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BRER2016-0104D VOICE (760) 777-7125 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 11/9/2016 Application Number: BRER2016-0104 Owner: Property Address: 55706 RIVIERA PGA RESIDENTIAL ASSOCIATION APN: 775242014 54320 SOUTHERN HILLS Application Description: PGA WEST HOA / POLYURETHANE FOAM ROOF LA QUINTA, CA 92253 Property Zoning: Application Valuation: $2,140.00 Applicant: O,N ractor: B R S ROOFING INC ROOFING INC 777 SOUTH LUGO.AVE 10* 'to�sOUTH LUGO 4VE SAN BERNARDINO, CA 92408 NOVwBERNARDINO CA 92408 CIT`( OF LA QUINTA 884-8505 DESIGN AND DEVELOPMENT DEPARTI�o.: 907600 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: C39 License No.: 907600 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).: i (_) 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 Name: Lender's Address: WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of -.he following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 if the Labor Code, for the performance of the work for which this permit is issued. JI have and will maintain workers' compensation insurance, as required by S i 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: STATE COMPENSATION INSURANCE FUfJD Policy Number: 9141962 I certify that in the performance of tLe work for which this permit is issued, I shall not employ any person in any manner so a; 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 3770 of the Labor Code, I shall forthwith comply wit those provisions. Date: Q Applicant: / WARNING: FAILURE TO SECURE WORK OMPE ATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIWL 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 : pplication. 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 Cty 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 applica-ion becomes null and void if work is not commenced within 180 days from date of is.:uance 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 representati-res of this city to n r u e above-mentioned property for inspection purposes. Date: Signature (Applicant o * Agent): Date: 11/9/2016 Application Number: BRER2016-0104 Owner: Property Address: 55706 RIVIERA PGA RESIDENTIAL ASSOCIATION APN: 775242014 54320 SOUTHERN FILLS Application Description: PGA WEST HOA / POLYURETHANE FOAM ROOF LA QUINTA, CA 92253 "Property Zoning: Application Valuation: $2,140.00 Applicant: Contractor: B R S ROOFING INC B R S ROOFING INC 777 SOUTH LUGO AVE 777 SOUTH LUGO AVE SAN BERNARDINO, CA 92408 SAN BERNARDINO, =A 92408 (909)884-8505 Llc. No.: 907600 Detail: REROOF WITH POLYURETAHNE FOAM - LA POLLA COATINGS[CRRC: 0770-0002) 2013 CALIFORNIA ENERGY CODE. i Y Bin tf Permit # / Project Address: ...City of La Qullnta Building 8F Safety Division 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-701,2 Building Permit Application and Tracking Sheet " -� M t�5' Owner's Name17 A. P. Number: ( M0 Address: Legal Description: City, ST, Zip: 0 14A r r Cont act or. Telephone: Address: J Project Description: City, ST, : Jr Zip�� Telephone: State Lic. 4: 07 60 CityLie. Arch., Engr., Designer: Address: City, ST, Zip: T ele hon e: Con truction Type: n O ccu a1cY: , L#. t ic. State a Project type (circle ne • New Add'n A_t er Repair. Demo 0 Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rcc'd TRACKING PE ZMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cafes. Reviewed, ready for corrections Plan Check Deposit Truss Cales.. Called Contact Person Plan Check I3alarce Title 24 Cates. Plans picked up Construction ' Flood plain plan Plans resubmitted Mechanical Grading plan 2'4 Review, ready for corrections/issue Electrical Subegntactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. II.O.A. Approval Plans resubmitted Grading IN HOUSE:- '" Review, ready for corrections/issue Developer Impaci Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks: APPr Date or permit issue School Fees. Total Permit Fees 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: 7 /� / / Cl r',C/ /'/1 'i%/ Date Prepared: // /)-. %/ A. GENERAL INFORMATION x 01 03 05 Project Name:;, 1 ' (� Project Location: . I. ��t , CA City: 02 04 06 Date Prepared: Building Front 6 eritatl'on (deg or cardinal): Number of Altere&!) eliing Units: t 07 Zip Code: 08 Fuel Type: ,` , 09 Climate Zone: 10 To5l.COri'djti0 ed Floor••AFeb (ft2): it Building Type 12 S(a .*40 (ft2) 11 13 Project Scope: ?° .•eygy� B. BUILDING INSULATION DETAILS (Section 150.2(b)1) 01 02 03 04 05 06 0,`` r� x`7 1 084A'IF� 09 10 11 03 04 �V t.P 05L, ""* r 06 tf `07,6” 08 09 10 11 12 13 P R -value' P,rclosed� r , Required Minimum Required "initial Solar a I on vggp'pendix JA4 Aged Solar Thermal SRI Method of Roof Frame Frame Oeck• Compliance . Pitch Frame Depth Spacing Cavity�'.f A 6lnsulation ' ' Reference (Optional) Reflectance Emittance (Optional) Tag/ID Assembly Type Type (inches) (inches) R -value.` R -value 4"�s •.�J-„factor Table Cell -Factor Comments gW. 'SFS�LIP NOTES f Roof area covered by brurttildllotiintegrated photosvolol�taic"panels and solar thermal panels are exempt from the above • Liquid field applied,coatingslmust from Cool Roof requirements. comply withJinftallation criteria section 110.8(i)4. .S K w 11x9 r ... YA. w C. ROOF REPLACEMENT (Prescriptive Alteration, Se�(�or1�150.2(b)1H)`q"� 01 02 03 04 �V t.P 05L, ""* r 06 tf `07,6” 08 09 10 11 12 13 P R -value' Proposed _ Minimum Required "initial Solar Aged Solar Thermal SRI Aged Solar Thermal SRI Method of Roof CR C od�if`ct ID s Oeck• Compliance . Pitch Exception p Number •,.PcoductType Jn,.ulatiGn Reflectance Reflectance Emittance (Optional) Reflectance Emittance (Optional) NOTES f Roof area covered by brurttildllotiintegrated photosvolol�taic"panels and solar thermal panels are exempt from the above • Liquid field applied,coatingslmust from Cool Roof requirements. comply withJinftallation criteria section 110.8(i)4. Registration Number: Registration Date/Time: HERS Provider: CA Building Energy Efficiency Standards - 2013 Residential Compliance June 2014 STATE OF CALIFORNIA RESIDENTIAL ALTERATIONS k CEC-CFIR-ALT-01-E Revised 06/14)CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E Prescriptive Residential Alterations (P ge 4 of 4) Project Name: 7 fi 141e Date Prepared: DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documenfation Author Name: nnrnmentatinn Authnr Slenattlre: Un ' Company:Signature Date: / W < - n Address: CEA/ HERS Certification Ide tNat;lorNif pplicable): Y City/State/Zip: 9� A 0J / 1 ` / Phone: V r. + ° 1211.3 RESPONSIBL PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: 'Lw!" ! 1. The information provided on this Certificate of Compliance is true and correct.ik r , 2. I am eligible under Division 3 the Business Professions Code to of and accept responsibillttifor the building design orsystem design identified on this Certificate of Compliance (responsible designer). 3. That the energy features and performance specifications, materials, componei