BRES2017-012478-495 CALLE TAMPICO D 4 Qum&
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
Property Address:
BRES2017-0124
51865 AVENIDA CORTEZD
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!/r/\�\�
APN:
773152025
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Application Description:
MOYA RESIDENCE / REMODEL / PATIO & R RJN O '
ROOF UrI ���7
Property Zoning:
Application Valuation:
$12,500.00
CITY OFUQUINTA
COCl&4UNITY DEVELOP.MENT DEPART&4ENT
Applicant:
SHADE BUILDERS
PO BOX 66
THOUSAND PALMS, CA 92201
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 Professi ode,
and my License is in full force and effect.
License Class: B. D03 License Nq rB7
Datet� l 1� Connorraactctor:
OWN ER -BU 11.13124DECLARATION
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 tlL__
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 Na
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/7/2017
wrier:
IOYA
1865 AVENIDA CORTEZ
4 QUINTA, CA 92253
SHADE BUILDERS
PO BOX 66
THOUSAND PALMS, CA 92201
(760)578-2930
LIC. No.: 870046
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: EXEMPT Polity 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 Sect'3700 oft e Labor Code, I shall forthwith
comply with those provisions. ; / // -Iff
DateCl���� ADDlicant:
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 u on the
above-mentioned property for inspection purposes,___
1 c -_c
Date �( Signature (Applicant or Agent):
f
Application Number:
BRES2017-0124
Owner:
Property Address:
51865 AVENIDA CORTEZ
MOYA
APN:
773152025
51865 AVENIDA CORTEZ
Application Description:
MOYA RESIDENCE / REMODEL / PATIO 8i REROOF
LA QUINTA, CA 92253
Property Zoning:
CODE.
Application Valuation:
$12,500.00
Date: 6/7/2017
Applicant:
Contractor:
SHADE BUILDERS
SHADE BUILDERS
PO BOX 66
PO BOX 66
THOUSAND PALMS, CA 92201
THOUSAND PALMS, CA 92201
(760)578-2930
----------------------------------------------------------------------------------------------
Llc. No.: 870046
Detail: NEW 240 SF ALUMAWOOD PATIO COVER AND REROOF INCLUDING SHEATHING AND REPLACING FASCIA BOARDS., PER 2016 CALIFORIA BUILDING
CODE.
FINANCIAL INFORMATION
DESCRIPTION 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
PATIO COVER, DESIGNED
101-0000-42404
0
$139..84.
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PATIO COVER, DESIGNED PC
101-0000-42600
0
$176.32
Total Paid for PATIO COVER / COVERED PORCH /,LATTICE: $316.16
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RE -ROOF - EA ADDITIONAL 1,000 SF
101-0000-42404
0
$12.16
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
101-0000742600
0
$103.36
Total Paid for RE -ROOF: $167.20
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SMI - RESIDENTIAL
101-0000=20308
0
$1.63
Total Paid for STRONG MOTION INSTRUMENTATION SMI:. $1.63
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611.
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $S.00
TOTALS:•0
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STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
'EC-CFIR-ALT-05-E (Revised 04/16) v„urvrcrvi„ 64rnu7 trulWlvA66iurm
CERTIFICATE OF COMPLIANCE CFIR-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification Page 1. of 3
Project NamGj�,}� , _ '^ Date Prepared:
6:2t=._1
This compliance document is only applicable to simple.alterations that do not require HERS
with a HERS Provider Data Registry.
HERS verification is required, a CF1R-ALT-01 shall first be
Alterations to Space Conditioning Systems that are exempt from HERS verification requirements may use the CFIR-ALT-05 and CF2R- ALT -OS Compliance Documents. Possible exemptions from duct
leakage testing include: less than 40 ff of ducts were added or replaced; or the existing duct system was insulated with asbestos; or the existing duct system was previously tested and passed by a
HERS Rater. If space conditioning systems are altered and are not exempt from HERS verification, then a CFIR-ALT-02 must be completed and registered with a HERS Provider Data Registry.
Alterations that utilize close Cell Spray Polyurethane Foam (ccSPF) with a density of 1.5 to less than 2.5 pounds per cubic foot having on R -value other than 5.8 per inch, or Open Cell Spray
Polyurethane Foam (ocSPF) with o density of 0.4 to less than 1.5 pounds per cubic foot having an R -value of 3.6 per inch, shall complete and register a CFIR-ALT-01 with a HERS Provider Data
Registry.
