BRER2015-0076%�•
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description:
Property Zoning: .
Application Valuation: .
Td,y, 44� Qalaroj
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
BRER2015-0076
55362 RIVIERA
775153052
REROOF WITH FIELD APPLIED WHITE FOAM [CRRC: 0626-00101
$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:
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).:
(1 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. i j 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:
L'ender's Addre!
r]
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
JENNISON JAMES & JOYCE
55362 RIVIERA
LA QUINTA, CA 92253
Contractor:
WESTERN PACIFIC ROI
2229 EAST AVENUE Q
PALMDALE, CA 93550
(661)273-1336
Llc. No.: 235717
Date: 9/14/2015
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: lil
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):
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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.
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: lil
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):
j -FINANCIAL INFORMATION,
" r .DESCRIPTION"'" � ti ".' t<� + ,� �y r•
� x ACCOUNT ` `
� .�..� .�. etc
;QTY
�
+ AM.OUNT a ; `i � PAID � Y ' : PAID DATE
a,v + d.
BSAS SB1473 FEE 101-0000-20306
0
$1.00 $0.00
lr
PAID BYE f ` . + METHODe .� .♦r *.;
sRECEIPT # `xm�"R +;:;.CHECK # 7 CLTD?BY-
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
`k ' �DESCRIP„TION f {
F. r i�;
CCOUNT
QTY
;AMOUNT „.
5
PAID Y~
•PAID,DATE.
RE -ROOF - FIRST 2,000 SF
101-0000-42404
0
$49.31
$0.00
!;;PAIDBY + °4 = , y'�s 3
, 4Y METHOD' ' `
"` ` �R .RECEIPT #
`CHECK #"
CLTD BY: R
Total Paid forRE-ROOF: $49.31 $0.00
TOTALS:00
Description: REROOF WITH FIELD APPLIED WHITE FOAM [CRRC: 0626-0010]
Type: RE -ROOF
Subtype: Status: UNDER REVIEW
Applied: 9/3/2015 AOR
Approved: 9/14/2015 SKH
Parcel No: 775153052 Site Address: 55362 RIVIERA LA QUINTA,CA 92253
Subdivision: TR 21846-5
Block: Lot: 2
Issued:
Lot Sq Ft: 0
Building Scl 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.
CHRONOLOGY
CONDITIONS
I Applied to•ApProve'd m
1 ..�. __r.
DESCRIPTION ACCOUNT ,. } ,'QTY °.AMOUNT PAID` x PAID DATE RECEIPT -CHECK# , 'METHOD : ` PAID BY
. BY
CLTD
•BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION
BSA: $1.00 $0.00
Printed: Monday, September 14, 2015 5:57:39 PM - 1 of 2 CRWSYSTEMS
"111%� CLTD
PAID DATE; RECEIPT#.' .'CHECK# METHOD' _PAID BY
liESCRIPTION't'. ACCOUNT, !'1QTV'1 AMOUNT PAID
RE -ROOF - FIRST 2,000 101-0000-42404 0 $49.31 $0.00
SF
Total Paid forRE-ROOF: $49.31 $0.00
I PARENT PROJECTS
REVIEWS
STATUS REMARKS-�.
I . -1 . NOTES
E .}REVIEWER SENT DATE DUE DATE 6AiE,,
R&ORNIfl��
REVIEW TYPE
BOND INFORMATION
ATTACHMENTS
Printed: Monday, September 14, 2015 5:57:39 PM 2 of 2 CRSYSTEMS
INSPECTIONS
-
_§_E_QID.; INSPECTION TYPEF-,'� :;INSP.i COMPLETE
UOR
RE ULT
REMARKS,
NOTES��'�
[SCHtDIJUEDVV
DATE. ] DATEi
•gi
PRE-ROOF BLD
FINAL" BLD
I PARENT PROJECTS
REVIEWS
STATUS REMARKS-�.
