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BRER2015-0066
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 Dat All7 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 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 . WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of be 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: Y/ �F IApplicant: 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 FV SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWILEDGEMENT 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 performer] 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 Gity 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 sta,_e 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 representatves of this city to enter upon the above' mentJ',oned property for for inspection purposes. Date: � 7J Signature (Applicant c r Agent): ` T4 VOICE.(760) 777-7125 78-495 CALLE TAMPICO D FAX FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT (760) 777-7153 BUILDING PERMIT Date: 9/8/2015 Application Number: BRER2015-0066 Owner: Property Address: 55586 RIVIERA CHARLES EDWARD & JESSICA © z APN: 775242024 55586 RIVIERA Application Description: REROOF WITH FIELD APPLIED WHITE FOAM [CRRC: 0626-0010) LA QUINTA, CA 92253Q a Property Zoning: [� o z o Application Valuation: $3,045.00 N w as S a O LL 9 Applicant: Contractor: o w WESTERN PACIFIC ROOFING CORP WESTERN PACIFIC ROOFING CO W vca 2229 EAST AVENUE Q 2229 EAST AVENUE Q PALMDALE, CA 93550 PALMDALE, CA 93550 o L� U (661)273-1336 Llc. No.: 235717 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 Dat All7 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 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 . WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of be 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: Y/ �F IApplicant: 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 FV SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWILEDGEMENT 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 performer] 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 Gity 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 sta,_e 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 representatves of this city to enter upon the above' mentJ',oned property for for inspection purposes. Date: � 7J Signature (Applicant c r Agent): ; h 'FINjNdAL INFORMATION < rf.DESCRIPTION� gs ACCOUNT�'QTY,�"AMOUNT 4�k `PAID PAID DATE_ za r- _. .. ,.,.._s F.w 7 ,.,. r.,.._ BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 k$3"�- PPAIDiBY �' �b rg.METHOD'=� x; 4, i i2WIx E g # RECEIPT DY CHECK #i CLTD BY Total Paid forBUILDING STANDARDS ADMINISTRATION BSA: $1.00'. $0.00 4: g fps 4ajl j DESCRIPTION � b , t p v: .� `€ €i -i� ` ACCOUNT -J Y QTY r� P& i�R'Gd =AMOUNT % n Ki i6 b � PAID + "" Ar a_a - j•.{'. PAID DATE' RE -ROOF - FIRST 2,000 SF 101-0000-42404 0 $49.31 $0.00 t �tPAIDBY�� `w ECHODR 1 °'RECEIPT#CHECK#CLT,DaBY� Total Paid forRE-ROOF: $49.31 $0.00 TOTALS:00 t • Printed: Tuesday, September 08, 2015 3:00:52 PM 2 of 2 sysrenas 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: 775242024 Site Address: 55586 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 :CITY,, STATE Details: REROOF WITH LIGHT -NATIONAL COATINGS CORPORATION ACRYSHIELD-A510 WHITE [CRRC: 0626-0010] 2013 CALIFORNIA ENERGY CODE. Printed: Tuesday, September 08, 2015 3:00:52 PIA 1 of 2 sysrErns CONDITIONS CONTACTS NAME TYPE : NAME r`` ADDRESS1 E :CITY,, STATE ZIP PHONE ` '` FAX -; EMAIL _ = z 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 CHARLES EDWARD & JESSICA 55586 RIVIERA LA QUINTA CA 92253 INFORMATION 77 APAID ` DESCRIPTION � ;`ACCOUNT ? QTY AMOUNT PAID DATE RECEIPT:,#% CHECK # METHOD PAID BY' �'' �, -�:� •::BYE;; BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: Printed: Tuesday, September 08, 2015 3:00:52 PIA 1 of 2 sysrErns SEQID. INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED RESULT REMARKS NOTES DATE : DATE PRE -ROOF BLD FINAL" BLD REVIEWS RETURNED; - STATUS; . REMARKS REVIEW TYPE REVIEWER. SENT DATE [��l DATE NOTES ' Printed: Tuesday, September 08, 2015 3:00:52 PM 2 of 2 „ SYSTEMS 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: (JCA- Ljc'tjT (Ze,—,�, ic-e,.