BRER2015-00074 9 a w 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: 2/5/2015
Application Number: BRER2015-0007 Owner:
Property Address: 54055 EISENHOWER DR FANNIE MAY
APN: 774215015 54055 EISENHOWER
Application Description: RE -ROOF 2,500 S E OV E OCX E LACE WITH SHINGLES LA QUINTA, CA 92253
Property Zoning: D
Application Valuation: $7,300.00 !rte
Applicant: FEB 05 2015 Contractor:
ROOTER ROOFING ROOFTEK ROOFING
26025 NEWPORT RD t#A420 CITY OF 7OUINTA 26025 NEWPORT ROAD STE A400
M EN I FE E, CA 92584 LCOMMUNITY DEVELOPM5W WA#TA1€Rli' M EN I FE E, CA 92584
(951)244-8524
LIc. No.: 520957
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.: 520957
Date 'zd�2 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).:
(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.).
(_) 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:
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 worker
compensation laws of California, and agree that, if I should become subj'. to'fhe
workers' compensation provisions of Sec •on 3700 of the Labor Co shall forthwith
comply with those provisions.
Date:�`� �c71 3 Applican
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 b ' ng
construction, and hereby authorize representatives of t is city to enter upo a above•
mentioned property for inspection purposes. ,
Date: �JSignature (Applicant or Agent)
FINANCIAL INFORMATION
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 .
ACCOUNTQTY
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
CITY
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:
TOTALS:.0
$159.53
$0.00
00
Description: RE -ROOF 2,500 SQ FT REMOVE ROCK REPLACE WITH SHINGLES
Type: RE -ROOF Subtype: Status: UNDER REVIEW
Applied: 2/5/2015 PJU
Approved:
Parcel No: 774215015 Site Address: 54055 EISENHOWER DR LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA AT VALE LA QUINTA Block: 298 Lot: 3
Issued:
UNIT 27
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $7,300.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
IL
ADDRESSI•.
Details: RE -ROOF REMOVE EXISTING ROCK INSTALL INSTALL TITLE 24 COMPLIANT SHINGLES ON SLOPED ROOF AND ADDING NEILHATION
2013 CALIFORNIA BUILDING CODES. APPROVED PER JJ
CHRONOLOGY
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESSI•.
CITY
STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT
ROOTER ROOFING
26025 NEWPORT RD
#A420
MENIFEE
CA
92584
CONTRACTOR
ROOFTEK ROOFING
26025 NEWPORT ROAD
STE A400
MENIFEE
CA
92584
OWNER
FANNIE MAY
54055 EISENHOWER
I LA QUINTA
I CA
1 92253
Printed: Thursday, February 05, 2015 11:12:45 AM 1 of 2
CRwSYSTEMS
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT REMARKS NOTES
PRE -ROOF
FINAL"
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CH
CHECK #
-
METHOD
PAID BY
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid forBU1LDING STANDARDS ADMINISTRATION
$1.00 $0.00
BSA:
RE -ROOF - EA
101-0000-42404
0
$11.60
$0.00
ADDITIONAL 1,000 SF
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 i 00
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT REMARKS NOTES
PRE -ROOF
FINAL"
Printed: Thursday, February 05, 2015 11:12:45 AM 2 of 2 CB?
SY57EM5
Bin
City of La Qurnta.
Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico .
La Quinta, CA 9225 (760) 777-7012
Building Permit Application and Tracking Sheet
Permit ##
Project Address: 51 � � ` � ��F- •
Owner's Name: -jJtj)
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor:Tcichone:
p
'#:.;:<.::.<:<•;'ass;•>.:;>i::>;::::>;»:%:<
Address: Z-�tJ�� r(zjp � y-
Project.Description:
City, ST, Zip: 1---v I l -r C/� `1 ZZ y-
\C;O'A_
Telephone�
--
State Lic. # : 5 �p �/J
City Lic. #;
\� ✓'4f3� �O v� �� �� `��'t%?'
Arch., Engr., Designer:
Address'�-7-
City., ST, Zip:
Telephone:
:>=%<:>€.:.,..::.::..::.::..<::;•>::::::;:
Construction Type: Occupancy:'
State Lic. #:
Add'n Alter. Repair Democct hPc circle one): Newoj
Name of Contact Person:
Sq. Ft.: ,5 tJ-o
# Stories: '
# Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal
Rcq'd
Rcc'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Revic%ved, ready for corrections
Plan Cheek Deposit
Truss C21cs.
Called Contact Person,
Plan Check Balance.
Title 24 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2'4 Review, ready for corrcctionsrissue
Electrical
Subeon(aetor List
Called Contact'Persou
Plumbing
Grant Deed
Plans picked up
S.M.T.
