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BRER2015-000178-495 CALLE YAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: BRER2015-0001 Property Address: 53745 EISENHOWER DR APN: 774125023 Application Description: REROOF 2100 SQ FT Property Zoning: Application Valuation: $9,850.00 Applicant: SOUTHWEST ROOFING 0 OUTSIDE CITY LIMITS LA QUINTA, CA 92253 C& 0 D VOICE (760) 777-7125 FAX (760) 777-7011 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 1/5/2015 Owner: WILLARD WADE 53745 EISENHOWER 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: License No.: :LIC -0006524 Date:C_ Contracto OWNER -B LDER 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 ? 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.). (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.). (_) 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 Contractor: SOUTHWEST ROOFING 0 OUTSIDE CITY LIMITS LA QUINTA, CA 92253 (760)578-3740 Llc. No.: :LIC -0006525 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 t he workers' compensation provisions of Section 370 f the Labor odeZsh; ith comply with those rovisions. Date: Applicant: WARNING: F ILURE TO SECURE WORK S' 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 t' uilding construction, and hereby authorize representatives of this city hn enterypgrft4 e• mentioned property for inspection purposes. ��� Date: Signature (Applicant or Age ) , CITY CO JN!iY ,i„p 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: License No.: :LIC -0006524 Date:C_ Contracto OWNER -B LDER 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 ? 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.). (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.). (_) 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 Contractor: SOUTHWEST ROOFING 0 OUTSIDE CITY LIMITS LA QUINTA, CA 92253 (760)578-3740 Llc. No.: :LIC -0006525 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 t he workers' compensation provisions of Section 370 f the Labor odeZsh; ith comply with those rovisions. Date: Applicant: WARNING: F ILURE TO SECURE WORK S' 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 t' uilding construction, and hereby authorize representatives of this city hn enterypgrft4 e• mentioned property for inspection purposes. ��� Date: Signature (Applicant or Age FINANCIAL DESCRIPTION ACCOUNT - QTY, AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 PAID BY METHOD RECEIPT'# CHECK # CLTD BY Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RE -ROOF - EA ADDITIONAL 1,000 SF 101-0000-42404 0 $11.60 $0.00 PAID BY METHOD RECEIPT # 'CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RE -ROOF - FIRST 2,000 SF 101-0000-42404 0 $49.31 $0.00 PAID BY . METHOD RECEIPT # .. CHECK.# CLTD BY DESCRIPTION ACCOUNT QTY `AMOUNT PAID PAID DATE RE -ROOF - FIRST 2,000 SF PC 101-0000-42600 0 $98:62 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for RE -ROOF: $159.53 $0.00 TOTALS:.• •0 Description: REROOF 2100 SQ FT CHRONOLOGY Type: RE -ROOF Subtype: Status: UNDER REVIEW Applied: 1/5/2015 PJU Approved: Parcel No: 774125023 - Site Address: 53745 EISENHOWER DR LA QUINTA,CA 92253 Subdivision: SANTA CARMELITA VALE LA QUINTA Block: Lot: 12 Issued: UNIT 23 Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $9,850.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 0 OUTSIDE CITY LIMITS Details: TEAR OFF OLD ROOF & REROOF WITH NEW LIGHTWEIGHT TILE TOTAL 2,100 SQ FT APPROVED PER ARMEN A..2013 CBC. Printed: Monday, January 05, 2015 2:21:39 PM 1 of 2 RWSYSTEMS CHRONOLOGY CONDITIONS NAME TYPE ' NAME ADDRESSI CONTACTS CITY STATE 'ZIP PHONE FAX EMAIL APPLICANT SOUTHWEST ROOFING 0 OUTSIDE CITY LIMITS LA QUINTA CA 92253 CONTRACTOR SOUTHWEST ROOFING 0 OUTSIDE CITY LIMITS LA QUINTA CA 92253 OWNER WILLARD WADE 53745 EISENHOWER LA QUINTA CA 92253 Printed: Monday, January 05, 2015 2:21:39 PM 1 of 2 RWSYSTEMS `L Permit Details PERMIT NUMBER City of La Quinta BRER20115V001 ." DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY RE -ROOF - EA ADDITIONAL 1,000 SF 101-0000-42404 0 $11.60 $0.00 RE -ROOF - FIRST 2,000 101-0000-42404 0 $49.31 $0.00 SF RE -ROOF - FIRST 2,000 101-0000-42600 0 $98.62 $0.00 SF PC Total Paid for RE -ROOF: $159.53 $0.00 TOTALS:.0 •0 INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES FINAL" PRE -ROOF REVIEWS RETURNED STATUS REMARKS REVIEW TYPE REVIEWER SENT DATE DUE DATE DATE NOTES BOND INFORMATION Printed: Monday, January 05, 2015 2:21:39 PM 2 of 2 Cg?WYSTEMS Bin # Cray of La Quinta. -Building &r 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: -79S A. P. Number: Address: --`1 y sc— (S N 40W (✓ Legal Description: City, ST, Zip: Vim. V Contractor: S ! 