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12-1415 (RER)• P.O. BOX 1504 VOICE (760) 777-7012 78-495 CALLE TAMPICO i,.� � FAX (760 ) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT �� INSPECTIONS (760) 777-7153 BUILDING PERMIT _ Date: 12/07/12 Application Number: '�:-12-000OT415" Owner: D Property Address:. 52680 AVENIDA VILLA CHESNUT THOMAS JAMES APN: 773-304-009-15 -000000- 52680 AVENIDA VILLA Application description: REMODEL' - RESIDENTIAL LA QUINTA, , CA 92253 j` n1 Property Zoning: COVE RESIDENTIAL D�+ .1 2 �n19 Application valuation: 6000 city OF v/ C Contractor: FINANCEQUINYA DEp r Applicant: Architect or Engineer: Owner LICENSED CONTRACTOR'S DECLARATION - WORKER'S COMPENSATION DECLARATION - - - I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with _ I hereby affirm under penalty of perjury one of the following declarations: - Section 7000) of Div ision.3 of the. Business and Professionals Code, and my License is in full force and effect- _ I haveandwill maintain a certificate of consent to self-insure for workers' compensation, as provided License Class: - license No.: for by Section 3700 of the Labor Code, for the performance of the work for which this permit is _ issued. Date: Contractor: _ 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 OWNER-BUILDER DECLARATION insurance carrier and policy number are:. - I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the - Carrier - Policy Number following reason (Sec. 7031.5, Business and Professions Code: Any city or-county that requires a permit to - - - I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division.3 of the Business and Professions Code) or �0 of the Labor Code, I shall forthwith comply with those provisions. .. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by / any Iicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: Date: I 2applicant: (✓ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and 7_ the structure is not intended or offered for sale'ISec..7044, Business and Professions Code: The WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL - Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND _ and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000)- IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements, are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ' 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.). - - APPLICANT ACKNOWLEDGEMENT 1 _ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State License'Law does not apply to an owner of conditions and restrictions set forth on this application. - _ . property whobuilds or improves thereon, andwhocontracts for the .projects'with:a contractor(s) licensed - - - 1 . Each-person upon whose behalf this application is made, each person at whose request and for . pursuant to the Contractors'. State License Law.). - whose benefit work is performed under or pursuant to any permit issued as a result of this application, (_) I am exempt under Sec. , B.&P.C. for this reason 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. - ✓Date: / Owner: 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 CONSTRUCTION LENDING AGENCY - - permit to cancellation. I hereby affirm under penalty of perjury that there is a construction lending agency for the performance,of the I certify that I have read this application and state that the above information is correct. I agree to comply with all work for which this permit is issued (Sec.3097; Civ. C-). - cityandcounty ordinances and state laws relating to building construction, and hereby authorize representatives Lender's Name: - . ^ • p i purposes. - _ of this county to enter upon the above-mentioned �roperty. for inspection /� - �te:. /z-/.