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BRER2015-0065
78-495'CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT BRER2015-0065 55574 RIVIERA 775242025 REROOF WITH FIELD APPLIED WHITE FOAM [CRRC: 0626-0010] $3,045.00 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: B. C39 License No.: 235717 /f Date y'� / 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 town 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 Na Lender's Add VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/8/2015 Owner: STEGMULLER DAVID & SHIRLEY/PEDERSEN 55574 RIVIERA LA QUINTA, CA 92,253 W Q ii o cl%i z o Lr Contractor: 00 WESTERN PACIFIC KOOFIN, CORP ® U cD LU 2229 EAST AVENUE Q LL U.; o PALMDALE, CA 93550 Cn (661)273-1336. C) 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 wor 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 ao 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. 9 Dat 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 FORiIN 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 st:3te that the above information is correct. I agree to comply with all city and county or&aances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above- mentioned 4pr perty for inspection purposes. Dat : Signature (Applicantor Agent). FINANCIAL INFORMAMN _ r ,DESCRIPTION }:�=6', `. ACCOUNT'g e QTY k� AMOUNTjPAID@� `� 'PAID,DATE '. BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 PAID;BY$`; .g� _- .n :'� METHODS ? RECEIPT #- . CHECK # ti CLTD BYxs. p B. Total Paid for BUILDING STANDARDS ADMINISTRATION BSA .$1.00 $0.00 ' DESCRIPTION'` i� �F - $' r . �: ACCOUNT4 i {..QTY AMOUNT } s `PAID, "a .. PAID DATE RE -ROOF - FIRST 2,000 SF 101-0000-42404 0 $49.31 $0.00 aS _a� $ s PAID BY = x METHOD ` s ,=:IRECEIP.T # r `' ' +CHECK # �' CLTD BY m- Yl� t.». » �� COU AMOUNT . "PAID Mj DE"DESCRIPTION_. RE -ROOF - FIRST 2,000 SF PC 101-0000-42600 0 • $98.62 $0.00 PAID BY r METHOD'nRECEIPT # r", t CHECK # 3 CLTD BY Total Paid forRE-ROOF: $147.93 $0.00 TOTALS: $148:93 00 El Description: REROOF WITH FIELD APPLIED WHITE FOAM [CRkC: 0626-0010] Type: REPROOF Subtype:. Status: UNDER REVIEW Applied: 9/3/2015 AOR Approved: Parcel No: 775242025 Site Address: 55574 RIVIERA LA QUINTA,CA 92253 Subdivision: TR 21846-4 CM 75/164-172 Block: Lot: 1 Issued: Lot Sq 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 CONTRACTOR WESTERN PACIFIC ROOFING CORP Details: REROOF WITH LIGHT -NATIONAL COATINGS CORPORATION ACRYSHIELD-A510 WHITE [CRRC: 0626-0010] 2013 CALIFORNIA ENERGY CODE. . CONDITIONS Printed: Tuesday, September 08, 2015 2:53:50 PM 1 of 2 SYST r: MS CONTACTS, NAME TYPE NAME�a,,a ADDRESS :CITY t ESTATE ZIP PHONE ;FAX EIVIAIL� D �. � APPLICANT WESTERN PACIFIC ROOFING CORP 2229 EAST AVENUE Q PALMDALE CA 93550 CONTRACTOR WESTERN PACIFIC ROOFING CORP 2229 EAST AVENUE Q PALMDALE CA 93550 6 OWNER STEGMULLER DAVID & 55574 RIVIERA LA QUINTA CA 922S3 PAID DATE �RECEIP,T# SHIRLEY/PEDERSEN ` :METHOD ,PAID A� ,-. -.: z '� S:.' i te.' I 1 « Y- • 2! ... + ��' S`.. �, { :.. r -':3 r. .4 ., r... � e ..e.S :;'} �+• •,- 4s.,.. .'..� :.: .t3 t� Printed: Tuesday, September 08, 2015 2:53:50 PM 1 of 2 SYST r: MS FINANCIAL •' • �� i ...�� it;#•� � 6 CLTD= DESCRIPTION' ACGOIINT QTY. AMOUNT s ,,..�+. PAID PAID DATE �RECEIP,T# CHECK # ` :METHOD ,PAID A� ,-. -.: z '� S:.' i te.' I 1 « Y- • 2! ... + ��' S`.. �, { :.. r -':3 r. .4 ., r... � e ..e.S :;'} �+• •,- 4s.,.. .'..� :.: .t3 t� y.F !` "�" bb ��r: , 4 �{�£ t'' F Y M , X .}� :BY BSAS S61473 FEE 101-0000-20306 0 $1.00 $0.00 Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: Printed: Tuesday, September 08, 2015 2:53:50 PM 1 of 2 SYST r: MS RENT PROJECTS 4A, Phnted:Tuesd�y 5e�ember0�2O152:53:SOPW 2of2' ' ` CR~~~~ '~.~. VI IPT RE -ROOF - FIRST 2,000 RE -ROOF - FIRST 2,000 101-0000-42600 0 $98.62 $0.00 SF PC Total Paid forRE-ROOF: $147.93 $0.00 REMARKS L- TE PRE -ROOF BLD FINAL" BLD RENT PROJECTS 4A, Phnted:Tuesd�y 5e�ember0�2O152:53:SOPW 2of2' ' ` CR~~~~ '~.~. 