BRER2016-005378-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: BRER2016-0053
c&t�p 4 � V:
COMMUNITY DEVELOPMENT, DEPARTMENT
BUILDING PERMIT
Property Address:
49045 WASHINGTON ST ST
APN:
646170007
Application Description:
VILLAS OF LA QUINTA / REROOF
Property Zoning:
fV
Application Valuation:
$7,200.00
Applicant:
RONALD R WINKLE DBA ROOF ASSET MANAGEMEN
77-584 BARONS CIRCLE
PALM DESERT, CA 92211'
U
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: Contractorr ✓�%�G'N
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 7006) 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
Lender's
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
VILLAS OF LA QUINTA
49005 WASHINGTON ST
LA QUINTA, CA 92253
Contractor:
RONALD R WINKLE DBA ROO
77-584 BARONS CIRCLE
PALM DESERT, CA 92211
(760)772-8876
Llc. No.: 677708
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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
ofthe-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:' 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.
Da v Signature (Applicant or Agent):
FINANCIAL INFORMATION:.
x `DESCRIPTION x a'. ACCOUNTas x.QTY` AMOUNTa # PAID PAID;DATE",
w « iN
BSAS SB1473 FEE
101-0000-20306 0.
$1.00, $0.00
PAID: BY�wa
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„METHOD �� CEIPTCHECK # CLT BYfr
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Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 .$0.00 '.
DESCRIPTION
;{ ACCOUNT
sQTY
AMOUNT
PAID
PAID'DATE'
3 4. .. • t r
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RE-ROOF - FIRST 2,000 SF
101-0000-42404
0
$49.31
$0.00
PAID; BYx
` +` �;
METHOD
;RECEIPT #
' CHECK #�
CLTDBY
r� r3Y
s
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Total Paid for RE-ROOF: $49.31 $0.00
TOTALS-00
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: 646170007 Site Address: 49045 WASHINGTON ST ST LA QUINTA,CA 92253
Subdivision: TR 3455 & INT IN COMMON AREAS . Block: Lot: 25 -
Issued:
`
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: ` ` 4
Finaled: r
Valuation: $7,200.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0No. Unites: 0
Details: REROOF WITH LIGHT -SHINGLE FLAT ROOF SYSTEM [CRRC: 0890-0009] 2013 CALIFORNIA ENERGY CODE.
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FINANCIAL INFORMATION
Printed: Monday, June 06, 2016 9:13:49 AM 1 of 2
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Printed: Monday, June 06, 2016 9:13:49 AM 1 of 2
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Printed: Monday, June 06, 2016 9:13:49 AM 1 of 2
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Total Paid for RE -ROOF:
$0.00
.$49.31
DESCRIPTION
QTY�j,
AMOUNTS
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RECEIPT.#.j
-,;CHECK:
;METHOD
INSPECTIONS—
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BSAS SB1473 FEE
101-0000-20306
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$1.00
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VIEW Y
REVIEWER ..SENTaDATE
1UE0AT&
Total Paid for BUILDING STANDARDS ADMINISTRATION
$1.00 $0.00
BSA:
RE -ROOF - FIRST 2,000
101-0006-424 04
0
$49.31
.$0.66
...... . . .. . .. ........ ..... ............. .... BOND
INFORMATIO
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CRWIYSTEMS
Printed:'Monday, June 06, 2016 9:13:49 AM
2 of 2
Total Paid for RE -ROOF:
$0.00
.$49.31
. ..... .... .. ......... ........... ............. . .. .. ..........
INSPECTIONS—
.. . . ..... ....
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PROJECTS
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...... .... . . ..... . ...... REVIEWS . . .... ... ... .. .............. ....... ..... ...
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"RE OR -STATUS.; :�;Ip,REMARKS
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ATTACHMENTS
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CRWIYSTEMS
Printed:'Monday, June 06, 2016 9:13:49 AM
2 of 2
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Bin #
Permit # .
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Project Address:Y9 6
Qty of La Quin' td
Building &r 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:
A
City, ST, Zip: f
Contractor:
Tele�hone:
Address:72 v 5-4.8
Project Description: ,
City, ST, Zip:
/4.,4
Telephone: (oo - S 7 Y Z 1 o 3
State Lic. # : 4777,09
City Lic. #.:8 S
Arch., Engr., Designer:
Address:
City., ST, Zip: .
Telephone:
lehn
P o e.
? . '€> ?