I . -1 . NOTES
E .}REVIEWER SENT DATE DUE DATE 6AiE,,
R&ORNIfl��
REVIEW TYPE
BOND INFORMATION
ATTACHMENTS
Printed: Monday, September 14, 2015 5:57:39 PM 2 of 2 CRSYSTEMS
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CEC-CFIR-ALT-01-E Revised 06114 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE
CFIR-ALT-01-E
Prescriptive Residential Alterations (Page 1 of 4)
ProjectName: (6! LjCtS r �es ���,� \ Date Prepared:
A. GENERAL INFORMATION
01
02
01
Project Name: GA- UJ 9 T (Zes i ' enh,
& w- 1 02
1 Date Prepared:s-
03
Project Location: C>7 rj —36d— ill ; V era-
04
Building Front Orientation (deg or cardinal):
05
CA City: �C_
06
Number of Alter e-Xo elling Units:
07
Zip Code: 15-3
08
Fuel Type: %Iok
Climate Zone:
10 ;
'T.0fa C'oodI i ed Floor*000 0VBuilding
LI13
Type
12
slArea (ft2)140-Project
NOTES° - 'N'
• Roof area covered by, buil'diingjntegrated ph`�oto ltal panels and solar thermal panels are exempt from the above Cool Roof requirements.
• Liquid field applieil�coatings must comply wiftinstallation criteria from section 110.8(i)4.
... 04
Scope: ,1�.1 .`}� o r, o a o\ ✓
�� c...+ roc, SySiew� _.i l_`L� c
B. BUILDING INSULATION DETAILS (Section 150.2(b)1)
01
02
03
04
05 06 �,` 1 a`�07 08 09
10
11
Tag/ID
1 Assembly Type
Frame
Type
Frame
Depth
1 (inches)
Proposed W.1'
Frame k�Gp�o.ntinuous Appendix JA4
Spacing Cavity b�lnsulation Reference
R -value , ,tor Table Cell
1 (inches) I R -value, MO
Required
Comments
LI -Factor
t
tt
ir
NOTES° - 'N'
• Roof area covered by, buil'diingjntegrated ph`�oto ltal panels and solar thermal panels are exempt from the above Cool Roof requirements.
• Liquid field applieil�coatings must comply wiftinstallation criteria from section 110.8(i)4.
... 04
C. ROOF REPLACEMENT (Prescriptive Alteration, Seecf',dA 5 .2(b)1H),..
a� V
01
02
03
04 ,0.' ! 05),,
06
It 470f 08 1 09 10 11-77 12 1 13
Method of
Compliance
Roof
Pitch
Exception
� a
C RC`RFoduct ID
C Number APrpSType
R -value
Deck
,_ ns_ulation
Pro osed Minimum Re uired
.. nitial Solar. Aged Solar. Thermal SRI Aged Solar Thermal SRI
Reflectance Reflectance Emlttance ) (Optional)
(Optional Reflec Reflectance Emittance
t
�+`X01 �t�1�i�
`, I
NOTES° - 'N'
• Roof area covered by, buil'diingjntegrated ph`�oto ltal panels and solar thermal panels are exempt from the above Cool Roof requirements.
• Liquid field applieil�coatings must comply wiftinstallation criteria from section 110.8(i)4.
... 04
Registration Number: Registration Date/Time: HERS Provider:
CA Building Energy Efficiency Standards - 2013 Residential Compliance June 2014
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E
Prescriptive Residential Alterations (Page 4 of 4)
Project Name: (SIA- Ltd -3T A- Date Prepared: '11(4 J'i
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT �.
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Documentatlon Aut�ra Q'
Company:
Signature Date:
Address: /
3q _
Q
CEA/ HERS Certificatiorildefii aqn" (if applicable)
City/State/Zip:Phone:
R4.t/� -Slori V 3. CA- �2-7-C.Z
' pRc)-
RESPONSIBLE PERSON'S DECLARATION STA EMENT
1 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 Division 3
am eligible under of the Business and Professions'Code to accept responsib'ility�for the building deign or system design identified on this Certificate of Compliance (responsible
designer). _ .. -
3. That the energy features and performance specifications, materials, component, ltd manufacturg ," device or the buil' ing design or system design identified on this Certificate of
Compliance conform to the requirements of Title 24, Part 1 and Part 6rthe California Code of�Rguldons.
4. The building design features or system design features identified on�t tis Certificate of Coq liance•are conspte wlltUl a information provided on other applicable compliance documents,
worksheets, calculations, and specifications submittedto the fo
plans enforcement agerj_ y approval with this uil Ing permit application.
5. 1 that a� with p
will ensure a registered copy of this Certificate of Compl tshall be made,available the builldl�ng (s) issued for the building, and made available to the enforcement agency
for all applicable inspections. I understand that a regist� aquy"of this Cert Icate flompliancei r,_,equlrea to be included with the documentation the builder provides to the building
owner at occupancy.
Responsible Designer Name: NO# Responsible Designer Signature:
r f
XV
Company:
Date Signed:
Address: '
Vlk�
License:
`i
City/State/Zip:
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