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BRER2016-001278-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Tihr4lwQw M COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BRER2016-0012 Property Address: 54350 AVENIDA OBREGON APN: 774242004 Application Description: SERRITELLI RESIDENCE / REROOF Property Zoning: Application Valuation: $21,000.00 Applicant: OAKWOOD CONSTRUCTION AND RESTORATION SER 4955 E HUNTER AVE ANAHEIM, CA 92807 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: _BC33 License No.: 762828 Date: ��- I I `(✓ Contract 1 l ,4 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).: (J 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 contr?cts 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 11111111111111111111 63 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 2/11/2016 Contractor: OAKWOOD CONSTRUCTION AND RESTORATION SER 4955 E HUNTER AVE ANAHEIM, CA 92807 (714)529-8300 Llc. No.: 762828 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 polity 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 withose rovisions. Date: `� 1 Applicarfl 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 ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application , the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a Pesult of this application becomes null avid void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter u on the above-mse�n lone roperty for inspection purposes. Date: G 111111.0 Signature (Applicant or Ag "FINANCIAL •• • '` ` �� - 5,�; �,� �v��«.�,�•�`;� �� .,�;� `�'�C!T1f� u�,�� MOUNT '�� z �� P D �� x PAID;DATE ., a..'^ra��e.•'�4�.�'�,,.3�;aYx�,.R,IP_TION..�'.``'�,��>�"�,_ :, .�:„aA000UNT r �` 1?��.�c�a�w�s�� 'tv:•:=$`,�ww�v..�� su:zr:�.�:=r•� r� B�SAS SB1473 FEE 101-0000720306 0 $1.00: .. $1.00 2/11/16 s ,xW,�..F'.• � ear 'sY ;PAID � "4 '77� � ;� F -,45,5' . �s��d3'3� a , ��fiu,,, k mCL�TD 6 REGE#AteHECK# OAKWOOD CONSTRUCTION AND RESTO CHECK MR259 1176 MFA Total Paid for. BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $1.00 `s DESCRIPTION ACCOUNT " N AMOUNT S r E _ 5�4 Y ,V r A RE -ROOF - EA ADDITIONAL 1,000 SF 101-0000-42404 0 $11.60 i $11.602/11/16 BY METHOD" a:- •"Sw`��r x4� RECEIPT #� <S��.... # Milk' GK r CCTD BY .s `PAID OAKWOOD CONSTRUCTION AND RESTO CHECK MR259 1176 MFA wDESCRIPTION''k•xs ACCOUNT �.: QT>Y AMOUNT fl, DATE`: .. D., .. "PAID RE -ROOF - FIRST 2,000 SF 101-000042404 0 $49.31 $49.31 2/11/16 [ sA ,,z"L' METHOQ ,. # � CHECK# CLTD By ,. y< RECEIPT OAKWOODCONSTRUCTION AND'RESTO CHECK MR259 1176 MFA. ' allACCOUNTQIY AMO�UNl `PAt PAIDDAT�E} x „�1)ESCRIPTION K , RE -ROOF - FIRST.2,000SF PC 101-0000-42600 0 $98.62 $98.62 • , 2/11/16 ` ri y; A D BYN" METHOD _ CEI BY .<x..S � r�9[•L<.nitx�5�x: �CHEpIN .,' iS" u�f.'�:;;5:"+: OAKWOOD CONSTRUCTION AND RESTO CHECK MR259 1176 MFA Total Paid for RE -ROOF:. $159.53 $159.53 • .• .• Description: SERRITELLI RESIDENCE / REROOF CONDITIONS Type: RE -ROOF Subtype: Status: ISSUED Applied: 2/11/2016 MFA Approved: 2/11/2016 MFA Parcel No: 774242004 Site Address: 54350 AVENIDA OBREGON LA QUINTA,CA 92253 Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 266 Lot: 6 Issued: 2/11/2016 MFA UNIT 24 NAME TYPE NAME Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $21,000.00 Occupancy Type: Construction Type: Expired: 8/9/2016 MFA No. Buildings: 0 No. Stories: 0 No.•Unites: 0 OAKWOOD CONSTRUCTION AND RESTORATION SERCONTRACTOR Details: REROOF 2,800 SF OF COMPOSITION SHINGLES PER 2013 CALIFORNIA ENERGY CODE. ANAHEIM CHRONOLOGY CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE PHONE 'FAX EMAIL APPLICANT OAKWOOD CONSTRUCTION AND RESTORATION SERCONTRACTOR 4955 E HUNTER AVE ANAHEIM CA :928017(714)661-8389 OAKWOOD CONSTRUCTION AND RESTORATION SER 4955 E HUNTER AVE ANAHEIM CA (714)661-8389 OWNER LISA SERRITELLI 54350 AVENIDA OBREGON LA QUINTA CA 92253 (714)661-8389 Printed: Thursday, February 11, 2016 12:57:42 PM 1 of 2 B?SYST[ti15 Printed: Thursday, February 11, 2016 12:57:42 PM 2 of 2 iJ 1.3 LJ LJ SYS7Eh1S CLTD DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID'BY BY OAKWOOD BSAS SB1473 FEE 101-0000-20306 0. $1.00 $1.00 2/11/16 MR259 1176 CHECK CONSTRUCTION AND MFA RESTO Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $1.00 BSA: OAKWOOD RE -ROOF - 101-0000-42404 0 $11.60 $11.60 2/11/16 MR259 1176 CHECK CONSTRUCTION AND MFA ADDITIONAL 1,00 00 SF RESTO OAKWOOD RE -ROOF - FIRST 2,000 101-0000-42404 0 $49.31 $49.31 2/11/16 MR259 1176 CHECK CONSTRUCTION AND MFA SF RESTO OAKWOOD RE -ROOF -FIRST 2,000 101-0000-42600 0 $98.62 $98.62 2/11/16 MR259 1176 CHECK CONSTRUCTION AND MFA SF PC RESTO Total Paid for RE -ROOF: $159.53 $159.53 TOTALS:.