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BRER2016-002144 c&ty,4etPaw 78-495 CALLE TAMPICO VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 3 15/20,6 Application Number: BRER2016-0021 Owner: �T-3 Property Address: 52045 AVENIDA CARRANZA EILEEN DEGGENDORFER GIROUX Ig� APN: 773215026 P 0 BOX 581 Application Description: GIROUX / REROOF LA QUINTA, CA 92253 �+ Property Zoning: - r-< Application Valuation: $6,300.00 " zCi tv jf- O Applicant: Contractor: SOUTHWEST ROOFING SOUTHWEST ROOFING P 0 BOX 126 P 0 BOX 126 INDIO, CA 92202 INDIO, CA 92202 (760)578-3735 Llc. No.: 787029 LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter I hereby affirm under penalty of perjury one of the following declarations: 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, _ I have and will maintain a certificate of consent to self -insure for workers' and my License is in full force and effect. compensation, as provided for by Section 3700 of the Labor Code, for the performance License Class: C39 License No.: 787029 of the work for which this permit is issued. / 01! ? --1 have and will maintain workers' compensation insurance, as required by Date: Contractor: ACT� 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: 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).: ( ) 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 Lender's Address: 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: Applicant: 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 roperty for inspection purposes. Date: �� Signature (Applicant or Agent): DESCRIPTION FINANCIAL •• - 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 for BUILDING 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: TO $159.53 60.53 $0.00 $0.00 Description: GIROUX / REROOF ADDITIONAL Type: RE -ROOF Subtype: Status: UNDER REVIEW Applied: 3/15/2016 SKH Approved: Parcel No: 773215026 Site Address: 52045 AVENIDA CARRANZA LA QUINTA,CA 92253 Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 79 Lot: 2 Issued: UNIT 10 CONDITIONS Lot Scl Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $6,300.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 CITY Details:. REROOF WITH OWENS CORNING - OYSTER SHELL [CRRC: 0890-0012] 2013 CALIFORNIA ENERGY CODE. Printed: Tuesday, March 15, 2016 8:23:23 AM 1 of 2 cl? SYSTEMS ADDITIONAL CHRONOLOGY CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT SOUTHWEST ROOFING P 0 BOX 126 INDIO CA 92202 CONTRACTOR SOUTHWEST ROOFING P O BOX 126 'INDIO CA 92202 OWNER EILEEN DEGGENDORFER GIROUX P O BOX 581 LA QUINTA CA 92253 Printed: Tuesday, March 15, 2016 8:23:23 AM 1 of 2 cl? SYSTEMS INSPECTIONS Printed: Tuesday, March 15, 2016 8:23:23 AM 2 of 2 C „ ,_ SYSTEMS CLTD DESCRIPTION ACCOUNT- QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY 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 .0 00 INSPECTIONS Printed: Tuesday, March 15, 2016 8:23:23 AM 2 of 2 C „ ,_ SYSTEMS Bin # City of La Quinta Building &r Safety Division 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: S�Z — Q L(S_OA ' 2A Owner's Name: S Q� lel (, . A. P. Number: Address: Lf .5- Legal Description: City, ST, Zip:(VAAA Contractor: Fv � cs n e. telephone: ho Address: 42d. 1�9 o;g_ 2 /o Project Description: - cw —moi{ —Orr City, ST, Zip: [AI ,O CLJ 92Zv 2 0400F ktrD 11Z,,z l 1'l�A S 1, N L A-r Telephone: 73,.5- � fi � N � 6 � 1 S o L State Lic. # : City Lic. #: Arch., Engr., Designer: Address; City, ST, Zip: Telephone: 2''s'? Construction Type: Occupancy: State Lic Project ect type (circle e one • New Add'nA Iter Repair Demo Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: 36V APPLICANT: DO NOT WRITE BELOW THIS LINE M Submittal Req'd Ree'd TRACKING PERMIT FEES Plan Sets . Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Coles. Called Contact Person Plan Check Balance Title 24 Cates. Plans picked up Construction ' Flood plain plan Plans resubmitted Mechanical Grading plan 2nd Review, ready for. corrections/issue Electrical Subeontact'or List Called Contact Person Plumbing ~ . Grant Deed Plans picked up S.M.I. H.O.A. Approval I Plans resubmitted Grading IN HOUSE:- 'r'. 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 NIA CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E Prescriptive Residential Alterations (Paize 1 of 4) Project Name: ( )A.c.,. \ /-- i ,r ,x I Date Prepared: A. GENERAL INFORMATION 01 02 01 Project Name: 02 Date Prepared: 03 Project Location:(Q — - U wi /-� r Tag/ID Building Front O[ientation`(deg or cardinal): 05 CA City: 06 Number of Ali&ed:Dwelling Units: 0�& 07 Zip Code: Z Z 08 Fuel Type t( "''Ik " 09 Climate Zone: 10 Total.,Conriitioned Floor;7lrea (ft2): 11 1 Building Type 12 1 SIab;A}ea (ft2) `L%8 13 1 Project Scope: 1 -727,4 r.