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BRER2015-006778-495 CALLE TAMPICO C` 0 V VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70001 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 G Date: ( Contractor: 06 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 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 Add WORKER'S COMPENSATION DECLARATION . I hereby affirm under penalty of perjury one of rhe 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. ave and will maintain workers' compensation in 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 37DO of the Labor Code, I shall forthwith comply with those provisions. t Dito q __ Applicant: WARNING: FAILURE TO SECURE WORKERS' CONWENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000.1. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR 'N SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I APPLICANT'ACKNOWLEDG EM ENT 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 wiltsubject permit to cancellEtion. 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 ordin:ences and state laws relating to building construction, and he authorize representat ves of this city to enter upon the ab ve- mentioned property for inspection purposes. Date: —/ Signature (Applicant cr Agent). Date: 9/8/2015 Application Number: BRER2015-0067 Owner: Property Address: ,` 55598 RIVIERA TRIPALDI ROY ANTHONY � APN: 775242023 55598 RIVIERA w Application Description: REROOF WITH FIELD APPLIED WHITE FOAM [CRRC: 0626-0010] LA QUINTA, CA 92.?53 Property Zoning: Q Ly Application Valuation: $3,045.00 z ZE Applicant: Contractor: Q 0 o WESTERN PACIFIC ROOFING CORP WESTERN PACIFICiR00FIN CQR' v 2229 EAST AVENUE Q 2229 EAST AVENUE Q cW PALMDALE, CA 93550 PALMDALE, CA 93550 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 70001 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 G Date: ( Contractor: 06 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 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 Add WORKER'S COMPENSATION DECLARATION . I hereby affirm under penalty of perjury one of rhe 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. ave and will maintain workers' compensation in 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 37DO of the Labor Code, I shall forthwith comply with those provisions. t Dito q __ Applicant: WARNING: FAILURE TO SECURE WORKERS' CONWENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000.1. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR 'N SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I APPLICANT'ACKNOWLEDG EM ENT 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 wiltsubject permit to cancellEtion. 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 ordin:ences and state laws relating to building construction, and he authorize representat ves of this city to enter upon the ab ve- mentioned property for inspection purposes. Date: —/ Signature (Applicant cr Agent). FINANCIAL • �MATION 5 " : DESCRIPTION CCOUNT AMOUNTa ', kt, NO PAID PAID-DATE41` BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 A. PAID BY° _ ex��METHOD�`"' `gRECEIPT# = CHECK#£ rvCLTDBYx,'. d `q }. ri Total Paid forBUIL..DING STANDARDS ADMINISTRATION BSA $1.Q0 $0.00 s DESCRIFTIONtr.ae�r'ad+ tr ACGOUNTF AMOUNT Al PAIDDATE' RE -ROOF - FIRST 2,000 SF 101-0000-42404 0 $49.31 $0.00 �� €� E � PAID ABY �� „i, ` l 4`°` `� r ' METHOD �yy � ,3;" EX,„ ; '' `� RECEIPT # �� ., 4 x,. CHECK # _ CLTD BY ,. Total Paid forRE-ROOF: $49.31 $0.00 • • • •0 I v r 5 y v r ' y 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: 775242023 Site Address: 55598 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 Details: REROOF WITH LIGHT -NATIONAL COATINGS CORPORATION ACRYSHIELD-A510 WHITE [CRRC: 0626-0010] 2013 CALIFORNIA ENERGY CODE. Printed: Tuesday, September 08, 2015 3:03:52 PM 1 of 2 SYS7Eh1S ADDITIONAL SITES CHRONOLOGY CONDITIONS NAME TYPE " ;' NAME•' .