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BRER2017-0027Applicant: RANCHO MIRAGE ROOFING P 0 BOX 206 RANCHO MIRAGE, CA 92270 �:�w�F1wQ�rw DESIGN & 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: C39 License No.: 938533 .q A Date:,. 7� 2 C�actor4(404-1 /�/3- 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 (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:. 78-495 CALLS TAMPICO Owner: LA QUINTA, CALIFORNIA 92253 Application Number: BRER2017-0027 Property Address: 52810 AVENIDA DIAZ APN: 773312005 Application Description: MYERS / REROOF Property Zoning: w Application Valuation: $8,000.00 Applicant: RANCHO MIRAGE ROOFING P 0 BOX 206 RANCHO MIRAGE, CA 92270 �:�w�F1wQ�rw DESIGN & 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: C39 License No.: 938533 .q A Date:,. 7� 2 C�actor4(404-1 /�/3- 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 (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 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one if 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. have and will maintain workers' compensation insurance, as required by ctio Sen 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: STATE COMPENSATION INSURANCE -=UND Policy Number: 9070803 _ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner sa as to become subject to the workers' compensation laws of California, and agree tat, if I should become subject to the workers' compensation provisions of Section -3700 of the Labor Code, I shall forthwith comply with those provisions. A WARNING: FAILURE TO SECURE WORKERS' C-DMPENSATION 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 ACKNIDWLEDGEMENT IMPORTANT: Application is hereby made to fie Building Official for a permit subject to the conditions and restrictions set forth on tNs application. 1. Each person upon whose behalf this appication 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, ane the applicant, each agrees to, and shall defend, indemnify and hold harmless the Citi. 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 bove- . mentioned/property for inspection purposes. Uar_�gnaturelAPPlicantorAgent) �- Date:. 3/2/2017 Owner: DEBBY MYERS 52810 AVENIDA DIAZ LA QUINTA, CA 92253 �� w c� Q a o z c.J � z C7 w Contractor: RANCHO MIRAGE ROOFING ter/ �� J o P0BOX 206c !vM RANCHO MIRAGE, CA 92270 ^ g (760)832-2013 L� Llc. No.: 938533 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one if 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. have and will maintain workers' compensation insurance, as required by ctio Sen 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: STATE COMPENSATION INSURANCE -=UND Policy Number: 9070803 _ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner sa as to become subject to the workers' compensation laws of California, and agree tat, if I should become subject to the workers' compensation provisions of Section -3700 of the Labor Code, I shall forthwith comply with those provisions. A WARNING: FAILURE TO SECURE WORKERS' C-DMPENSATION 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 ACKNIDWLEDGEMENT IMPORTANT: Application is hereby made to fie Building Official for a permit subject to the conditions and restrictions set forth on tNs application. 1. Each person upon whose behalf this appication 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, ane the applicant, each agrees to, and shall defend, indemnify and hold harmless the Citi. 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 bove- . mentioned/property for inspection purposes. Uar_�gnaturelAPPlicantorAgent) �- Date: 3/2/2017 Application Number: BRER2017-0027 Owner. Property Address: 52810 AVENIDA DIAZ DEBBY MYERS APN.- 773312005 52810 AVENIDA DIAZ Application Description: MYERS / REROOF LA QUINTA, CA 92253 Property Zoning: Application Valuation: $8,000.00 Applicant: Contractor: RANCHO MIRAGE ROOFING RANCHO MIRASE ROOFING P 0 BOX 206 P 0 BOX 206 RANCHO MIRAGE, CA 92270 RANCHO MIRA5E, CA 92270 (760)832-2013 Llc. No.: 938533 Detail: REROOF WITH EAGLE LIGHT -WEIGHT MALIBU TILE - TERRACOTTA GOLD COLOR [CRRC:0850-0002) PER 2016 CALIFORNIA ENERGY CODE. FINANCIAL •• • 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 ' 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 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 TOTALS:04 13in./i Permit # Project Address:2- 'IM City of La Quinta Building 8£ Safety Division 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-701,2 Building Permit Application and Tracking Sheet Se6 G� Owner's Name: J17 ��! 4 A. P. Number: Address: 722 /6 /1/ 5 fj PC's Legal Description: City, ST, Zip: Contractor:' / r h Telephone:4 Z 'Address: 0 ZG� Project Description: City, ST, Zip: _..