` q gnature (Applicant or Agent): Lender's Address: /�1 - Application Number 12-00001415 ------ Structure Information .RESHEET/REROOF W/MODIFICATION TO, SLOPE, ----- Other'struct info . CODE EDITION 2010 ' Permit BUILDING PERMIT Additional desc . Permit Fee 81.00 Plan Check Fee 52.65 Issue Date Valuation 6000 Expiration'Date 6/05/13. Qty Unit Charge Per Extension BASE"FEE 45.00 4.00 9.0000 THOU BLDG 2,001_25,000" 36.00 Special Notes and Comments RESHEET AND REROOF ENTIRE ROOF WITH MODIFICATION TO ROOF SLOPE TO ALLOW GARAGE ROOF•TO DRAIN AWAY FROM DWELLING - 1/2" MINIMUM PLYWOOD AND BROWN COLOR ASPHALT SHINGLES [CCRC: EXEMPT] R-30 INSULATION REQUIRED TO BE VERIFIED PRIOR TO FINAL INSPECTION. 2010 CALIFORNIA BUILDING CODES. .'December 7, 2012 12:52:51 PM AORTEGA -------------------_------------- - ----- --- --- Other Fees . . . . . BLDG STDS ADMIN (SB1473) 1.00 ENERGY REVIEW FEE 5:27 Fee summary Charged Paid Credited Due -------------- - - Permit Fee Total 81.00 .00 .00 81.00 Plan Check Total 52.65 .00 .00 52.65 Other Fee Total 6.27 .00 .00 6.27 Grand Total. 139.92 .00 .00 139.92 Bin.# City Of La Quinta BUMP,- im Safety Division P.O. Box 1504,78-495-Calle Tampico 14.Qulnta, CA 92253 -:(760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: 5 4.ty--- 7 icL,4 Owner's Name:.' j r' A. P. Number. j��C Address: � g(� �tV� d L -d_ q - Legal Description: City, ST, Zip: tAC. -%yj a:4 04 Contractor. OcA I Pq ,,O ` 1L I Telephone: 7(40 8J ^ Address:Proojjecctt Description: i�,� o+t - �,�- City, ST, Zip: Telephone: �n •` —coo r State Lia #: City Lie. #; Arch., Engr., Designer. � &A4".S- Address: s City., ST, Zip: Telephone: Construction Type:. Occupancy: State Lia #: Project type (circle one): New Add'n Alter. Rep ' Name of Contact Person: EEC i V— PJEe 4-07-- Sq. Ft.: L50() # Stories: ! # Units: Telephone # of Contact Person: �j -. =� �� Estimated Value of Project: L APPLICANT: DO NOT WRITE BELOW THIS UNE N Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Cheek submitted 1 item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit. . Truss C2Im• Called Contact Person Plan Check Balance. Title 24 Cake. Plass picked up Construction Flood plain plan Plans resubmitted _' . Mecharilcal Grading plan 2`! Review, ready for correctionsfrssue Electrical Subeontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.NLL H.O.A. Approval Plans resubmitted Grading IN HOUSE;- Review, ready for eorreetionvinue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit Issue School Fees Total Permit Fees i P.O. Box 1504 LA QUINTA; CALIFORNIA 92247-1504 78-495 CALLS TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT PROPERTY OWNER'S PACKAGE (760) 777-7012 FAX (760) 777-7011 Disclosures & Forms for Owner -Builders Applying for Construction Permits OR -ANT! NOTICE TO PWOPE Tx OWNER Dear Property Owner. An. application for a building pernut has sub name ed in your name listing yourself as the builder of the property improvements specified at �'-'� to r L2 e� We are providing you with an Owner -Builder Acknowledgment -and Information Verification Forth to make you awate o€ your rospOlasibilities and possible risk you may incur by having this permit issued in your name as tie Owmx-Builder. We will not Issue a buiiding.permit until you%have read, initialed yourunderstanding of each provision, signed, and returned this form to us at our official address indicated. An agent of the )wner cannot execute this notice unless you, the property owner, obtain the prior approval of the permitting authority. OZ'S ACWg0WI:EDGNWN T AND VE1lIIFiCA'k'ION 6E II f} iA'f 'N 11MMONS. Read and initial each statement below to signify you understand or Ver#ythis information. _i!I`understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner -Builder" building Perrin that erroneously implies that the property owner is providing his or her own labor and material personally. I, as an Owner -Builder, may be held liable and subject to serious financial risk for. any injuries -0ustained by an unlicensed person and his or her employees while working on my property. My homeowner's .insurance mey not provide coverage for those injuries- I am willfully acting as an Owner -Builder and am aware of the limits of my idsurance coverage for injuries to workers on my Property. I understand building permits are not required to be signed by property owners unless they are responsible for the construction and are not hiring a Licensed Contractor to assume this responsibility. . I understand as an "Owner -Builder" I am the responsible party of record on the permit. I understand that I may protect myself from potential financial risk by hiring a licensed Contractor and having the permit films in his or her name instead of my own. