BRER2015-009678-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: BRER2015-0096
Property Address: 53790 AVENIDA RUBIO
APN: 774153003
Application Description: BAILEY/RE-ROOF
Property Zoning:
Application Valuation: $7,500.00
Applicant:
M. RIVERA ROOFING INC
30206 AVENIDA DEL PADRE
CATHEDRAL CITY, CA 92234
T -dT 4 4 Quhtro
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 70001 of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
Licee e Class:: C'39 License No.: 95`8(4465 (�
Da%: 0 • U� d(�
Contract i —pO YG. ��C) h—�
65
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 Name
Lender's Address:
Owner:
STUART BAILEY
47850 VIA ZURI
LA QU I NTA, CA
Contractor:
M. RIVERA RO
30206 AVENIDA
CATHEDRAL CI
(760)902-9781
LIC. No.: 95846!
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/6/2015
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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 he work for which this permit is issued.
�Lhave 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 Labor Code, I shall forthwith
comply with those provisions.
Da :%0 ?�__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 property for inspection purposes. /) r-,
Date' I�% "717 SSignature (Applicant or Agent):
DESCRIPTION
FINANCIAL INFORMATION
ACCOUNT QTY AMOUNT PAID
PAID DATE
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$1.00
10/6/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
M. RIVERA ROOFING INC
CHECK
R9800
1183
LUR
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:
$1.00
$1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RE -ROOF - EA ADDITIONAL 1,000 SF
101-0000-42404
0
$11.60
$11.60
10/6/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
M. RIVERA ROOFING INC
CHECK
R9800
1183
LUR
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RE -ROOF - FIRST 2,000 SF
101-0000-42404
0
$49.31
$49.31
10/6/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
M. RIVERA ROOFING INC
CHECK
R9800
1183
LUR
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RE -ROOF - FIRST 2,000 SF PC
101-0000-42600
0
$98.62
$98.62
10/6/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
M. RIVERA ROOFING INC
CHECK
R9800
1183
LUR
Total Paid for RE -ROOF:
TOTALS:.0
$159.53
$159.53
.0
Permit Details PERMIT NUMBER
` ��"BRER�2015-0096
- rAnz
,
City of la Quinta
Description: BAILEY/RE-ROOF
Type: RE -ROOF
Subtype:
Status: UNDER REVIEW
Applied: 10/6/2015 LUR
Approved:
Parcel No: 774153003 Site Address: 53790 AVENIDA RUBIO LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA AT VALE LA QUINTA Block: 201
Lot: 22
Issued:
UNIT 19
Lot Sq Ft: 0
Building Sq Ft: 0
Zoning:
Finaled:
Valuation: $7,500.00
Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0
No. Unites: 0
Details: 2,500 SQ FT RE -ROOF W/ NEW UNDERLAYMENT AND TRU DEFINITION DURATION 30YR SHINGLES.
fi^i3,. Kut,ra,Y R .'`7w-�`"af41a ::qa, a� .'�+k�- r.. �, . • �,. .� niF6 a .s" ce ; `✓T .,u1 -z� t rF'rSs M - y "'.-t" .�.*o i
WX
Printed: Tuesday, October 06, 2015 1:34:10 PM 1 of 2
09RW VfTFAAt
REVIEWS
REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS NOTES
DATE
Printed: Tuesday, October 06, 2015 1:34:10 PM 2 of 2
CRW VfiFAAf
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
10/6/15
R9800
1183
CHECK
M. RIVERA
[UR
Total Paid for BUILDING STANDARDS ADMINISTRATION
$1.00 $1.00
BSA:
RE -ROOF - EA
101-0000-42404
0
$11.60
$11.60
10/6/15
R9800
1183
CHECK
M. RIVERA ROOFING
LUR
ADDITIONAL 1,000 SF
INC
RE -ROOF - FIRST 2,000
101-0000-42404
0
$49.31
$49.31
10/6/15
R9800
1183
CHECK
M. RIVERA ROOFING
LUR
SF
INC
RE -ROOF -FIRST 2,000
101-0000-42600
0
$98.62
$98.62
10/6/15
R9800
1183
CHECK
M. RIVERA ROOFING
LUR
SF PC
INC
Total Paid for RE -ROOF: $159.53 $159.53
TOTALS:.0 .i
REVIEWS
REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS NOTES
DATE
Printed: Tuesday, October 06, 2015 1:34:10 PM 2 of 2
CRW VfiFAAf
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CEG-CFIR-ALT-01-E Revised 06/14 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE 'CFIR-ALT-01-E
Prescriptive Residential Alterations (Page 1 of 4)
Project Name: v im; e `t Date Prepared: 16 c, _r? c9 1 S
A. GENERAL INFORMATION
01
02
01
Project Name:. J
02
Date Prepared:
03
Project Location:
04
Building Front Orien4ati6n`(deg or cardinal):
05
CA City: , _
06
Number. of Altered=Dwelling Units:A\
07
Zip Code:
08
Fuel Type: K< ."*ell Cr.4:N
09
Climate Zone:
10
T,otal,Conditioned Floor-Area\(ft2)i'
11-1
Building Type
12
Slgb Area (ft2) f-�',`,`,v
13
1 Project Scope: -
a
j ; �41A v
B. BUILDING INSULATION DETAILS (Section 150.2(b)1) "r A*
01
02
03
04
05
06 1 0 8,41 Vf, 09
10
11
Tag/ID
Assembly Type
Frame
Type
Frame
Depth
(inches)
frame
Spacing
(inches)
41P.roposed iw,
Required
Comments.