— d ,o /ZOO _ I (M V . A' *' B. BUILDING- INSULATION DETAILS (Section 150.2(b)1) 01 02 03 04 05 06 ,, ,? ti.�`' 07 1 08*f09 10 11 Tag/ID Assembly Type Frame Type Frame Depth (inches) Frame Spacing (inches) AWN IN& Apro�po ed 'y I Required Comments /Gntinuous Cavityii-4lnsulation R -value # R -value,#; U=factor Appendix 1A4 Reference LI -Factor Table, Cell \Lnitial Solar Aged Solar Thermal SRI Aged Solar Thermal SRI Compliance Pitch Exception rvumber oduct Type #r V6 0�,.►�. Reflectance Reflectance Emittance (Optional) Reflectance Emittance (Optional) v 'V �IaiF v 'xkV4 fl—"N V r 'S't'A L\ -P C. ROOF REPLACEMENT (Prescriptive Alteration, SSeect"n 1 6.2(16)1H)�* %'y 01 02 03 04 0�,, 44 06 '070' 08 09 10 11 12 13 R -value Proposed Minimum Required Method of Roof C�RR•.C�'P,roduct ID D�� \Lnitial Solar Aged Solar Thermal SRI Aged Solar Thermal SRI Compliance Pitch Exception rvumber oduct Type Insulation Reflectance Reflectance Emittance (Optional) Reflectance Emittance (Optional) 'xkV4 0 - .. NOTES Roof area covered by, builii ng integrated pkitivvo anels and solar thermal panels are exempt from the above Cool Roof requirements. • Liquid field applied coatings- comply wit ?mstallation criteria from section 110.8(1)4. l_J 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 W CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E• Prescriptive Residential Alterations (Page 4 of 4) Project Name: , )A<,-,i/Q fir, t r>it 1 -4— Date Prepared: DOCUMENTATION AUTHOR'S DECLARATION STATEMENT , Vl U 1. 1 certify that this Certificate of Compliance documentation is accurate and complete.} ° Documentation Aut r Nam Docume n Autho 'gnatu rc Company- Signature Date: �rpq' 1t ti Address:.. Address... CEA/ HERS Certificati n IdeKttificition"(if applicable): Via: • X ��Ar City/State/Zip: Phone: RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: �''� 1. The information Certificate Compliance is provided on this of true and correct. 2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibi, Ili for the building`desri nor system design identified on this Certificate of Compliance (responsible designer). 3. That the energy features and performance specifications, materials, components, nd manufact urea ddb ices, 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 of the California Code ofckegulations. , features features are h 4. The building design or system design identified on this Certificate of Compliance consistent Fie information provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted :to theenf ro cement agency fo�rapproval with this building permit application. •i U, 10 a �� ti as 5. 1 will ensure that a registered copy of this Certificate of Compliance',shall be made d,wailable:with the build g permit(s) issued for the building, and made available to the enforcement agency copy'of 'to with for all applicable inspections. I understand that a registered this Certificate,of Compliance is requiredbe included the documentation the builder provides to the building owner at occupancy. Responsible Designer Name: _ rjiR6spbrisible Designer Si ture: Company: y ` #t Date Signed: D� l CP Address: ►`D License: - 2 City/State/Zip: kk Phone: XNA 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 CRRC Product ID MFG Brand Model Initial Solar 3 Year Ref Initial Thermal E 3 Year Thermal Initial SRI 3 Year SRI 0890-0001 OC Supreme® Shasta White 0.27 0.29 0.89 0.92 28 31 0890-0007 OC Duration® Shasta White 0.26 0.28 0.94 • 0.91 28 30 0890-0004 OC Duration® Premium Harbor Fog 0.27 0.3 0.89 0.9 28 32 0890-0006 OC Duration® Premium Sunrise 0.26 0.28 0.89 0.91 26 30 0890-0005 OC Duration® Premium Frosted Oak 0.28 0.28 0.89 0.91 29 30 0890-0003 OC Duration® Premium Sage 0.28 • 0.29 0.9 0.88 29 30 0890-0002 OC Oakridge®, Duration° Shasta White 0.26 0.28 0.9 0.91 27 30 0890-0013 OC Oakridgem, Duration® Sierra Gray 0.2 -100 0.92 -100 20 -100 0890-0014 OC Supreme® Amber 0.23 -100 0.92 -100 24 -100 0890-0010 OC Supreme® Aspen Gray 0.2 -100 0.92 -100 20 -100 0890-0008 OC Duration® Shasta White 0.25 0.28 0.94 0.91 27 30 0890-0009 OC Duration®, Oakridge° Amber 0.22 -100 0.92 -10,0 22 -100 0890-0012 OC Duration®, Oakridge® Oyster Shell 0.23 -100 0.92 -100 24 -100 0890-0011 OC Duration®, Oakridge° Antique Silver 0.22 -100 0.92 -100 22 -100 a