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14-0555 (RER)13 P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 14-00000555 Property Address: 54255 AVENIDA HERRERA APN: 774-245-025-2 -000000- Application description: REMODEL - RESIDENTIAL Property Zoning: COVE RESIDENTIAL Application valuation: 50000 Applicant: 's,vo, 1�p Tiht 4 stPa" Architect or Engineer: BUILDING& SAFETY DEPARTMENT BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License Class: B Licens/eNo.: 947045 /Date: S 1-191 /Contractor: CpI_1�1122 lo"�P rptel 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 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.).. ' (_ 1 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.). (_ 1 I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY 1 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: 1 Lender's Address: LQPERMIT Owner: BRETT COCKERILL 54255 AVENIDA HE LA QUINTA, CA 92 u r Contractor: GEROLD CONSTRUCTION 33109 YUCAIPA BLVD— YUCAIPA, CA 92399 (909)224-2274 Lic. No.: 947045 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/01/14 INC VI _ 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. COI 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 STATE FUND Policy Number 1951709 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 forth ith comply with those p ov.s.ons. Day'T - 1 -14 APplit ant: �;& . - 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 Director of Building and Safety 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 county to enter upon the above-mentioned property for inspect" o purposes.//•� Da�-1-/y Signature (Applicant or Agent)+>� ( '�/ El LQPERMIT Application Number . . . " . 14-00000555 Permit . . . REMODEL 2013 Extension Additional-desc . . ELEC SERVICES 23"83 ---------------------------------------------------------------------------- Special Notes and Comments' Permit Fee . . . . 70"07 Plan Check Fee "00 Issue Date . . " . Valuation . . . . 0 Expiration Date 10/28/14 INSULATION WITH R30, GARAGE HEADER, DRY Qty Unit Charge Per SHEETING Extension 1.00 48.6200 LS MISC REMODEL, 1ST 100 SF 48.62 1.00 21.4500 ---------------------------------------------------------------------------- EA MISC REMODEL, ADDL 500 SF 21.45 Permit . . Additional desc . Permit Fee . . . Issue Date . Expiration Date . ELECTRICAL 2013 23.83 10/28/14 Plan Check Fee . . .00 Valuation . . . . 0 Qty Unit Charge Per Extension 1.00 23.8300 EA ELEC SERVICES 23"83 ---------------------------------------------------------------------------- Special Notes and Comments' REMODEL - ELECTRICAL SERVICE CHANGE, REPAIR/REPLACE ENTIRE ROOF, ROOF INSULATION WITH R30, GARAGE HEADER, DRY WALL,, ELECTRICAL, AND ROOF SHEETING AS NEEDED. REPAIR TRUSS TAILS AT EAVES. 2013 CALIFORNIA BUILDING CODES. ---------------------------------------------------------------------------- Other Fees " . . . . . . . . BLDG STDS ADMIN (SB1473) 2.00 PLAN CHECK; ELECTRICAL 11.92 PLAN CHECK, REMODEL 150.15 STRONG MOTION (SMI) - RES 5.00 Fee summary Charged Permit Fee Total 93.90 Plan Check Total .00 Other Fee Total 169.07 Grand Total 262.97 Paid Credited Due .00 .00 93.90 .00 .00 .00 .00 .00 169.07 .00 .00 262.97 Bin # City of La Quinta 'Building 8r Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address:542 w. r Owner's Name: A. P. Number: Address: 5Lt eL 5 5 �A A fC^r4 Legal Description: City, ST, Zip: Contractor:r Telephone: Address: 3��pq Project Description: N City, ST, Zip: qaI!Aq Telephone: C ... 9 State Lie. #: 94104 5 City Lie. #; • TRti% . C R 1103 ECS Arch., Engr., Designer: Address:�- City., ST, Zip: • (.1p S Telephone: ne: «: ConstructionnTY Occupancy:c Type: Y: State Lie. #: Project type (circle rc eo ne • New Add'n Alter Demo Name of Contact Person: '� r a Sq. Ft.: # Stories: # Units: Telephone #,of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan god Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN ROUSE:- 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 ME I I: .1�(?`_�Uo:r _ ' . .' .._1:x731 :sq��r�-.. ' .. •. _�ara�G _ _ : ieo._MoJt`' ' RsP(AW— 64PAW piPoW- - _ __�d'_° tau - _ ..... _ _ o Rib A, ,t I , _so-Rv�_c�= cc�g-�} - i_• � R - _P�,CE` tis.. A% - - - -• - --�.. __ .. _ . _, _ .