Cavity
R -value,
`'s1
,Continuous
Insulation
R -value
: ,factor
;vAppendixJA4
Reference
U -Factor
Tablet. Cell
oof
C,R�R+C-P� duct ID
Deck
Compliance
a
Exception,
>_
4,P`roduct Type ,
tln5ulat on
Reflectance
Reflectance Emittance (Optional) Reflectance Emittance I (Optional)
.,
, . mei. T
N `,.)-
,.rNOTESc—
V" 'ell k1k,_1�
C. ROOF REPLACEMENT (Prescriptive Alteration, Secton�150.2(b)iH), fl''�''
01
02
03
04 ,c
05
' 06
eft. 07;;x`
08 09 10 11 12 13
3 IZ�
�" S
R -value'
Propos d Minimum Required
`tlnitial Solar
Aged Solar Thermal SRI Aged Solar Thermal SRI
Method of
oof
C,R�R+C-P� duct ID
Deck
Compliance
Pitch
Exception,
t? Number
4,P`roduct Type ,
tln5ulat on
Reflectance
Reflectance Emittance (Optional) Reflectance Emittance I (Optional)
.,
, . mei. T
N `,.)-
,.rNOTESc—
NOTES
• Roof area covered by build iing integrated photovoltaic panels and solar thermal panels are exempt from the above
Cool Roof requirements.
• Liquid field applied coatings%must comply with; 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 CFIR-ALT-01-E
Prescriptive Residential Alterations (Page 2 of 4)
Project Name: c,+, �;,�, T-2„. I,,, I Date Prepared: 1O—C,5-7,¢71C
D. FENESTRATION/GLAZING AREAS ALLOWED (Section 150.2(b)1)
01 02 03
04
c4. .- .
Alteration Type Orientation Maximum Allowed ft2
Comments r=d
04
}'�:o _
06
:AAo
E.. FENESTRATION/GLAZING PROPOSED AREAS AND EFFICIENCIES (Section 150.2(b)1)
01
OC
03
04
05
06
07
08 az
' 1+a 09
10'
19 11
12
13
14
15
Combined
Orientation
Area
Area y�
NetMaximum
�
Exterior
SHGC
Tag/
Fenestration
Frame
Dynamic
N, S, W, E, or
Removed
Added
Added
Allowed
Shading
from
ID
Type
Type
Glazing
Roof
ft2
ft2�
Area ft2
Vactor
U -factor
Source
SHGC
Source
Device
CF1R ENV 03
-
14
is
...... rte,
`:��.
W40 141
.
+I
a.
t-facing'Fenestration Area,,
Net Added Wes"
, V
b
Existing + Added West facing Feneatrat oln +Area
,
c
Maximum'Allo ed 'West facing=Fere ation Area
k} 'Ys N< S.i. Az
d
Is West -facing Fenestration Area < Allowed West-`'kng Fenestrati�nnk
„
.�Maximum
Area
:;IV
e
Net Added Fenestration Area (all oentations)
f`,Exi`sting
+ AddedaFenestration Area (all orie)tations)
g
Maximum Allo ed�Fenestration Area (all orientations)
kV
h
Is Existing + Aed'Fenestration Area <Maximum Allowed Fenestration Area (all
F"
i� orientations)
I
-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 06114 CALIFORNIA ENERGY COMMISSION g6�
CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E
Prescriptive Residential Alterations (Page 3 of 4)
Project.Name:Date Prepared: p„ _
F. SPACE.CONDITIONING(SC) SYSTEMS — HEATING/COOLING (Prescriptive section 150.2(b)) &
01 02 03 `
Dwelling Unit Name Dwelling Unit CFA (Ft2) Com nts.' t?.44k,
I. 41kXM ,
G. WATER HEATING SYSTEMS (Section 150.2(b)1G)
Ol
02
03
04
05
06
07
08_
09;..�
10
X11,
12
13
14
15
Water#Heating System
Alteration to the Space
# °f
Water
i;,
:r Name 4
Identification or Name
Conditioning System(s)?