1R\N Telephone: Address: Q, O, Q3 02C( ZCp Project.Deseription: Tep r O IF City, ST, Zip:Z2 �— = f OC) 't—CA, C tr t, � TeleP hone —? > <»> State Lic. #: 7 D.City Lic. #; Arch., Engr., Designer: Address: City, ST, Zip: Telephone: << >s> > Construction Type: Occupancy State Lic. #:Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: Z ®� # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Rcq'd Recd TRACMG PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit Truss Cala. Called Contact Person Plan Check Balance, Title24 Calcs. 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. R.O.A. Approval Plans resubmitted Grading IN ROUSE:- Rcview, ready for correctionsfissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees ... Clew /740 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) Proiect Name: ?, --1y (;I Si t) kl-r,c)j ( r^ Date Prepared: Ol S-// S A. GENERAL INFORMATION 01 02 03 01 Project Name: "i 1 ) '�- ` 02 Date Prepared: Tag/ID I 03 Project Location: -S — L^\ 5 = 04 Building Front Orieritation`(deg or cardinal): L A5 ' 05 CA City: Q k N 06 Number of AI1ei•.edbwelling Units: Pitch 07 Zip Code: 6122 j 08 Fuel Type: & ,"� *'ON 09 Climate Zone: J S 10 Too 11f6r drtioned Floor:AFe IfU) QO 11 Building Type V \ 12 Slab Arei(ft2) • Roof area covered by building integrated photovoltaicpanels and solar thermal panels are exempt from the above Cool Roof requirements. 13 Project Scope: Iar r p 6 -c , t,. hk•. R 1" Nk ) B. BUILDING INSULATION DETAILS (Section 150.2(b)1) 01 02 03 04 05 06 '4t '�,- -'07 1 08.> 09 10 11 Tag/ID I Assembly Type I Type Frame Depth I (inches) Frame Spacing I (inches) lkhk " 174 Apft irproposed yy; Required Comments a t }tinuousFrame. 5on Cavity . sulation I R -value R-value�U factor Appendix 1A4 Reference LI -Factor Table Cell Pitch Exception d,ProductType fpsulation Reflectance Reflectance Emittance (Optional) Reflectance Emittance (Optional) NOTES��` ti is, f " h Nt 17 XN1 V _it ' :ftp C. ROOF REPLACEMENT (Prescriptive Alteration, Se&ionkX50.2(b)1H),. "o ' 01 02 03 04 05N, 4 06 Vr'707k 1 08 09 10 11 1 12 13 3 4-, R -value 1 ��N Proposed Minimum Required Initial Solar Aged Solar Thermal SRI Aged Solar Thermal SRI Method ofRoof CiPdutt ID 44 rUmber Dew k Compliance Pitch Exception d,ProductType fpsulation Reflectance Reflectance Emittance (Optional) Reflectance Emittance (Optional) NOTES��` ti • Roof area covered by building integrated photovoltaicpanels and solar thermal panels are exempt from the above Cool Roof requirements. • Liquid field applied coatings)must comply wrth•in tallation criteria from section 110.8(i)4. Registration Number: Registration Date/Time: CA Building Energy Efficiency Standards - 2013 Residential Compliance HERS Provider: June 2014 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) Proiect Name: Date Prepared: W DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: Company: Signature Date: Address: CEA/ HERS Certification Ideptificatton`(if applicable): `y ? City/State/Zip: Phone: �;�,N_ cA ,RESPONSIBLE PERSON'S DECLARATION STATEMENT r '� 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. � y A � q 2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance (responsible designer).r`�` 3. That the energy features and performance specifications, materials, compon66 !Sand manufacturred��le�vlcis, 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 o fthe California Code of<Regulations. design features features Compliance -are 4. The building or system design identified on this'Ceertificate of consistent,v(iit+h he information provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted ,iyo tie enforcement agency fo.r approval with this bCuil ing permit application. 5. 1 will ensure that a registered copy of this Certificate of COT liance.shall be mad(Vvlkilable with the bulldilng permlt(s) issued for the building, and made available to the enforcement agency "of for all applicable inspections. I understand that a regist�eL coQyof this Certifi to Compliance isxequi'red to be included with the documentation the builder provides to the building owner at occupancy. r . r[ k^• t� rte. Responsible Designer Name: Q / �J� 411ispoj+;ible Designer �Sig(nnatur\e: Company: J Date Signed: Address: `� � �,�7 License: w � City/State/Zip: tj U Phone: tt� 1 J� 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