BRER2015-008678-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BRER2015-008.6
Property Address:
54916 RIVIERA
APN:.
775153089
Application Description:
REROOF WITH FIELD APPLIED WHITE FOAM [CRRC:0626-0010]
Property Zoning:
Application Valuation:
$3,330.00
Applicant:
WESTERN PACIFIC ROOFING CORP
2229 EAST AVENUE Q
PALMDALE, CA 93550
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.: 235717
Dates !r' Contractor:',����G���
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.).
(1 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
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
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: /) AppIicant;�������/
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 beccmes 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
Date: 9/14/2015
Owner:
SUNRISE DESERT PARTNERS
300 EAGLE DANCE CIRFTZJ
z
PALM DESERT, CA 92253s
Qa
LL,
Contractor:
30
WESTERN PACIFIC ROOFING C
2229 EAST AVENUE Q
PALMDALE, CA 93550
a
(661)273-1336
-- --'
o
Llc. No.: 235717
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: /) AppIicant;�������/
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 beccmes 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
F,INANCIAL INFORMATION
Ire
tDESCRIPTION' ' y, ur a «.>, " `ACCOUNT i 1. ,C�TY; i'. `AMOUNT`4-
h-
: PAID r ^ ,PAID DATE
BSAS SB1473 FEE 101-0000-20306
0
$1.00
$0.00
r� tN'� #'METHOD z 1ty ,tea
„
:CHECK # G CLTD BY
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00
'DESCRIPTION
ACCOUNT ,, �*
QTY
'" AMOUNT. `
"C.` PAID
PAID DATE
RE -ROOF - FIRST 2,000 SF
101-0000-42404
0
$49.31
$0.00
.PAID BY' f' ; r `_ .' ;,�`•.=�'
i "°', METHOD
•• ,RECEIPT # '"
t;.'� CHECK#
.•CLTD BY
v,DESCRIPTION '
f'ACCOUNT ! t ° ;
rQTY
AMOUNT
�^ PAID
PAID DATE
RE-ROOF - FIRST 2,000 SF PC
101-0000-42600
0
$98.62
$0.00
PAIDZY
-METHOD ,
RECEIPT:#
.,r, s -.
CHECK.# �.
S
w CLTD BY
Total Paid for RE -ROOF: $147.93 $0.00
TOTALS:• •-
r
f
i
Description: REROOF WITH FIELD APPLIED WHITE FOAM [CRRC:0626-0010]
Type: RE -ROOF
Subtype: Status: UNDER REVIEW
Applied: 9/14/2015 SKH
Approved:
Parcel No: 775153089 Site Address: 54916 RIVIERA LA QUINTA,CA 92253
Subdivision: TR 21846-5
Block: Lot: 2
Issued:
Lot Sq Ft: 0
Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $3,330.00
Occupancy Type: Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0 No. Unites: 0
Details: REROOF WITH LIGHT -NATIONAL COATINGS CORPORATION ACRYSHIELD-A510 WHITE [CRRC: 0626-0010] 2013 CALIFORNIA ENERGY
CODE.
W F. ti .s
KCHRONOLOGY
CONDITIONS
ACCO..., 1 s, �_ -F
DESCRIPTION UNT QTY AMOUNT _ PAID PAID DATE :RECEIPT #' CHECK # :METHOD ; ,.PAID BY LTD
• _ , F Y?,.
BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00
Total Paid forBU1LDING STANDARDS ADMINISTRATION $1.00 $0.00
BSA:
Printed: Monday, September 14, 2015 6:26:42 PM 1 of 2 srsreMs
s,; r
, �,, y,;t�>_
'
i::>.
.AMOUNT
-ti,• _:•..
. ,'° "e
':.,r ,
;-
.,..
i�'" w ',fir �•'S ..SCLTD'.
t; BY
DESCRIPTION'
�- :ACCOUNT
QTY
PAID' s
PAID DATE
RECEIPT#
CHECK #,,
METHOD
PAID `..y, ; z.