� _ _ - .. ... - - ' .Rb.A_tr2_ iQQI - ' i P ; Gr C G^rg DATEOp i 4 Prescriptive Certificate of Compliance: Residential Reroof CF-IR-ALT-ReRoof Project Address: I Climate Zone Permit # ROOFING PRODUCTS (COOL ROOFS) §151(1)12 When the area of exterior roof surface to be replaced exceeds 5001. of the existing roof area, or 1,000 W, whichever is less, the new roofing area must meet the roofing product "Cool Roof" requirements of§152(b)1Hi, 152(b)1Hli, or 152(b)1Hiii. Check applicable alternative or exception below if the roof alteration is exempt from the roofing product "Cool Root' requirements:: ❑ Cool roofs not required in Climates Zones 1-12,14, and 16 with a low sloped roof pitch (less or 2:12 pitch). ❑ Cool roofs not required in Climates Zones 1-9, and 16 with a steep -sloped roofs (greater pitch than 2:12) and product weight less than 5/Ib/ft2 . Alternatives to §152(b)1Hi and §152(b)Hii, Steep -slope roof (pitch> 2:12) ❑ Insulation with a thermal resistance of at least 0.85 hr-ft2•`FBtu or at least a 3/4 inch air -space is added to the roof deck over an attic; or ❑ Existing ducts in the attic are insulated and sealed according to §151(010; or ❑ In climate zones 10,12 and 13, with 1 ftZ of free ventilation area of attic ventilation for every 150 ftp of attic floor area, and where at least 30 percent of the free ventilation area is within 2 feet vertical distance of the roof ridge; or . ❑ Building has at least R-30 ceiling insulation; or ❑ Building has radiant barrier in the attic meeting the requirements of §151(f)2; or ❑ Building has no ducts in the attic; or ❑ In climate zones 10, 11, 13 and 14, R-3 or greater roof deck insulation above vented attic. Exception to §152(b)l Hili, Low -slope roof ( pitch <_ 2:12) ❑ Building has no ducts in the attic. Other Exceptions ❑ Roofing area is covered by building integrated; photovoltaic panels and solar thermal panels are exempt from the Cool Roof criteria. ❑ Roof constructions that have thermal mass over the roof membrane with at least 25 Ib/ft2 are exempt from the Cool Roof criteria. NOTE: If any one of the alternatives or exception is checked the Aged Solar Reflectance and Thermal Emittance requirements for roofing products in § 118(i) are not applicable. Do not fill table below. 4 NOTE. When Cool Roofrirre4Dired. the installing contractor shall complete and submit the CF -6R -ENV -01 for final inspection. � I Declaratiod Statement..•, r �_) I Roof Slope Product Weight Product Aged Solar Thermal Company: -C t-- Date: CRRC Product ID Number' <_ 2: 2 > 2:12 < 5lb/ft2 >_ 5lb/ft2 Type 2 Reflectance3'4 Emittance SRI Oct M - 00 o ❑ ❑ ❑4 ❑ ❑ ❑ ❑ ❑4 Note: If no CRRC-1 label is available, this compliance method cannot be used, use the Performance Approach to show compliance, 1. The CRRC Product ID Number can be obtained from the Cool Roof Rating Council's Rated Product Directory at www.coolroofs.or4/nroducts/search.nhn 2. Indicate the type of product is being used for the roof top, i.e. single -ply roof, asphalt root, metal roof, etc. 3. If the Aged Reflectance is not available in the Cool Roof Rating Council's Rated Product Directory then use the Initial Reflectance value from the same directory and use the equation (0.2+0.7(pk" - 0.2) to obtain a calculated aged value. Where p is the Initial Solar Reflectance. 4. Check box if the Aged Reflectance is a calculated value using the equation above. 5. Calculate the SRI value by using the SRI- Worksheet at httpYAvww.energy, ca. aov/tit/e24/and enter the resulting value in the SRI Column above and attach acopy of the SRI- Worksheet to the CF -1 R. To apply Liquid Field Applied Coatings, the coating must be applied across the entire roof surface and meet the dry mil thickness or coverage ecommendedxby-the-coatings,•man`ufacturer and meet minimum performance requirements listed in §118(i)4. Select the applicable coating: ❑ Aluminum Pi jmented Asspph� Roof`Coating 11 Cement -Based Roof Coating [I Other 4 NOTE. When Cool Roofrirre4Dired. the installing contractor shall complete and submit the CF -6R -ENV -01 for final inspection. � I Declaratiod Statement..