`�:>:.ProJect
Construction Type: Occupancy:
Sta toi
Lc.# •
type (circle one): New A dd'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.:.
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project:. ]Zoo
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
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 Cales,
Called Contact Person
Plan Check Balance
Title 24 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"' Review, ready for correctiossue
Electrical
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/issue
Developer Impact Fee
Planning Approval
Called Contact Person
Pub. Wks. Appr
Date of permit issue
School Fees,
'
Total Permit Fees
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STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS•
CEC-CFIR-ALT-01-E Revised 06/14
CERTIFICATE OF COMPLIANCE
Prescriptive Residential Alterations
Proiect Name: \/, I k & s ,,
A
Date Prepared:
MR -ALT -01-E
(Paee 1 of 4)
A. GENERAL INFORMATION
01
01 Project Name: a
02
Date Prepared:
03 Project Location: do -'.r
04
Building Front Odentat on'(deg or cardinal):
05 CA City:
06
Number of Altered;D'welling Units:
07 Zip Code:
08
Fuel Type:'."
09 Climate Zone:
10
Total Conditioned Floor..Area 0t2)`
11 Building Type
12
Slab. Area'(ft2) Q d 0
13 Project Scope: _ can !_'
R -value
B. BUILDING INSULATION DETAILS (Section 150.2(b)1)
01
02
03
04
05
06 " 07 08x„ vr;•09
10
11
03
04
051. ;
?' 06
'07,-`
Proposed ^
Required
``=APpendixJA4
R -value
Proposed
Minimum Required
Method of
Roof
WC Pioddct ID
Frame
Frame=
h.
Continuous
Reference
Aged Solar Thermal SRI
Compliance
Pitch
Exception
Frame
Depth
Sparing
Cavity Insulation n 1 ,
Reflectance Emittance (Optional)
Reflectance Emittance (Optional)
Tag/ID
Assembly Type
Type.
(inches)
(inches)
R -value ; R -value;; "• LI -factor
Table Cell
U -Factor
Comments
NOTES
• Roof area covered by building:integrated photovoltaic panels and solar thermal panels are exempt from the above
Cool Roof requirements.
• Liquid field applied`coatings must comply witl ,installation criteria from section 110.8(i)4.
C. ROOF REPLACEMENT (Prescriptive Alteration, Seetjon 1Sb.2(b)1H)
01
02
03
04
051. ;
?' 06
'07,-`
08 09 10
11 12 13
R -value
Proposed
Minimum Required
Method of
Roof
WC Pioddct ID
Deck
Initial Solar
Aged Solar Thermal SRI
Aged Solar Thermal SRI
Compliance
Pitch
Exception
;., '.. Number
Product Type
;;:Insulation
Reflectance
Reflectance Emittance (Optional)
Reflectance Emittance (Optional)
zz
9 Z. Z
o is
NOTES
• Roof area covered by building:integrated photovoltaic panels and solar thermal panels are exempt from the above
Cool Roof requirements.
• Liquid field applied`coatings must comply witl ,installation criteria from section 110.8(i)4.
Registration Number: Registration Date/Time: HERS Provider:
CA Building Energy Efficiency Standards - 2013 Residential Compliance June 2014
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS b
CEC-CFIR-ALT-01-E Revised 06/14 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E'
Prescriptive Residential Alterations (Page 4 of 4)
Proiect Name: co4r, 40 P, Date Prepared:
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. I certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signatur
Company:
Signature Date:
Address:
CEA/ HERS Certification Identificatlon'(if applicable):
eta \
City/State/Zip:
Phone:
1
5"7 -7 21a3
a
RESPONSIBLE PERSON'S DECLARATION STAT MENT ,•.°"
.t;_,
I certify the following under penalty of perjury, under the.laws of the State of California
LF,
"information
1. The 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 responsiblllty,for the building desigh�or system design identified on this Certificate of Compliance (responsible
designer).
3. " That the energy features and performance specifications, materials; components; and manufactured`devicOfor 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 &'Regulations. "a
4. The building design features or system design features identified on this Certificate of Compliance -are cons iSte nt,with;the 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 permits) issued for the building, and made available to the enforcement agency
for all applicable inspections. I understand that a registered co of this Certificate of Com Mance is: re wred'to be included with the documentation the builder rovides.to the building
PP P g Py" t P i q P g
owner at occupancy.
Responsible Designer Name:
Responsible Designer Signature:
Company: x `.
Date Signed:
Address:
License:
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
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