��' ADDRESSl CONTACTS CITY ,STATE ` ZIP s PHONE FAX EMAIL 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 TRIPALDI ROY ANTHONY 55598 RIVIERA LA QUINTA CA 92253 Printed: Tuesday, September 08, 2015 3:03:52 PM 1 of 2 SYS7Eh1S PROJECTS ,, ,,., �,. Printed: Tuesday, September 08, 2015 3:03:52 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: PG&- L jcST t2e ► en �- Date Prepared: A. GENERAL INFORMATION 01 02 01 Project Name: G(v uj T s i cl & u~ 02 Date Prepared: is - 03 Project Location: S ; 04 Building Frontpnen''Latlon (deg or cardinal): 05 CA City: 06 Number.of Alteredigwelling Units: 07 Zip Code: 08 Fuel Type, &. 6 ri 09 Climate Zone:. 10 Tota(Condjtioned Flo oUA ea (ft2) 11 1 Building Type 12 1 Sla Xa(h2 13 Project Scope: 1,a.�o� 0. 0� c o-- rec, Assembly Type B. BUILDING INSULATION DETAILS (Section 150.2(b)1) _ 01 02 03 04 05 06 .,P 07 I O8f jX1.2r9 10 11 05k ' P 06 If 'U7O 08 09 10 11 12 13 Method posed R -value � is Pro osed Minimum Required '`t�Initial Solar Aged Solar Thermal SRI Aged Solar Thermal SRI Pr g Required Exception CRC Rrod ct ID D,eck%N Frame Frame Depth ' �b `6AppendixJA4 Frame ontinuous Reference Spacing Cavity - I�InsulatioUn umber ,� Ta ID Assembly Type Type (inches) (inches) R - R -value? U ,-fagtor Table. Cell U Factor Comments a'7 2- lc>G '7q ., t NOTES E17 il3 • Roof area covered by, bu�il'di ngsjntegrated to e�panels and solar thermal panels are exempt from the above Cool Roof requirements. NTMQ:vk'� • Liquid field applied oti2gRmust comply nstallation criteria from section 110.8(1)4. C. ROOF REPLACEMENT (Prescriptive Alteration, � ;''on50.2(b)iH) 01 02 03 04 05k ' P 06 If 'U7O 08 09 10 11 12 13 Method R -value � is Pro osed Minimum Required '`t�Initial Solar Aged Solar Thermal SRI Aged Solar Thermal SRI of Compliance Roof Pitch Exception CRC Rrod ct ID D,eck%N , umber ,� odud Type _ , Insulation Reflectance Reflectance Emittance (Optional) Reflectance Emittance (Optional) a'7 2- lc>G '7q ., t NOTES E17 il3 • Roof area covered by, bu�il'di ngsjntegrated to e�panels and solar thermal panels are exempt from the above Cool Roof requirements. NTMQ:vk'� • Liquid field applied oti2gRmust comply nstallation 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 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E Prescriptive Residential Alterations (Page 4 of 4) Proiect Name: lhtA- (Z&L,- Date Prepared: DOCUMENTATION AUTHOR'S DECLARATION STATEMENT. `w 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Documentation Author at`� ' w t� W 1 I1 (k Company: �rin (ter Signature Date:y �.` `{4 Tt.r �cL c. 1 Address: CEA/ HERS Certification Id _0,49 (if applicable): a 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 Division 3 Business Professions Code building am eligible under of the and to accept respo�nsl lilty3for the esi or system design identified on this Certificate of Compliance (responsible designer). 3. That the energy features and performance specifications, materials, compony2nt , and manufacturrgR81100 or the building design or system design identified on this Certificate of Compliance conform to the requirements of Title 24, Part land Part 6 the C,glifornia Co 00 Regulations. o � of �, building design features design features 4. The or system identified on trtificate of Co.. pliance+are consistertiwit(he information provided on other applicable compliance documents, Vq worksheets, calculations, plans and specifications submitted to tI�ee a fo cement agerjcy foot' pproval with th�s�building permit application. 5. 1 will ensure that a registered copy of this Certificate of Complii&%&hall be mad169-4illable with the bu I ng permit(s) issued for the building,•and made available to the enforcement agency for all applicable inspections. I understand that a register cop,�of this Certi ic'ate.o ComplianceIs�t quired to be included with the documentation the builder provides to the building owner at occupancy., Responsible Designer Name:. ® QR—o-esible Designer Signature: ( Company: Date Signed: ~' Address: @ License: City/State/Zip: Mz Phone: c For assistance 00 ns 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