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on routs and contracts. dZ5__I understand if I employ or otherwise engage any persons, other than California liceased Contractors, and the total value of my construction is at least five hundred dollars ($500), including labor and materials, _ may be considered an "employer" under state and federal law. understand if I am considered an "employer" under state and federal law, I must register with the state and federal government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment compensation for each "employee." I also understand my failure to abide by these laws may subject me to serious financial risk 6 . ' understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential structures cannot .legally build them with the intent to offer them for sale, unless all work is performed by licensed subcontractors and the number of structures does not exceed four' within any calendar year, or all of the work is performer under contract with a licensed general building Contractor. 8. 1 understand as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable for any financial or personal. Wjuries sustained by any subsequent owners) that result from any latent construction defects in the workmanship or materials. �9. I understand I may obtain more information regarding my obligations as an "employer" from the Internal Revenue Service, the United States Small Business Administration, the California Department of Benefit Payments, and the California Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (C3LB) at 1- 800-321-CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors. 7LJD-I am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the party legally and financ' y responsible for proposed construction activity at the following address: r . i D,r\ A. ,_ 1 6 , „ -. - i A ..A.. _ - 0 -n _.. ... .... . . iH'1 agree that, as the party legally and foutocially responsible for this proposed construction activity, 1 will abide by all applicable laws and requirements that govern Owner -Builders as well as employers. agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information 1 have provided on this form. Licensed contractors are regulated by laws designed to protect the public. If you contract with someone who does not have a license, the Contractors' State License Board may be unable to assist you with any financial loss you may sustain as a result of a complaint Your only remedy against unlicensed Contractors may be iw6vil court. It is also important for you to understand that if an unhoeatsed Contractor or employee of that individual or firm is injured while working on your property; you may be held. hable for damages. If you obtain a permit as Owner -Builder and wish to hire Contractors, You will be responsible for verltjring whether or not those Contractors are properly licensed and the status of their workers' compensation insurance coverage. Before a building permit can be issued, this form must be completed and signed by the property owner and returned to the agency responsible for icsni ft the. per Note: A copy of the property owner's Mver'sAkerese, form n0t4doae1014 or other verification acceptable to a aired to be presented when the permit is issued to verify theproperty owner's signature. Signature of property owner Date: 17 l l Note: The following Authorization Form is required to be completed by the property owner only when designating an agent of the property owner to apply for a construction permit for the Owner -Builder. AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BERn Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize the foUowirig persons) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an Owner -Builder Permit for my project. Scope of Construction Project (or Description of Work): �t j) F S_- - - Project Location or Address: 6YL t� A4gE_ � � &4 �C• d eti-4 Name of Authorized Agent: GZj �� Tel No 7LO -6_7k;gqS � Address of Authorized Agent: L4&34 &17A 64 I declare under penalty of perjury that I am a property owner for the address listed above and I personally filled out the above information and certify it4eq py of the owner's driver's license, form notarization, or other verification acceptable to the agency t ed when the permit is issued to veri7theWroerty owner's signature.. Property Owner's SignatuDate: OMZR130A ... LOWE'S HIW,rINC. PAGE: 1, ELT 0208 PROJECT ESTIMATE �1 ROOF y. CONTACT: CHESNUT, ERIK' SALESPERSON: BETANCOURT, TERESA;, CUST #: 112008847 r SALES #: 1142.121. , ` PROJECT N6`MBER:"366675601 DATE ESTIMATED: 12/05/=2 ... j QTY ITEM # ITEM DESCRIPTION y VEND'PART-# 'PRICE•, ` �" --�----_------- ----- -- - ------------ 7 -------------------- ---_ --- 68 12061 `OC SHASTA WHITE SUPREME 25YR SA12 '. `' .1649.00 0 85768 ROOF FELT NO.30 AST M226 0'.00 7 10305'',' 'ROOF FELT 4SQ NO.15 ASTM226 AS r' 174.65 30. 17622 .2'X2, "X10' C'4 WHITE STEEL DRIP 5760200120 178.80 73 193552-, 15/32X4X8 TECHSHIELD`'OSB 22494'- 1311.81 22: •236889 R38 FACED 72 SQ'124"X_48" BATT K1293' 7 1663.20" 14-- 683 `.2X6X16 SPF 'FASCIA S1S2E 683 285.32 ` TOTAL FOR ITEMS ' r '5262.78 FREIGHT CHARGES 0.00 ' =` DELIVERY CHARGES 0.00 t • TAX AMOUNT' -407..87 TOTAL ESTIMATE' 5670.65 This Quote is valid until 01/04/13.. t MANAGER SIGNATURE DATE ; . THIS ESTIMATE IS—NOT VALID WITHOUT MANAGER'S SIGNATURE: ` THIS IS AN ESTIMATE ONLY.. DELIVERY.OF ALL MATERIALS CONTAINED •IN TH-S+ ' ESTIMATE ARE SUBJECT TO AVAILABILITY FROM THE MANUFACTURER"OR SUPPLER., QUANTITY, EXTENSION, OR ADDITION ERRORS SUBJECT TO CORRECTION. CRED-T — TERMS'SUBJECT TO APPROVAL'BY LOWES CREDIT DEPARTMENT. • , LOWES IS A SUPPLIER OF MATERIALS ONLY. LOWES DOES NOT ENGAGE IN THE'PRACTICE ' OF'ENGINEERING, ARCHITECTURE,•+OR GENERAL CONTRACTING. LOWES DOES NO -.ASSUME ANY RESPONSIBILITY FOR DESIGN, ENGINEERING,•OR CONSTRUCTION; FOR THE 4 SELECTION .OR CHOICE OF MATERIALS FORA GENERAL OR SPECIFIC USE; FOR s QUANTITIES OR SIZING OF MATERIALS; FOR'THE USE OR INSTALLATION OF MA^ERIALS; r+ ' OR FOR COMPLIANCE`'WITH ANY BUILDING CODE OR STANDARD..OF WORKMANSHIP. , ' OMZF130A LOWE'S HIW, -INC. PAGE: 1' .' ELQ 0208 PROJECT ESTIMATE ;, F * ROOF. CONTACT:. CHESNUT, ERIK SALESPERSON: BETANCOURT, TERESA CUST #:,,,,l1'2008847 t • SALES '# : 1142121 +' PROJECT NUMBER:. 3666756.01- DATE ESTIMATED: 12/05/12,' t , r, - QTY " ITEM # ITEM DESCRIPTION 3 -VEND PART # PRICE ' Y' 1 12061 a Y OC SHASTA WHITE SUPREME 25YR SA12 26..94, 1• pa1,85768ROOF FELT NO.30, ASTM226.2SQ - rFELT 24.95 ..r'•' 1 10305 ROOF 4SQ NO.15 ASTM226 AS 24.95 1 17.622 2"X2"X10' C4 WHITE'STEEL DRIP 5760200120 5.96 1 -193552 '. 15/32X4X8 TECHSHIELD OSB 22494 17.97 '. 1 236889•_`.L ,R38 FACED 72 SQ' 24"X48" BATT' 'K129.3 75.60 , V' 683 ' 2X6X16 SPF FASCIA'S1S2E 683 20.38 ` TOTAL FOR,ITEMS 196.75 . •FREIGHT CHARGES • 0.00 z '•DELIVERY CHARGES 0:00 TAX AMOUNT. 15 . 25 ' ' TOTAL ESTIMATE 212.00. This Quote is. valid until 01/04/13.,. x • MANAGER SIGNATURE DATE • : '. THIS ESTIMATE IS NOT VALID WITHOUT MANAGER'S SIGNATURE. THIS IS AN ESTIMATE,ONLY.'•.DELIVERY OF ALL MATERIALS CONTAINED IN TH-S + ESTIMATE ARE 'SUBJECT TO AVAILABILITY FROM'THE MANUFACTURER OR SUPPLIER. * "r •" QUANTITY, EXTENSION, OR ADDITION ERRORS SUBJECT TO CORRECTION. CREDMT .TERMS SUBJECT TO,APPROVAL BY LOWES CREDIT DEPARTMENT. - LOWES'IS„A SUPPLIER OF MATERIALS ONLY.' LOWES DOES, NOT ENGAGE IN THE PRACTICE', ;OF ENGINEERING, ARCHITECTURE, OR GENERAL CONTRACTING. .LOWES DOES NOT ASSUME ANY RESPONSIBILITY FOR DESIGN, ENGINEERING; OR CONSTRUCTION;'FOR THE' SELECTION OR CHOICE'OF MATERIALS FOR A GENERAL.OR SPECIFIC USE; FOR QUANTITIES OR SIZING OF MATERIALS; FOR THE USE OR INSTALLATION OF MATERIALS - .,OR FOR•COMPLIANCE WITH ANY BUILDING CODE OR STANDARD OF WORKMANSHIP. r rres*w-r1Wuye %oerimcate of lance: Resldential Reroof Address: q% S ,4ve , Lt_,q Climate o�,..