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BRER2015-007278-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 4 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BRER2015-0072 Property Address: 55436 RIVIERA APN: 775153048 Application Description: REROOF WITH FIELD APPLIED WHITE FOAM [CRRC: 0626-0010] Property Zoning: 55436 RIVIERA Application Valuation: $3,045.00 Applicant: WESTERN PACIFIC ROOFING CORP 2229 EAST AVENUE Q PALMDALE, CA 93550 EGil 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: B. C39 License No.: 235717 /� Date: a //) Contractor--/''/rVt i /. L��7/ 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 ) 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 I I am exempt under Sec. . B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY 1 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 Address: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/10/2015 Owner: BEEHLER BOBBI K 55436 RIVIERA LA QUINTA, CA 9 553t 8Contractor:WESTERN EGil PACIFIC 00 g 2229 EAST AVENUE &-- 0 PALMDALE, CA 93550 (661)273-1336 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 wo k 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 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 those provisions. Dater G Applicant: 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 roperty for inspection purposes. Date: /o / Signature (Applicant or Agent)::C��`�%tel/ FINANCIAL •• • s ., DESCRIP,TIONi s ` •s; ',.i' "ACCOUNT QTY' AMOUNT. r- PAID. PAID: DATE J n n" BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 PAID BY , REC'EIPT# CHECK D: BY r 1' Total Paid forBUILDING STANDARDS ADMINISTRATION BSA ' $1.00 $0.00 + DESCRIPTION; ! r °ACCOUNT s r MQTY" ::. ;AMOUNT n -s"" _ : PAID PAID DATE" :_= � f RE -ROOF - FIRST 2,000 SF 101-0000-42404 0 $49.31. $0.00 .r `Fre - PAID:$Y t, METHOD r g 4'RECEIP.T # = CHECK # � -CLTD BY. g _ Total Paid forRE-ROOF: $49.31 $0.00 TOTALS:• - t i 1' Hwy + • � f V i t 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: 775153048 - Site Address: 55436 RIVIERA LA QUINTA,CA 92253 Subdivision: TR 21846-5 Block: Lot: 2 Issued: Lot Sci Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $3,045.00 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. , L 'DESCRIPTION is '_ACCOUNT QTY AMOUNT ' PAID PAID DATE RECEIPT # CHECK # _. METHOD. PAID BY ' . T -3 BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 _ Total Paid forBUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00 Printed: Thursday, September 10, 2015 11:17:20 AM 1 of 2 CR1570F srsreMs DESCRIPTION ;.ACCOUNT -QTY 7 07, '.-i-AMOU PAID PAID DATE. �RECEIPT#4 CHECK #<' i6kTypi :INSOE OR 777= PAID BY" CLTD. BY, RE -ROOF -FIRST 2,000 101-0000-42404 0 $49.31 $0.00 7 4: SF PATE' ,,DATEis PRE -ROOF BLD Total Paid for RE -ROOF: $49.31 $0.00 TOTALS: $50.31 $0.00 IPARENT PROJECTS BOND INFORMATION ATTACHMENTS Printed: Thursday, September 10, 2015 11:17:20 AM 2 of 2 CRW.,YSTEMS INSPECTIONS i6kTypi :INSOE OR SCHEDULED COMPLETED t'RESULT,��4. 4 , REMARKS 7 4: PATE' ,,DATEis PRE -ROOF BLD FINAL" BLD IPARENT PROJECTS BOND INFORMATION ATTACHMENTS Printed: Thursday, September 10, 2015 11:17:20 AM 2 of 2 CRW.,YSTEMS STATE OF CALIFORNIA RESIDENTIAL ALTERATIONS CALIFORNIA EN CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E Prescriptive Residential Alterations (Pagel of 4) Project Name: P(o!- WeST (?'e i en Date Prepared: A. GENERAL INFORMATION 01 02 01 Project Name: GA- WE T s' cies & w 02 Date Prepared: 03 Project Location: 04 Building Front6f. or cardinal): 05 CA Cty: 06 Number of 4 t`ere&P elling Units: 4r, 07 Zip Code:08 Roof Pitch Fuel Types 5L d 09 1 Climate Zone: 10 T.ofal Clj6'c iti ned Floor3Ar% (ft; 11 Building Type 12 1 Slab A}ea (R2) ik%" ' 13 Project Scope: 1 �o� ct o� nc ow. deo 5 S{e•.