BRER2017-0023c.
78-495 CALLE TAMPICO 4
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Application Number: BRER2017-0023�DL
r:
Property Address: 52880 AVENIDA MARTINEZ RRERA
APN: 773332008D AVENIDA MARTINEZ
Application Description: HERRERA RESIDENCE/ RE -ROOF INTA, CA 92253
Property Zoning: FEB 13,
3 2017
Application Valuation: $6,950.00
Applicant: CITY OF LA QUINTA
DESIGN AND DEVELOPMENT actor: DEPART
M. RIVERA ROOFING INC M. RIVERA ROOFNG INC
30206 AVENIDA DEL PADRE 30206 AVENIDA DEL PADRE
CATHEDRAL CITY, CA 92234 CATHEDRAL CITY CA 92234
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.: 958465
Date��7Con�,o Ll
OWNER -BUILDER DE RATION
I hereby affirm under penalty of perjury that I am a 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
(760)902-9781
Llc. No.: 958465
Date: 2/13/2017
WORKER'S COMPENSAIION DECLARATION
I hereby affirm under penalty of perjury one d the following declarations:
I have and will maintain a certificat= 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 . Polity Number: 9057875
I certify that in the performance of the work for which this permit is issued, I
shall not employ any person in any manner sous 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 X00 of the Labor ode, I shall forthwith
comply with those provisions.
l 3'c;� 0/7
WARNING: FAILURE TO SECURE WORKERS' OrMPENSATION C ERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TC CRI AL PENALTIES ND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,0 . ON 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 thi : 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 t ie 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=ssuance of such permit, or cessation of
work for 180 days will subject permit to cance1ation.
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 ordi lances and state laws relating to building
construction, and hereby authorize representatives of this city to enter upon the
above:mentioned property for inspection purposes.
Da reC-C7' ' / 3-,.//ijionar, iro_�Annfieo..r....�n,.e.d��{•%
T `
Date: 2/13/2017
Application Number: BRER2017-0023
Owner:
Property Address: 52880 AVENIDA MARTINEZ
GIL HERRERA
APN: 773332008
52880 AVENIDA MARTINEZ
Application Description: HERRERA RESIDENCE/ RE -ROOF
LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $6,950.00
Applicant:
Contractor:
M. RIVERA ROOFING INC
M. RIVERA ROOFING INC
30206 AVENIDA DEL PADRE
30206 AVENIDA D=L PADRE
CATHEDRAL CITY, CA 92234
CATHEDRAL CITY, :A 92234
(760)902-9781
Llc. No.: 958465
Detail: REROOF WITH COOL ROOF SHINGLES - AMBER COLOR [CRRC: 0890-0009] PER 2016 CALIFORNIA ENERGY CODE
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT iQTY AMOUNT
BSAS SB1473 FEE 101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION.
ACCOUNT
CITY
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
UI ALJ: ,S1I3.ZU
Bit, #City of La Quinta
Building 8i Safety Division
Permit # 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-701,2
Building Permit Application and Tracking Sheet
Project Address: Owner's Name: l l%�/Qj(�'✓�
A. P. Number:
I,,'n
Address: Ve(%l IvT l I lZ/
Legal Description:
City, ST,.Zip:�
Contractor: r:
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Telephone: GC �
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Address:
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Project Description:
City- ST, zip-a.
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Tele hone: t] a V.
................................................
State Lic. # : G'3%— 95 Slit)
City Lie.
Arch.,'Engr., Designer:
Address:
City, ST, Zip:
a Zc :
troTelephone: Consttio"n Type: OccuP
State ic. # .
ProJPecircle one : New Add' n A--ter Repair. Demo
'ect �,
Name of Contact Person:
Sq. Ft.. -zDD
# Stories:
(
# Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO. NOT"WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deport "
Truss Cates.
Called Contact Person
Plan Check Balan_e.
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
god Review, ready for corrections/issue
Electrical .
Subcontaetor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S•M.I.
11.0 A. Approval
Plans resubmitted
Grading
IN HOUSE:-
"Review, ready for corrections/issuc
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks: Appr
Date or permit issue
School Fees,
.
