BRER2017-0058.f )
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
BRER2017-0058
Property Address:
53820 AVENIDA DIAZ
APN:
774152030
Application Description:
CONNORS/ REROOF
Property Zoning:
Application Valuation:
$11,600.00
Applicant:
SHARON EAST DBA ORTIZ ROOFING AND CONSTR
P 0 BOX 2461
SAN BERNARDINO, CA 92406
Tit�p .4 4 Qubtz
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 7006) of Division 3 of the Business and Professions Code, and
my License is in full force and effect.
License Class: C39. B License No.: 882162
Date: 16 1 `1 — 1 ;EContractor
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.).
(__j 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:
z
DICE 76 ') 777-7�?5
J0d*(76077-7f1
INSPECTIONS (760) 777Z7§3
o f—
N 2:5
Date 6/19727
Owner: *� �� O
BARBARA CONNORS ® w
� U Q
92253
. z
C7
w
o.
Contractor:
SHARON EAST DBA ORTIZ ROOFING AND CONSTR
P 0 BOX 2461
SAN BERNARDINO,.CA92406
(909)884-6320
Llc. No.: 882162
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: STATE COMPENSATION INSURANCE FUND Policy Number: 9110895
—I certify that in theperformance of the work for which this permit is issued, l
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.
Date: — Applicant: :'3GA0 cot EGZS�
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.
Date: -//-/ 7 Signature (Applicant or Agent)
i
•
Date: 6/19/2017
Application Number: BRER2017-0058
Owner:
Property Address: 53820 AVENIDA DIAZ
BARBARA CONNORS
APN: 774152030
Application Description:. CONNORS/ REROOF
92253
Property Zoning:.
Application•Val uation: $11,600.00
Applicant:
Contractor:
SHARON EAST DBA ORTIZ ROOFING AND CONSTR
SHARON EAST DBA ORTIZ ROOFING AND CONSTR
P 0 BOX 2461
P 0 BOX 2461
SAN BERNARDINO, CA 92406
SAN BERNARDINO, CA 92406
(909)884-6320
Lic. No.: 882162
---------------------------------------------------------------------------------------------
Detail: REROOF WITH ASPHALT SHINGLES TIMBERLINE HD TAN COLOR [CRRC:
0676-0098] 2016 CALIFORNIA ENERGY CODE.
70
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
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
101-0000-42600
0
$103.36
Total Paid for RE -ROOF: $167.20
DESCRIPTION.
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
Bin "# '
Permit #
i,124�20
Project Add ress:5730
city of La Quinta.
Buildin, 8T Safety Division
_ 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-701:2
-7 b06 Building Permit Application and Tracking Sheet
OAve Owner's Name:
A. P. Number:
Address: �3 0 � o
Legal Description:.
s
City, ST, Zip:
Contractor: C
v
ele
Telephone:
P e.
...................................:.
Address:j2
�Q
p�
Project Description: rl
'�
City_ ST, Zip:
9
C�
Te lc h
Telephone:
P 8 3 02
V
State Lic. # :
/ City Lic.:#:::
_
Arch., Engr., Designer:
Address:
l• 9�
City, ST, Zip:
Telephone- hone:
Construction e:
TYOccupancy:
P
a
Sl to Ltc. #
Alter Repair
Demo type (circle one • New Add'n
Name of Contact Person:
e0r&-y i-
Sq. Ft.: 2-
Stories:
#Units:
Telephone # of Contact Person: 61,51,0 0
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
tY
Submittal
Req'd
Rcc'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cafes.
Called Contact Person
Plan Check Balance.
Title 24 Calcs.
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 IiOUSE:-
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 Fecs
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification.
CEC-CFIR-ALT-05-E Revised 04/16 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification Page 1 of 3
This compliance document is only applicable to simple alterations that do not
with a HERS Provider Data Registry..
for compliance. When HERS verification is required, a CFIR-ALT-01 shall
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 ft 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 an R -value other than 5.8 per inch, or Open Cell Spray
Polyurethane Foam (ocSPF) with a 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 CFSR-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
01
Project Name:r
„ f s
l/v
02
Date Prepared:
403
Project Location:
04
Building Front Orientation (deg or cardinal):
05
CA City:
06
Number of Altered Dwelling Units:
07
Zip Code:
��
08
Fuel Type:
09
Climate Zone:
10
Total Conditioned Floor Area (ft):
11
Building Type:
T—
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
f
CEC-CFIR-ALT-05-E Revised 04/16 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification . Page 2 of 3
Project Name: - - Date Prepared: .
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)
AbMDel
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
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification'z
CEC-CFIR-ALT-05-E Reyised 04/16 CALIFORNIA ENERGY COMMISSION�'�
CERTIFICATE OF COMPLIANCE CF1R-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification 1 Page 3 of 3 -
Project Name: j� Date Prep edv 1 _ / 7—
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
DOCUMENTATION
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Docu t ion Author Name:
Documentation Auth Ig ture:
h Cc CO Y)
Comp
2. O �s7�-� ��,
Signature D ate:
o
a i�-
Ad ss
l
CEA/ HERS Cer i a on Identification (If applic le):
City/ /
Phone: --
Cil ��-f/K'iJ%1
pC
O
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. 1 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.'
S. I 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:
Responsible Designer Signature:
C '
Company:
Date Signed:
Address:
License:
City/State/Zip:
Phone:
For assistance or.cluestions regarding the Energy. Standards, contact the Energy Hotline at: 1-800-772-3300.
CA Building Energy Efficiency Standards - 2016 Residential Compliance
April 2016
Ortiz Roofing & Construction Company License #882162
P.O. Box 2461 (909) 884-6320 Ph.
San Bernardino, CA 92406 (909) 890-0505 Office.
(909)890-0010 Fax.
E-mail: seastl212@aol.com
Proposal And Contract ,
May 12, 2017
American Technologies Inc
Attn: Renee McFadden
951-682-9200
Email: Renee.mcfadden@atirestoration.com
RE: Reroof property located at: connors residence 53820 Avenida Diaz, La Quinta , ca
------------------------------------------------------------------
Dear Mrs. McFadden,
Ortiz Roofing 8i Construction propose to furnish all materials and perform all labor necessary to
complete the following:
1. Install 30 yr. Dimensional shingle as warranted by manufacturer on house and garage excluding
flat roof
2: 'Remove all roof down to deck. (Two layers)
3. Additional charge for carpentry work if required, $15.00 per ft. for 2x's and $10.00 per
ft. for lx's.
4. Install 2" metal trim around perimeter.
5. Install 30 lb. felt for underlayment.
6. Install shingles using six nails per shingle:
7. Install high profile ridge units.
.8. Mastic and paint roof jacks.
9. Haul away all roofing debris.
Price- $ 11,600.00 '
10% Deposit is required upon signed contract
Five Year Labor Guarantee
All of the work to be completed in substantial and workmanlike manner according to standard
practices for the sum of $11,600.00 ,
Payment to be made as follows: 10% upon Signed contract.
40% upon material arrival
50% upon completion..
Accepted
by: ------- MGD�O('e`I _6/1/2017
- --------------------Date:------
Print Name: Renee McFadden