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BRER2017-014178495 CALLS TAMPICO LA QUINTAL CALIFORNIA 92253 44 QRAIA& DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Permit Type/Subtype: RE -ROOF/ Application Number: BRER2017-0141 Property Address: 53655 AVENIDA MADERO• APN: 774102019 Application Description: MARVAN / REROOF Property Zoning: Application Valuation: Applicant: FERNANDO MARVAN 6640 VARNEY DR NOV 1`7 2017 SAN DIEGO, CA 92253 .. P 0 CITY OF LA QUINTA DESIGN AND DEVELOPMENT DEPARTMENT 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.::CONV,140528101254114199 . Date: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 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 icense Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business d Professions Code) or that he or she is exempt therefrom and the basis for the a ged exemption. Any violation of Section 7031.5 by any applicant for a permit s ects 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 m ensation, 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 imself or herself through his or her own employees, provided that the improvements e not or or offered for sale. If, however, the building or improvement is sold thin one yeof completion, the owner -builder will have the burden of proving that he he did narot build or improve for the purpose of sale.): Jawho as owner of the property, am exclusively contracting with licensed contractors to uct the project. (Sec. 7044, Business and Pr Code: The Contractors' State e Law does not apply to an owner of pr arty who bui s or improves thereon, contracts for the projectswithacractors) licens d pursuant to the actors'State License Law.am exempt under Sec. B.&C. for th' son 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: VOICE (760) 777-7125 FAX (760)777-7011 INSPECTIONS (760) 777-7153 Date:. 11/17/2017 Owner: FERNANDO MARVAN 6640 VARNEY DR SAN DIEGO, CR 92253 Contractor: FERNANDO MARVAN / OWNER BUILDER 6640 VARNEY DR SAN DIEGO, CA -92253 Llc. No.::CONV4140528101254114199 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have'and will maintain a certifica:,e of consent to self -insure for workers' compensation, as.provided for by Section 37CO 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. Se n \__ 700 of the Labor Code, for the perfo•-mance of the work for which this permit is issue My workers' compensation insuraftheworkfor policy number are: Ca rri Policy Number: _ t 1 certify that in the performanr hi s permit is issued, 1 shall employ any person in any mannubject to the workers' compensation laws of California, and agld come subject to the workers' compensation provisions of SeLa or Code, l shall forthwith comply with those provisions. S Date? Appliiicca�nt: r 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: I APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to t! a 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 he 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 tie 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 cancellationi. �1 I certify that I have read this application and sta that the ab formation is correct. I agree to comply with all city and county ordin nces a ate la relating to building construction, and hereby authorize represent of this city to; ter upon the above- mentioned property for inspection purp t Date: Signature (Applicant or Ag T Date: ' 11/17/2017 Application Number: BRER2017-0141 Owner: PropeRy` Cddre5s1' "-': ':?'53555 AVENIDA MADERO FERNANDO MARVAN APN: 774102019 6640 VARNEY DR Application Description: MARVAN / REROOF SAN DIEGO; CA_ 92253 Property Zoning: Application Valuation:, Applicant: Contractor:. FERNANDO MARVAN FERNANDO MARVAN / OWNER BUILDER 6640 VARNEY DR 6640 VARNEY =DR SAN DIEGO, CA 92253 SAN DIEGO, CA 92253 -Llc. No.::CONV:140528101254114199 Detail: REROOF WITH SHINGLES AT SLOPED AREAS [CRRC: 0890-0013] 2016 CALIFORNIA ENERGY CODE. . 4 FINANCIAL _ .DESCRIPTION •• • ACCOUNTQTY AMOUNT RE -ROOF -FIRST 2,000 SF 101-0000-42404 0 $53.05 DESCRIPTION ACCOUNT QTY AMOUNT RE -ROOF - FIRST 2,000 SF PC 101-0000-42600 0 $106.11 Total Paid for RE -ROOF: $159.16 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 TOTALS: $164.1 i 1 J STATE OF CALIFORNIA r ;Prbsi KVtive Residential Alterations That Do Not Require HERS Field Verification 6 w CEC-CF1 R -ALT -05-E (Revised 04h6) r CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CF1R-ALT-05-E Prescriptive Residential Alterations That Do Not Require HERS Field Verification Page 1 of 3 Project Name: - Date Prepared: This compliance document is only applicoble to with a HERS Provider Data Registry. at do not require HERS verification for compliance. When HERS verification is required, a CF1R-ALT- 01 shall first Alterations to Space Conditioning Systems that are exempt from HERS verification requirements may use the CF1R-ALT-05 and CF2R- ALT -05 Compliance Documents.. Possible exemptions from duct leakage testing include: less than 40 ft of ducts were added or replaced: nr thr Pxicting dart tyctrm wnc invdWith �th nchpctns; am was the existing duct system previou3ly tcstcd god NusseJ by u HERS Rater. If space conditioning systems are altered and are not exempt from HERS verification, then a CF1R-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 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 CF1R-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 responsibilityfor 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.InforFnation 01 Project Name: /�% � 0 �. 