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BRER2016-009478-495 CALLE TAMPICO `tLA QUINTA, CALIFORNIA 92253 `&t.s °G 1wQumru, DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Application. Number: 55196 RIVIERA Property Address: 55196 RIVIERA APN: 775153064 Application Description: PGA WEST HAD/ POLYURE CAM ROOF Property Zoning: NOV 1 0 2016 Application Valuation: $2,140.00 CITY OF 1.4 NTA Applicant: DESIGN AND DEVEL PMENIT DEPART B R S ROOFING INC DEPARTMENT 777 SOUTH LUGO AVE SAN BERNARDINO, CA 92408 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.: 907600 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 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 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 . Date: 11/4/2016 Owner: PGA WEST RESIDENTIAL ASSOCIATION 54320 SOUTHERN HILLS LA QUINTA, CA 92253 Contractor: . B RS ROOFING INC 777 SOUTH LUGO AVE SAN BERNARDINO, CA 92408 (909)884-8505 Lic. No.: 907600 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 LaborCode, for the performance of tpe work for which this permit is issued. I have and will maintain workers' compensation insurance, as required by S 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: STATE COMPENSATION INSURANCE FUND Policy Number: 9141962 i I certify that in the performance of the work for which this permit i s�d, I shall not employ any person in any manner so as to become subject to thew rkers' compensation laws of California, and agree that, if I should become subject t6 the workers' compensation provisions of Section 3700, of the Labor Code, I shall forthwith comply with hose rovisions. Date: ApplicaJRCOIMSATION �ZJ WARNING: FAILURE TO SECURE WOR 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_ t i ding construction, and hereby authorize representatives of this city to enter u the above -men ione property for inspection purposes. Date: Signature (Applicant or Agent): Date: 11/4/2016 Application Number: BRER2016-0094 Owner. ,.,'Property Address: 55196 RIVIERA PGA WEST RESIDENTIAL ASSOCIATION APN: 775153064 54320 SOUTHERN HILLS Application Description: PGA WEST HAO/ POLYURETHANE FOAM ROOF LA QUINTA , CA 92253 Property Zoning: Application Valuation: $2,140.00 ' Applicant: Contractor: B R S ROOFING INC B R S ROOFING INC 777 SOUTH LUGO AVE 777 SOUTH LUGO AVE SAN BERNARDINO, CA 92408 SAN BERNARDINO, CA 92408 (909)884-8505 Llc. No.: 907600 Detail: REROOF WITH POLYURETAHNE FOAM - LA POLLA COATINGS[CRRC: 0770-0002] 2013 CALIFORNIA ENERGY CODE. DESCRIPTION FINANCIAL 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 - FIRST 2,000 SF 101-0000-42404 0 $51.68 DESCRIPTION ACCOUNT QTY AMOUNT RE -ROOF - FIRST 2,000 SF PC 101-0000-426000 $103.36 Total Paid for RE -ROOF: $155.04 Bin ## �t Permit #i Project Address:-/ , -City of La Quin a I Building a Safety Division 78-495 Calfe Tampico La Quinta, CA 92253 - (760) 777-70.1,2 Building Permit Application and Tracking Sheet Q _ �- Q Owner's Name: A. P. Number: P ' Address: _ t CL Legal Description: n City, ST, Zip: ontr C acf or: Telephone: Address:7-7 fn Project Description: City_ ST, Zip: G' l�- . ne'rrylm Vo Telephone: one: "rf State Lic. # : City Lic. #.. Arch.,'Engr., Designer: Address: City, ST, Zip: Telephone: one: Can truetton Type: e: Occupancy: State . to Lic. # ��nrJe t tYPe circle one �New AddAlter Repair-air Demo. Name of Contact Person: Sq. Ft.: r # Stories: I # Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE tl Submittal Req'd Rcc'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item - Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cales._ Called Contact Person Plan Check Balance. Title 24 Calcs. Plans picked up Construction ' Floodplain 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/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. \Vks. Appr Date orpermit issue Schodl Fees, Total Permit Fees STATE OF CALIFORNIA RESIDENTIAL ALTERATIONS a CEC-CFIR-ALT-01-E Revised 06/14 CALIFORNIA ENERGY COMMISSIONWVJ CERTIFICATE OF COMPLIANCE CFIR-ALT-01-E Prescriptive