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BRER2017-007378-495 CALLE TAMPICO U VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 DESIGN &DEVELOPMENT DEPARTMENT FAX (760) 777-7153 BUILDING PERMIT Application Number: BRER2017-0073 Owner: Property Address: S344S AVENIDA HERRERA VETZA TRUSSELL APN: 774083020 53445 AVENIDA HERRERA Application Description: TRUSSELL RESIDENCE / REROOF LA QUINTA, CA 92253 Property Zoning: �. Application Valuation:' $8,689.00 Applicant: Contractor: CASTRO ROOFING INC AUG O 9 2017 CASTRO ROOFIN3 INC PO BOX 122 PO BOX 122 THOUSAND PALMS, CA 92276 THOUSAND PALMAS, CA 92276 CITY OF LA QUINTA DESIGN AND DEVELOPMENT DEPARTMENT (760)343-0042 Llc. No.: 828478 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. License Class: B License No.: 828478 ate: t� ( `t I ` 7 Contractor: 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: Date: 8/9/2017 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one cf the following declarations: I have and will maintain a certifica-e of consent to self -insure for workers' compensation, as provided for by Section 370 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 perfo-mance of the work for which this.permit is issued. My workers' compensation insuran•-e carrier and policy number are: Carrier: STATE COMPENSATION INSURANCE FJND Policy Number: 9154244 _ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner sc as to become subject to the workers' compensation laws of California, and agree ti -at, 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: £r 4 I I7 Applicant: WARNING: FAILURE TO SECURE WORKER ' OMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0]0). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FCR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNCWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official for a permit subject to the conditions and restrictions set forth on the 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 he work being performed under or Following issuance of this permit. 2. Any permit issued as a result of this appleation becomes null and void if work is not commenced within 180 days from date ol 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:fir✓: 4 I I'1 Signature (Applicant or Agent) Detail: TEAR OFF EXISTING ROOF AND APPLY FOAM / COATING. PER 2016 CALIFORNIA.BUILDING CODE Date: 8/9/2017 Application Number: BRER2017-0073 Owner: Property Address: 53445 AVENIDA HERRERA VETZA TRUSSELL APN: 774083020 53445 AVENIDA HERRERA Application Description: TRUSSELL RESIDENCE / REROOF LA QUINTA, CA 92253. Property Zoning: Application Valuation: $8,689.00 Applicant: Contractor: CASTRO ROOFING INC CASTRO ROOFING INC PO BOX 122 PO BOX 122 THOUSAND PALMS, CA 92276 THOUSAND PALMS, CA 92276 (760)343-0042 Llc. No.: 828478 Detail: TEAR OFF EXISTING ROOF AND APPLY FOAM / COATING. PER 2016 CALIFORNIA.BUILDING CODE FINANCIAL INFORMATION DESCRIPTION ACCOUNT CITY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 0 DESCRIPTION ACCOUNT CITY AMOUNT RE -ROOF - FIRST 2,000 SF 101-0000-42404 0 $51.68 DESCRIPTION. ACCOUNT CITY 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 ENHANCEMEMT FEE:. TOTALS: $5.00 $161.04 STATE OF CALIFORNIA Prescriptive Residential Alterations That Do Not Require HERS Field Verification CEC-CFIR-ALT-05-E Revised 04/16 CERTIFICATE OF COMPLIANCE Prescriptive Residential Alterations That Do Not Require HERS Field Verification Project Mame: ' This compliance document is only applicable to simple alterations that do not with a HERS Provider Data Registry. compliance. When HERS verification CALIFORNIA ENERGY COMMISSION O. CF1R-ALT-05-E Page 1 of 3 a CF1R-ALT- 01 shall first Alterations to Space Conditioning Systems that are exempt from HERS verification requirements may use the CFIR-ALT-05 and CF2R- ALT -05 Compliance Documents. Possible exemptions from duct tem was insulated with asbestos; or the existing duct system was previously tested and passed by a leakage M50n¢ include: less than 40 ft of ducts. were added or replaced, or the existing duct sys HERS Rater. If space conditioning systems are altered and are not exeri)PI! fPOM HERS verlflcutiun, tl)en a CFIR ALT Oct must be completed and registered with Q HERS Provider Data Registry. Alterations thot utilize close Cell Spray Polyurethane Foam (ccSPF) with a density of 1.5 to less than 1.5 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 on R -value of 3.6 per inch, shall complete and register a CF1R-ALT 01 with a HERS Provider Data Registry. If more than one person has responsibilityfor installation of the items on this certificate, each person shall prepare and sign a certificate applicable to the portion of construction for which they ore responsible. Alternatively, the person with chief responsibilityfor construction shall prepare and sign this