\ Jn L\. �kn&AL \ Date Prepared: ci (1 r A. GENERAL INFORMATION `&" 01 01 Project Name: •'l & V 02 Date Prepared: r1 03 Project Locatlun: t; ` Z Vi r w n4 Rnilrling Frnnt_nrfQnt4lron (deg or ca[dinal):_.-. . 05 CA City: 06 Number of Alt gg IP elling Units: 07 Zip Code: 08 Fuel Type: & % 09 Climate Zone: 30 TotalCondjt oned Floor3Area (ft?) 11 Building Type 12 1 Slab A°rga (ft2) t -. 13 Project Scope: �u\�c� 1:10 o tt o\ c. cv.+ %0 '51'54e4- _ € I. Val 1& 1W. B. BUILDING INSULATION DETAILS (Section 150.2(b)1)� `&" 01 02 03 04 05 06 ,� 07 08ztx,09 10 11 R - value sed nitial Solar Aged Solar Thermal SRI Aged Solar Thermal SRI Method of Compliance Roof Pitch Exception CRC %,duct ID T QSeck, sulat o , P -op � t Required ymber n.tgduct P e _ it _ Reflectance Reflectance Emittance (Optional) Reflectance Emittance (Optional) Frame' .� +Appendix JA4 Frame "G - 001 1d 1 eZ 17Lit Frame Depth C. ntinuous 5 Reference Spacing Cavity. nsulation iO"i'6 Tag/ID Assembly Type Type (inches) (inches) R-vaju R -value ..41 f U fAtor Table FCell I LI -Factor Comments G- '1&1 `V -1 Ace C. ROOF REPLACEMENT (Prescriptive Alteration,�n-50.2(b)1H) `&" 01 02 03 04 4b: 05& 06 , "67-10 1 08 09' 10 11 12 13 R - value Pro osed Minimum Required nitial Solar Aged Solar Thermal SRI Aged Solar Thermal SRI Method of Compliance Roof Pitch Exception CRC %,duct ID T QSeck, sulat o ymber n.tgduct P e _ it _ Reflectance Reflectance Emittance (Optional) Reflectance Emittance (Optional) _ "G - 001 1d 1 eZ 17Lit iO"i'6 NOTESIlk • Roof area covered by, b 'Idinglintegrated p oto o tai-paneis and solar thermal panels are exempt from the above Cool Roof requirements. • Liquid field applied"coat�ng must comply witinstallation criteria from section 110.8(1)4. Registration Number: CA Building Energy Efficiency Standards - 2013 Residential Compliance Registration Date/Time: HERS Provider: June 2014 STATE OF CALIFORNIA RESIDENTIAL ALTERATIONS CEC-CFIR-ALT-01-E (Revised 06/14) 'CERTIFICATE OF COMPLIANCE' Prescriptive Residential Alterations Proiect Name: (ry0, CALIFORNIA EN Date Prepared: CFIR-ALT-01-E (Page'4 of 4) DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete._1t Documentation Author Name: Documentation Author at " "s 7 W 111. Company: n Trr �c� ti c_ G ��►n �t Signature Date: y 41 �`{ Address: CEA/ HERS Certification Iden`tlfcakgri°(if applicable): e r% ;, City/state/Zip: Phone: RESPONSIBLE PERSON'S DECLARATION STA EMENT' 4 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 responsi ff %for the building. es or system design identified on this Certificate of Compliance (responsible designer). . 3. That the energy features_ and performance specifications, materials, compon4ean�d manufactu eDO erfor the building design design identified Certificate or system on this of Compliance conform to the requirements of Title 24, Part 1 and Part 6 off the Cghfornia Coe of' -regulations. 4: The building design features or system design features identified on thds Certificate of Compliance -are consiste Wlt( 11e Information provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted -to the elforcement agericy�fo Pproval with th b• ii ding permit application. 'ing 5. I will ensure that a registered copy of this Certificate of Cod. Iii'• c shall be madeQ,,Vgi able with the bui permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a regi�st�j�_d eg�of this Ica�e'p�{ Compliance is eq' ire to be included with the documentation the builder to the building provides - �Certi owner at occupancy. n Responsible Designer Name: Ras onsible Designer Signature: r Company: V AV Date Signed: Alp Address: License: a City/state/Zip: Phone: For assistance o`r q estions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300. 1 Registration Number: Registration Date/Time: HERS Provider: CA Building Energy Efficiency Standards.- 2013 Residential Compliance June 2014