K
f'
Water Heating
Water
Heater.
ed
ITHeakipg
Back -Up
System
Water
Water
Heaters
Storage
Rated
Ra
Heating
s,
.
Exterior
Solar
Dwelling Unit DHW
Identification or
Heating
Heater
in
Volume
Fuel
Input
Inptt1
Efficiency .;�walue
ficiency
Standby
Insul.
Savings
Central DHW System
System
Name
System Type
Type
system
(gal)
Type
Type,.';
Value
Typed
V
Loss, (%)
R -Value
Fraction
Distribution Type
Distribution Type
H. SPACE CONDITIONING SYSTEMS AND WATER HEAkT.ING SYSTEMS IN(VIULTIFAMILY. DWELLING UNITS
01
02
..
03'x, W
�, 04'�
05
06
IrkCe
a Heating
a Dwelling Unit
-
Dwelling Unit:
Dwelling UnittjTntaI!CFA
Dwelling
Systtem Ideentification or- f°
Water#Heating System
Alteration to the Space
Dwelling Unit Name
(ft2),
i;,
:r Name 4
Identification or Name
Conditioning System(s)?
Comments
-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 v
CERTIFICATE OF COMPLIANCE CFIR-ALT-01-E
Prescriptive Residential Alteration (Page 4 of 4)
Proiect Name: r I f2r, , I oz -,r Date Prepared: 9 tR—L--7r, )C -
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Compliance documentation is accurate and complete. 0A._ y1
Docume
ation Au or Name: , -
Documentation Author Signature: i- 0"'�"
any.
Signature Date:
, - d
tRi)IP—/-C,C
Address:
CEA/ HERS Certifidation Ideptificate(if applicable): "
S �4
[ 11r,
City/State/Zip:
Phone:
RESPONSIBLE PERSON'S DECLARATION STATEMENT A?�
ea I i
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. x.
2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building de ig*io system design identified on this Certificate of Compliance (responsible
designer). �-�. �»,, � W
3. That the energy features and performance specifications, materials, components,"manufacture?d"6160for the building design or system design identified on this Certificate of
Compliance conform to the requirements of Title 24, Part 1 and Part 6 off the California Code of'Regulatlons.
4. The building design features or system design features identified on this Certificate of Compliance' are consistent witl%the information, provided on other applicable compliance documents,
worksheets, calculations, plans and specifications submitted :to thee e'nf cement agency?fo :: approval with this building permit application.
;� y
.
5. 1 will ensure that a registered copy of this Certificate of Com,pliance,shall be made av ilable with the building Permit(s) issued for the building, and made available to the enforcement -agency
a .
for all applicable inspections. I understand that a registered copy�bf this Certificate`o Compliance is req it red to be included with the documentation the builder provides to the building
owner at occupancy.:a,� ws
Responsible Designer Name;p=kapRes`dn
ible Designer Signature:
Company : �; y�y
Date Signed:
Address:b ilk.`
w�
License:
, Q
A en
City/State/Zip: ) "} + I-
Phone:
For assistance of -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
Bin /i Qty of La Qui( ta.
Building, 8r Safety Division
Permit # 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address. Owner's Name:
A. P. Number:
Address: (�
Legal Description:
City, ST, Zip:
Contractor:
^•
Telephone: P
Address:
�Q
Project Description:
City, ST, Zip
C' C ' 2
Telephone:
0'7-1 t:1
Stat Lic. #
City Lic. #
t \V „
Arch., Engr., Designer:
0 1 q P
Address:
City, ST, Zip:
Tele hon e:
Construeiton T Y Peh ccu cY:
t
State Ltc. #
Project tYPa (circle one): New Add'n Alt Repairait Demo
Name of Contact Person:
Sq. Ft.: Q(�
# Stories: 9
# Units:
Telephone # of Contact Person:_760
-C7-L
y�
Estimated Value of Project: 4d (J
APPLICANT: DO NOT WRITE BELOW THIS LINE
to
Submittal
Rcq'd
Rcc'd
TRACKING
PERMIT FEES
Plan Sets
Plan'Check submitted
Item
Amount
Structural Cafes.
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 correclionsfissue
Electrical
Subconlactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
Jrd Review, ready for correctionstssue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Dale of permit issue
School Fees,
Total Permit Fees