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BRER2015-004778-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: BRER2015-0047 Property Address: S2S80 EISENHOWER DR APN: 773301004 Application Description: SKRAK RESIDENCE REROOF Property Zoning: Application Valuation: $5,800.00 Applicant: RANCHO MIRAGE ROOFING P 0 BOX 206 RANCHO MIRAGE, CA 92270 Twit 4 4 Qu&ro VOICE (760) 777-7125 FAX (760) 777-7011 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 6/18/2015 Owner: FAYESKRAK 52580 EISENHOWER DR LA QUINTA, CA 92253 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.: 938533 ',me�,gg // Date: Contractor;&210d J&L r 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 exeinption. 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 Name: Lender's Address: Contractor: RANCHO MIRAGE ROOFING P O BOX 206 RANCHO MIRAGE, CA 92270 (760)832-2013 LIc. No.: 938533 . 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. 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� T� Applicant: l�'�� 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. Date: - / Signature (Applicant or Agent): u -DESCRIPTION .4 r ?'v, ;;j,• r ACCOUNT QTY t _� AMOUNTS PAID=DATE; z SPP s�PAID 9,,...,_. _ ���_� e,.� BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 6/18/15 .,tTtsr v �'-r'y. '*�'•'i'� S r NPAID BY Y, F s 1,M I '.[ Y 'fir.:. ZS. M R L S'L ,•pvz :r. -i ., Y .{t:, h J •§• RECEIPT #`i CHECK # CETD BY _fi., J� �-+ ¢¢METHOD y.nn.s.-.. -....- .�., x.nG.., K}�$.iRFii"��.5'`.nlz9is,�r.-'zY«...E7.'f.l"..a.,..:".eY,.,a...:'FS_.'i°X'k.ai ]^ ti j .t. Y3 .r �r y. VALLEY URETHANE CHECK R7150 1091 MFA . Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $1.00 ON.,.'L O'iUNTa. �CC12 QTY AMOUNTg°�E PAIO 3 'PAID`DATE. yjDESCRIPTI ..,a. >'4: S. ._•:a.. �..:EF, x d:''-....,..:'sf+_.h.LV:LL"+—y4i-a",YiW`ME�w.'S�9*',vui£,n"E-s.�'''s-'�"+ -- .,'fin"" -f.,_ RM.uS a<m{�?s'>oM i.cv"'±c.-_....nc..E ... �. vR'�-..'nr 4.l is i:e'��. RE -ROOF - FIRST 2,000 SF 101-0000-42404 0 $49.31 $49:31 6/18/15 a ° i s�::, x s ' * PAID BY3 _, CHECK # GT Y C DEB �..�a:��METHOD65"RECEIPTz#�f5 109 x r .__ < ., .VALLEY URETHANE CHECK R7150 1091 MFA ^,=1y »a-+::, DESCRIPTION * , ;n>i'._Lr `€- ',^"+, '..;::mq,6 � ACCOUNT, .s .::c,. QTY :E g�'v -:€.. F!,-.-'e'-=�a?'',��,?r AMOUNT fix..: \ PAID ' AID'"DATE-, py,� r �.['nk Fd.'4 - 3< RE -ROOF[ - FIRST 2,000 SF PC 101-0000-42600 0 $98.62 $98.62 6/18/15, _;}, 1�`E 9d ,'3,Z nx 3 PAID BYx. i� �+Zp� � r k'PE W'vo� (4�.?4�.,., E ..:�"�, .?vY. €x RECEIPT #:CHECK •::.:.�.'.,.,'�a .rMETHOD ,t a rir-j..�g VALLEY URETHANE CHECK. R71W 1091 MFA Total -Paid for RE -ROOF: $147.93 $147.93 TOTALS: Description: SKRAK RESIDENCE REROOF CONDITIONS Type: RE -ROOF Subtype: Status: ISSUED Applied: 6/18/2015 MFA Approved: 6/18/2015 MFA Parcel No: 773301004 Site Address: 52580 EISENHOWER DR LA QUINTA,CA 92253 Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 144 Lot: 20 Issued: 6/18/2015 MFA UNIT 15 - = - -:EMAIL APPLICANT Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $5,800.00 Occupancy Type: Construction Type: Expired: 12/15/2015 MFA No. Buildings: 0 . No. Stories: 0 No. Unites: 0 CONTRACTOR Details: REROOF WITH 1" SPRAY FOAM OVER EXISTING BUILT UP ROOF - WHITE COOL ROOF COLOR [CRRC: 0020-0029] 2013 