02 Date Prepared: 03 Project Location: ` A e 04 Building Front Orientation (deg or cardinal):r��' 0S 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: 12 Slab Area (ft2) 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 -A STATE OF CALIFORNIA Prescriptive Residential Alterations That Do Not Require HERS Field Verification -05- (Revised 04/16) 'CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CF111-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 it 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) 00/ 6,00 ` y� �AddRowelete Rows g " 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. S CA Building Energy Efficiency Standards - 2016 Residential Compliance 1 ,• t April 2016 STATE OF CALIFORNIA +, T Pres-criptive Residential Alterations That Do Not Require HERS Field Verification SEC-CFIR-ALT-OS-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 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. 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., 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: Responsible Designer Signature: Company: Date Signed: Address: 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 PERMIT 14 PLAN LOCATION ' Project Address: Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech APN #:®S City, St, Zip Garage _ SF Telephone: Applicant Name: Email: Address: M State Lic: City Bus Lic: City, ST, Zip: 2 avail: Telephone: tate Lic: City Bus Lic: Email: Valuation of Project $ Contractor Name:^ Address: New SFD Construction: Conditioned Space SF City, St, Zip Garage _ SF Telephone: Patio/Porch SF Email: Fire Sprinklers SF State Lic: City Bus Lic: # Units: krch/l✓ng Name: Construction Type: Occupancy: address: Grading: -ity, St, Zip Construction Type: Occupancy: Telephone: Bedrooms:Stories: elephone: # Units: avail: tate Lic: City Bus Lic: Toperty Owner's Name: �, New Commercial /Tenant Improy.ements: ,ddress: "' Total Building SF :ity; ST, Zip ' Construction Type: Occupancy: elephone: mail: O Ma rlla4 Q O maiz ea 78495 CAL LIE TAMPICO LA QUINTA, CA 92253 760-777-.7000 BUILDING •4C SAFETY DEPARTMENT 78-495 CALLE TAMPICO (760) 777-7012 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 Considering Becoming an -Owner -Builder? Important information you need.to know BEFORE pulling your permit! . . The term "Owner -Builder" can mean three different things: "Owner as Worker", "Owner as Contractor" or "Owner as Employer" Understand each has Benefits or Risk, and itis possible to combine them! Hiring a California Licensed Contractor means you do not personally perform any of the construction work, the permit is not taken out in your name, you are not personally responsible for the construction and you are not an Owner-BuLder. Instead, you become a "Customer" and California law provides you the benefit of protection from poor workmanship, failure tc finish the job and financial risk due to worker injury. Benefit/Risk: HL -hest Benefits and the Least amount of Risk Owner -as -Worker is a type of.Owner-Builder where you personally perform the construction. work, the: permit is taken out in your name and you are personally responsible for the construction management, knowledge; workmanship, and completion of the job. You benefit by not paying others to perform this work for you and your risk depends on your own ability to complete the job successfully. Benefit/Risk: Possible Benefit with Low Financial Risk Owner=as-Contractor is a type of Owner -Builder where you personally act as your own General Contractor, the permit is taken out in your name and'you hire California licensed sub -contractors to perform portions of the construction work. 