' /G.Signature (Applicant or Agent): �'�'lX�2%�oov FINANCIAL INFORMATION 's . �...."y"::QTY �.�` AMOUNT o.c.� tt.,f)ESCRIPTION ACCOUNT 5 `,a.�` PAID# `'' ,PAID}DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 xPAID:BY3 METHOD rP# ,.RECEIPT#t3 �' CHECK#k w-CLTf)BY." Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 .$0.00 ' � w DESCRIPTIONk .`ACCOUNTb: yQTY AMOfUNT k PAID ` PAID DATE RE -ROOF -FIRST 2,000 SF 101-0000-42404 • 0 $49.31 $0.00 PAIDBY r - tt ,�._.....,:, �� � METHOD � e RECEIPT # t t�� �. _ �,..� CHECK #' _ CLTD BY' CLT . Total Paid for RE -ROOF: $49.31 $0.00 • 00 - • '�; ,,t 3 tib. .. -. e - - • y - it >. _ r.�IV if DesUINLIUn: VILLAS OF LA QUINTA % REROOF Type: RE -ROOF Subtype: -Status: UNDER REVIEW Applied: 6/6/2016 SKH Approved: 6/6/2016 SKH Parcel No: 646170005 Site Address: 49025 WASHINGTON ST ST LA QUINTA,CA 92253 - Subdivision: TR 3455 & INT IN COMMON AREAS Block: Lot: 23 _ Issued: Lot Sq Ft: 0 Building Sq Ft: 0. -Zoning: Finaled: Valuation: $7,200.00 Occupancy Type: �Construction.Type: Expired: - No. Buildings: 0 ..No. Stories: 0 No. Unites: 0 Details: REROOF WITH LIGHT -SHINGLE FLAT ROOF.SYSTEM [CRRC: 0890-0009] 2013 CALIFORNIA ENERGY CODE. ' u. Applied to Approved J ADDITIONAL SITES M1 < CHRONOLOGY - FINANCIAL CONDITIONS INFORMATION - CONTACTS NAME TYPE = „,:NAME. ''' .. . - ADDRES51 _ ♦_.. CITY s .. STATE x' ZIP -' PHONE a FAX a" EM AIL -" a ..:. w. y ..�., 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 VILLAS OF LA QUINTA 49025 WASHINGTON LA QUINTA CA 92253 ST - FINANCIAL INFORMATION - .Printed: Monday, June 06, 2016 9:05:37 AM 1 of 2 _ sysreMs w ` ' ,,t,, Total Paid for BUILDING STANDARDS -ADMINISTRATION $1.00 BSA: $0.00 RE -ROOF -FIRST 2,000 SF 101-0000-42404 0 $49:31 $0.00 r } ' Total Paid for RE -ROOF: • $49.31 $0.00 TOTALS:•0 :x �r •, = r` PARENT, PROJECTS: .. -•` RET.. URNED 'D4i' STATUS` REMARKS - N ;REVIEW TYPE REVIEWER SENT DATE: DU ' NOTES <_ - . ; , � .', ft?) VINFORMA TION _• , ATTACHMENTS y CRW.IYSTEMS Printed: Monday, June 06, 2016 9:05:37 AM 2 of 2 STATE OF CALIFORNIA -RESIDENTIAL ALTERATIONS CEC-CFIR-ALT-01-E Revised 06/14 CERTIFICATE OF COMPLIANCE Prescriptive Residential Alterations Project Name: Date Prepared: \fix Y COMMISSION t CFIR-ALT-01-E (Page 1 of 4) A. GENERAL INFORMATION 01 01 Project Name: w ,; 02 Date Prepared: 03 Project Location: 9 034 yjo 4)*5A, 04 Building Front Orientation (deg or cardinal): 05 CA City: 06 Number of Altered Dwelling Units: 07 Zip Code: 08 Fuel Type: `, 09 Climate Zone: 10 Total Conditioned Floor,Area (ft2): 11 Building Type 12 SIab.4ke6'(ft2) Z4040 13 Project Scope: Proposed Proposed .: ' B. BUILDING INSULATION DETAILS (Section 150.2(b)1) 01 02 03 04 05 06 07 1 0371.'.09 10 11 06 i 07 ' 08 09 10 11 12 13 R -value Proposed Proposed .: ' Required Initial Solar Aged Solar Thermal SRI �,Appendix JA4Reference Method of Roof CRRC Product ID Deck•., Compliance Pitch Exception Number Frame Frame Reflectance Continuous Reference Reflectance Emittance (Optional) z, Frame Depth Spacing Cavity , < '•; Insulation 2- o S C Tag/ID Assembly Type Type (inches) (inches) R -value. R -value Table Cell U -Factor Comments • Roof area covered by building integrated photovoltaic panels and solar thermal panels are exempt from the above Cool Roof requirements. • Liquid field applied coatngs'must comply with installation criteria from section 110.8(i)4. C. ROOF REPLACEMENT (Prescriptive Alteration, Sect1on.;150.2(b)1H). 