certificate for the entire construction. All apPlicoble Mandatory Measures shall be met. Temporary labels shall not be removed before verification by the building inspector. PO3 eneral Information 02 Date Prepared: � � /R' �r 7 Project Name: i�� j Z T ProjectLocation: 3 y y S ,[j c ; a(o f/ c �✓ c v 04 Building Front Orientation (deg or cardinal): 06 Number of Altered Dwelling Units: 05 CA City: L� Q� ,•,� A 08 Fuel Type: 07 Zip Code: 9 z z s 3 10 Total Conditioned Floor Area (ft): 09 Climate Zone: 12 Slab Area (ft) 11 Building Type: 13 Project Scope (Select all that apply): ❑ B. Insulation ❑ D. & E. Fenestration/Glazing - ADD ❑ G. Space Conditioning System (Heating, Cooling, Duct system) ❑Lighting' S ❑ R,/C. Roof Replacement ❑ D. & F. Fenestration/Glazing -REPLACE ❑ H. Water Heating System Include Mandatory Measures?. April 2016 CA Building Energy Efficiency Standards - 2016 Residential Compliance i 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 2 of .3 Project Name: - Date Prepared: I/c �z� Truer .r 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 R_value Method of CRRC Product Product Deck Initial Solar Aged Solar Thermal SRI Aged Solar Thermal SRI Compliance Roof Pitch Exception ID Number Type Insulation Reflectance Reflectance Emittance (Optional) Reflectance Emittance (Optional) C, 7" -0001 � ��dd"yrR�ower De ete Row" ' 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(1)4. CA Building Energy Efficiency Standards - 2016 Residential Compliance 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 CFIR-ALT-os-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: r 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. 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. 5. 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 thata 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 Des' ig. r . D� Company: Date Signed: j �r CJ 20 cT r ••• 9 � ��i C ` - . Address: License: -i 8r City/State/Zip: Phone: (.7c,.oi.;'y3 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 vtu-T,00- - 01,et Roofs ls�afiu & C. mr. -sib -Y &S of..*' "W"m 2' .'Zvm- 4dy - d and -p;i�wW Whwn4 b4_; . P Avgrs Y, j,� jg,4 gi,4 W", ur ..6,MtE. ftvpgratioli off embfiwmf aw, -hmi -avow. -furd'Y� AM -R)W ViR be'teed ate rRM of $6&00-'(4 - .. P --w 'g thegi)tj S*W6-lolle gw 'bdcIdaftd AD .4ad -f Oka, Paillf rom fa-ZAar amicrounter flastrijis es'aftd'.4.20 Wlb�*---godd i&t$jdjL 'Astaflt-new '24TWPddeemetal ag needed with-jiite.'rjock.V Mit tAN" .' 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ON WgniAM -OVER AUAS CO �iOM Zovom .0 ARS -.4-DW . FW I�j COMPEMW D.6* V - 0--j-z qsj. DENM AS ai3'rrsr'�:bti Fps OxRN V MLWOWf A 0 -It twbtau -lw.s TR0*R00FR4G WD,'L.MAM-ALy_ATjEMj.vrS mbw�g POP -EAT, ROM MAMMALZP.E)MM-TilAThdA"Iri'ALL-Drro M S4Wtte'd Atap -i T3 BROT'sIFORGERIN5_7A YWR WITH,you.. Aco'epied .19Y. pt Aec-eptance: Fdaia- Page-?. lqwtkokdo: -TMS': '66M AND 7ubie'21,1017 B►° # city 'f. La Quints Bulldtng 8f Safety Division , n P.O. Box 1504,"78-495 Calle Tampico La.Qulnta, CA 92253 -:(760) 777-7012 Building Permit Application and Tracking Sheet Permit # —7 A � ProjectAddress:s3vv5 Aver -e,, f-%�97-z53. Owner's Name:. v, 7 A. P. Number. Address: f3 y l s Q rc h. d 3 Legal Description: City, ST, Zip: e- O. —7 <a g z z s 3 Contractor., , <, 2a Telephone: '+ Project Description: ? Address: y,• o . City, ST, Zip: �` �a F d A p i Telephone*0c,o 3v3-oo y 3 State Lic. #: e 2 e -/.-7 T City Lie. #; Arch., Eng., Designer. Address: City., ST. Zip: Telephone: State Lia #: 9 --Z'S' ev 7 8 ' , ' ` of Contact Person: E e Z . o Construction Type: AZ�ro o Occupancy: MRepawirDemoName Project type (circle one): New Add'n Alter Sq. Ft : Z #Stories: # Telephone # of Contact Person: C7 c. a) Y o v - fr / a o Estimated Value of Project: e- Ca s;--7- •APPLICANT: APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd 'Reed TRACMG PERMIT FEES Plan Sets Plan Cheek submitted Item Amount Structural Cales. Reviewed, ready for corrections Plan Check Deposit. . Truss Calcs. Called Contact Person Plan Check Balance Title 24 Cales. Plans picked up Construction Flood plain plan Plans resubmitted.'. Mechanical Grading plan tad Review, ready for correct'konsrmue Electrical Subcoutactor List Called Contact Person Plumbing Great Deed Plans 14eked up SMI. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '^' Review; ready for correetionslissue Developer Impact Fee Planning Approval. Called Contact Person A.i.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees 012ZC 07-7 o-ooCf)./. 53445 Avenida Herrera - Gocgle Maps G0 gee MapS 53445 Avenida Herrera 8/9/17, 12:28 PM Imagery 02017 Google, Map data ©2017 Google United States 10 ft ,- - https://www.google.com/maps/place/53445+Avenida+Herrera,+La+Qui... da561da72161d7:Ox4dfb5cf1322b78c!8m2!3d33.6603365!4d-116.310022 Page 1 of 2