'WARNING: The benefit of protection provided. -by law when you hire only California licensed sub -contractors canturn .to serious financial risk if you hire unlicensed. contractors to perform any of the work Benefit/Risk: Possible Benefit and Significant Financial Risk Owner -as -Employer is a type of.Owner-Builder where you pay any unlicensed individual to perform any construction work valued at more than $500.00, the permit is taken .out in your name and • you are- personally responsible for their employment requirements, supervision, performance, safety and welfare •while on your property. WARNING: Cost savings benefit can tunm'to serious financial risk if you fail to deduct payroll taxes or provide workers compensation insurance for each worker.. Benefit/Risk: Possible. Benefit with Silznificant Financial Risk (Health and Safety Code Section 19827) The California Legislature declares an "urgent and statewide public interest in assuring" that contractors comply with Contractors' License. Law, Business and Professions Code and Workers' Compensation Insurance requirements to ensure property owners are informed about, and protected from the following when improving their property as Owner -Builders: Fraudulent representations - Liability for worker's injuries - Liability for material and labor costs unpaid -by contractors - Licensing requirements - Employers tax liabilities OVer 20,000. consumer complaints are filed each year. Many complaints relate to owner/builder projects and include workmanship and workers' compensation issues Homeowners suffer financial harm due to defective workmanship and injured employees. Following are alarming. examples of what has occurred with Owner -Builder permits: Example 1: Homeowner received insurance money to rebuild burned -down home. .Owner/Builder permit pulled to rebuild structure. Unlicensed contractor built substandard structure — must be torn down and replaced. ■ Estimated financial injury is $225,000. Additional financial injury - IRS threatened to tax insurance payout if house not completed by the end of the year. Example 2: Brother-in-law had active license but fled an exemption from Workers Comp. ■ Owner -Builder hires brother-in-law to install a new roof. ■ Employee falls and sustains multiple spinal and extremity fractures as. well as a head injury and remains in a coma to this day. The Owner -Builder, who has sold the home, is now a defendant.in a lawsuit for reimbursement for benefits paid to the injured worker. Example 3: Employee of contractor without Workers Comp is hired by Owner -Builder to install septic system and suffers injury that results in permanent disability. ■ The Owner -Builder did not have a homeowner's insurance policy on the house against whi a claim. ch to submit ■ The -Owner -Builder is now a defendant in a lawsuit for reimbursement for benefits paid to the injured worker. Did you know— unlicensed persons frequently have the property -owner obtain an "Owner -Builder" building permit which erroneously implies that the'property owner is providing his or her own labor and material personally? Did you know — your homeowner's insurance may not provide coverage for injuries sustained on your property by an unlicensed contractor and his/her employees? Did you know — if you are considered an "employer" under state and federal law, you must register with the state and federal government, withhold payroll taxes, provide workers compensation and disability insurance and contribute to unemployment compensation for each "employee"? Did you know — that if you fail to abide by these laws you may be subjected .to serious financial risk? . OWNERS BEWARE AND CONSIDER THE RISK BEFORE ACCEPTING FULL RESPONSIBILITYFOR YOUR CONSTRUCTION PERMIT J F.U.WC4 BOX 1504 LA.QUINTA, CALIFORNIA 92247-1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT PROPERTY OWNER'S PACKAGE (760)777-7012 FAX (760) 777-7011. Disclosures & Forms for Owner -Builders Applying for Construction Permits IMPORTANT! NOTICE TOTROPERTY OWNER Dear Property Owner: . An application ' for a building peimit has been submitted in your. name listing yourself as the .builder of thero improvements: specified at p gym' We are rovid' �� 2453. p mg you with an Owner -Builder Acknowledgment and Informarion Verification orm to make you aware of your responsibilities and possible risk you may incur by having this permit issued in your name as the Owner -Builder: We will not issue a' building permit until you have read, initialed your understanding of each provision, signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this notice unless you, the property owner, obtain the prior approval of the permitting authority. OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION RECTIONS. Read and initial each statement below to signer you understand or verify this information. 1. I understand a frequent practice of unlicensed persons is to have the property owner obtain an `owner -Builder" have ding permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as an Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person and his or.her employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my insurance coverag,- for injuries to workers oli my property. 