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BRER2016-000778-495 CALLE TAMPICO Carrier: Policy Number: _ LA QUINTA, CALIFORNIA 92253 Application Number: BRER2016-0007 Property Address: 52140 AVENIDA RUBIO APN: 773213007 Application Description: CORTEZ/ REOOF Property Zoning: Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division Application Valuation: $3,485.00 Applicant: JESUS HERNANDEZ CORTEZ LA QUINTA, 92253 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT 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.: Date: Contractor: 11111111111111111111 24 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/26/2016 Owner: JESUS HERNANDEZ CORTEZ LA QUINTA, 92253 Contractor: Llc. No.: 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: OWNER -BUILDER DECLARATION Carrier: Policy Number: _ I hereby affirm under penalty of perjury that I am exempt from the Contractor's State I certify that in the performance of the work for which this permit is issued, I License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any shall not employ any person in any manner so as to become subject to the workers' city or.county that requires a permit to construct, alter, improve, demolish, or repair compensation laws of California, and agree that, if I should become subject to the any structure, prior to its issuance, also requires the applicant for the permit to file a workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith signed statement that he or she is licensed pursuant to the provisions of the comply with those provisions. 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 Date: Applicant: 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, ($500).: AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO (1 I, as owner of the property, or my employees with wages as their sole ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF compensation, will do the work, and the structure is not intended or offered for sale. COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not INTEREST, AND ATTORNEY'S FEES. 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 APPLICANT ACKNOWLEDGEMENT are not intended or offered for sale. If, however, the building or improvement is sold IMPORTANT: Application is hereby made to the Building Official for a permit subject to within one year of completion, the owner -builder will have the burden of proving that the conditions and restrictions set forth on this application. he or she did not build or improve for the purpose of sale.). 1. Each person upon whose behalf this application is made, each person at whose (� I, as owner of the property, am exclusively contracting with licensed contractors request and for whose benefit work is performed under or pursuant to any permit to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' issued as a result of this application , the owner, and the applicant, each agrees to, and State License Law does not apply to an owner of property who builds or improves shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and thereon, and who contracts for the projects with a contractor(s) licensed pursuant to employees for any act or omission related to the work being performed under or the Contractors' State License Law.). following issuance of this permit. (� I am exempt under Sec. B.&P.C. for this reason 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. 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 issue J[d/'(Sec. 3097, Civ. C.). Lender's Name:�� ? i Lender's Address: �/7 / / I/ 2 / t� 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. _ Date: Signature (Applicant or Age Bin ## City Of La QL iota 8uildiny 8r Safety Division Permit #f 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 b b7 Building Permit Application and Tracking Sheet pjectrAddress: Z— y �d�/t19�1 %Z2�vi 'sNamc: J �Svs �Ey Cl _ A. P. Number: A Legal Description: eT STi, Zip: L4 ° kir �' 3 Contractor: T le hone e P % �'" D 3 Address: 0wo p— 3Project Description: City, ST, Zip: (. l Telephone: ( Er State Lic. # : City Lic. Arch., Engr., Designer: ke'm 00U— s1% tVG GS v kt- Address: S f City, ST, Zip: Telephone: one: e '� n tructi n T e: Occupancy: s Construction YP State to Lic. #: a Add'n Alter RepairairPDemo t7Pe �circle ne • Nev Name of Contact Person��] 7,q ef Sq. Pt.: #Stories: #Units: Telep e # of Contact Person isv f Cst� 2 �Estiniated�lue oflP�oject:tet: y�.