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) ProjectName: �(aAl- LAST (Ze i ei,- Date Prepared: A. GENERAL INFORMATION 01 01 Projea'Name: GA- v.] T es ►de,. IA1 02 Date Prepared: 9 03 Project Location: �✓7 (Z i J ` 04 Building Front O'r'ten`£a-lonldeg or cardinal): OS CA City: 06 Number of Atte eftb Telling Units: ®' 07 Zip Code: OS Fuel Type: � %okt '� 09 Climate Zone: 10 T to f � ,�Conditibned Floor�AreaRt2)? 11 Building Type 12 SlahAgga Ift2) 13 Project Scope: l�a �o . c� o� c a.w deo 5 $�eW� _ ; ; � 6,I 4A B. BUILDING INSULATION DETAILS (Section 1S0.2(b)l) v 01 02' 03 04 05 06 .� '�U7 08 9 10 11 Roof C CMd ID !-5ec% - nitial Solar Aged Solar Thermal SRI Aged Solar Thermal SRI Compliance posed Exception Ninmber e *uctType - n lotion Reflectance Reflectance Emittance (Optional) Reflectance Emittance (Optional) ,Pitch o 6L to Required NOTES "� • Roof area covered b b iI'd ntegrated p ©,%11, a� panels and solar thermal panels are exempt from the above Cool Roof requirements. • Liquid field applie ootid must comply wi ' nss Ration criteria from section 110.8(1)4. Frame Frame b6sulation nti�nuous i Peferen Frame Depth e Spacing Cavity Reference Tag/ID Assembly Type Type (inches) (inches) R-va(u_q R-valueA.l��f'faetor Table Cell LI -Factor Comments C. ROOF REPLACEMENT (Prescriptive Alteration, 5 .2(b)1H)," w~ See6W_b 01 02 03 04 Av CP 053 061 R -value 08 09 10 11 12 13 Proposed Minimum Required Method of Roof C CMd ID !-5ec% - nitial Solar Aged Solar Thermal SRI Aged Solar Thermal SRI Compliance Exception Ninmber e *uctType - n lotion Reflectance Reflectance Emittance (Optional) Reflectance Emittance (Optional) ,Pitch o 6L NOTES "� • Roof area covered b b iI'd ntegrated p ©,%11, a� panels and solar thermal panels are exempt from the above Cool Roof requirements. • Liquid field applie ootid must comply wi ' nss Ration criteria from section 110.8(1)4. 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 ig CERTIFICATE OF COMPLIANCE CFIR-ALT-01-E Prescriptive Residential Alterations (Page 4 of 4) Proiect Name: f,i4 Date Prepared: '1/.w hY DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify thatthis Certificate of Compliance documentation is accurate and complete.t - Documentation Author Name: Documentation Author .6 Company. Signature Date: p/q Address: 3`i(oZ r CEA/ HERS Certification ld ri'llfapplicable): 4r C s�.r� cv►� al it Q. City/State/Zip: AAM CA- q ZZZ Z Phone: WK RESPONSIBLE PERSON'S DECLARATION SfAfEMIENT 4, certify the following under penalty of perjury, under the laws of the State of California: m 1. The information provided on this Certificate of Compliance is true and correct XWO 2:. lam eligible under Division 3 of the Business and Professions Code to accept responsi I i. for the building est " or system design identified on this Certificate of Compliance (responsible designer). 3. That the energy features and performance specifications, materials, compoV -s�d manufactu c or the b ' 3ing design or system design identified on this Certificate of Compliance conform to the requirements of Title 24, Part land Part 6�the 41ifomia Code oft a�ions. egu 4. The building design features or system design features identified on tt�i"s Oert�cate of Co� lan re consiste a informatiori provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to t • • foTcement agerto roval with tt� is ti bang permit application. Uhall S. I will ensure that a registered copy of this Certificate of Co Ila be made Va5lat Jb with the bu' in , rmit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a registe5re eo•,�y of this Certi cgteo$f C'ompliancei We- to be included with the documentation the builder to the building provides owner at occupancy. Q� Responsible Designer Name: Vol kR- gsible Designer Signature: Company: °' Date Signed: Address: Ikx '141 — Ucense: Gty/StateRp: Phone: For assistance oquestions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300. Registration Number: Registration Date/Time: CA Building Energy Efficiency Standards - 2013 Residential Compliance HERS Provider: June 2014