BRER2017-010078-495 CALLE TAMPICO . .
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
DESIGN & DEVELOPMENT DEPARTMENT
RE -ROOF/
BRER2017-0100
•54180 AVENIDA MARTINEZ
774222007
AVILA RESIDENCE / REROOF.
$7,560.00
CITY OF L4 QUINTA
DESIGN AND DEVELOPMENT DEPARTMENTContractor:
PALM DESERT CO JTRACTORS
P O BOX 2795
PALM DESERT, CA 92261
Applicant:
PALM DESERT CONTRACTORS
P 0 BOX 2795
PALM DESERT, CA 92261
BUILDING PERMIT
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/23/2017
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: B. C39 License No.: 477507
OWNER- ILDER 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 Coritractors' 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
Lender's Address:
(760)346-2420
Llc. No.: 477507
WORKER'S COMPENSATInN DECLARATION
I hereby affirm under penalty of perjury one ofthe following declaratioris:
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: 9165351
I certify that in the performance of oe work for which this permit is issued, I
shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California, and agree tha-., if I should become subject to the
workers' compensation provisions of Section 3:00 of the Labor Code, I shall forthwith
comply with those provisions.
ate: / IC- —1 7�Adolicant:
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 th,=- 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 stare 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 representat'ves of this city to enter upon the
above-mentioned property for inspection purprses.
.e— 27 " ate: I SiSig to (Applicant or
Owner:
DEBRA AVILA
54180 AVENIDA MARTINEZ
LA QUINTA, CA 92253
OCT 19 2017
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: B. C39 License No.: 477507
OWNER- ILDER 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 Coritractors' 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
Lender's Address:
(760)346-2420
Llc. No.: 477507
WORKER'S COMPENSATInN DECLARATION
I hereby affirm under penalty of perjury one ofthe following declaratioris:
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: 9165351
I certify that in the performance of oe work for which this permit is issued, I
shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California, and agree tha-., if I should become subject to the
workers' compensation provisions of Section 3:00 of the Labor Code, I shall forthwith
comply with those provisions.
ate: / IC- —1 7�Adolicant:
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 th,=- 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 stare 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 representat'ves of this city to enter upon the
above-mentioned property for inspection purprses.
.e— 27 " ate: I SiSig to (Applicant or
1
Date: 10/23/2017-
0/23/2017Application
ApplicationNumber: BRER2017-0100
Owner: .
Property Address: " 54180 AVENIDA4ARTINEZ
DEBRA AVILA
APN: 774222007
S4180 AVENIDA MARTINEZ
Application Description: AVILA RESIDENCE / REROOF
LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $71560.00
Applicant:
Contractor:
PALM DESERT CONTRACTORS
PALM DESERT CONTRACTORS '
P 0 BOX 2795
P 0 BOX 2795
PALM DESERT, CA 92261
PALM DESERT, CA 92261
(760)346-2420
-------------------------------------------------------------
Llc. No.: 477507
--------------------------------
Detail: REROOF WITH 1S LB BASE SHEET AND INSTALL OWENS CORNING SHINGLES AT PITCH AND 28 L•B BASE SHEET AND AMERICAN MODIFIED TAR
COMMERICAL ROOFING MEMBRANE, TAN [CRRC:'####-####] PER 2016 CALIFORNIA ENERGY CODE.
r
1
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
Credit Card Fee
101-0000-43505
0
$2.97
Total Paid for Credit Card Fee: $2.97
DESCRIPTION
ACCOUNT
ZtTY
AMOUNT
RE -ROOF - FIRST 2,000 SF
101-0000-42404
0
$53.05
DESCRIPTION
ACCOUNT
:TY
AMOUNT
RE -ROOF - FIRST 2,000 SF PC
101-0000-42600
0
$106.11
Total Paid for RE-FOOF: $159.16
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
1
f
n
Bin#
City .of La Quinta
Building & Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit#
Project Address: .�r I
.
G-1
Owner's N e. f
A.P. Number
Address: sal ( $ o
Legal Description:
City, ST, Zip:
Contractor: 4Z,
Telephone:
Address: %8
Project Description:
City, ST, Zip:
Telephone:
State Lic. #:.� i T b % City Lic #:
Arch, Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Construction Type:
Occupaicy:
Proj. Type
New
Add'n
Alter
Repair
Demo
Name of Contact:
(
SgFt: a
#Stories
# Units:
Telephone of Contact' ?
_
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'•d
Rec'd
TRACKING '
PERMI:'' FEES
Plan Sets
Plan Check Submitted
Item
Amount
Structural Calcs
Reviewed, ready for corrections
Plan Check Deposit:
Truss Calcs
Called Contact Person
Plan Check Balance:
Title 24 Calcs
Plans Picked Up
Construction:
Flood Plain Plan .
Plans Resubmitted
Mechanical:
Grading'Plan
2nd Rev, Ready for correctiong /
Electrical:
Subcontractor List
Called Contact Person
Plumbing.
Grant Deed
Plans Picked Up
S.M.I.
HOA Approval
Plans Resubmitted
Grading
IN-HOUSE'
3rd Rev, Ready for corrections /
Develop:r Impact Fee
Planning Approval
Called Contact, Person
A.I.P.P.
Pub. Wks. Apps
Date of permit issue
School Fees
Total Permit Fees
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
:EC-CFIR-ALT-05-E (Revised 04/16) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCECF1R-ALT-05-E
Prescriptive Residential Alterations That Do.Not Require HERS Field Verification Page 1 of
Project Name:
4.VDate Prepared:
11�
This compliance document is only applicable to
with a HERS Provider Data Registry.
t do not require HERS verification for
HERS verification is required, -a CFIR-ALT- 01 shall first be registered
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
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 CF1R-ALT-02 must be completed and registered with. a HERS Provider Data Registry.
Alterations thot 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 CFIR-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 dre
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:
"� I G
02
. Date Prepared:
03
Project Location:
rye C.
04
Building Front Orientation (deg or cardinal):
05
CA City:
/ 1
06
Number of Altered Dwelling Units:
07
Zip Code:
3
08
Fuel Type:
09
Climate Zone:
10
Total Conditioned Floor Area (ft):
11
fuilding Type:
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 2.016 Residential Compliance April 2016
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification°
CEC-CF1 R=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 Pre ar
C. Roof Replacement (Prescriptive Alteration, Section 150.2(b)1H) '.
01
02
03
04
OS
0
07 - 08
09 10
11 12• 13
-Proposed
Minimum Required
Method of
Compliance
Roof Pitch
Exception
roduct
C�DN
Product
Type
R -value
Deck
Insulation
Initial Solar
Reflectance
Aged Solar
Reflectance
Thermal
Emittance
SRI
(Optional)
Aged Solar
Reflectance
Thermal
Emittance
_
SRI
(Optional)
;F Ad�dr ON
�` �• I
�elete Rio
,-
NOTES: .
• Roof area covered 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.
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS. Field Verification
SEC-CF1 R-ALT705-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:
tunipdny:
Signature uate:
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.
5. 1 will ensure that a registered copy of this Certificate of Compliance shall be made available with thebuilding 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 N r7�--
Responsible Designer • na ure:
Company:
Date Signed`.
! kL�:Ic:i- C=k 1--�
Address: cj
License: -7
City/State/Zip:
Phone:
y Z n
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