�....- .,M......--- • -wvv'-,10 11-iwL ROOFS) 9151(Q12 CF-1 R-ALT-ReRoof hermit # ....�.. ".� �• `" wl uxtu"Or roof surface to be replaced exceeds 50% of the existing roof area, or 1,000 ,whichever 1s less, the new roofing area must most the roofing product "Coo/ Roof' requirements of 1 Check applicable 1. alternative or exception below IT the roof alteration is exempt from the 1, 152(b)roduIHII, or 10 l Roo lir rooting product 'Cool Roof reguirements:: ❑ Cool roofs W required to ClIM Zones 1-12,14, and 16 with a bw sbped roof pitch (less or 2:12 pitch). . ❑ Cool roofs _W required in Cfarrates Zones 1-9, and 16 with a Altemattves to §152(b)l Hi and 1 �P roofs (greater � than 2:12) and product weigh less than 5Ab/fl�. § 52{b)1ili. Steep -slope roof (pitch > 2:12) ❑ Insulation with a thermal resislare0e of at least 0.85 hr fC�'F/Btu or at least a 314 inch air- ❑ Existing duds in the attic are mutated and seated sPaoe is added to the roof deck over an attic; or ❑ In dimate zones 10, 12 and 13, with 1 ft2 of free to §151(f)10; or where at least 30 area of altic ventilatbn for every 150 ft2 of attic floor area, and Pett of the free ventilation area Is within 2 feet vertical distance of the roof ridge; or N Building has at least R-30 ceiling insulation: or ❑ Building has radlard banter In the attic meeting the requirements of §151(f)2; or ❑ Budding has no duds in the attic or ❑ In climate zones 10, 11, 13 and 14, R-3 or greater roof deck irutdation above vented attic. Exception to §152(b)iHQI, low slope roof (pig S 2:12) ❑ Building has no ducts in the attic Other Exceptions ❑ Roofing area is covered by building do parrs and solar thermal ❑ Roof cahstructh ions at have tWmal mass over the roof tis are exempt from the Cool Roof . ff any one of tris alt ane with at lest 25 bW are exempt from the Cod Roof criteria. products in § 11 8M are ►rot fives or ex not f ft i dreciced die Aged Solar Relledance and Thermal EmJttenoe apPlkable. Do not tigp table below. "eqr'a7e/"e1#s for roofl►rg CRRC Product 10 Number' Roof Slot S 2:12 >: TO'o-L ❑ All )e 2:12 Product < 51bJ� t 5ibW ❑ ❑ Product T s Aged Solar Reliedanoe3'4 04 lanai Emittarhoe SRIS ° ❑. ❑ ❑4 Note: N no CRRC-1 Zabel is eva8able, ails cornpliance me#W cannot be used, use the Aerfuranoe The CRRC Plroduct ID Number cert be Approach to show omVience, Indicate are type of product is °ice lion she Cod Roof ReLfng CoGncrs Rated Product Mectory at WWW wobo& If the a used for are rooftop, i.e. avla.ply root. emelt moa, mKal Noa, etc. *Ocftmy and use the Refleaer,oe is not evaaabAe h she Coa Roof RetYng Caarol s Rated Product t)tredory Lien use are Ing Refie dance value Arum are same aaLaarr (0.2w0.70,,r - 0.2) to obtain a mutated aged value. where P is the inial solar Reffedance. Check err # are Aged Reftdanoe is a CftUared value using are equation above. Calculate are SRI value by using are SRP H wksheet at aooPy of are SRI- worksheet to are CF-,RME MV -20- WAIII924/ . and enter the resulting value in the SRI Column above and attach o apply Uquid Field Applied Coatings, the Coating must be rcomrrended by the coatings manufacturer and meet minimumpeperfored m ce re euro roof surface and meet the dry mil applicable able or acovem tna: requirements listed in §118(i}4. Select the applicable coating: Aluminum -Pigmented Asphalt Roof Coating , ❑ Cement -Based Roof Coating ❑ Other the installlrrg contractor shad complete and submit the feclaration Statement • I certify under penatty of perjury, under the laws of the State of Califomia, the information • I certify that the energy features and.pedormance s� identified on > his Certiti�l 1 and 6 of the Cawomia Code of Reoulatinne A :ss: SKI) lWIS V iL 4 SbV I - final form is accurate and oanplete• r conform to the requirements of Title 24, Parr License: For assistance or questions regarding the EnergyI 7� _ #I For Standards, contact the Energy Hotline at: 1-800-772-3300.