BRER2016-005678-495 CALLE TAMPICO 4.4 a
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BRER2016-0056
Property • Address:
49071 WASHINGTON ST ST
APN:
646170010
Application Description:
VILLAS OF LA QUINTA / REROOF
Property Zoning:
Application Valuation:
$7,200.00
Applicant:
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RONALD R WINKLE DBA ROOF
ASSET MANAGEMEN
77-584 BARONS CIRCLE
Contractor:
PALM DESERT, CA 92211
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LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am'iicensed 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
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).:
(� I, as owner of the property, or my employees with wages as their sole
compensation, will do the work, and the strucfure 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
Date: 6/6/2016
Owner:
VILLAS OF LA QUINTA
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49005 WASHINGTON ST
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LA QUINTA, CA 92253
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Contractor:
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RONALD R WINKLE DBA ROOF A Syf
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77-584 BARONS CIRCLE
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PALM DESERT, CA 92211
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(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 work for which this permit is issued.
,` t 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 polity 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 Paws 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: C/ 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.
i
Signature (Applicant or Agent): ,
INFORMATIONFINANCIAL
' �,.,DESCRIPTION... r AMOUNT
x ? ,ACCOUNT �C}TY } 71 r �, r.• t r
BSAS SB1473 FEE 101-0000-20306 0 $1.00. $0.00
Em it W
PAID'BY� 5�saa`rMETHOD ^RECEIRT# 4 s�sCHECK# '&CLTDBY'
•x
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: .$1.00 '. $0.00
DESCRIPTION
ACCOyUNT L>
AMOUNT `x
PAI U.
PAID DATE
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ARE -ROOF - FIRST 2,000 SF
101-0000-42404
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' $49.31
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Total Paid for RE -ROOF: $49.31 $0.00
TOTALS:• •0
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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: 646170010 Site Address: 49071 WASHINGTON ST ST LA QUINTA,CA 92253'
Subdivision: TR 3455 & INT_ IN COMMON AREAS Block: r 'Lot: 28 _
Issued: '
Lot Sq Ft: 0' Building Sq Ft: 0-. +Zoning: ,
Finaled:
Valuation: $7,200.00 .. :-i •• 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.
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ADDITIONAL
CHRONOLOGY
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FINANCIAL INFORMATION
Printed: Monday, June 06, 2016 9:24:10 AM 1 of 2
SYSTEMS
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CONTACTS
NAME TYPENAME :ADDRESSl s
Pr,CITY `- :STATE ZIP PHONE:- FAX EMAIL r
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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
49005 WASHINGTON
LA QUINTA
CA
92253
ST
FINANCIAL INFORMATION
Printed: Monday, June 06, 2016 9:24:10 AM 1 of 2
SYSTEMS
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INSPECTIQNS .... . .
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AMOUNT6.,P
AID
:-,PAID DATE:,
A CEIPT #
'.":CHECK
.DESCRIPTION
4.,
17 M:
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
...... ....
Total Paid for BUILDING STANDARDS ADMINISTRATION
$1.00 $0.00
BSA:
RE -ROOF - FIRST 2,000
1
BOND, INFORMATION.
. ... .. ... ........ .... .... .. .
. . .....
101-0000-42404
0
$49.31
$0.00'.
. . . . ........
SF
Total Paid foe, RE -ROOF: a $49.31 0.00
..........
TALS: $50.31 .... . .........
TO$0.00
INSPECTIQNS .... . .
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PARENT PROJECTS.,
'RETURNED TE
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BOND, INFORMATION.
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CRWSYSTEMS
Printed Monday, June 06, 2016 9:24:10 AM
2 of 2*
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CEC-CFIR-ALT-01-E Revised 06/14
CALIFORNIA ENERGY COMMISSION '
CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E
Prescriptive Residential Alterations (Page 1 of 4)
Project Name:, 0, Date Prepared:
A. GENERAL INFORMATION
Ol
OS Project Name: a ,;
02
Date Prepared:
03 Project Location: os" I OGS' 7J yqop
04
Building Front Orientatlon (deg or cardinal):
05 CA City:
06
Number of Altere&Dwelling Units: '
07 Zip Code:
08
Fuel Type: %'. ,.
