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BRER2015-007378-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: BRER2015-0073 T4tit 4 4v Q" COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Property Address: 55320 RIVIERA APN: 775153055 Application Description: REROOF WITH FIELD APPLIED WHITE FOAM [CRRC: 0626-0010] Property Zoning: Application Valuation: $2,765.00 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 Date: Contractor:-==��'�F�J 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).: (__j 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 1, 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 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: 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 Secti n 3700 of the LaborCode, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and polity 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 tthose rovisions. Jf Date: 4/�� Applicants' 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): Date: 9/14/2015 Owner: BERRY THOMAS 55320 RIVIERA LA QUINTA, CA 92253 LU iF cc Contractor: 0 o z� N w WESTERN PACIFIC ROOFING CO P a 2229 EAST AVENUE Q 'r" L,- o PALMDALE, CA 93550C— w � (661)273-1336 cL.Liw LIC. No.: 235717 o U 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 Secti n 3700 of the LaborCode, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and polity 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 tthose rovisions. Jf Date: 4/�� Applicants' 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): L e ,DESCRIPTION FINANCIAL •• 1• �fACCOUNT QTY "E to r _t. AMOUNT - PAID .... PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 METHOD:RECEIPT# CHECK ^# ` c 'CLTD BY Total Paid forBUILDING STANDARDS ADMINISTRATION BSA: $1.00 • $0.00 _ DESCRIPTION' T 4.y-' :;ACCOUNT r.yr: QTY'',' "AMOUNT"' - PAID'1'.` :PAID DATE RE -ROOF - FIRST 2,000 SF 101-0000-42404 0 $49.31 $0.00 a x 'k PAID BY�� r,f = a. ,'. T t, METHOD ° ;' .rRECEIPT;#a"'' a CHECK # . CLTD.BY r' DESCRIF,TION 2:f < 'ACCOUNT z.QTY:, AMOUNT:' ". PAID PAID DATE RE -ROOF - FIRST 2,000 SF PC 101-0000-42600 0 $98.62 $0.00 • x °4' PAID,BY ; �# s a, ?, j ' ; METHOD #-� -� RECEIPT#'" CHECK # CLTD BY,,' Total Paid for RE -ROOF: TOTALS:0• $147.93 $0.00 L e Description: REROOF WITH FIELD APPLIED WHITE FOAM [CRRC: 0626-0010] Type: RE -ROOF Subtype: - Status: UNDER REVIEW Applied: 9/3/2015 AOR Approved: Parcel No: 775153055 Site Address: 55320 RIVIERA LA QUINTA,CA 92253 Subdivision: TR 21846-5 Block: Lot: 2 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled" Valuation: $2,765.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 CA Details: REROOF WITH LIGHT -NATIONAL COATINGS CORPORATION ACRYSHIELD-A510 WHITE [CRRC: 0626-0010] 2013 CALIFORNIA ENERGY CODE. WESTERN PACIFIC ROOFING CORP 2229 EAST AVENUE Q Printed: Monday, September 14, 2015 5:48:08 PM 1 of 2 CR SYSTEMS CONTACTS ' NAME -TYPE ;`. x = . NAME r . ADDRESSi , CITY 4�STATE A" ZIP. " ' sFHONE FAX�`"r" t r,. EMAIL w 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 BERRY THOMAS 55320 RIVIERA LA QUINTA CA 92253 Printed: Monday, September 14, 2015 5:48:08 PM 1 of 2 CR SYSTEMS �y,;.t`s..3t.`F'•.-srr,`.}„. v...1,�. :�.. t. N ss* •.:{Y, Mr� '::.i .;. t _ '.;'' -c "a'' do .. - CLTD L ;DESCRIPTION` - ACCOUNT QTY 3 d'AMOUNT F PAID PAID DATE :RECEIPT# `RCHECK# METHOD aPAID BYt z'' �+ BLD 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 Printed: Monday, September 14, 2015 5:48:08 PM 2 of 2 C SY57EM5 INSPECTIONS SEQID ~INSPECTION TYPE , "';INSPECTOR;,' 'SCHEDULED, COMPLETED ” RESULT ' r. REMARKS'rr ` w 0`,o:NOTES do DATE 's� :., uc .,: -: :u.