'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 for RE -ROOF: $147.93 $0.00
TOTALS:00
PARENT PROJECTS
REVIEWS
F �. RETURNED _ STATUS REMARKS NOTES
REVIEW TYPE REVIEWER,SENT DATE' DUE DATE,DATE ; 3 '
t
INSPECTIONS
ID, $ INSP.ECTION TYPE - ;'INSPECTOR, , : ',f SCHEDULED COMPLETED
;SEQ� �
TE
# !RESULT ". ' REMARKS r ;� _ a' O '{
i 7
DATE DATE
4
PRE -ROOF BLD
FINAL" BLD
PARENT PROJECTS
REVIEWS
F �. RETURNED _ STATUS REMARKS NOTES
REVIEW TYPE REVIEWER,SENT DATE' DUE DATE,DATE ; 3 '
t
Printed: Monday, September 14, 2015 6:26:42 PM 2 of 2
SYSTEMS
BOND
INFORMATION
ATTACHMENTS
Printed: Monday, September 14, 2015 6:26:42 PM 2 of 2
SYSTEMS
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CEC-CFIR-ALT-01-E Revised 06/14 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CFIR-ALT-01-E
Prescriptive Residential Alterations (Page 1 of 4)
Project Name: GA- LJCtT Date Prepared: I,
A. GENERAL INFORMATION
-
02
01
Project Name:>:gT (2 -g --S1 de, ii',-
u~ 1 02
Date Prepared:
03
Project Location: ; ✓`rem`
04
Building Front Wflentafl (deg or cardinal):
05
CA City:
06
Number of 41, edOwelling Units:
07
Zip.Code:08
ntinuous
Cavity ulation
�rs
R -value, R -value #1 U;,fZor
Fuel Type: z�
09
Climate Zone: -
10 -�_,Tofa
Co diponed Floo Asea th_2)q
11
Building Type
12
SI_ ,Xrea(W)
13
Project Scope:
1 P nr;�.1�a:%O� d' 0. 0\ ;✓
/1G. w» hoc. 5 5few�- :...i
'T W
� -7' .< I V"
B. BUILDING INSULATION DETAILS (Section 150.2(b)1)
01
02
03
04
05
06 _ �` 7 08.tjJ9
10
11
Tag/ID
Assembly Type
Frame
Type
Frame
Depth
(inches)
Frame
Spacing
(inches)
Rropo ed -
Required
Comments
ntinuous
Cavity ulation
�rs
R -value, R -value #1 U;,fZor
,�
Appendix JA4
Reference
U -Factor
Table I Cell
D
Compliance
Pitch'
Exception
C Number d
1,�P'rotluct Type _
, Insulatign
Reflectance Reflectance Emittance (Optional) Reflectance Emittance (Optional)
�7Y6.`ZG- 6C,1C.%T
T -u 1.�
C. ROOF REPLACEMENT (Prescriptive Alteration, Se i�n"` 150.2(b)iHL N"`lo
01
02
03
04
057 ; `�
06
"0.7$9 08 09 10 11 12 13
R -value Q
Proposed Minimum Required
`"Initial Solar Aged Solar Thermal SRI Aged Solar Thermal SRI
Method of
Roof
4 CRR��Rcod ID
4.,c
D
Compliance
Pitch'
Exception
C Number d
1,�P'rotluct Type _
, Insulatign
Reflectance Reflectance Emittance (Optional) Reflectance Emittance (Optional)
�7Y6.`ZG- 6C,1C.%T
T -u 1.�
NOTES `
• Roof area covered y, btu�lilingntegrated phtovol�ta"ic'panels and solar thermal panels are exempt from the above Cool Roof requirements.
• Liquid field applied coatings must comply wit t4h tallation criteria from section 110.8(i)4.
Registration Number:
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time:
HERS Provider:
June 2014
lu
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CEC-CFIR-ALT-01-E Revised 06114
CERTIFICATE OF COMPLIANCE
Prescriptive Residential Alterations
Project Name: lryA- We -%"i' 2
z -W
Date
�3
ORNIA ENERGY COMMISSION
CFIR-ALT-01-E
(Page 4 of 4)
red: 11
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Compliance documentation is accurate and complete. 0
Documentation Author Name:
Documentation Author nat '
Company:
Signature Date:'
Address: q ( /�
CEA/ HERS Certiflcationld nt n�(if applicable):
T t�Z L s� �06`i1t-- 4_
iii e-,
City/State/Zip:
Phone:
RESPONSIBLE PERSON'S DECLARATION STA EMENT
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 building
accept responsiuilrty�for the ilefirig or system design identified on this Certificate of Compliance (responsible
designer). 'r�@►00
3. That the energy features and performance specifications, materials, componeirts,�and manufactur d�d'evi!e�s%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 C ifornia Code ofr4 .a1tnions.
4. The building design features or system design features identified on t iFiiss Certificate of Co` pliance are consistentmittbj a information provided on other applicable compliance documents,
worksheets, nfo pproval
calculations, plans and specifications submitted to the cement agerjCccf�o with tris 6uilMing permit application.
S. I will ensure that a registered copy of this Certificate'of Compla c''e.�. hall be made:dvallablie with the buQ pe (s) issued for the building, and made available to the enforcement agency
for all applicabe inpections. I understand that a regi�steece 16* of this ke%j Compliance�IS .equlrea to be included with the documentation the builder provides to the building
�Certifi
owner at occupancy. ftA41 1414`
Responsible Designer Name: "� Responsible Designer Signature:
el
%L lih
_Npk W�L a.
v Rl
Company: r
Date Signed:
y
Address: V
License:
R/Jd�
y,
City/State/Zip: _
Phone:
_ `
For assistance o"r�"q"uestions 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