09 Climate Zone:
10
Total Coriditioned Floor Area (ft2) ,
11 Building Type
12
Slab .Areaflft2) p6C
13 Project Scope: — /oo
Proposed
B. BUILDING INSULATION DETAILS (Section 150.2(b)1)
Ol
02
03
04
05
06 ""07 08 ':" '°; ..09
10
11
06
': 07,"
08 09
10
11 12 13
s.
Proposed
Required
Appendix JA4
R -value
Proposed
Minimum Required
Method of
Roof
CR_RC Product ID
Frame
Frame
Aged Solar Thermal
.:`:Continuous ,..
Reference
Aged Solar
Thermal . SRI
Compliance
Pitch
Frame
Depth
Spacing
Cavity ,'
Insulation ;:
Reflectance Emittance
(Optional)
Tag/ID
Assembly Type
Type
(inches)
(inches)
R -value, ` , '
R -value .' ° U -factor Table Cell
I LI -Factor
Comments
2—
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C
NOTES ,. K
C. ROOF REPLACEMENT (Prescriptive,Alteration, Section'fS50.21(b)1H)
01
02
03
04
05^,
06
': 07,"
08 09
10
11 12 13
R -value
Proposed
Minimum Required
Method of
Roof
CR_RC Product ID
Deck
Initial Solar
Aged Solar Thermal
SRI
Aged Solar
Thermal . SRI
Compliance
Pitch
Exception
Number
Pro.cluct Type
Ins'.'ulation
Reflectance
Reflectance Emittance
(Optional)
Reflectance
Emittance (Optional)
2—
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C
NOTES ,. K
• Roof area covered by buildirigintegrated photovoltaic` panels and solar thermal panels are exempt from the above Cool Roof requirements.
• Liquid field applied,coatings`must comply with installation criteria from section 110.8(1)4.
Registration Number: Registration Date/Time: HERS Provider:
CA Building Energy Efficiency Standards - 2013 Residential Compliance June 2014
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CEC-CFIR-ALT-01-E Revised 06114
CERTIFICATE OF COMPLIANCE
Prescriptive Residential Alterations
Project Name:
CALIFORNIA ENERGY COMMISSION
CFIR-ALT-01-E
(Page 4 of 4)
,�- 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: n
Signature Date:
Address:.
CEA/.HERS Certification Identlficat or`lif applicable):
City/State/Zip: '
Phone
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7�0-7y�-°Z o3
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. r
2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design orvsystem design identified on this Certificate of Compliance (responsible
designer). s� o< , - r
3. That the energy features and performance specifications, materials, components and manufactured d*6ices""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 Co. re consistentwith the information provided on other applicable compliance documents,
worksheets, calculations, plans and specifications submitted to the enforcement age 'Z forsapproval with this l6ui ding permit application.
5. 1 will ensure that a registered copy of this Certificate of Compllan&shall be made avaIIable with the building'pe mit(s) issued for the building, and made available to the enforcement agency
for all applicable inspections. I understand that a registered copy of this Certificaterof Compliance is required to be included with the documentation the builder provides to the building
owner at occupancy.;.., " a
Responsible Designer Name: ; '-, ' ,k
'Responsible Designer Signature:
Company: t t K
Date Signed:
Address: ,_^ r'p ;'
License:
J '�e
City/State/Zip:
Phone:
s.
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 #, o•
Permit # .
�p
(p (P
Project Address: 9
,
0ty of La Quinta
Building 8L Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
A 3-,`, Owner's Name:
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor. �� �'r ^�
Telephone:
r _#z<>?
Address: c7 ��
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Project Description:
City, ST, Zip: r�
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"�lM ZZ '�
Telephone:
7 7 a
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y 9 3
State Lic. #: a7 7709
CityLie- : 7438Q
Arch., Engr., Designer:
Address:
, a .-
City., ST, Zip: -
-
Telephone:
Construction Type: Occupancy:
State Lic. #:
Project type (circle one):. New Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.: +
#Stories:
#Units:
Telephone # of Contact Person:, 4
Estimated Value of Project:. 7Zp O
-APPLICANT: DO NOT WRITE BELOW THIS.LINE
H
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted ,
Item
Amount
Structural Cales.
'Reviewed, ready for corrections
Plan Clieck Deposit
Truss Cates.
Called Contact Person
Plan Check Balance
Title 24 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted ii ' ,
Mechanical
Grading plan2°.
Review, ready for correclionstissue
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
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees,
'
Total Permit Fees
aL-.:.