BRER2015-0080,r
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Twit 4 4 Q"
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/4/2015
Application Number:
BRER2015-0080
Owner:
Property Address:
54575 RIVIERA
WILSON PHILIP & VICTORIA
APN:
775031021
54575 RIVIERA
Application Description:
REROOF WITH FIELD APPLIED WHITE FOAM [CRRC: 0626-0010]
LA QUINTA, CA 92253
Property Zoning:
Application Valuation:
$4,450.00
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Applicant:
Contractor:F(I
d
WESTERN PACIFIC ROOFING
CORP
y
WESTERN PACIFIC
z o2229
EAST AVENUE Q
2229 EAST AVENUENuPALMDALE,
!
CA 93550
PALMDALE, CA 935�°
g
(661)273-1336LIC.
No.: 235717 Cn
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: B, C39 License No.: 235717/J/ A
Date: 9 Contractor:V//(/t//.
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 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
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 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: _
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:- Applicant:—ii'��r-
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: Signature (Applicant or Agent)`
t
-
DESCRIP,TI0 ;-i
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FINANCIAL INFORMATION
; r '1t ACCOUNT ';., r �;
..
CRTY a': AMOUNT J PAID r
PAID DATE
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0,00
a
PAID BY,,---' y_j
METHOD
t RECEIPT#a CHECK #
CLTD BY
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA
$1.00
$0.00
e Y��
. - _ ,; aDESCRIPTION
r,' t,' ACCOUNT,,.
QTY •
"�
,'; 'AMOUNTY
�. PAID ',2!
PAID:DATE'
RE -ROOF - FIRST 2,000 SF
101-0000-42404
0
$49.31
$0.00
aa,r ;
PAIDBY M 2kN ,
„'METHOD` ,.`
*',RECEIPT #
"CHECK #
CLTD BY'
„y 'DESCRIPTION »s ` . _ `
" ACCOUNT a
TY
M AMOUNTc"°
'PAID r
tom. • '`�.
PAID DATE
RE -ROOF - FIRST 2,000 SF PC
101-0000-42600
0
$98.62
$0.00
PAID BY ;,�
�^ - .,METHOD •:._� `
RECEIPT.# a ' e }
',a: CHECK# `r,
CLTD BY,
Total Paid forRE-ROOF:
TOTALS:0.00
'$147.93
$0.00
9
C 'OF
Description: REROOF WITH FIELD APPLIED WHITE FOAM [CRRC: 0626-00101
CONDITIONS
Type: RE -ROOF
Subtype: Status: UNDER REVIEW
Applied: 9/3/2015 AOR
Approved:
Parcel No: 775031021 Site Address: 54575 RIVIERA LA QUINTA,CA 92253
Subdivision: TR 24317-1
Block: Lot: 2
Issued:
Lot Sq Ft: 0
Building Sq FtrO Zoning:
Finaled:
Valuation: $4,450.00
Occupancy Type: Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0 No. Unites: 0
CA
Details: REROOF WITH LIGHT -NATIONAL COATINGS CORPORATION ACRYSHIELD-AS10 WHITE [CRRC: 0626-0010] 2013 CALIFORNIA ENERGY
CODE.
CONTRACTOR WESTERN PACIFIC ROOFING CORP 2229 EAST AVENUE Q
PALMDALE
CHRONOLOGY
CONDITIONS
CONTACTS
;,
*:a -NAME TYPE , `xNAME . f ADDRESS1
CITYti
STATE
.tr ZIP. PHONE-
'''=xFAX EMAILµ* ,
APPLICANT WESTERN PACIFIC ROOFING CORP 2229 EAST AVENUE Q
PALMDALE
CA
93550
CONTRACTOR WESTERN PACIFIC ROOFING CORP 2229 EAST AVENUE Q
PALMDALE
CA
93550
OWNER WILSON PHILIP & VICTORIA 54575 RIVIERA
LA QUINTA
CA
92253
Printed: Friday, September 04, 2015 2:16:47 PM 1 of 2 CR
SYSTEMS
STATGS REMARKS
REVIEW..
;RETURNED l :1 * ` , .
I' st'NOTES»� K , wl
ISE t DATE DUE _[..!RE�IE:��!ilk N; DATE DATE
BOND INFORMATION
Printed: Friday, September 04, 2015 2:16:47 PM 2 of 2 CB?W"YSTEMS
7; "
! 1, -
77", 77
;RESULT V`��z-' 7R_EMARKSk'
tV
ko 1,NOTES
. .1
PRE -ROOF BLD
CLTD'
*DESCRIPTION
ACCOUNT
�IQTY.1�
.,AMOUNT
PAID,
PAID DATE
RECEIPT-.#
CHECK #
METHOD,
PAID BY.
TA
BY
RE -ROOF -FIRST 2,000
101-0000-42404
0
$49.31
$0.00
SF
RE -ROOF - FIRST 2,000
101-0000-42600
0
$98.62
$0.00
SF PC
Total Paid forRE-ROOF: $147.93 $0.00
TOTALS: $148.93 $0.00
STATGS REMARKS
REVIEW..
;RETURNED l :1 * ` , .
