BRER2015-007578-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BRER2015-0075
Property Address:
55348 RIVIERA
APN:
775153053
Application Description:
REROOF WITH FIELD APPLIED WHITE FOAM [CRRC: 0626-0010]
Property Zoning:
LA QUINTA, CA 92253
Application Valuation:
$2,765.00
Applicant:
WESTERN PACIFIC ROOFING
CORP
2229 EAST AVENUE Q
PALMDALE, CA 93550
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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: (// 6(/�f
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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:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/14/2015
Owner:
LARSEN TYLER
55348 RIVIERA
LA QUINTA, CA 92253
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Contractor:
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WESTERN PACIFIC ROOFI[L-
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2229 EAST AVENUE Qo"
PALMDALE, CA 93550
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(661)273-1336
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No.: 235717
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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.
1 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;" ZZ�K./
�2
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: 'f Signature (Applicant or Agen ef
.DESCRIPTION ,.,, t .4 f`.,-..
FINANCIAL INFORMATION
ACCOUNTTY' +r =f - -P'AID "
`i.., _ y, �Q w xAMO:UNT� .. PAID DATE
BSAS SB1473 FEE
101-0000-20306
0 $1.00
$0.00
PAID BY c ` `x� " , Y�r� r. METHOD : "'�
`° -� `.RECEIPT #
rCHECK # ' CLTD BY
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $1.00
$0.00
,r `C, DESCRIPTIONt ` �uY'
T
ACCOUNT
QTY
AMOUNT?, ^ °
«,w PAID
;PAID DATE
RE -ROOF - FIRST 2,000 SF
,101-0000-42404
0
$49.31
$0.00
AID;:BY ;. tiri: s,
' ' q,METHOD ,¢+ o
'_ .
wr �* rT # i'r :`:
, f r, RECEIP
7C ^.
f H ECK.#
CLTD BY .
Total Paid forRE-ROOF: $49.31
$0.00
TOTALS:•0
,.
R
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: 775153053 Site Address: 55348 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
Details: REROOF WITH LIGHT -NATIONAL COATINGS CORPORATION ACRYSHIELD-A510 WHITE [CRRC: 0626-0010] 2013 CALIFORNIA ENERGY
CODE. f
3
ADDITIONAL SITES
CONDITIONS
._�' _` AMOUNT
DESCRIPTION r - ACCOUNT QTY PAID PAID DATE RECEIPT•# CHECK # METHOD ' PAID BY
BY
BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00
_ Total Paid forBUILDING STANDARDS ADMINISTRATION
BSA: $1.00 $0.00
Printed: Monday, September 14, 2015 5:54:50 PM 1 of 2 CR srsreMs
DESCRIPTION
',,S, -ACCOUNT,
'QTY
-AMOUNT",-
'PAID,
PAID DATE.
RECEIPT #;
.'CHECK #1
METHOD
M
PAID
CLTD -
BY
RE -ROOF -FIRST 2,000
101-0000-42404
0
$49.31
$0.00
SF
PRE -ROOF
BLD
FINAL"
BLD
Total Paid forRE-ROOF: $49.31 $0.00
TOTALS: $50.31 $0.00
PARENT PROJECTS
REVIEWS,
I
STATUS 'REMARKS
T
IiEVIEW.fYPE'zREVIEWER SENT DATE DUE DATE I RETURNED , I DATE I I I . NOTES
I
Z, 7- ....... .
'BOND INFORMATION
ATTACHMENTS
Printed: Monday, September 14, 2015 5:54:50 PM 2 of 2 CR
WYSTEMS
INSPECTIONS
INSPECTION' TYPE
INSPECTOR
-SCHEDULED,, COMPLETED
RESULT47 4REMARKS'
DAT DATE
PRE -ROOF
BLD
FINAL"
BLD
PARENT PROJECTS
REVIEWS,
I
STATUS 'REMARKS
T
IiEVIEW.fYPE'zREVIEWER SENT DATE DUE DATE I RETURNED , I DATE I I I . NOTES
I
Z, 7- ....... .