1
Total Permit Fee_
I
j
. r
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CEC-CFIR-ALT-01-E Revised 06/14 I
CERTIFICATE OF COMPLIANCE
'Prescriptive Residential Alterations
Proiect Name: '1i) tit 1/y:h,1A_
CALIFORNIA ENERGY COMMISSION
• CF1R-ALT-01-E
(Page 1 of 4)
Date Prepared:
A. GENERAL INFORMATION 1
Ol
02
01 Project Name: '1I I
02
Date Prepared:
03 Project Location:
04
Building Front. Ci entatiori'(deg or cardinal):
05 CA City:. 'i - L
Ub
NUMb6r dt Altered�Uwelling Uhlts`i
07 Zip Code: 1
08
Fuel Type: jKA '
09 Climate Zone: i
10
_y ..�,.;;,,
T,otal,Conditianed FloorzArea(ft2)>
11 ; Building Type
12
SIab;Area'(ft2)
13 ' Project Scope: i
CRRC ID
f t� . VA
B. BUILDING INSULATION DEiTAILS (Section 150.2(b)1) w..
Ol
02
I 03
04
05
06 „" ? X07 F 68 Q9
10
11
Tag/ID
I Assembly Type-
r
s Frame
Type
Frame
Depth
1 (inches)
FrameContinuous
Spacing
(inches)
P opposed ,'
Required
Comments
CavitybOInsulation
R -value; R -value
AP:factor
ppendix JA4
Reference
LI -Factor
Table, Cell
CRRC ID
Deck
Compliance
Pitch
Exception
umb r yP'roductType
.
,Insulation
Reflectance Reflectance Emit (Optional) Reflectance Emittance (Optional)
I a *"%,0 w ". '16 1& %.
C. ROOF REPLACEMENT (Prescriptive Alteration, Secfti�on�150.2(b)iH) �"
-4
k
1W
Ol
02
03 1
04ri
05,
06
Y07a 08 09. 10 11 12 13
�P.rodact
R -value;
Pro osed Minimum Re uired
nitial Solar Aged Solar Thermal SRI Aged Solar Thermal SRI
Method of
Roof
CRRC ID
Deck
Compliance
Pitch
Exception
umb r yP'roductType
.
,Insulation
Reflectance Reflectance Emit (Optional) Reflectance Emittance (Optional)
NOTESV1
• •Roof area covered by buildmg`in};tegrated p notov,olta ic%panels and solar thermal panels are exempt
oat tallation
from the above Cool Roof requirements:
• Liquid field applied gs�must comply with criteria from section 110.8(i)4.
Registration Number: ; Registration Date/Time: HERS"Provider:
CA Building Energy Efficiency Standards - 2013 Residential Compliance June 2014
r
I
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CEC-CFIR-ALT-01-E Revised 06/14 CALIFORNIA ENERGY COMMISSION ,0s
CERTIFICATE OF COMPLIANCE MR -ALT -01-E
Prescriptive Residential Alterations (Paee 4 of 41
I Project Name: I Date Prepared: I
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 cSj4-'kthaj1WLCe1tificate ofCompliance documentation is accurate and complete.
pocu ent P1
thor Na
Documentation Author Signature:
as
Co any:
Signature Date: `
Address:
CEA/ HERS Certification Iden tificatior (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: 40*1
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 respons'b�y.,for the building°deri system design identified on this Certificate of Compliance (responsible
designer).
3. That the energy features and performance specifications, materials, components, ndi manufactured dev�i a for the building design or system design identified on this Certificate of
w +s.. s3 1�1 n
1
Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of'Regulations.
4. The building desigri features or system design features identified on this Certificate of Co plliiance are consisted itch>ti a information provided on other applicable compliance documents,
worksheets, calculations, plan's and specifications submitted to W e nfotcement ager�cywfor-approval with thiis�bbuilding permit application.
5. 1 will ensure that a registered copy of this Certificate of Compliance shall be made,afftlable with the building pgrmlt(s) issued for the building, and made available to the enforcement agency
C 81k,i+
.5 ,
for all applicable inspections. I understand that a register eopyof 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:
�
13 \ti NN, dC_-._..
Company: P T �3 1#'
Date Signed:
Address: )
License:
CI[y/State/ZIp:��'�i!
Phone:
1
For assistance orrqquesj ions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.
Registration Number: Registration Date/Time: HERS Provider:
CA Building Energy Efficiency Standards - 2013 Residential Compliance June 2014