If more than one person has responsibility for installation of the items on this certificate, each person shall prepare and sign a certificate applicable to the portion of construction for which they are,
responsible. Alternatively, the person with chief responsibility for construction shall prepare and sign this certificate for.the entire construction. All applicable Mandatory Measures shall be met.
Temporary labels shall not be removed before verification by the building Inspector.
A. General Information
Ol .
Project Name:
02
Date Prepared:
03.
Project Location:
5 �r
�O
04
Building Front Orientation (deg or cardinal):
05
CA City:
i
r
�shv5 /tv
06
Number of Altered Dwelling Units:
07
Zip Code:
08
Fuel Type:
09
Climate Zone:
10-
Total Conditioned Floor Area (ft2):
11
Building Type:
12
Slab Area (ft)
13
Project Scope (Select all that apply):
❑ B. Insulation ❑ D. & E. Fenestration/Glazing -ADD' ❑ G. Space. Conditioning System (Heating, Cooling, Duct system) ❑ Lighting
❑✓ C. Roof Replacement ❑ D. F. Fenestration/Glazing - REPLACE ❑ H. Water Heating System ❑ Include Mandatory Measures?
CA Building Energy Efficiency Standards.- 2016 Residential Compliance April 2016
• STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
CEC-CF1 R -ALT -05-E (Revised 04/16) CALIFORNIA ENERGY. COMMISSION UN"Wm
CERTIFICATE OF COMPLIANCE CFIR-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification Page 2 of.3
Project Name: Date PreOared:..
C. Roof Replacement (Prescriptive Alteration, Section 150.2(b)1H)
01
02
03
04
05
06
07' 08 09
10
11
12
13
Proposed
Minimum Required
Method of
Compliance .
Roof Pitch
Exception
CRRC Product
ID Number
Product
Type
R -value
Deck
Insulation
Initial Solar
Reflectance
Aged Solar
Reflectance
Thermal
Emittance
SRI
(Optional)
Aged Solar
. Reflectance
Thermal
Emittance
SRI
(Optional)
MdW�0
D I e Ro
NOTES:
• 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.
CA Building Energy Efficiency Standards - 2016 Residential Compliance
April 2016
t
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
EC-CFIR-A1_T-05-E (Revised 04/16) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE UlR-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification Page 3 of 3 -
Project Name: Date Prepared:
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature:
Company:
Signature Date:
Address:
CEA/ HERS Certification Identification (If applicable):
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. I am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance (responsible
designer).
3. That the energy features and performance specifications, materials, components, and manufactured devices for 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 Code of Regulations.
4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents,
worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application.
5. 1 will ensure that a registered copy of this Certificate of Compliance shall be made available 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 required to be included with the documentation the builder provides to the building '
owner at occupancy.
Responsible Designer Name:
onsible Desig er SI atur
Com any : ��
Date Signed: Ca _-
Add a s:
License:
City State/Zip:
Phone: \�
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.
CA Building Energy Efficiency Standards - 2016 Residential Compliance April 2016
Bin #.
.City of.La Q uin ta
Building &• Safety Division
�` J 78-495 Calle Tampico
I La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit # O
S
Project Address: 1 _ cj r�Z
Owner's Name:-
A. P. Number:
Address:
Legal Description:
City, ST, Zip:I 01A I-111A- u+
Contra cto . � l
Telephone:
honer -
l�
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Address:. .0 fbCN-K—
Project Description:
City,
Telephone. CO � Q
ne � 5 Z t
:#
State Lic. i: 4�� obL 4 Qj
City Lic.
Nj`
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
P one:
State Lic. #: ::<:>: ;;:;:::r ;;::;::; ;;:: s;::;:.>>.::...
Con ion nP type: �:
Y O P u an7'
Project circle one): New Add'n Alter
J hype ) Repair Demo
Name of Contact Person: lb J13 C) m (J QSl.t,A
Sq. Ft I-
# Stories:
# Units:
Telephone # of Contact Person: -v4c�� " I j -- Z�'l �j
Estimated Value of Project:
. 0 ,
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
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 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
Zed Review,'ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A: Approval
Plans resubmitted
Grading
IN HOUSE:-
'"' 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