II'.O.A. Approval
Plans resubmitted
Grading
iN If OUSE:-
'`°Rcvicw, ready for eorrcetians(ssue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. App r
Date of permit issue
School Fccs
Total Permit Fees
n.an .�v,'1�'y
1.-0..� S�.c�t�%
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CEC-CFIR-ALT-01-E Revised 06114 CALIFORNIA ENERGY COMMISSION AC�
CERTIFICATE OF COMPLIANCE CFIR-ALT-01-E
Prescriptive Residential Alterations (Page 1 of 4)
Proiect Name: `7 \+ oS Ef \s T ,.>»c)'Oe— \"45_7 t_" camDate Prepared:
A. GENERAL INFORMATION
01
02
01
Project Name:
02
Date Prepared:
03
Project Location:
04
Building Front. Orjentat qn (deg or cardinal):
05
CA City:
06
Number of Alte dkDwelling Units: i"
07
Zip Code:
08
Fuel Type, CA"W Vw
09
Climate Zone:
10
Total,Conditioned FloorrA�ea (ft2)?
11
Building Type
12
1 Slab,�Area(ft2) A' "t-0
13
Project Scope:
0"Y
B. BUILDING INSULATION DETAILS (Section 150.2(b)1)44 .17 Tk
01
02
03
04
05
06 _ .anj�,�67 Obs' 09
10
11
Tag/ID
Assembly Type
Frame
Type
Frame
Depth
(inches)
Frame
Spacing
(inches)
•Pwrop6sed
Required
Comments
W_
ntinuous
Cavity sulation
!Alcrh
R-valge, R -value
0 Appendix JA4
Reference
,
U,;factor Table. Cell
U -Factor
Pitch
Exception
,
rod`uct Type . ; In"sulation
Reflectance Reflectance Emittance. (Optional) Reflectance Emittance (Optional)
V a
01 w r
�M _OC;'S
0"Y
NOTES ` 4 *0 VV
In
e +L
C. ROOF REPLACEMENT (Prescriptive Alteration, SSeectt n4150.2(b)1H
01
02
03
04 , �
0%, '0 06
°0.7 08 09 10 _11__F_12 13
R -value
Proposed Minimum Required
T,Initial Solar Aged Solar Thermal SRI Aged Solar Thermal SRI
Method of
Roof
CRRC Poduct ID
Number
beck �
Compliance
Pitch
Exception
,
rod`uct Type . ; In"sulation
Reflectance Reflectance Emittance. (Optional) Reflectance Emittance (Optional)
�M _OC;'S
0"Y
NOTES ` 4 *0 VV
In
• Roof area covered by, building -integrated photovoltaic panels and solar thermal panels are exempt from the above Cool Roof requirements.
• Liquid field from 110.8(1)4.
applied coatiogsmust comply wit�h.I�ns�tallation criteria section
Registration Number: Registration Date/Time: HERS Provider:
CA Building Energy Efficiency Standards - 2013 Residential Compliance June 2014
0
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CEC-CFIR-ALT-01-E Revised 06/14 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF111-ALT-01-E
Prescriptive Residential Alterations (Page 4 of 4)
Project Name: -S-LY C)-5 CE �_5 cr'� Date Prepared: ,—' -3-- 2-0 �_'—
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT ,,100
1. 1 certify that this Certificate of Compliance documentation is accurate and complete. f, I
Documentation Author Name:
�/�'1�
Documentation thor Signature:
V✓�aJ
tl �► .mow
Company:
Lam`
Signature Date: r1 �SY
—�
Address:
CEA/ HERS Certification Iden'tificatioiNif applicable):W
City/State/Zip:
Phone:
RESPONSIBLE PERSON'S DECLARATION STATEMENT n
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 building desrii.I mor system design identified on this Certificate of Compliance (responsible
designer).
3. That the energy features and performance specifications, materials, components and manufacturedde5icesfor 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 of`Reguulla"tionns.. ,aq�
are
4. The building design features or system design features identified on thiftertificate of Compliance consistent�,witI a information provided on other applicable compliance documents,
enforcement
worksheets, calculations, plans and specifications submitted .to the agehW for;approval with this building permit application.
5. 1 will ensure that a registered copy of this Certificate of Compliannce;shall be made aavaillable with the building permit(s) issued for the b ilding, and made available to the enforcement agency
for inspections. I CCertifi•_ Compliance squired be
all applicable understand that a registered copy of this tate=of Is r, to included with documentation the builder provides to the building
s.-
owner at occupancy. ,f
Responsible Des' ner Name: . 4
Responsible esigner Signature:
Company:'a `qp 3fi
Date Signed:
Address: V o!�
License:
Z�Q r—�►' t4 �rOb�C7
City/State/Zip: '"'
Phone: r
For assistance or -questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.
Registration Number:
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time:
HERS Provider:
June 2014