BRER2019-001178-495 CALLE Tj kPICO D�
MVOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 2/7/2019
Permit Type/Subtype: RE -ROOF/ Owner:
Application Number: BRER2019-0011 CINTHIA PENALBER
Property Address: 52330 AVENIDA VALLEJO 52330 AVENIDA VELLEJO
APN: 773263004 LA QUINTA, CA 92253
Application Description: PENALBER / REROOF ENTIRE DWELLING WITH NEW O.C. SHINGLES
Property Zoning:
Application Valuation: $9,000.00
Applicant: D Contractor:
JOHN PATRICKALMENDAREZ JOHN PATRICKALMENDAREZ
1301 WEST 42ND STREET 1301 WEST 42ND STREET
LOS ANGELES, CA 90037 FEB 0 % 2039 D LOS ANGELES, CA 90037
CITY OF LA QUINTA (213)880-1850
DESIGN & DEVELOPMENT DEPARTMENT Llc. No.: 1010634
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 {commencing with Section 70001 of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class., C39 License No.:1010634
Date: . a z Q ZD—:tpntractor: -
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 df 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 Address:
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 wgqk for which this permit is Issued.
I`:h2ve and will maintain workers' compensation insurance, as required by
Sects 370p 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 COMPENSATi N INSURANCE FUND Policy Number:9230595
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. 7�
Date: 20O 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 th
above -mentioned property for inspection purposes.
Date: 07� Signature (Applicant or Agent):
Application Number:
BRER2019-0011
Property Address:
52330 AVENIDA VALLEJO
APN:
773263004
Application Description:
PENALBER / REROOF ENTIRE DWELLING WITH NEW O.C. SHINGLES
Property Zoning:
Application Valuation:
$9,000.00
Applicant:
JOHN PATRICKALMENDAREZ
1301 WEST 42ND STREET
LOS ANGELES, CA 90037
Owner:
CINTHIA PENALBER
52330 AVENIDA VELLEJO
LA QUINTA, CA 92253
Contractor:
JOHN PATRICKALMENDAREZ
1301 WEST 42ND STREET
LOS ANGELES, CA 90037
(213)880-1850
Llc. No.: 1010634
Date: 2/7/2019
Detail: REROOF WITH ASPHALT TILES TILE AT SLOPED AREAS [CRRC: 2890-0004] ASTM E108 (CLASS A FIRE RESISTANCE) - PER 2016 CALIFORNIA ENERGY
CODE.
DESCRIPTION ACCOUNT CITY 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
$12.81
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
0890-0004
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A CRRC product rating describes the radiative performance of a roofing material; it does not indicate a ranking or approval. A product's placement on the Rated
Products Directory (Directory) does not mean that the product is "cool" as defined by any particular code or program. Only products with active ratings can be
found on the Directory.
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CRRC PROD. ID MANUFACTURER BRANDANDMODEL
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PRODUCTTYPE COLOR SOLAR REFLECTANCE THERMAL EMITTANCE SRI MORE INFO
o890.0004 Owens Corning Duration® Premium Cool Shingles Asphalt Shin Grey
Roofing and Harbor Fog gle
Asphalt, LLC
INITIAL
3 YEAR
INITIAL
3 YEAR
INITIAL
3 YEAR
0.27
0.30
0.89
0,90
28
32 +
COOL ROOF RATING COUNCIL 2435 N. Lombard St. TEL (866) 465-2523 EMAIL: i_n_fo@coolroofs.org
Portland, OR 97217
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Certificate 3146.oi
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Project Address:
APN #:
Applicant Name: VPN/ t`o
Address: \'j-�gu � mffC4 pNie
City, ST, Zip: N( wp,,-l� cps
Telephone: 114 -79 -,Zq
Email: Xp--e 6,0�U S 6 awe (A T N )-i'n
PERMIT #
PLAN LOCATION:
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
�� W OOP O U 'Q rfl. 7 M ate_- 2% n.,f
-v\ 1 vl�4,
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Valuation of Project $
78495 CALLE TAMPICO
LA QU I NTA, CA 92253
760-777-7000