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BRER2016-0058LICENSED 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).: ( ) 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 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: 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 pork 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 6 r G 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. V / Date: ����/ Signature (Applicant or Agent): aw VOICE (760) 777-7125 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 6/6/2016 Application Number: BRER2016-0058 Owner: Property Address: 49091 WASHINGTON ST ST VILLAS OF LAQUINTA APN: 646170012 49005 WASHINGTON ST Application Description: VILLAS OF LA QUINTA / REROOF LA QUINTA, CA 92253 Property Zoning: w Application Valuation: $7,200.00 ca Q r 0 0 N ►Q- Q z Applicant: Contractor: ©z. RONALD. R WINKLE DBA ROOF ASSET MANAGEMEN , RONALD R WINKLE DBA ROOF ASSET MANAG'EMET f S o 77-584 BARONS CIRCLE PALM DESERT, CA 92211 77-584 BARONS CIRCLE PALM DESERT, CA 92211- 2211(760)772-8876 p (760)772-8876 � s LIC. No.: 677708 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).: ( ) 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 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: 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 pork 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 6 r G 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. V / Date: ����/ Signature (Applicant or Agent): A r •t FINANCIAL INFORMATION u 7 DESCRIPTION # $<$"`+ACCOUNT; gE AMOUNTS9 PAID'f 3PAIDDATE _ BSAS SB1473 FEE 101-0000-20306 0.. $1.00 $0.00 ' t' PAID:BY g� �k METHOD RECEIPT #' CHECK # CLTf) BY - _ x_ _ t€r- s Total Paid for.BUILDING STANDARDS ADMINISTRATION BSA: $1.00 '. $0.00 �° _ UNTA000DESCRI?TION F xg PAID . .41-ATOAIUNT PAID DATE:' RE -ROOF - FIRST 2,000 SF 101-0000-42404 0 $49.31 $0.00 "PAID BY: n� *V$ GO Yt!At•S; rr i uviifl° 'l :S;Sn SE'w✓e..•rx METHOD y� " �' a Ni-t'S-.•w 7�' ;:RECEIPT #. Ht E'�',{.P i §e.+ }: .i�' £ CHECK # x �'~ I r:4 A 'f•^ro � CLTD BY .t -Total Paid for RE -ROOF: $49.31 $0.00 Al I •':t +.. r ., , � .. - '1�- a r. 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: 646170012 Site Address: 49091 WASHINGTON ST ST LA QUINTA,CA 92253 Subdivision: TR 3455 & INT IN COMMON AREAS Block: Lot: 30 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. „� ��-lniuiur I ii 'ifilFiiRIVIA � ,,,,, ���� ,,, . ,., Printed: Monday, June 06, 2016 9:31:12 AM 1 of 2 SYS TEtitS City of La,Qu iftta' No.'"'WE ... . ........... . ...... . . . ......... . ........... . .. PARENT PROJECTS REVIEWS' NED� " STATUS:.: 9 _E DESCRIPTION' ACCOUNT=: QTYAMOUNT 2 DATEl P 'PAID RECEI 9 ,CHECK #, V. N, zq BOND INFORMATION ATTACHMENTS 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 2,000 101-0000-42404 0 $49.31 F'$--oo o' I I I I SF Total Paid for RE -ROOF: $49.31 $0.06 TOTALS: $50.31 $0.00 INSPECTIONS PARENT PROJECTS REVIEWS' NED� " STATUS:.: 9 _E E T DATE'; 2 DATEl N, zq BOND INFORMATION ATTACHMENTS -.7 Printed: Monday, June 06, 2016 9:31:12 AM CR?wSYSTEMS 2 of 2' Bin # Permit # . b�� Project Address: aj d"-A1AA^ 4 Pty of 1a Quintd Building 8l• Safety Division 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 'Building 'Buildin Permit Application and Tracking Sheet g PP g S-¢ Owner's Name: A. P. Number: Address: Legal Description: •. City, ST, Zip: Contractor: r �%T ate: c.a+�•-� P Tele hone: €i Address: v 51e, mi, 8 Ste, .............. Project Description: City, ST, Zip: av rS. a i.�n C4" ZZ Telephone: e ne• Po . h (oo - 0 � 7 S � Y 3 State Lic. # : a7770,9 City Lie" #..