Residential Alterations j (Page 1 of 4) Project Name: 6 Date Prepared: i I A. GENERAL INFORMATION Ol �k IL I 01 Project Name: _ e 03 Project Location: I s�� Uri` _ 05 CA City: ' " ` '" 02 04 06 Date Prepared: .,b"4-. `A j Building Front Or`.ientation'(deg or cardinal): Number of AlteredfDwelling Units: r,dk�' Zip Code: 08 Fuel Typ "'' L07 09 Climate Zone: to T,otal:c" n� j,tloried Floor„Afkb (ft2YO- it Building Type 12 Sla 'A`tea (ft2) 13 Project Scope: , C:) mments 4 Cavity X;,'un R -value f, , B. BUILDING INSULATION DETAILS (Section 150Z(b)1) . r`,, - Ol 02 03 04 05 06 �_ a� 07 0841 V,,G9 10 i 11 Tag/ID Assembly Type Type Frame Depth (inches) Frame Spacing (inches) Fr O sed K+ r Required C:) mments 4 Cavity X;,'un R -value f, c• Appendix JA4 NntinuousReferenceFrame R -value ,,M U„factor Table Cell LI -factor Method of Roof CR RC P rodict ID Number deck'�Initial Solar Aged Solar Thermal SRI Aged Solar Thermal SRI � Compliance . Pitch Exce tion , - rpdbct Type 1,16sulati0 Reflectance Reflectance Emittance (Optional) Reflectance Emittance (Optional) r 1 it TIM s O/ �Y t 044. it a C. ROOF REPLACEMENT (Prescriptive Alteration, Secti'otJ5�0.Z(b)1H)$ 1a iS• .4T a R.9x I 01 02 03 04 4 � o5 06 xt `zvi 08 09 10 11 11 12 1 13 R -value" Proposed Minimum Required Method of Roof CR RC P rodict ID Number deck'�Initial Solar Aged Solar Thermal SRI Aged Solar Thermal SRI � Compliance . Pitch Exce tion , - rpdbct Type 1,16sulati0 Reflectance Reflectance Emittance (Optional) Reflectance Emittance (Optional) r 1 it , a K ted �Y t 044. it a -. Y+. NOTES I;`t�Ab`sF • Roof area covered by • Liquid field applied buil`d,n jntegrated ph'6t l�tdic`rpanels and solar thermal panels are exempt from the above Cool Roof requirements. , ..C'0Ang x�,l must comply within tallation criteria from section 110.8(i)4. i Registration Number: CA Building Energy Efficiency Standards - 2013 Residential Compliance I I Registration Date/Time: HERS Provider: June 2014 r� STATE OF CALIFORNIA RESIDENTIAL ALTERATIONS CEC-MR-ALT-01-E Revised 06114 CALIFORNIA ENERGY COMMISSION �� CERTIFICATE OF COMPLIANCE j CFIR-ALT-01-E Prescriptive'Residential Alterations I (Page 4 of 4) Project Name:'•!J ;;; � Date Prepared: DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation Is accurate and complete. Documentation Author Name: Documentation Author Signature: v .g Company: a h/ ri in%�: Signature Date: 1.4 Address: CEA/ HERS Certification Ide flficatiod°(if pplicable): 'fr I I City/State/zip: ! � � Phone: O RESPONSIBL PERSON'S DECLARATION STATEMENT n ` I certify the following under penalty of perjury, under the laws of the State of California:- `' IF 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 respons:L! Ill y,,,for the building'desl'gp or system design identified on this Certificate of Compliance (responsible designer). l �" 3. That the energy features and performance specifications, materials, comporYen.ts, and manufactured dues for the building design or system design identified on this Certificate of a ins. i Compliance conform to the requirements of Title 24, Part 1 and Part 6 of tthe is ficrnia Codde ofFReegtlations. I 4. The building design features or system design features identified on�th� Certificate of Co plianceare consistent wlthtlae information provided on other applicable compliance documents, t worksheets, calculations, plans and specifications submitted to t a nforcement ageric�y�f approval with s� u ding permit application. 5. 1 will ensure that a registered copy of this Certificate of Compliance,,shall be made.AUble with the bui ding pgrmit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificateof mpliance is req Uir ed; to be included with the documentation the builder provides to the building Co owner at occupancy, 9 o,, Responsible Designer ame: i a ?Responsible Designer Signature: n c c�Nus i company: Date Signed: n/ Address: License: I' Ori City/State/Zip: / Phone: 0 For assistance or t 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 i June 2014