61 02 03 04 05. 06 i 07 ' 08 09 10 11 12 13 R -value Proposed Minimum Required Initial Solar Aged Solar Thermal SRI Aged Solar Thermal SRI Method of Roof CRRC Product ID Deck•., Compliance Pitch Exception Number Product Type Insulation Reflectance Reflectance Emittance (Optional) Reflectance Emittance (Optional) z, 09 q0- 1 z2- 9z. 2- o S C NOTES • Roof area covered by building integrated photovoltaic panels and solar thermal panels are exempt from the above Cool Roof requirements. • Liquid field applied coatngs'must comply with 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-CF 1 R-ALT-01-E'(Revised 06/14) CERTIFICATE OF COMPLIANCE Prescriptive Residential Alterations Proiect Name: V, kk a g A C L Q G>.1 , n� w A Date PI red: CF111-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 Signatur Lo Company: n Signature Date: Address: CEA/ HERS Certification Ideritification (if applicable): �i, City/State/Zip: Phone: —y/vf Izz, RESPONSIBLE PERSON'S DECLARATION STAT MENT 1 certify the following under penalty of perjury, under the laws of the State of California: ' r^ " •. +:r`` :•' '° 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 responsllillty for the building design'or system design identified on this Certificate of Compliance (responsible designer). 3. That the energy features and performance specifications, materials, components,a:nd manufactured devlces'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 CorriplianC& are conslstent4wlth tiie information provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted tot,... enforcement agency f&4 approval with this b'uilding permit application. 5. 1 will ensure that a registered copy of this Certificate of Compllanceshall 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 copy'of.this Certificateof. Compliance is;required to be included with the documentation the builder provides to the building owner at occupancy. f.. rs' >`' , •..:" Responsible Designer Name: a' .+, ` - ,, r' iResponsible Designer Signature: Company: r t. Date Signed: Address: `` ^ fis License: City/State/21p: Phone: }, t 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 Bin # Permit # . Project Address: o City of La QuInta Building 8L Safety Division 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit. Application and Tracking Sheet Owner's Namc: A. P. Number: Address: Legal Description: City, ST, Zip: Contractor: CL'r ele hone: Telephone: Address: v 5'e.5►-. s.,Ac a Project Description: City, ST, zip: / C4 22 av h Telephone: one: _1s y 7 Z a 9 3 . State Lic. # :'47-7709' City Lie"#t e. 8 1'3 Arch., Engr., Designer: Address: City., ST, Zip: . Telephone: Construction Type: Occupancy: State Lic. #- _ Project type circle one): New Repair a Demo Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project:. ] o O APPLICANT: DO NOT WRITE BELOW THIS LINE tl Submittal Req'd Rcc'd TRACKING PERMIT FEES Plan Sets Plan Check submitted - f . Item Amount Structural Cates. _ Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance .Title 24 Cates. Plans picked up ' . Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, ready for corrections/issue Electrical Subcoutactor List Called Cbntact-Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A.- Approval Plans resubmitted Grading IN HOUSE:- '"' Revielv,'ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person Pub. Wks. Appr Date of permit issue Schodl Fees, Total Permit Fees