•, r �_) I • I certify unc er penalty of,p� N ur ur�de the laws of the State of California, the information provided on this form is accurate and complete. • I certify that the energy featurSsj and p rfornance specifications identified on this Certificate of Compliance conform to the requirements of Title 24, Parts 1 and 6 of�,the California aftof R u ations. Name: � -Signature: Company: -C t-- Date: S•t-1 Address:t� License: -33 9'� o tate/Zip: Phone: PIS �—a 4a� Otoa, 994-a 74 For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300. INSTALLATION CERTIFICATE CF -W -ENV -01 Envelope - Insulation; Roofin ; Fenestration (Page 1 of 3) Site Address: Enforcement Agency: Permit Number:. If more than one person has responsibilityfor installation of the items on this certificate, each person shall prepare and sign a certificate applicable to the portion of construction for which they are responsible; alternatively, the person with chief responsibility for construction shall prepare and sign this certificate for the entire construction: All applicable Mandatory Measures with check boxes require to be checked to ensure the mandatory measures have been met. Description of insulation 1. RAISED FLOOR Material: Brand Name: Thickness (inches): Thermal Resistance (R -Value): ❑ §150(d): Minimum R-13 insulation in raised wood -frame floor or equivalent U -factor. 2, SLAB FLOOR/PERIMETER Material: Brand Name: Thickness (inches): Thermal Resistance (R -Value): Perimeter Insulation Depth (inches): ❑ § 150(1): Water absorption rate for the insulation material alone without facings is no greater than 0.3%; water vapor permeance rate is no greater than 2.0 perm/inch and shall be protected from physical damage and UV light deterioration. 3. EXTERIOR WALL a. Insulation Type (e.x: Batt, Loose Fill, Spray Foam) a. Thermal Resistance (R -Value): b.. Insulation Type (e.x. Batt, Loose Fill, Spray Foam) b. Thermal Resistance (R -Value): Brand: Spray/Loose fill) Installed Actual Thickness Spray/Loose fill) . (inches): Contractor's min installed weight/ftz Ib Manufacturer's installed weight per square foot to achieve Thermal Resistance (R -Value) ❑ §150(c): Minimum R-13 insulation in wood -frame wall or equivalent U -factor. Exterior Foam Sheathing (rigid Insulation) Material: Brand Name: Thickness (inches) : Thermal Resistance (R -Value) 4. FOUNDATION WALL Material: Thickness (inches): 5. CEILING Brand Name: Thermal Resistance (R -Value): Batt or Blanket Type: Brand Name: Loose Fill Type: Thermal Resistance (R -Value): Spray Foam Type: Brand Name: Installed Actual Thickness (inches): Contractor's min installed weight/ft? Manufacturer's installed weight per square foot to achieve Thermal Resistance (R -Value): ❑ §150(a): Minimum R-19 insulation in wood -frame ceiling or equivalent U -factor. 6. ATTIC ROOF INSULATION AND/OR ATTIC RADIANT BARRIER Material: $I►owe. 'L.Uw%&y,, . Brand Name: Qiv%ls, 42IM,�dz Material: Brand Name: Thickness (inches): Thermal Resistance (R -Value): 30 ❑ § 118(a): Insulation installed meets Standards for Insulating Material. ❑ §150(g): Mandatory Vapor barrier installed in Climate Zones 14 or 16. lb 2008 Residential Compliance Forms August 2009 INSTALLATION CERTIFICATE CF -6R -ENV -01 Envelope — Insulation; Roofing; Fenestration (Page 2 of 3) Site Address: Enforcement Agency: Permit Number: Description of R ofing Products CRRC Product iD Manufacturer Manufacturer/Brand Name (GROUP LiKE RODUCTS) Product Roof Roof Product Initial Solar Aged Solar Thermal Number' Information Brand/Model Type Area Sloe Weight 2 Reflectance Reflectance' Emittance 2 ❑3 3 ❑3 4�n ❑3 5ll' 1. The CRRC Product ID Number can be obtained from the Cool Roof Rating Council's Rated Product Directory at ww.coolroofs.org/products/search. php 2. The weight in lbs per square feet of the roofing product being installed. 3. Check box if the Aged Reflectance is a calculated value using the equation below, footnote 4. 