^ I : �, B. BUILDING INSULATION DETAILS (Section 150.2(b)1) "� 01 02 03 04 05 ' 06 v:1 &;07 08v q9 10 11 Ta ID Assembly Type Frame Type Frame Depth (inches) P,ropBsed to .o% Frame Continuous 6 Appendix JA4 Reference Spacing Cavity nsulation (inches) R-vaju R -value OMUffagtor Table. Cell Required Comments U -Factor Method of Compliance Roof Pitch Exception CRC PtID Number dull - P+ a aP Qdud Type%g_ U aji Reflectance Reflectance Emittance (Optional) Reflectance Emittance (Optional) .. . $k0:'& -2X ` 001 �: 3 C kcl. �lt < �In FX,_1 5?11 d I . Z I r It ( C. ROOF REPLACEMENT (Prescriptive Alteration, Seift 50.2(b)iH) Ol 02 03 04 j:b,Y 05 ' 06 K '67A 08 09 10 11 12 13 R -value Proposed Minimum Required Method of Compliance Roof Pitch Exception CRC PtID Number Deck Initial Solar Aged Solar Thermal SRI Aged Solar Thermal SRI a aP Qdud Type%g_ U aji Reflectance Reflectance Emittance (Optional) Reflectance Emittance (Optional) .. . $k0:'& -2X ` 001 �: 3 C kcl. �lt < �In FX,_1 5?11 d I . Z I r It ( NOTES %olItaie ih • Roof area covered by, blu�it"ding ,integrated photo panels and solar thermal panels are exempt from the above Cool Roof requirements. • Liquid held applied1Coating�mUSL tamely wi'�1'`�mstallation criteria from section 110.8(1)4. . 41 � �am�u Registration Number: Registration Date/Time: HERS Provider: CA Building Energy Efficiency Standards - 2013 Residential Compliance June 2014 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) I Project Name: Vj(,14- [Im A- tt 1 I Date Prepared: 9/4 h v, I DOCUMENTATION AUTHOR'S DECLARATION STATEMENT �, 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. _ Documentation Author Name: 1 Documentation Author at Company: �i 6"- Signature Date: y I �{ Tr✓ �C C 11 C c, �1�V1 � Address: I CEA/ HERS Certification Ideritl atlyn�(f applicable): City/State/Zip: I 86 S✓ C A- 'q Zz Z Phone: -6 0 - I t 6 � 5-.7 -k M �. s z 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 this Certificate Compliance is provided on of true and correct. 2: 1 am eligible under Division 3 of the Business and Professions Code to accept responsibili ,for the building des"Ign�or system design identified on this Certificate of Compliance (responsible designer). 3. That the energy features and performance specifications, materials, compon4nts, and manufacture�ewc1°esfor the building design or system design identified on this Certificate of '01Compliance conform to the requirements of Title 24, Part 1 and Part 6 o the Cornia Code of�tveIgulaLlons. 4. The building design features or system design features identified on th' s, -certificate of Co. pIlk liancez��e consistent wi lfie information'provided on other applicable compliance documents, enfocement his worksheets, calculations, plans and specifications submitted to 0 ee agency foo approval with building permit application. S. I permits) will ensure that a registered copy of this Certificate of Compl ehall be made, avallahl�rwith the bu Iding issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a registe4,rtee eo�py of this�Certi Icate'o�f Compliance istr gyire to be included with the documentation the builder provides to the building owner at occupancy. r' Responsible Designer Name:® Ret risible Designer Signature: Company: m Date Signed: Address: 10L License: City/State/Zip: V Phone: y For assistance dor 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