•$160.53 Printed: Thursday, February 11, 2016 12:57:42 PM 2 of 2 iJ 1.3 LJ LJ SYS7Eh1S 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: " 135 V C 4 10A UG Owner's Name: A. P. Number: Address:51A�,50 114 ()6 E N Legal Description:City, ST, Zip: � (� � G4 I Z Z Contr act DLW r,,:(( Te lePhone• s Address: { ��{ 5 5 . U N It - U Project Description: �C ( 'c - 44 / / f rj f r City, ST, Zip: NA'H`, i n^ , l ` -z V7 ' Telephone: Y l 5 _ ` State Lic. # : 1 2� _b4l City Lie. #: Arch., Engr., Designer: Address: City, ST, Zip: hone: ................ .... ......................... :Tele Construction nTYPeLA �Occu anc State Lie. #: Pr }ecttYpe�cic!e one).New Add"n AI Demo Name,of Contact Person: Sq. Ft.:'Z� C).) # Stories: 1 # Units: Telephone # of Contact Person: Estimated Value of Project: z APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cates. 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 . Subeontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. Ii.O.A. Approval Plans resubmitted Grading IN ROUSE:- '"' 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 CERTIFICATE OF COMPLIANCE Prescriptive Residential Alterations Proiect Name: Date Prepared: ENERGY COMMISSION CF1R-ALT-01-E (Page 1 of 4) A. GENERAL INFORMATION Ol 02 01 Project Name: L„ 02 Date Prepared: 03 Project Location: 5 >60 AVN)OD^ 04 Building Front Orientaticin'(deg or cardinal): 05 CA City: l /V"I � 06 »-, Number of Altered,:Dwelling Units: 07 Zip Code: Z-1. 08 Fuel Type: (( .'a'` $,,, , `'" 09 Climate Zone: 10 T,otal.Conditioned Floor=Area•(ft2)i� 11 1 Building Type 12 1 Sia, b',4i- ft2) 13 1 Project Scope: a l odUct Type rt'' 1'. :Ip` ti `+ B. BUILDING.INSULATION DETAILS (Section 150.2(b)1) Ol 02 03 04 05 06I 08,,4 it, 09 10 11 Tag/ID Assembly Type Frame Type Frame Depth (inches) Frame Spacing (Inches) Proposed Required Comments Continuous Cavity Insulation -value R value U, actor Appendix JA4 Reference U Factor Table Cell CRRC�Rroduct ID Deck- Compliance Pitch Exception I1...'tt Number odUct Type d'� slrlat on Reflectance Reflectance Emittance (Optional) Reflectance Emittance (Optional) {t' off ','�. �.:•Nt \'G 11� —All k�" p . C. ROOF REPLACEMENT (Prescriptive Alteration, Sec` ,,diit 56.2(b)11-11) .. 01 02 03 04 r'' i 05?s� 4� 44 06 `074; 08 09 F 10 11 12 13 �� R -value` a Proposed Minimum Re wired N� nitial Solar Aged Solar Thermal SRI Aged Solar Thermal SRI Method of Roof CRRC�Rroduct ID Deck- Compliance Pitch Exception I1...'tt Number odUct Type d'� slrlat on Reflectance Reflectance Emittance (Optional) Reflectance Emittance (Optional) NOTES NZ " • Roof area covered by, build ing'integrated photovol.tairpanels and solar thermal panels are exempt from the above Cool Roof requirements. • Liquid field applied�oatings,must comply with stallation criteria from section 110.8(i)4. s f1 Registration Number: Registration Date/Time: HERS Provider: CA Building Energy Efficiency Standards - 2013 Residential Compliance June 2014 STATE ,OF CALIFORNIA RESIDENTIAL ALTERATIONS CEC-CF1 R -ALT -01-E Revised 06/14 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE MR -ALT -01-E Prescriptive Residential Alterations (Page 4 of.4) Project Name: Date Prepared: DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Doc ntationAuth Name: Bim\ Documentatia horSignature: Ap , d. eco Company: Signature Date: Addres : "`�v CEA/ HERS Certification Idepiif`iiccatlonY(if applicable): t` V e City/State -A _ - \ Z 90-7 Phone:Vop 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. ty building dgd5'oystem design Certificate Compliance 2. I am eligible under Division 3 of the Business and Professions Code to accept respons'bll for the identified on this of (responsible designer). yrs. 3. That the energy features and performance specifications, materials, compone ttNb d manufacturetl�deyI or 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 Co e of egtflatlons. 4. The building design features or system design features Identified on this Certificate of'o%pl[ance are consisster t• ylt. ixt i'e Information provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted tp the e, tfo cement agerjey;,fo�Voproval with t� Is t�u�ldIng permit application. 5. 1 will ensure that a registered copy of this Certificate of Corallanok0all be made atit3 pgrmit(s) issued for the building, and made available to the enforcement agency 155 4^'�tab.l.e with the buildi jp for all applicable inspections. I understand that a regist ed cppyk. this Certificat e Compliance is req .fired to be included with the documentation the builder provides to the building owner at occupancy.,, Responsible Designer Name:' rk" dtsible pesigner Signature: i! Company: r• �'C`�y .� A?n ' Date Signed: Address: - '51° License: City/State/Zip: Phone: 'V For assistance or-il"u'estions 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