4. If the aged reflectance is not available in the Cool Roof Rating Council's Rated Product Directory then use the initial reflectance value from the directory and use the equation (0.2+0.7( i„i,iut - 0.2) to obtain a calculated aged value. ✓OCHECK APPLICABLE BOX BELOW IF EXEMPT FROM THE ROOFING PRODUCT ..COOL ROOF” REQUIREMENT. ❑ The roof area covered by building integrated photovoltaic panels and building integrated solar thermal panels are exempt from the above Cool Roof criteria. ❑ Roof constructions that have thermal mass over the roof membrane with a weight of at least 25 Ib/ft is exempted from the above Cool Roof criteria. To apply Liquid Field Applied Coatings, the coating must be applied with a minimum dry mil thickness of 20 mils across the entire roofsurface and meet minimum performance requirements listed in §118(1)3 and Table 118-C. Select the applicable 'coating 11Aluminum-PigmentedAsphalt Roof Coating ❑ Cement -Based Roof Coating ❑ Other ✓ ❑ CRRC-1 Label Attached to CF -6R (Note if no CRRC-/ label is available, this compliance method cannot be used and another method is. required to meet compliance). FENESTRATION/GLAZING Item Manufacturer/Brand Name (GROUP LiKE RODUCTS) Product U- factor' Product SHGC' # of Panes NFRC Certified' Z Total Quantity of Like Product (Optional) Area ftZ Add. Exterior Shading Dev. or Overhang Comments/ Location/ Special Features I 2 3 4�n 5ll' 6 %. I Y jj Q0 _ m 8. N t '� < U jl � 1. Use /1061 2. NAC values from a fnestiWion,p oduct's NFRC Certified Label. For fenestration products without an NFRC label, use die default values from Section 116, Table A and 116-B Qjthe'2008=En gy Efficiency Standards. Label Cerd rcates shall,; be removed until the building inspector has veri red the efficiency, Enter Yes or No. I I I -f1 W.— ❑ §116(a)1: Doors and-�?ind�ot, between conditioned and unconditioned spaces designed to limit air leakage. ❑ 91�16(a)2 and 3: Act0al Fenesl tion products installed are equivalent to or have a lower U -factor and/or a lower SHGC than that specified on the_Certi•featefiof-C-of(Form CF -IR). ❑ §i 16(a)4: Fenestration products (except field -fabricated windows) have a label listing the certified U -Factor, certified Solar Heat Gain Coefficient (SHGC), and infiltration that meets the requirements of §10-11 i(a) ❑ § 117: Exterior doors and windows weather-stripped; all joints and penetrations caulked and sealed. 2008 Residential Compliance Forms August 2009 z� INSTALLATION CERTIFICATE CF -6R -ENV -01 Envelope — Insulation; Roofing; Fenestration (Page 3 of 3) Site Address: Enforcement Agency: Permit Number: DECLARATION STATEMENT • 1 certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. • I am,eligible under Didvision 3 of the Business and Professions Code to accept responsibility for construction, or an authorized representative of.thel person responsible "for construction (responsible person). • 1 certify that the"installed features, materials, components, or manufactured devices identified on this certificate (the installation) conforms to all applicabler6des"":and regulations, and the installation is consistent with the plans and specifications approved by the enforcement agency . • "I reviewed a cop y°of th CerU rcate of Compliance (CF -I R) form approved by the enforcement agency that identifies the specific reqs rements for71 ie °ns allation. I certify that the requirements detailed on the CF -1R that apply to the installation have been met. • 1 willTensure that-a�cogmple , signed copy of this Installation Certificate shall be posted, or made available with the building permrt(s) issued for• tli�el buddng, and made available to the enforcement agency for all applicable inspections. I understand that a sigrIld copy oft isflnstalln Certificate is required to be included with the documentation the builder provides to the building owelrat occupac°y Compa Name:.(In dtri&ti� i tractor or General Contractor or Builder/Owner) Re`sspons 4 CAL le Person's Nam > Responsible Perso 's Signatur CSLB Li Date Signed: Position With Company (Title): Cl 4` -?V C 5. A,,. 2008 Residential Compliance Forms August 2009