---•--•- a�Gio ��Y� .o C/� �iZZ7G 1 , . ' U �I. / ��fol /�/o Telephone: one: - Z G s e v f 1 vJ Arc State Lic. # : 131 3 City Lie. /C CDS //f Arch., Engr., Designer: e G CI c' 1/1, Address:44 C G O 2— City, ST, Zip: City, Telephone: - tructi n Type: O ecu •Con neY State - to Lic. # tyPa circle ne)•New Add n Alter Repair Demo Name of Contact Person: S Ft. b # Sttrories: # Units: Telephone # of Contact Person: L6; Q. G CfOS Estimated Value of Project, Z, Dpi Gl/ APPLICANT: DO NOT WRITE BELOW THIS LINE ti Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cafes. Reviewed, ready for corrections Plan Check Depo.:it Truss Cafes. Called Contact Person Plan Check Balar cc. Title 24 Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2" Revicw, ready for corrections/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:- Reyiciv, ready for corrections/issue Developer Impact Fee Planning Approval ` Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue Schodl Fees, Total Permit Fee= STATE OF CALIFORNIA RESIDENTIAL ALTERATIONS rFr_r(=1R_n1 T-ni-P IP—A—i n911AI CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E Prescriptive Residential Alterations 02 (Page 1 of 4) Project Name: Date Preparec: 02 Date Prepared: .4 .1 A. GENERAL INFORMATION . 01 02 01 Project Name: 02 Date Prepared: .4 .1 10 03 03 Project Location: da — o r �.- 04 " Building Front-Ot�le,ntation (deg or cardinal : . Frame Depth (inches) 05 CA City: 06 Number of Alt ed bwelling Units: O„ ' R value x!i 07 Zip Code: 08 Fuel Type: �N U -Factor Tab Cell Cell . 09 Climate Zone: 10 Total Conditi ned FloortAGe (ft2) CRR? oduct IDS CAP 11 Building Type 12 SlabnA"iea(ft2)�sL �w� Number ProdGctType,_ 13. Project Scope: Reflectance Emittance (Optional) Reflec aril Emittance (Optional) B. BUILDING INSULATION DETAILS (Section 150.2(b)1) ?y 01 02 03 04 05 06 ,ems `' ;x`07 08 ,09 10 03 04 µ k 11 Ta /ID Tag/ID Assembly Type y Yp Frame Type yp Frame Depth (inches) Frame Spacing (inches) Prdp` d Required ' R value x!i Comments ` Continuous Cavity j .,Insulation R -vague, R -value g ;�U;factor `Appendix JA4 Reference U -Factor Tab Cell Cell . Thermal SRI Method of Roof CRR? oduct IDS CAP faDknitial Compliance Pitch Exception �w� Number ProdGctType,_ Insulation Reflectance Reflectance Emittance (Optional) Reflec aril Emittance (Optional) s { :'ROOF REPLACEMENT (Prescriptive Alteration; Se8tion1'S`0.2(b)1H) 01 02 03 04 µ k 05�, ,= 06 67, 08 09 10 1 12 13 r e�y ' R value x!i Proposed inimum Required Solar Aged Solar Thermal SRI Aged ola Thermal SRI Method of Roof CRR? oduct IDS faDknitial Compliance Pitch Exception �w� Number ProdGctType,_ Insulation Reflectance Reflectance Emittance (Optional) Reflec aril Emittance (Optional) 4) - -C NOTES Ls° ,. ! Na - • Root area covered by,. budding-nntegrated photovoliairpanels and solar -thermal panels are exempt from the above Cool Roof requirements. • Liquid field appliedkoating5Ymust comply with installation criteria from section 110.8(i)4. Registration Number: Registration Date/Time: CA Building Energy Efficiency Standards - 2013 Residential Compliance H RS rovider: June 2014 STATE OF CALIFORNIA RESIDENTIAL ALTERATIONS CEC-CFIR-ALT-01-E Revised 06/14 CALIFOR 41A E NERGY COMMISSION CERTIFICATE OF COMPLIANCE CFIR-ALT-01-E Prescriptive Residential Alterations (Page 4 of 4) ;Project Nam S'? --%(o Z"AL Date Prepare, : L i' ,.DOCUMENTATION AUTHORSDECLARATION-STATEMENT"', . 1. I certify that this Certificate of Compliance documentation is accurate and complete.' Documentation Author Name: Document Author gnature: Company: Sign cure ate: Address: CEA/ HERS Certification lderit icAton`(if applicable): ,r City/State/Zip: rztib oo ;� Phoma a r ;6 a, 3z- RESPONSIBLE PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: .6 t..4' 1. The information provided on this Certificate of Compliance is true and correct. 2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility�for the buildingdegn,or system design identified on this Certificateof ompliance (responsible designer). 3. That the energy features and performance specifications, materials, components'°a Zmanufactured devices>for the building design or system design identified on his Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the dalifornia Code of'Reeg' 2tlons I,. 4. The building design features or system design features identified on this Certificate of C6mplianc0are conslstent�wtth tth"e information provided on other applicablE 'V ` uildi'n compliance documents, worksheets; calculations, plans and specifications submitted to the enfo cement age royal with this p P g pp g permit application. fi 5. 1 will ensure that a registered copy of this Certificate of Compliancershall be made available with the buildln Obuilding, tom: g 1gp:ermlt s issued for the and made avails let .the enforcement agency for all applicable inspections. I understand that a registe�re.d copy of this Certificate of Compliance.is,req.ui ed'to be included with the documentation the build r pr vides to the building owner at occupancy. ? w Responsible Designer Name: ,1,11406�sible Designer Signature: Company: sa y��3 Date signed: JINx Address: `' y �� license: '�� ., City/State/Zip: fr'? Phone: c q %14 For assistance &'44uestions regarding.the Energy Standards, contact the Energy Hotline at: 1-800-772-3300. Registration Number: Registration Date/Time: ' CA Building Energy Efficiency Standards - 2013 Residential Compliance HERS Provider: luno 7n1d