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BRER2015-0094t � y 78-495 CALLE TAMPICO �I�J J LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPART BUILDING PERMIT I Illlll lull illi I'll—� Application Number: BRER2015-0094 63 Property Address: 52240 AVENIDA MENDOZA _ APN: 773273026 Application Description: WARDEN RESIDENCE / REROOF Property Zoning: Application Valuation: $7,875.00 Applicant: PALM DESERT CONTRACTORS P 0 BOX 2795 PALM DESERT, CA 92261 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: B. C39 License No.: 477507 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 thef basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora 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 I I am exempt under Sec. B.&P.C. for this reason c 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 - P.__,ll 111VOICE (760) 777-7125 OCT O 1 III III FAX (760) 777-7011 _ 20151NSPECfIONS (760) 777-7153 CI7YOFl,A QLIj�TA—A IUNITYDEVJ{ Date: 10/1/2015 EI��g�e N T Owner: JAMES LEVANOFF 52240 AVENIDA MENDOZA LA QUINTA, CA 92253 Contractor: PALM DESERT CONTRACTORS P 0 BOX 2795 PALM DESERT, CA 92261 (760)346-2420 Llc. No.: 477507 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 Labo e,J-skaN-fe ith comply with those provisions. Date: -t 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. i. 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. Dat ! —t' -O Signature (Ap'plicant or; lem n Illm . , 3. i"sc�'-.,,� r' F . 4 x .a ' iS.r:, sir r, }°e:. ,�' a �,@y. , e, ,. ^4�' .�a-•` at` -, fir. DESCRIPTIONS ��;<rf;'x4-SACCOIINT" QTY AMOUNT PAID r>x RAID DATE° a.; 41, r,.es,kc x- .,a r:•. ; s - .,':: Y r< ,<,, �_ 3s �I ,,,„tee 1, <� aw: .. s r � r, BSAS SB1473 FEE, ' . 101-0000-20306 0 $1.00 $1.00 10/1/15 .„F ' sem, METHOD. W? ; <' : PAID BY a` r �� .r ` RECEIPTS# # GHE f �CLTUBYk; ffs. Vis: r ; .w . aY. :xGw�s . Y , PALM DESERT CONTRACTORS DEBIT R9671 BRER2015-0094 SKH Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $1.00. -j,'x'3,w¢ z DESCRIPTIONw ': ,.:;,, "F. Wxi• ax ,iz ...�, tax , cc - - s a'a-x. cS kffi'k 4�ts a ig $ .'{' PAIDr� ....�. `,.tA000UNT� VaQN=, 1 i AMOUNTn t PAIDDATE. RE -ROOF - FIRST 2,000 SF 101-0000-42404 0 $49.31 $49.31 10/1/15 PAID BY METHOD' RECEIPT #'_ -30 E H CK # ` Y CLTD�B x 4#”- Y x �.;.., ,;, .. sh3zxl. PALM DESERT CONTRACTORS DEBIT R9671 BRER2015-0094 SKH X aWNW'> `ACCOUNT �� to. �.f t 4 as , PAID' c�.�,oiL+�v.n3°�zrP.... e c `,PAIDDATE v:r✓fx.�v"S[e,,_:....,_3.�.:-.N_14..L'.-:��idi'u*£E.9E14 ,.i�..xaS Xv. g �h�'.w.€#aWYt. ;QTY9AMOFUNT4�g RE -ROOF - FIRST 2,000 SF PC 101-0000-42600 0 ..: $98.62 $98.62 10/1/15 "r ,;�_o'r's.. E tz sEt PAID BY.� �; METIODpIgs '..� CF�•3 uXwa,°a RECEIPT#GMECK# .z-»&°" c ..,,P J;' s.den'hz BY>x m ?..... �� ,.� .... _. 1...� CTD PALM DESERT CONTRACTORS DEBIT R9671 BRER2015-0094 SKH.. Total Paid for RE -ROOF: $147.93 $147.93 •9 148 93 Al 1 1 . Description: WARDEN RESIDENCE / REROOF Type: RE -ROOF Subtype: Status: ISSUED Applied: 10/1/2015 SKH Approved: 10/1/2015 SKH Parcel No: 773273026 Site Address: 52240 AVENIDA MENDOZA LA QUINTA,CA 92253 Subdivision: SANTA CARMELITA VALE LA QUINTA Block: Lot: 20 Issued: 10/1/2015 SKH UNIT 11 Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $7,875.00 Occupancy Type: Construction Type: Expired: 3/29/2016 SKH No. Buildings: 0 No. Stories: 0 No. Unites: 0 ADDRESSI Details: REROOF WITH COMP SHINGLES PER 2013 CALIFORNIA ENERGY CODE. _._.J Applied to Approved Approved to issued CHRONOLOGY CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT PALM DESERT CONTRACTORS P 0 BOX 2795 PALM DESERT CA 92261 CONTRACTOR PALM DESERT CONTRACTORS P O BOX 2795 PALM DESERT CA 92261 OWNER JAMES LEVANOFF 52240 AVENIDA MENDOZA LA QUINTA CA 92253 Printed: Thursday, October 01, 2015 11:35:21 AM 1 of 2 SYS Tf: hiS Printed: Thursday, October 01, 2015 11:35:21 AM 2 of 2 S YS7f MS CLTD DESCRIPTION ACCOUNT CITY . AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 10/1/15 R9671 BRER2015- DEBIT PALM DESERT SKH' 0094 CONTRACTORS Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $1.00 BSA: RE -ROOF - FIRST 2,000 101-0000-42404 0 $49.31 $49.31 10/1/15 R9671 BRER2015- DEBIT PALM DESERT SKH SF 0094 CONTRACTORS RE -ROOF - FIRST 2,000 101-0000-42600 0 $98.62 $98.62 10/1/15 R9671 BRER2015- DEBIT PALM DESERT SKH SF PC 0094 CONTRACTORS Total Paid for RE -ROOF: $147.93 $147.93 TOTALS:4:$148.93 Printed: Thursday, October 01, 2015 11:35:21 AM 2 of 2 S YS7f MS STATE OF CALIFORNIA RESIDENTIAL ALTERATIONS Cffl CEC-CFIR-ALT-01-E Revised 06/14 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CF111-ALT-01-E Prescriptive Residential Alterations (Page 1 of 4) Proiect Name: Date Prepared: , _ , f A. GENERAL INFORMATION 01 02 . 01 Project Name: 06 08f 09 02 Date Prepared: '' & 14 (-*1— i —, f- 03 Project Location: 22 v 0 04 Building Front bijeritatlon`(deg or cardinal): 05 CA City: L_.c�•. 