-, 0,0 APPLICANT: DO NOT WRITE BELOW THIS LINE H Submittal Rcq'd Rce'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Revicived, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 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 Dced Plans picked up S.M.I. II.O.A. Approval Plans resubmitted Grading 1N ROUSE:- 3". Reviety, 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 FINANCIAL • i DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 1/26/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY JESUS HERNANDEZ CORTEZ CASH R12352 RSE Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $1.00 DESCRIPTION ACCOUNT QTY AMOUNT' PAID PAID DATE RE -ROOF - FIRST 2,000 SF 101-0000-42404 0 $49.31 $49.31 1/26/16 PAID BY METHOD RECEIPT # CHECK # -• CLTD BY JESUS HERNANDEZ CORTEZ CASH R12352 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RE -ROOF - FIRST 2,000 SF PC 101-0000-42600 0 $98.62 $98.62 1/26/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY JESUS HERNANDEZ CORTEZ CASH R12352 RSE Total Paid for RE -ROOF: TOTALS: $147.93 $147.93 Description: CORTEZ / REOOF FINANCIAL INFORMATION Type: RE -ROOF Subtype: Status: UNDER REVIEW Applied: 1/26/2016 RSE Approved: Parcel No: 773213007 Site Address: 52140 AVENIDA RUBIO LA QUINTA,CA 92253 Subdivision: SANTA C_ ARMELITA VALE LA QUINTA Block: 3 Lot: 16 Issued: UNIT 1 PAID DATE RECEIPT # CHECK # METHOD PAID'BY Lot Sq Ft: 0 Building Scl Ft: 0 Zoning: Finaled: Valuation: $3,485.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: RE ROOF HOME REMOVE OLD ROOF CORTEZ Total Paid for BUILDING STANDARDS ADMINISTRATION REROOF WITH LIGHT -WEIGHT 8709 MALIBU TILE - COLOR [CRRC: 0918-0079] 2013 CALIFORNIA ENERGY CODE. NEED TO TAKE OFF OF ALL OLD ROOF $1.00 Printed: Tuesday, January 26, 2016 11:32:53 AM 1 of 2 SYSTEMS FINANCIAL INFORMATION CLTD. DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID'BY BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 1/26/16 R12352 CASH JESUS HERNANDEZ RSE CORTEZ Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $1.00 BSA: Printed: Tuesday, January 26, 2016 11:32:53 AM 1 of 2 SYSTEMS INSVEL I IUNS PARENT PROJECTS Printed: Tuesday, January 26, 2016 11:32:53 AM 2 of 2 SYS7Eti1S CLT - DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY • BY RE -ROOF - FIRST 2,000 101-0000-42404 0 $49.31 $49.31 1/26/16 R12352 CASH JESUS HERNANDEZ RSE SF CORTEZ RE -ROOF - FIRST 2,000 101-0000-42600 0 $98.62 $98.62 1/26/16 1112352 CASH JESUS HERNANDEZ RSE SF PC CORTEZ Total Paid for RE -ROOF:- $147.93 $147.93 INSVEL I IUNS PARENT PROJECTS Printed: Tuesday, January 26, 2016 11:32:53 AM 2 of 2 SYS7Eti1S G 1. X11; 4 t. ^,'. J li��,` V r Y �, t'✓ t-xan <{ y� 'rA:" �'�•-- kz 7 41.'- i ♦ l T24 k,IWOA; - t � tF�fr x y? t •; r a C*� �f �4 cif Y ��•? j t R ��„ :.( '' >,.'j� -k��=.b''lc ... ^P'a3 ri ., t•_F��+a�4"1-'— 's� ..v � .:l• .: 'i' -��::, .�.i+ Y � i .: f� "R..i • � is Y z \ 2 t t ry �t �.�., _•yam -�" /v _ � � K�: Y r 9 t 4 ® . .. .. a.. -T... .. ..�. t kJi - k,IWOA; - t � tF�fr x y? t •; r a C*� �f �4 cif Y ��•? j t R ��„ :.( '' >,.'j� -k��=.b''lc ... ^P'a3 ri ., t•_F��+a�4"1-'— 's� ..v � .:l• .: 'i' -��::, .�.i+ Y � i .: f� "R..i • � is Y z \ 2 t t ry �t �.�., _•yam -�" /v _ � � K�: Y r 9 t 4 ® . .. .. a.. -T... .. ..�. Y^ as r � y YjL STATE OF CALIFORNIA RESIDENTIAL ALTERATIONS o CEC-CF1 R -ALT -01-E Revised 06/14 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E Prescriptive Residential Alterations (Page 1 of 4) Date Prepared: A. GENERAL INFORMATION 01 A 03 01 Project Name: $ VS C,o 02 Date Prepared: I". Tag/ID 03 Project Location: I LID AV bN ) 04- u Q p 04 Building Front, or"IeAtati6n'jdeg or cardinal): Required 05 CA City: no tj TA 06 Number of Altere&D,welling Units: Table. Cell 07 Zip Code: � yLS 08 Fuel Type: �•. �`�' �� 467/-e C ?w 09 Climate Zone: j MIMI 1 �' 10 T051,6n`d tinned Floor Area (ft2): 11 Building Type iIM,i&V, „ 12 SIab;Area'(ft2) `�► Y 13 Project Scope: ;(Q=ff'$. ; • OF ,, t. ,... l �* • Roof area covered by building;integrated photovoltaiVCpanels and solar thermal panels are exempt from the above Cool Roof requirements. B. BUILDING INSULATION DETAILS (Section 150.2(b)1) 01 02 03 04 05 06 ,:p 7 b.�W07 1 08*( X09 10 11 Tag/ID Assembly Type Frame Type Frame Depth (inches) Frame Spacing (inches) eP o'06ssed Required Comments C ontinuous F� Cavitynsulation R -value, -R -value ei # U;factor � pendix JA4 Reference LI -Factor Table. Cell Compliance Pitch Exception. Number ,_Prod6ctType , Insulation Reflectance Reflectance Emittance (Optional) Reflectance Emittance (Optional) �► ' V, Y a 1-,% `4 Tr %."% -#.. _.lid' C. ROOF REPLACEMENT (Prescriptive Alteration, Secti �150.2(b)1H) 'w tl ' 1 01 02 03 04 _ 05 06 r07 08 09 10 11 12 13' *' R -value Proposed Minimum Required Method of Roof CRRC odu�ct lD , D�eeck Initial Solar Aged Solar Thermal SRI Aged Solar Thermal SRI Compliance Pitch Exception. Number ,_Prod6ctType , Insulation Reflectance Reflectance Emittance (Optional) Reflectance Emittance (Optional) NOTES • Roof area covered by building;integrated photovoltaiVCpanels and solar thermal panels are exempt from the above Cool Roof requirements. • Liquid field applied' coatings must comply with nsstallation criteria from section 110.8(i)4. .. Registration Number: Registration Date/Time: HERS Provider: CA Building Energy efficiency Standards - 2013 Residential Compliance June 2014