-_7S Arch., Engr., Designer: Address: J City., ST, Zip: h Telephone: one: _Con ttucti onTY e: Occupancy: P : State Lic. # Project type (circle cle one) � New Add 'n Alter Repair Demo Name of Contact Person: Sq. Ft.: #Stories: # Units: Telephone # of Contact Person: Estimated Value of Project:. 7Zo p APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rcc'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item ^• Amount Structural Calcs. Reviewed, ready for corrections " Plan Check Deposit Truss Calcs, Called Contact Pcrson 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 ContactPcrson 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.I.P.P. Pub. Wks. Appr Date of permit issue School Fees,. , Total Permit Fees 14-.. 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 01 02 01 Project Name: floss 02 Date Prepared: 03 Project Location: 11-0 1'/ ©e— 7 / 6 8 04 Building Front Wlentation (deg or cardinal): 05 CA City: 06 Number of Altered Dwelling Units: '. 07 Zip Code:tr 3 08 Fuel Tyge; 09 Climate Zone: 10 Total Conditioned Floor Area (it2)'." 11 Building Type 12 Slab Area'(ft2) 0 B 13 Project Scope: – roo 4 N. B. BUILDING INSULATION DETAILS (Section 150.2(b)1) w 01 02 03 04 05 06 "•07 08: " 'w. 09 10 11 "07.'' 08 09 10 11' 12 13 Method of Compliance Roof Pitch `Proposed Required Product Type R value Deck flnsulatidn ;,,,Appendix 1A4 Proposed Minimum Required Initial Solar Aged Solar I Thermal SRI Reflectance Reflectance I Emittance (Optional) Aged Solar Thermal SRI Reflectance Emittance (Optional) ' z, n o- Frame Frame o S IL ' :Continuous �`' Reference Frame Depth Spacing Cavity -Insulation Tag/ID Assembly Type Type (inches) (inches) R -value, R -value .,' d)factor Table Cell LI -Factor Comments C. ROOF REPLACEMENT (Prescriptive Alteration, Section:150.2(b)1H) 01 02 03 04 05'.., is 06 "07.'' 08 09 10 11' 12 13 Method of Compliance Roof Pitch Exception _ CRRC Product ID Number Product Type R value Deck flnsulatidn > R' Proposed Minimum Required Initial Solar Aged Solar I Thermal SRI Reflectance Reflectance I Emittance (Optional) Aged Solar Thermal SRI Reflectance Emittance (Optional) ' z, n o- 22. 9z 2. o S IL NOTES ;t • Roof area covered b.y building:integrated photovoltaic panels and solar thermal panels'am exempt from the above Cool Roof requirements. • Liquid field applied`z.pat'ings'must comply with,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 CEC-CFIR-ALT-01-E Revised 06/14 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CFIR-ALT701-E Prescriptive Residential Alterations (Page 4 of 4) Project Name: , ` 0. o i ��- 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 Signatur r r,. Company: Kn Signature Date: - ~i Address: I CEA/ HERS Certification Ideritificat on'(if applicable): % City/State/Zip: c _ Phone:// \ C� G �CD O' — t / 7 C tcrn J 7 aa'n217,03 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. btiilding'design�or system design identified on this Certificate of Compliance (responsible designer). r `:` > 3. That the energy features and performance specifications, materials, components, and manufactured devices>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 ofR2gulafions. 4. The building design features or system design features identified on this Certificate of Compliance•are consisteotawlthrthe 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 Compllinceshall be made available with the building permlt(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a registered'copy 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: 1 - Responsible Designer Signature: "i Company: t a .lf Date Signed: Address: i 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