06 Number of Altered Dwelling Units: V..�X 07 Zip Code: z.s S 3 08 Fuel Type; t( ,."� lk,N I✓ 09 Climate Zone: Pitch 10 Total,Conditioned FloorArea (ft2):)' a pY- 11 1 Building Type ad Reflect geflectance Emittance tional) Reflectance Emittance (Optional) 12 1 Sla,b,Area(ft2) 'It:A 13 1 Project Scope: e a U 11:1711 W . B. BUILDING INSULATION DETAILS (S ction 150.2(b)1) 01 02 03 4 05 06 08f 09 10 it Tag/ID Assembly Type Frame Type Frame Depth (inches) Frame Spacing (inches) A` P,Yoposed 01',� Required Comments i \*:ov o `�. ppendixJA4 � Reference Ca Insulation R -value .,,,; R -value :fagtor Table7 Cell U Factor Roof CRRC'P: odiact IDInitiglS`oI Aged Solar Therm SRI Aged Solar Thermal SRI Compliance p Pitch p►,R Exception tion Number ,product Type Insulation ad Reflect geflectance Emittance tional) Reflectance Emittance (Optional) C. ROOF REPLACEMENT (Prescriptive Alteration, Sect 150.2(b)1H)�����'`' Ol 02 03 04 0 '„ ._ z4 6( X07 08 09 10 11 12 13 e Propose Minimum Required Method of Roof CRRC'P: odiact IDInitiglS`oI Aged Solar Therm SRI Aged Solar Thermal SRI Compliance p Pitch p►,R Exception tion Number ,product Type Insulation ad Reflect geflectance Emittance tional) Reflectance Emittance (Optional) ` 15 T ' \fie 'lk rA NOTESRoof area covered by buildiinjntegrated pK6tov 1 panels and solar thermal panels are exempt from the above Cool Roof requirements. • Liquid field applied, coatings must comply with �i,nstallation criteria from section 110.8(i)4. Registration Number: Registration Date/Time: HERS Provider: CA Building Energy Efficiency Standards - 2013 Residential Compliance June 2014 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: Date Prepared: DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that t ' rtificate of Compliance documentation is accurate and complete. .t Documentation At oy r Name: Documentation Author 5' re: r V Company: ` Signature Date: mv Address: CEA/ HERS Certification Ideniificatio&(if applicable): ` s 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 provided on this Certificate of Compliance is, true and correct. 2. lam eligible under Division 3 of the Business. and Professions Code to accept responsibill . for the building de gsystem design identified on this Certificate of Compliance (responsible designer). 3. That the energy features and performance specifications, materials, components, and manufactured d`evicfor the building design or system design identified on this Certificate of Idti Compliance conform to the requirements of Title 24, Part land Part 6 of the California Code ofrRegulati ns. o 4. The building design features or system design features identified on th si Certificate of Compliance afe consistent With t e information provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted.to the enforcement agency'foypproval with this building -4W permit application. va 6 -ail permlt(s) S. I will ensure that a registered copy of this Certificate of Cop�la.Rceshall be made le with the building issued for the building, and made available to the enforcement agency fo'r all applicable inspections. I understand that a registered copy of this Certificate�ro�f Compliance is,required to be included with the documentation the builder provides to the building owner at occupancy. Responsible Designer Name: a Responsible Designer Signature: Company : Date Signed: Address: License: City/State/Zip: + ``" Phone: 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 lune 2014 Bin # City of La Quinta Building &SafM Division 78-495 Calle Tampico La Quinta, CA 92253 - (760) 7777012 Building Permit Application and Tracking Sheet Permit #/ Project Address: 22 �(� �'�--h Owner's Name:y� J, A. P. Number: Address: Legal Description: City, ST, Zip: ntra r. Co cto e,..- e1e h one: Address: -8 3 33 C)ur PiojectDescription: City, ST, Zip:, v' Telephone: — C�v 3 i tom:' State Lic. # : y'7 7 mac' % City Lie. Arch., Engr., Designer: o CT-- S c� Address: Q , City, ST, Zip: Telephone: one: `F>< ........................................... Construction Type: v a Occupancy • S t .L� L� State Lic Project (circlele ne • New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: ( 5--Z"3 # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: 87r APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rcc'd 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 Cates. Plans picked up Construction Flood plain plan . Plans resubmitted Mechanical Grading plan 2"" Review, ready for corrections/issue Electrical Subcontacl'or List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. Ii.O.A. Approval Plans resubmitted Grading IN HOUSE:- 'rd Review, ready for correctionstissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue Schodl Fees, Total Permit Fees