CALIFORNIA ENERGY CODE. RANCHO. MIRAGE CA ADDITIONAL SITES CHRONOLOGY CONDITIONS NAME TYPE : NAME- : ADDRESS1 CITY STATE ZIP .:PHONE.: ": FAX ` ; - = - -:EMAIL APPLICANT RANCHO MIRAGE ROOFING P 0 BOX 206 RANCHO MIRAGE CA 92270 ( FINANCIAL INFORMATION Printed: Thursday, June 18, 2015 10:20:36 AM 1 of 2 CMLJ L SYSTEMS Printed: Thursday, June 18, 2015 10:20:36 AM 2 of 2 CPR" SYSTEMS INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES PRE -ROOF BLD FINAL" BLD CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 6/18/15 R7150 1091 CHECK VALLEY URETHANE MEA Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $1.00 BSA: RE -ROOF -FIRST 2,000 101-0000-42404 0 $49.31 $49.31 6/18/15 R7150 1091 CHECK VALLEY URETHANE MFA SF RE -ROOF - FIRST 2,000 101-0000-42600 0 $98.62 $98.62 6/18/15 R7150 1091 CHECK VALLEY URETHANE MFA SF PC Total Paid for RE -ROOF: $147.93 $147.93 TOTALS:4: Printed: Thursday, June 18, 2015 10:20:36 AM 2 of 2 CPR" SYSTEMS INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES PRE -ROOF BLD FINAL" BLD Printed: Thursday, June 18, 2015 10:20:36 AM 2 of 2 CPR" SYSTEMS Bin # ` Qty 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: 51-'5 b O L S eA K 0-w e '9 Owner's Name: s ',Q A. P. Number: Address: 5 a.— cj e,\ e- -r �- Legal Description: (`AN«o p' PIQ f, e- I City, ST, Zip:0 Lpe QJ��rr ?�A C'n 9 L Z S 117K Contractor.• M«e� Q (e, At 61"A -V-' coc,�-tt,k9 Telephone: (- Address: 3 5 - 6 $ S Gqtk� t,6 XA( ceko o,,1 0 f Project Description: �_ A S (I U (e � Ane �-JA,y. City, ST, Zip: ` r K�cti/ Ci 0ID( 'ti 5 Ys k e \l 4 Telephone: ne �G o-000 gzl - :.:.;. Ke_'- i State Lic. # : i �B S 3 3 City Lic. S �Y g-. ��nv fG. ,� r�•�. Foy r`R Arch., Engr., Designer: ��Y' e C �/h I e /� ;rte ✓ t' G Address: Q 1 2 v D�rh City, ST, Zip: ii enry5 cf'fC 06 0 -0O -L __1'_L213x Telephone: €<f>><<> �::.:>::.;:;:;:::.; Construction Type: Occupancy: Ste to Lic. #: Project type (circlele one): New Add'n Alter Repairair Demo Name of Contact Person: 41MVI ( 1*Sq. Ft.: \ qb0 T Stories: # Units: Telephone # of Contact Person: / ( Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE N Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed,. ready for corrections Plan Check Deposit Truss Cales. Called Contact Person Plan Check Balance Title 24 Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2" 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 HOUSE:- 3' 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 STATE OF CALIFORNIA RESIDENTIAL ALTERATIONS CEC-CFIR-ALT-01-E Revised 06/14 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CFIR-ALT-01-E Prescriptive Residential Alterations (Pagel of 4) Proiect Name: {mayK(Q-K �oC'� Date Prepared: A. GENERAL INFORMATION 01 ,, 01 Project Name: arm ' S f-- r A 3 02 Date Prepared: %, $%�/ 5 03 - Project Location: 5 a, -- s go E S Q^ do w,9 V 9 04 Building Front Orientation (deg or cardjnal): 05 CA City: L 4 awo'-4;0, 06 Number of AIt re e&0welling Units: rte;. 07 Zip Code: 9 Z Z 5 08 Fuel Type, 09 Climate Zone: Deck 10 TotahConditioned FloorA$a'(ft2f 11 Building Type ¢t;;t,,.a.