2. I understand building permits are not required to be signed by property owners unless. they, are responsible for the ruction and are not hiring a licensed Contractor to assume this responsibility. 11 understand as an "Owner -Builder" I am the responsible party of record on the permit I understand that I may protect if from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my I understand Contractors are required by law to be licensed and bonded in California and to list taeir license numbers on and contracts. 5.1 understand if l employ or otherwise engage any persons, other than California licensed Contrac.ors, and the total value y construction is at least five hundred dollars ($500), including labor and materials, I may be considered an ".employer" r state and federal law. 6. I understand if I am considered an "employer" under state and federal law, I must register with the state and federal mment, withhold payroll taxes, provide workers' compensation disability insurance; and contribute to unemployment )enation for each "employee." I also understand my failure to abide by these laws may subject me to.serious financial 13 7. I understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential clunes cannot legally build them with the intent to offer them for sale, unless all work is' performed by licensed subcontractors and the number.of structures does not exceed four within any calendar year, or all of fie work is performed under contract with -a licensed general building Contractor. 8. I understand as an Owner -Builder if I sell the property.for which this permit is issued, I may be held liable for any fin cial or personal injuries sustained by any subsequent owner(s) that result from any latent ccnstruction defects in the anship or materials. 9. I understand I may.obtain more information regarding my obligations as an "employer" from the Internal Revenue S ice, the United States Small -Business Administration, the California Department of Benefit Pay`nents, and -the Californiaivision of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1- 8%0-321-CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors. 10. 1 am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the .legally, and financially .responsible for proposed constructi9n activity at tl a following . address: Jas �er�n.t A Marl'oen �,.. %,�.. �..� . yrs J=la- 11. I agree that, as the party legally and financially responsible for this proposed construction activity, I wills abide by all cable laws and requirements that govern Owner -Builders as.well as employers. 12. I agree to notify the issuer of this form immediately of any additions, deletions, or changes tc• any of the information'l ave provided on this form Licensed contractors are regulated by laws designed to protect the pudic. If you contract with someone who does not have a license, the Contractors' State License Board may be unable to assist yeu with any financial loss you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may br in civil court. It is also important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working on your property, you may be held liable for damages. If you obtain a permit as Owner -Builder and. wish to hire Contractors, you will be responsible for verifying whether or not those Contractors are properly licensed and the status of their -workers' compensation insurance coverage. Before a building permit can bei ed, this m must be completed and signed by the property owner and returned to .the.agency responsible for issuin the permit. copy of the propeny.owner's driver's license, form notarization, or other verification acceptable to t e age x quired to be presented when. the permit is issuer to verify the property owner's signature. Signature of property owner Date: Note: The following Authorization Form is required lobe completed by the property owner only when designating an agent of the property owner to apply for a construction permit for the Owner -Builder. AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF Excluding the Notice to Property Owner, the execution of which I understand is my personalresponsibility, I hereby authorize the following person(s) to act as my agents) to .apply for, sign; and file the documents necessary to obtain an Owner -Builder Permit for my project. Scope of Construction.Project (or Description of Work): Project Location or Address: Name of Authorized Agent: Address of Authorized Agent: Tel No I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above information and certify its accuracy. Note: A copy of the.owner's driver's license, form notarization, or ether verification acceptable to the agency is required to be presented when thepermit is issued to verify theproperty owrer s signature. Property Owner's Signature: Date: