BRER2018-017378-495 CALLE TAMPICO C� 0 D 4-vtfLfL�t/
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype: RE -ROOF/
Application Number:
BRER2018-0173
Property Address:
53555 AVENIDA HERRERA
APN:
774123015
Application Description:
STONE / 26005F REROOF ENTIRE DWELLING W/ SHINGLES
Property Zoning:
Application Valuation:
$12,077.00
Applicant:
HANDLEY DEVELOPMENT INC DBA CHANDLER'S R
403 W 21ST STREET
SAN PEDRO, CA 90731
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.: 404931.
Date: I�'� 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 hear she is exempttherefrom 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:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/25/2018
Owner:
MARTIN CHAVEZ
53555 AVENIDA HERRERA
LA QUINTA, CA 92253
Contractor:
HANDLEY DEVELOPMENT INC DBA CHANDLER'S R
403 W 21ST STREET
SAN PEDRO, CA 90731
(310)831-7663
Llc. No.: 404931
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 lhp�orwhich this permit is issued.
�; I have and will maintain workers' compensation insurance, as required by
Section 3700 of the Labor Cade, for the performance of the work for which this permit is
issued. My workers' compensation insurance carrier and policy number are:
Carrier: CALIFORNIA IN RAN COMPANY Policy Number. 8266§a9701
I 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.
Date:' a'`y1� Applicant:
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. +
Date: �` C� Signature (Applicant or Agent):
Date: 10/25/2018
Application Number:
BRER2018-0173
Property Address:
53555 AVENIDA HERRERA
APN:
774123015
Application Description:
STONE / 2600SF REROOF ENTIRE DWELLING W/ SHINGLES
Property Zoning:
Application Valuation:
$12,077.00
Applicant:
HANDLEY DEVELOPMENT INC DBA CHANDLER'S R
403 W 21ST STREET
SAN PEDRO, CA 90731
Owner:
MARTIN CHAVEZ
53555 AVENIDA HERRERA
LA QUINTA, CA 92253
Contractor:
HANDLEY DEVELOPMENT INC DBA CHANDLER'S R
403 W 21ST STREET
SAN PEDRO, CA 90731
(310)831-7663
Llc. No.: 404931
Detail: REROOF ENTIRE DWELLING WITH SHINGLES[CRRC: 0676-0138] 2016 CALIFORNIA ENERGY CODE.
DESCRIPTION
FINANCIAL INFORMATION
ACCOUNT CITY
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
$12.81
DESCRIPTION
ACCOUNT
CITY
AMOUNT
RE -ROOF - FIRST 2,000 SF
101-0000-42404
0
$54.43
DESCRIPTION
ACCOUNT
CITY
AMOUNT
RE -ROOF - FIRST 2,000 SF PC
101-0000-42600
0
$108.87
Total Paid for RE -ROOF:
$176.11
DESCRIPTION
ACCOUNT
CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE:
$5.00
ta 0"fra
PERMIT #
PLAN LOCATION:
Project Address: 53555 Avenida Herrera
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN#: 774-123-015
Tear off 26 squares of shingles on a one
story home with attached garage.
Applicant Name: Jane Recktenwald
Flat roof over patio excluded. Sloped
Address: 403 W 21 st St
roof only to be done
City, ST, Zip: San Pedro CA 90731
Telephone: _ _ 1
Email: lanereck att. net
Valuation of Project $ 12,077.00
Contractor Name: Chandler's Roofing
New SFD Construction:
Conditioned Space SF
Address: 403 W 21 st St
City, St, zip San Pedro CA 90731
Garage SF
Telephone: 31 0.831-7663
Patio/Porch SF
Email: hickscherie@mac.com
Fire Sprinklers SF
State Lie: 404931 City Bus Lie:
SF L D D
Arch/Eng Name: NSA
Construction Type: Occupancy:
Address:
Grading:
City, St, Zip
Telephone:
Bedrooms:
Stories: 1
# Units:
Email:
State Lie: City Bus Lie:
Property Owner's Name:
Address: 53555 AN
City, ST, Zip La Q u i i
Telephone:
Email:
New Commercial / Tenant Improvements:
Total Building SF
Construction Type: Occupancy:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
CEu-girt-ALl-ub-E (Revised 04175) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification Page 3 of 3
Vale Prcparcd:
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signatvre:
Company; .;
signature Date:
Address:
CWHERS Certification Iderdification (if applicable):
city/stateJZip:
r� Cry
Phone:
1--1LoCO�
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 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 :
L-� ISM
Date Signed;
—
Address: ll yy
Uji���i-{i'i�7�
License:
GtylStatel7ip:
i V CIO, 19�C-51-)
Phone:
—7�43-
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
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
�&
CEC-CH R-ALT-05-E (Revised 041I6) _ _ CALIFORNFIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CFIR-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification Page 1 of
. Y. Q/te Prepared:
This compliance document is only applicable to simple alterations that do not require HERS verification for
with a HERS Provider Data Registry.
a CFSR-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 ductsystem 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 CFIR-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 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 are,
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
Ol
Project Name:
i j
TC�
02
Date Prepared:
`�
03
Project Location:
j � v
Tom➢ C_•�-
04
Building Front Orientation (deg or cardinal):
05
CA City:
1 { _
06
Number of Altered Dwelling Units:
07
Zip Code:
aa.�'CL3�
08
Fuel Type:
09
Climate Zone:
I S
1
10
Total Conditioned Floor Area (ft):
11
Building 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 - 2016 Residential Compliance April 2016
STATE OF CALIFORNIA
Prescrintive Residential Alterations That Do Not Reauire HERS Field Verification
V- r
CEC-CF1 R-ALT-05-E (Revised 04/16) CALIFORNIA ENERGY COMI--------
CERTIFICATE OF COMPLIANCE CF1R-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification Page 2 of 3
Naga Name: _ Date Prepared:
�. 4 ..
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
Method of
Compliance
Roof Pitch
Exception
CRRC Product
ID Number
Product
Type
R-value
Deck
Insulation
Initial Solar
Reflectance
Aged Solar Thermal
Reflectance Emittance
SRI
(Optional)
Aged Solar
Reflectance
Thermal
Emittance
SRI
(Optional)
50.[
ins
N�
,}
C
•
�S
I.6
-T
i
Add Raw
Delete 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(i)4.
CA Building Energy Efficiency Standards - 2016 Residential Compliance April 2016