I' st'NOTES»� K , wl
ISE t DATE DUE _[..!RE�IE:��!ilk N; DATE DATE
BOND INFORMATION
Printed: Friday, September 04, 2015 2:16:47 PM 2 of 2 CB?W"YSTEMS
INSPECTIONS
K HCOMPLETED
Q[Di,�,':�INS-PECTION,TYPE4i.'���i 'SC - 6 SCHEDULED
DATE DATE.
;RESULT V`��z-' 7R_EMARKSk'
7'
�
ko 1,NOTES
. .1
PRE -ROOF BLD
FINAL" BLD
STATGS REMARKS
REVIEW..
;RETURNED l :1 * ` , .
I' st'NOTES»� K , wl
ISE t DATE DUE _[..!RE�IE:��!ilk N; DATE DATE
BOND INFORMATION
Printed: Friday, September 04, 2015 2:16:47 PM 2 of 2 CB?W"YSTEMS
N
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
I�`�
CEC-CFIR-ALT-01-ERevised 06114 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E
Prescriptive Residential Alterations (Page 1 of 4)
Project Name: P(, /} LJ4=ST Date Prepared:
A. GENERAL INFORMATION
Ol
02
07
Project Name: GA -U -39 -sr Cs Ae.A ',A
02
Date Prepared: ;
03
Project Location: ELI— 576 6L, iV i erd..
04
Building Front drfientatjgn (deg or cardinal):
05
CA City:
06
Number of Alts OOwelling Units:
07
Zip Code: 2- Llr-3
08
Fuel Type: A&4;a.
09
Climate Zone:
30
'.-,TotaI, C'ondisio ed Floor A&0 (ft -2)
11
Building Type
12
1 All ,Ar$r(ft2)
13
Project Scope:
B. BUILDING INSULATION DETAILS (Section 1S0.2(b)1)
Ol
02
03
04
05
06 _ 071 O8Wt,09
10
11
Tag/ID
Assembly Type
Frame
Type
Frame
Depth
(inches)
Frame
Spacing
(inches)
Apr, ,opo ed Iwo 0.
Required
Comments
Cavity
R -value,
continuous
Insulation
R -value:
W t'.
41
Qi otor
Appendix JA4
Reference
U -Factor
Table Fell
C. ROOF REPLACEMENT (Prescriptive Alteration, S fi�on tr0.2(b)1H) '' � `��
01
02
03
04 �,+ 0544
06
ff `07g` 08 09 10 11 12 13
Method of
Compliance
Roof
Pitch
Exception
`R
CFR C`P��o,d 1D 04�
NUiTlbef sf NCoduct Type
-value N
eck
Insulation
Proposed Minimum Required
nitial Solar Aged Solar Thermal SRI Aged Solar Thermal SRI
Reflectance Reflectance Emittance (Optional) Reflectance Emittance (Optional)
�'7
ti
Ci,
� �i O� . ' n5
�j•
NOTES @s
• Roof area coveredby b ilal integrated pl(otoyoltai panels and solar thermal panels are exempt from the above Cool Roof requirements.
• Liquid field applied Yoatings must comply witOn allation criteria from section 110.8(i)4.
w
TMta
Registration Number: Registration Date/Time:
CA Building Energy Efficiency Standards - 2013 Residential Compliance
HERS Provider:
June 2014
16
rG
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CEC-CF1 R -ALT -01-E Revised 06/14 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E
Prescriptive Residential Alterations (Page 4 of 4)
Project Name:, IA- Ulf -3--l' Date Prepared: '1/,4 71-r-
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT • ^„g
1. - I certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Documentation Author at J
Company:
Signature Date:
I AD
Address:
3
CEA/ HERS Certification`ld t align if applicable):
Z .,-. a�►�bj a
City/State/Zip: 1 /
VOLA /✓� S {�V/ -1\ly
l � 5 C- '( Z
Phone:
�G?0 -
RESPONSIBLE PERSON'S DECLARATION STA EMENT
I certify the following under penalty of perjury, under the laws of the State of California: r
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 responsik ill ` . for the building•de system design identified on this Certificate of Compliance (responsible
�1's •� � g P ( P
designer). `ae''
3. That the energy features and performance specifications, materials, componen.ts�, and manufacttr W,e e!c^,0 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 giiiornia Code
of`�egulalons.
4. The building design features or system design features identified ontills%rtificate of C%p(jance are cons i teFt�t. it lie information provided on other applicable compliance documents,
worksheets, calculations, plans and specifications submitted -to the enforcement agerii o, approval with thi ding application.
permit
5. I will ensure that a. registered copy of this Certificate of r ,pl ance�siiall be mad v'�I�able with the bui. PM permit(s) issued for the building, and made available to the enforcement agency
for inspections. cp�,y
all applicable I understand that a registe c� of this Certifi t f Compliance isj,requlre to be included with the documentation the builder provides to the building
owner at occupancy. "
i "'f
Responsible Designer Name:cep
noble Designer Signature:
Company: .7 �' "f. -
Date Signed:
y y
Address: �`•�
��• ���'
License:
,off ,�
�
City/State/Zip: V,
Phone:
% ::
For assistance o =q estions 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