'BOND INFORMATION
ATTACHMENTS
Printed: Monday, September 14, 2015 5:54:50 PM 2 of 2 CR
WYSTEMS
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CEC-CFIR-ALT-01-E (Revised 06/14)
CERTIFICATE OF COMPLIANCE
Prescriptive Residential Alterations
Project Name: GA- LAJCST (Zes
CALIFORNIA ENERGY COMMISSION
CFIR-ALT-01-E
(Page 1 of 4)
Date Prepared: eit 1s.,
A. GENERAL INFORMATION
01
01
Project Name: G/}- u-) 9 T (Les; en 0.
Ar 02 Date Prepared: `t y
03
Project Location: A! V /C,-^-
04 Building Front Oiientation (deg or cardinal):
05
CA City: •�C_
06 Number of Altere , welling Units:
07
Zip Code:
08 Fuel Type: :�
09
Climate Zone:
10,-yTofal,Qandi;►oned Floo SArea (, �i
11
Building Type
12. .SIab,A'rea (ft2) 6,%
13
Project Scope: �ykal�n.�o� c, c� o\ v
c a.�+ roc, 5 $�e�• ....__ Il' 1�. Y'-, a.
B. BUILDING INSULATION DETAILS (Section 150.2(b)1)Vk
01
02
03
04
05
06 _ ` `v07 08 ` ;09
10
11
Tag/ID
Assembly Type
Frame
Type
Frame
Depth
(inches)
Frame
Spacing
(inches)
Apr -d 10#w A.
Required
Comments
Cavity
R -value
Conti nous
Insulation
j
jbf ppendix JA4
.. Reference
1, [if a' Table. Cell
U -Factor
Decks.
Compliance
Pitch
Exception
0 Numbirr ajjr�rodudType
Insulatign�ln
eflectance Reflectance Emittan+�ce (Optional) Reflectance Emittance (Optional)
60 1 a.� 1 r C 1 K
w
6 • ✓ / J
pV
NOTES
C. ROOF REPLACEMENT (Prescriptive Alteration, Se i�n`;r5 .2(b)1H)� 1W
01C0
01
02
03
04 a/cy + 0%, `
06
"67>0 1 08 09 10 11 12 13
� 41
R -value
Pro osed Minimum Re uired
itial Solar. . -Aged Solar. . Thermal SRI Aged Solar Thermal SRI .
Method of
Roof..
�# C RfiP�odiict IDSNP
Decks.
Compliance
Pitch
Exception
0 Numbirr ajjr�rodudType
Insulatign�ln
eflectance Reflectance Emittan+�ce (Optional) Reflectance Emittance (Optional)
60 1 a.� 1 r C 1 K
w
6 • ✓ / J
pV
NOTES
• Roof area covered by, building+ijntegrated photovoltairpanels and solar thermal panels are exempt from the above Cool Roof requirements.
• Liquid field appliedfcoafi g1s must comply wiikinstallation criteria from section 110.8(i)4.
Registration Number:
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time:
HERS Provider:
June 2014
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CEC-MR-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: 1SIA- "f -3T A- Date Prepared:. '(114 i%-
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Documentation Author atr
Company: /
•TCl ltiGC � C. I"oo �'N Cif'
Signature Date:
SIC{ � �
Address:
CEA/ HERS Certification'IdWn�(if applicable):
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: I am eligible under Division 3 of the Business and Professions Code to accept responsibil' for the building design or system design identified on this Certificate of Compliance (responsible
designer).
3. That the energy features and performance specifications, materials, comport ,, a�n manufactu' !rd'' VW 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 a lifornia Code of Rem ula'tions.
4. The building design features or system design features identified onthis rtificate of Ciz�Ince�are consisten vI t ttie information provided on other applicable compliance documents,
worksheets, Aiss
calculations, plans and specifications submitted to the enforcement ager flit approval with Oil Ing permit application.
S. 1 that of Co nreeshall
will ensure a registered copy this Certificate of pl ai be made,a'vailable with the buildir permit(s) issued for the building, and made available to the enforcement agency
for all applicable inspections. I understand that a registered 'cloy this CCertifi ttef Compliance is .equir'ie� to be included with the documentation the builder to the building
provides
owner at occupancy. Ft A- _
Responsible Designer Name: Responsible Designer Signature:
Company :V ji1
Date Signed:
pNN
Address: isOIL
License:
City/State/Zip: Or °'
Phone: '
p
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