BRER2017-0038-78-495 CALLE TAMPICO T U D 4 Qum&
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BRER2017-0038
Property Address: 52811 AVENIDA NAVARRO
APN: 773334017
Application Description: ANDRADE / REROOF ENTIRE DWELLING WITH SHINGLES
Property Zoning:
Application Valuation: $4,000.00
Applicant: D
PATRICIA ANDRADE APR 2 8 2017
52811 AVENIDA NAVARRO
LA QUINTA, CA 92253
, 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.:
Date:
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 applicaneto a civil penalty of not more than five hundred dollars ($500).:
Q(.��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
C ntractors' State License Law.).
I am exempt under Sec. . B.&P.C. for this reason
M
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 Na
Lender's
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/28/2017
Owner:
EDUARDO ANDRADE
52811 AVENIDA NAVARRO
LA QUINTA, CA 92253
Contractor:
OWNER BUILDER
Llc. No.:
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:Policy Number: _
e 1 certify that in the performance of the 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 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. - 1�1 / „
/-7
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. p
Date: 4/28/2017
Application Number: BRER2017-0038 Owner:
Property Address: 52811 AVENIDA NAVARRO EDUARDO ANDRADE
APN: 773334017' 52811 AVENID.A NAVARRO
Application Description: ANDRADE / REROOF ENTIRE DWELLING WITH SHINGLES LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $4,000.00
Applicant: Contractor: .
PATRICIA ANDRADE OWNER BUILDER
52811AVENIDA NAVARRO
LA QUINTA, CA 92253
Llc. No.:
---------------------------------------------------------------------------------------------
Detail: REROOF ENTIRE ROOF WITH COOL ROOF SHINGLES [CRRC: 0890 0008) 2016 CALIFORNIA ENERGY CODE.
• a
r
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
$98.32
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RE -ROOF - FIRST 2,000 SF PC
101-0000-42600
0
$5.04
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 #
.City of La Quii ita
Building & Safety Division
Permit # 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Sp -jo 1.7 _ TO 3a Building Permit Application and Tracking Sheet
Project_ Address: g �� ) �C_/ /C �, Owncr'sName: a
A. P. Number:
Address: S C9 U /-7 80
Legal Description:
City_' T Zip
Cntr_ct_4r:�
n
�Tel�eP �h
Address:
�Proj_ect.Descripti^'o
City, ST, Zip:
e:
Telephone:
e hon
State Lic. # :
City Lic. #t
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone: ne:
an :
Occupancy:
Construction Type: e• cY
State e Lic. #.
Project ect type (circle one) New A dd 'n Alter Repair.air Demo.
Name of Contact Person:
? (
S� q. -Ft.
#Stories:
#Units:
LTelephone tl.of Contact.Person:7
%
Estirnated"Value of Project: �tJ
^
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
Submittal
Req'd
Rcc'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs..
Called Contact Person
Plan Check Balance.
Title 24 Caics.
Plans picked up
Construction '
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
Review, ready for corrections/iissuc
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Dale of permit issue
School Fees,
Total Permit Fees
T-Iffif 4 4`Q a"- I -
P.O. 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 TO PROPERTY OWNER
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of the property
improvements specified at 5 -IR -611A �_ /it Al- A fA1J p, r rO
We are providing you with an Owner -Builder Acknowledgment and Information Verification Form 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.
DIRECTIONS: Read and initial each statement below to signs you understand or verify this informat<on. .
TI -PILL I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner -Builder"
building 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 coverage for injuries to workers
on my property.
8!� 2. I understand building permits are not required to be signed by property owners unless they are responsible for the
construction and are not hiring a licensed'Contractor to assume this responsibility.
A-yse3. I understand as an "Owner -Builder" I am the responsible party of record. on the permit. I unde-stand that I may protect
lf.from potential financial risk by hiring a licensed Contractor and having the permit filed in his o
own. r her name instead of my
4. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on
permits and contracts.
5. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value
of my construction is at least five hundred dollars ($500), including labor and materials, I may be cc nsidered an "employer"
under state and federal law.
P4+6. I understand if'I am considered an "employer" under state and federal law, -I must register with the state and federal
government, withhold payroll taxes, provide workers' compensation disability insurance; and contribute to unemployment
compensation for each "employee." I also understand my failure to abide by these laws may subject me to.serious financial
risk.
P-47. I understand under California Contractors' State License Law, an Owner -Builder who builds -ingle-family residential
structures 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 the work is performed
under contract with a licensed general building Contractor.
P-48. I understand as an Owner -Builder .if I sell the property for which. this permit is issued, I may be held liable for any
financial or personal injuries 'sustained by any subsequent owner(s) that result from any latent construction defects in the
workmanship or materials.
fk9. 1 understand I may obtain more information regarding my obligations as an."employer" from the Internal Revenue
Service, the United States Small -Business Administration, the California Department of Benefit Payments, and the California
Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1-
800-321-CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors.
10. I am aware of and consent to an Owner -Builder building permit applied for. in my name, and understand that I am the
party legall , and financia y respo ible for . proposed construction activity at the following address:
�a,i Ad?;.n .II. & A,t.11 ;
I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all
applicable laws and requirements that govern Owner -Builders asmell as employers.
12. I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I
have provided on this form . Licensed contractors are regulated by laws designed to protect the public. If you contract with
someone who does not have a license, the Contractors' State License Board may be unable to assist you with any financial loss
you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be 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 be issued, this form must be completed and signed by the property owner and returned to
the agency responsible for issuing the permit. Note. A copy of the property owner's driver's license, form notarization, or
other verification acceptable to the agency is required to be presented when the permit is issued to verify the property
owner's signature.
Signature of property owner d Le Date: �/907
Note: The following Authorization Form is required to be 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 personal responsibility, I hereby authorize
the following person(s) to act as my agent(s) 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 other verification
acceptable to the agency is required to be presented when the permit is issued to verb the property owners signature.
Property Owner's Signature: Date:
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CEC-CFIR-ALT-01-E Revised 09/16 CALIFORNIA ENERGY COMMISSION qiW
CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E
Prescriptive Residential Alterations (Page 1 of 6)
Project Name: Date Prepared:
A. General Information
Insulation Details — Framed (Section 150.2(b)1)
01
02
01
Project Name:
Taooe,40
02
Date Prepared: ,
03
Project Location:
5L Fi / /NC n 104-• NC- ve-ere,
04
Building Front Orientation (deg or cardinal)--.�
05
CA City:
z— 00 e"r c
06
Number of Altered Dwelling Units:
07
Zip Code:
c3
08
Fuel Type: ,0 , W .
09
Climate Zone:
10
Total Conditioned Floor Area,(;ft4) - _,
11
1 "Building Type:
12
1 Slab Area (ft2): qlt4
13
Project Scope:
Q.Q�o ( .� awe \ S _ s
14
Exceptions to Minimum° gin-)S'olar Reflectan'Ee'l
^i
and Minimum TherrA i:tance or SRI:
B. Building
Insulation Details — Framed (Section 150.2(b)1)
01
02
03
04
05
06 07 1 0B,47'i1669
10
11
Tag/ID
Assembly Type
Frame
Type
Frame
Depth
(inches)
Frame
Spacing
(inches)
Pop�osed
Required
Comments
` '
+ Continuous
Cavity nsuiation
R -value R -value
1P €Appendix JA4
. .
Reference
Urfa for Table Cell
U -Factor
Appendix JA4
Reference
Required
Table Cell
U -factor
from
ParkagP
Note:
• Where insulation is installed above the roofing membra Ne 3 Y ab the layer us&to seal the roof from lar r penetration, the insulation shall have a maximum water absorption of 0.3
percent by volume when tested according to ASTMfStandard C272. , ;1, Al
K.P 1k, I "%W
C. Building Insulation Details— Non -framed X%, ILI 43
01
02
X03, ,
04
05 06 07 08 09
10
11
Tag/ID
.
Assembly
Assembl y
Materials
.ysq
Thickness
(orches)
x�
Proposed
Required
Comments
Core'
)nisuation
R -value
Continuous
Insulation
R -value
U -factor
Appendix JA4
Reference
Required
Table Cell
U -factor
from
ParkagP
Registration Number: ' Registration Date/Time: HERS Provider:
CA Building Energy Efficiency Standards - 2016 Residential.Compilance September 2016
+' v STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
"ill
'EC Revised 09/16 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CFIR-ALT-01-E
Prescriptive Residential Alterations (Page 2 of 6)
Project Name: d0, ' ✓1 Date Prepared:
D. Building Insulation Details — Mass Walls
01
02
03
04
05
06
07 08 1 09 a
10 11
Tag/ID
Wall Above
Grade
Mass Type
Mass
Thickness
(inches)
Interior
Furring
Strip
Thickness
(inches)
Exterior
Furring
Strip
Thickness
(inches)
Proposed
Required
Interior Insulation
Exterior Insulation .
Ap+�pendlkJA4
�YRefAence
Inteior Insulation
Exterior Insulation
R -value U factor
R value U=.fa o,r
Table
CpII
alue U -factor
R -value
U -factor
14
�estration Facin
Maximum
Maximum
Maximum
CRRC
Prop_ edx. `
AVI
Area for All Fenestration
Allowed
Allowed
Allowed
Aged Solar
Aged Solar
Tag/
Orientatieris
Arco Only
OriaiLaLiunn Ai ed
Product
Li -factor
R -value
SHbL
Method of
Roof
E. Roof
Replacement (Section 150.2(b)1H) a„ V'
Ol
02
�tb4
05
06
07
Maximum
"'Maa'*X mum
#
s
01
02
03
04
05
06
07
08
( 0
11
12
13
14
�estration Facin
Maximum
Maximum
Maximum
CRRC
Prop_ edx. `
Minimum Required
Area for All Fenestration
Allowed
Allowed
Allowed
Aged Solar
Aged Solar
Tag/
Orientatieris
Arco Only
OriaiLaLiunn Ai ed
Product
Li -factor
R -value
SHbL
Method of
Roof
I (ft')
ID
Product
Deck
�I,n�ia,hSolar
%of
Aged Sola
Thermal
SRI
Reflectance
Reflectance Thermal SRI
ID
Compliance
Pitch
Exception
Number
Type
Insulation
ectance
Reflec
Emittance�(
(Optional)
(Max)
(Min) Emittance (Optional)
U1. AL
" ,,..z
o Bao •o>�
`:
.'
.. ;A
a 7 S 1
Notes:
• Roof area covered by building integrated photovolttaic,p nell and solar t�hherm�al nels are exempt'°from the above Cool Roof requirements. i
• Liquid field applied coatings must comply with installtAn criteria Oom sectii 110.8(1)4.
-61L"�k P is .0 ) -I,
F. Fen estration%Glazing Allowed Area§ a etff biencies (Sectio 15.0...2(b)1)
Ol
02
�tb4
05
06
07
Maximum
"'Maa'*X mum
ms
s
Allowed
Allowed West-
€zisti`n. g ExistingWs
Fenestration
in
�estration Facin
Maximum
Maximum
Maximum
Maximum
Area,, o AII, '
Fenestrattion
Area for All Fenestration
Allowed
Allowed
Allowed
Allowed
Altoration
Orientatieris
Arco Only
OriaiLaLiunn Ai ed
U-fdciui
Li -factor
SHbL
SHbL
Type
I (ft')
„(ft) ax
(ftZ) (ftZ)
(Windows)
(Skylights)
1 (Windows)
I (Skylights)
Comments
Registration Number: Registration Date/Time: HERS Provider:
CA Building Energy Efficiency Standards - 2016 Residential Compliance September 2016
ESTATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
EC-CFIR-ALT-01-E (Revised 09/16) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CFIR-ALT-01-E
Prescriptive Residential Alterations (Page 6 of 6)
Project Name:i?L)(/V6o Date Prepared:
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:.Doc
i J oy--
um on Author Slgnature:.
Company:
Signature Date:
tokAddress:
5'1, �lJNeel i��� a�rV
CEA/ HERS Certillcatlon IdentificStionr(if applidble):
City/State/Zip:` I `� �� �� 5
Phone:
RESPONSIBLE PERSON'S DECLARATION STATEMENT *4W
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 f6�e b ilding desighEo to design identified on this Certificate of Compliance (responsible
designer).
3. That the energy features and performance specifications, materials, components, and m�hufactured devic,,`r3�fhe 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 Cal^'Iwa*t ode of Regulatl�'on3..
4. The building design features or system design features identified on this Certiflcate,of Compliance ao'ffSistent with tinformation provided on other applicable compliance documents,
worksheets, calculations, plans and specifications submitted to the enforceme agency fo., appr"va�th this buildlag;permit application.
the mitt(3),Issued
S. I will ensure that a registered copy of this Certificate of Compliance�haall be made availab'WXith building p for the building, and made available to the enforcement agency
NsaCertificate -'b is with the documentation the builder provides to the building
for all applicable inspections. I understand.that a registered c6py.of oft, pliance require&to beaincluded
owner at occupancy.
Responsible Designer Name:
ame
Respona161Ue'sigiier Signature:
vwrr ALO
Company: s
Date signed:
Address:''nn o-
elf
License:
City/State/Zip:
c_ -
VW
X''F'oassistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300
LI
Registration Number: Registration Date/Time: HERS Provider:
CA Building Energy Efficiency Standards - 2016 Residential Compliance September 2016