µ( 12 SIab;A�ea(ft2) 13 Project Scope: C, e- !C oo W" `' L1 B. BUILDING INSULATION DETAILS (Section 1SO.2(b)1) w 01 02 03 04 05 06 ; X 07 I 08 Q9 10 11 Tag/IDAssembly Type Frame Type Frame Depth (inches). Frame Spacing. (inches) Proposed Required Comments w° Continuous . Cavity -Insulation 9N R -value, R -value s Ufagtor Appendix JA4 Reference U Factor Table, Cell Roof CRRC.Rdwct ID Deck "((initial Solar Aged Solar Thermal SRI Aged Solar Thermal SRI Compliance Pitch Exception Number Product Type Insulation Reflectance Reflectance Emittance (Optional) �%M o.-. -11tir.0- iZE a V U IOLV :0� C. ROOF REPLACEMENT (Prescriptive Alteration, Secti6`A%150.2(b)1H) 01 02 03 04 05 , 06 it 'b70 08 09 10 11 12 13 R -value 'i Proposed Minimum Required Method of Roof CRRC.Rdwct 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) iZE o-- 002 �vJi !� coy OG�« �S°Iv—�U G 5 �"+ 0's NOTES.. • Roof area covered by, builaiog ,integrated ph to oltair panels and solar the�r `mal panels are exempt from the above Cool Roof requirements. • Liquid field ngs installation from 110.8(i)4. app ed oa must,comply with criteria section d w Registration Number: Registration Date/Time: CA Building Energy Efficiency Standards - 2013 Residential Compliance HERS Provider: June 2014 1 I I STATE OF CALIFORNIA RESIDENTIAL ALTERATIONS + CEC-CFIR-ALT-01-E Revised 06/14 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CFIR-ALT-01-E Prescriptive Residential Alterations ° (Page 4 of 4) Project Name: pry S 1tL 5 Date Prepared: 6,/—/ DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. t �' Documentation Author Name: Documentation.Author Sig ure: n Company:. / f L J� tC J av�� Q �9 0 11 °� / \?/—c k-2,;67Wq Signature Date: \ go o . � Address: 35�63Q CEA/HERS Certification Identtficatlon°(if applicable): r �� cA� ..•,Ar City/State/Zip: Phone: ' CAL flo( eA/-/,,- c.'k 4zZ RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: V 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 responsibfli for the buiIdinP'des or system design identified on this Certificate of Compliance (responsible designer). vk 3. That the energy features and performance specifications, materials, components, and manufactured d`eVic for the building, design or system design identified on this Certificate of .A Compliance conform to the requirements of Title 24, Part 1 and Part'6 of the California Code of%egulations. 4. The building design features or system design features identified on thiCertificate of Compliance -are consistent with.ttie information provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted .to the enforcement agencl" fbVpproval with this building permit application. building for 5. I will ensure that a registered copy of this Certificate of Compliaceshall be madeGavai�lable with the permits) issued the building, and made available to the enforcement agency for all applicable inspections. I understand that a registeeredopy�of this Certificat of Compliance is required to be included with the documentation the builder provides to the building occupancy., owner at Responsible Designer Name: � �rible Designer Signature: AV,(X e' Company: - Date Signed: Address: License: — City/State/Zip: ' Phone: For assistance 00 ns regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300. Registration Number: Registration Date/Time: CA Building Energy Efficiency Standards - 2013 Residential Compliance HERS Provider: June 2014