BRER2017-0005a
78-495 CAL LE TAMPICO Twyl 4
w
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
RIVERSIDE, CA 92507
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.: 1000529
Date: 46,
Contractor:
OWNER-BUILDE ECLARATION
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
($sod).:
( V ) 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 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:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/24/2017
Owner:
EDWARD CASSEL
52135 AVENIDA CARRANZA
LA QUINTA, CA 0
Contractor:
D N L CO DBA WEROOF NET
1280 PLAMYRITA !WE #E
RIVERSIDE, CA 92507
(951)444-8881
Llc. No.: 1000529
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one ofrthe following declarations:
I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by Section 3700of the Labor Code, for the performance
of thew 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 perfornance of the work for which this permit
is issued. My workers' compensation insurance carrier and policy number are:
Carrier: STATE COMPENSATION INSURANCE FUND Policy Number: 9101517
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 thac, if I should become subject to the
workers' compensation provisions of Section 3=00 of the Labor Code, I shall forthwith
comply with those provisions.
Date: t Applicant:
WARNING: FAILURE TO SECURE WORK 'COMP SATION 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 FORiIN 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 appliotion is made, each person at whose
request and for whose benefit work is.performcd 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 applicztion 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 representatves of this city to enter upon the
above-mentioned property for inspection purposes.
Date: Signature (Applicant or Agent):
BUILDING P T
Application Number:
BRER2017-0005
Property Address:
52135 AVENIDA CAR
APN:
773215024
Application Description:
CASSEL RESIDENCE /R �AN
Property Zoning:
Application Valuation:
$8,400.00 QV�N1A
DEPARTMENt
GAN QE �
SENT
Applicant:
pESIG��D�
D N L CO DBA WEROOF NET
1280 PLAMYRITA AVE #E
RIVERSIDE, CA 92507
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I. am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: License No.: 1000529
Date: 46,
Contractor:
OWNER-BUILDE ECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
city or county that requires a permit to construct, alter, improve, demolish, or repair
any structure, prior to its issuance, also requires the applicant for the permit to file a
signed statement that he or she is licensed pursuant to the provisions of the
Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division
3 of the Business and Professions Code) or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a
permit subjects the applicant to a civil penalty of not more than five hundred dollars
($sod).:
( V ) 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 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:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/24/2017
Owner:
EDWARD CASSEL
52135 AVENIDA CARRANZA
LA QUINTA, CA 0
Contractor:
D N L CO DBA WEROOF NET
1280 PLAMYRITA !WE #E
RIVERSIDE, CA 92507
(951)444-8881
Llc. No.: 1000529
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one ofrthe following declarations:
I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by Section 3700of the Labor Code, for the performance
of thew 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 perfornance of the work for which this permit
is issued. My workers' compensation insurance carrier and policy number are:
Carrier: STATE COMPENSATION INSURANCE FUND Policy Number: 9101517
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 thac, if I should become subject to the
workers' compensation provisions of Section 3=00 of the Labor Code, I shall forthwith
comply with those provisions.
Date: t Applicant:
WARNING: FAILURE TO SECURE WORK 'COMP SATION 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 FORiIN 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 appliotion is made, each person at whose
request and for whose benefit work is.performcd 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 applicztion 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 representatves of this city to enter upon the
above-mentioned property for inspection purposes.
Date: Signature (Applicant or Agent):
Date: 1/24/2017
Application Number: BRER2017-0005
Owner:
Property Address: 52135 AVENIDA CARRANZA
EDWARD CASSEL .
APN: 773215024
52135 AVENIDA CARRANZA
Application Description: CASSEL RESIDENCE / REROOF
LA QUINTA, CA 0
Property Zoning:
Application Valuation: $8,400.00
Applicant:
Contractor:
D N L CO. DBA WEROOF NET
- D N L CO DBA WE3OOF NET
1280 PLAMYRITA AVE #E
1280 PLAMYRITA AVE #E
RIVERSIDE, CA 92507
RIVERSIDE, CA 92.507
(951)444-8881
-----------------------------------------------------------------------------------
Llc. No.: 1000529 ,
-----------
Detail: TEAR OFF AND REPLACE SHINGLES ON 28 SF OF ROOF. INSTALLING OWENS CORNING OYSTER SHELL ROOFING SYSTEM. PER 2016 ENERGY AND
CALIFORNIA BUILDING CODE
0
I
l
DESCRIPTION
FINANCIALINFORMATION,
ACCOUNT
QTY
AMOUNT
BSAS SB1473 FEE
101-0000-20306
0
$1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:
$1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RE-ROOF - FIRST 2,000 SF
101-0000-42404
0
$51.68
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RE-ROOF - FIRST 2,000 SF PC
101-0000-42600.
0
$103.36
Total Paid for RE -ROOF: $155.04'
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 1 of 4)
Proiect Name: t-(�t, ,nYnl. �'�a SCP( Date Prepared: i 17ti
A. GENERAL INFORMATION
01
N,
01 Project Name: WU-)QrCk Cn
02
Date Prepared: _ ,\•; � j
03 Project Location: 2 Q
04
Building Front Orientation°(deg or cardinal):
05 CA City:
06
Number of Altered.[)welling Units: I
07 Zip Code:
08
Fuel Type.: ( � �\ -"N ' '
09 Climate Zone:
10
TOL81 Co`ndltlOnec1 Floor'Area�(ft2) �
11 Building Type ncp
12
1 Siab,Area (ft2)
13 Project Scope:
CRRCPr
t _��•-� 7i �. I
B. BUILDING INSULATION DETAILS (Section 150.2(b)1) 1-'Y*N —
01
02 .
03
04
.05
06 ,•- `` �,,.� `07 1 087 ��09
.
��
10
11
Tag/ID
Assembly Type
Frame
Type
Frame
Depth
(inches)
Frame
Spacing
(inches)
-rl FA FYI
Proposed ,;
Required
Comments
Cavity
R -value
jx��
Continuous
Insulation
R -value U -,factor
AppendixJA4
Reference
LI -Factor
Table Cell
CRRCPr
Deck^)
Compliance
Pitch
Exception
(%...,{ Number
oductType _
r
Jnsulation
Reflectance Reflectance Emittance (Optional) Reflectance Emittance (Optional)
v�
^ /"-\,\ \1 \-) -7 \", -,> ii k. ' if
C. ROOF REPLACEMENT (Prescriptive Alteration, Sectjon"150.2(b)1H),tib.
��4'
.,•�.
01
02
03
04 ,!-. ` r?� {=
05'x,
1E 06
t ` " 'O7 / 08 09 10 11 12 13
duct ID�i
R value
^ ',� Propos d Minimum Re uired
Initial Solar Aged Solar Thermal SRI Aged Solar Thermal SRI
Method of
Roof
CRRCPr
Deck^)
Compliance
Pitch
Exception
(%...,{ Number
oductType _
r
Jnsulation
Reflectance Reflectance Emittance (Optional) Reflectance Emittance (Optional)
v�
'N
�}
NOTES ail 'ii •w�,
• Roof area covered by, building`integrated photovoltaic -panels and solar thermal panels are exempt from the above Cool Roof requirements.
• Liquid field applied coatings'must comply with installation 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-CF1 R -ALT -01-E Revised 06/14 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E
Prescriptive Residential Alterations (Page 4 of 4)
I Project Name: I— (1t„nrfJ ' ( 'n P.1 I Date Prepared: 11241 1 M I
1-1
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of'Compliance documentation is accurate and complete..
ion
DocumentAuthor Name:
Doc entatinn Authn�rs,si�gnature: "�-"'• ,4` s
Company:
ignatur ate: `
Address:
2-20 ale She,
CEA/ HERS Certification Ideotificatiorrv(if applicable): �}
-W” _,
el �r,
City/State/Zip:
`ever iqZ
Phone:
Z - S 3j
k '
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certify the following under penalty of perjury, under the laws of the State of California: ,rC�I�9'
1. The information provided on this Certificate of Compliance is true and correct. � ice, `"
� ���
of l
2. I am eligible under Division 3 the Business and Professions Code to accept responslb ygfor the building desig fn:or system design identified on this Certificate of Compliance (responsible
designer).
3. That the energy features and performance specifications, materials, components`atd manufactured dev�Ices for the building design or system design identified on this Certificate of
i2+cf
Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations.
or Certificate
4. The building design features system design features identified on this of Compliance' -are consistentwith tia information provided on other applicable compliance documents,
worksheets, calculations, plan's and specifications submitted to the'enfotcement agericV.1or approval with this building permit application.
5. 1 will ensure that a registered copy of this Certificate of Complla ite,shall be made,availabl.e with the building permit(s) issued for the building, and made available to the enforcement agency
for all applicable inspections. I understand that a registered'copy of this Certificate -of Compliance is.requhred to be included with the documentation the builder provides to the building
owner at occupancy.
Respo` ii_ble Designer Name: ^ w�
1 Resp ible Designer Signature:
�tZM-An
Company:
ateSlgn
Address: N*
{
License:
I O 1
o o 2a
City/State/Zip: VE_J50-�
Phone:
53 5 9 -
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
Bin # r
Permit #
W /
Project Address: 2
City of La Q u«n to
Building 8z: Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-701,2
Building Permit Application and Tracking. Sheet
Owner's Name: d UQ
A. P. Number:
Address: ic�, MMdCA rra n 714
Legal Description:
City, ST, Zip: Lo wSA GZzS'3
Contractor:
ele hone: —
TP
Address:12,531)
-b�' G
Project Description:
D
city, ST, zip: N�
— - --
r Da
Telephone S —
G
' <><><
X
State Lic. 9: Z
City Lic. #.:
aI 1 f L. 1' 1r T
Arch.,'Engr., Designer:
O (Yl y„. I.I
1 l V 6
Address:
City, ST, Zip:
Telephone:
one:
Construction n TOccupancy: o YP e:
State Lic. 9:
type (circle one): New Add'n A]te r Repair. r Demo
Name of Contact Person: �7rvkArl
Sq. Ft.: z b
# Stories: 1
# Units. -
Telephone # of Contact Person:
Estimated Value of Project: DO
APPLICANT: DO NOT WRITE BELOW THIS LINE
ii
Submittal
Req'd
Rec'd
TRACKING
P3RMIT 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 Calcs.
Plans picked up
Construction '
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
211Revicw, ready for corrcctions/issue
Electrical .
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
II.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''0. Revicw, ready for corrcctions/issue
Developer Impazt Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees,
Total Pcrmit Fc_s