{i -. .:. °"- k��._ _ .. .art- ..Ly ;es ✓ N. - u 1" L;DATES a PRE -ROOF BLD FINAL" BLD PARENT PROJECTS Printed: Monday, September 14, 2015 5:48:08 PM 2 of 2 C SY57EM5 STATE OF CALIFORNIA RESIDENTIAL ALTERATIONS CEC-CFIR-ALT-01-E Revised 06/14 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E Prescriptive Residential Alterations (Page 1 of 4) Project ,Name: , P(-� (j,_'T% izes i en Date Prepared: A. GENERAL INFORMATION 01 02 01 Project Name: GA- U-) £ T 02 Date Prepared: 03 Project Location: S9-410 , O era 04 Building Front dnentat on (deg or cardinal): 05 CA City: 06 Number of Alterea°.gavelling Units: 1rX 07 Zip Code: 08 Fuel Type: (L 09 Climate Zone: 10. ' Total,CoWitioned Floo jArea (f 2j" 11 Building Type 12 .Sla Wre (ft2) at*4r%P - 13 ProjectScope: 1 P e: B. BUILDING INSULATION DETAILS (Section 150.2(b)1) 01 02 03 04 05 06 , tzX 07 08 g9 10 11 Tag/ID Assembly Type Frame Type Frame Depth 1 (inches) Frame Spacing 1 (inches) Pr. ed low E Required I Comments " `V )Appendix JA4 ��'.Arontinuous '^� Cavity sulation \ Reference I R -value, R -value e, LI-fagtor Table FCell1 LI -Factor Exception Numi`berrodud Type hn ulatign Initial Aged Solar. Thermal SRI Aged Thermal SRI Reflectance Reflectance Emittance (Optional) ReflecEmittance (Optional) C. ROOF REPLACEMENT (Prescriptive Alteration, S tj n?j50.2(b)1H), *16' 01 02 03 04 0%, AP 06 12 13 `'07A 08 1 09 10 1:Solar Method of Roof CRC P,�roduct ID s R -value Deck Pro osed nimum Required Solar Compliance Pitch Exception Numi`berrodud Type hn ulatign Initial Aged Solar. Thermal SRI Aged Thermal SRI Reflectance Reflectance Emittance (Optional) ReflecEmittance (Optional) NOTES' • Roof area covered by, builaing;(ntegrated pho ovoltaic'panels and solar thermal panels are exempt from the above Cool Roof requirements. • Liquid field applied�oa mgPmust from hpd-n 'tallation comply wi criteria section 110.8(i)4. Registration Number: CA Building Energy Efficiency Standards - 2013 Residential Compliance Registration Date/Time: HERS Provider: June 2014 e STATE OF CALIFORNIA RESIDENTIAL ALTERATIONS CEC-CFIR-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: r�lA- t',t_��"7" ( 3ti e..Ela. ►A at Date Prepared: '(/q � DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is. accurate and complete. Documentation Author Name: l� ►„ lc Documentation Author at Company: Signature Date: Address: `` CEA/ HERS Certification Idre�nt��cati9n`(if applicable): la 2.gA,..^ O�/1� 4- City/State/Zip: I (�G.I M ✓ i s C 14- Cj 2Z� Z Phone: fes,r > H RESPONSIBLE PERSON'S DECLARATION STA EMENT y I certify the following under penalty of perjury, under the laws of the State of California: Awk V` `` 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 responsib'il'rtyng d �for the buildiegjn�or system design identified on this Certificate of Compliance (responsible . designer).�! 3. That features the energy and performance specifications, materials, components, a, nd manufactured ewc 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 01iornia Code of (Regulations. 4. The building design features or system design features identified on tdiiiss Certificate of Co �pliiaanceare cons sten whit ttK*e information provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted.to the enforcement agerfor:approval with this uIl Ing permit application. 5. 1 will ensure that a registered copy of this Certificate of Compl gri en hall be made available with the buildi g permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a registered of this Certifif� a of -bmpliance is ,equal to be included with the documentation the builder provides to the building owner at occupancy. oulr +116 Responsible Designer Name: V Responsible Designer Signature: r 0 Company: o 1 Date Signed: Address: w� License: VA 1 'City/State/Zip: V Phone: - For assistance or"questions 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