BRER2014-104349685 Anacapa Cir
BRER2014-1043
III II III I I I VIII III 54
IE
78-495 CALLE TAl11PICQ D VOICE (760) 777-7125
FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT
INSPECTIONS (760) 777-7153
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
Applicant:
ROOF TILE SPECIALTY INC.
OUTSIDE CITY LIMITS
LA QUINTA, CA 92253
BRER2014-1043
49685 ANACAPA CIR
646210021
RE -ROOF HOT MOP 2100 SQ
BUILDING PERMIT
D Q
DEC 0 8 2014
CITY OF LA QUINTA
COMMUNITY DEVELOPMENT DEPARTMENT
1N3VVI d301N31NdO13A30 A.UN1VVW0o
b1N1f10 4130 A110
N018Q Jia
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 Clas License No.: :LI -0001420
Date: Contra t
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 Divisio 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 f 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 Na
Lender's Address:
Date: 12/8/2014
Owner:
ANGELA &JOHN STOUT
3100 WEST 69TH ST
MISSION HILLS, KS 92253
Contractor:
ROOF TILE SPECIALTY INC.
OUTSIDE CITY LIMITS
LA QUINTA, CA 92253
(760)200-0810
Llc. No.: :LIC -0001420
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 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 provisionsof ction 3700 of the Labor Code, I shall forthwith
comply with eWruns.
Date: 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, prbge\ty fgrynspection rposes.
Date` v 'I- - v \SignaturNpplicant or Agent):
FINANCIAL INFORMATION
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RE -ROOF - EA ADDITIONAL 1,000 SF
101-0000-42404
0
$11.60
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RE -ROOF - FIRST 2,000 SF
101-0000-42404
0
$49.31
$0.00
PAID;BY: -. _„ ; y,
.. METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION ..
ACCOUNT
QTY7-
AMOUNT
PAID
PAID DATE
RE -ROOF - FIRST 2,000 SF PC
101-0000-42600
0
$98.62
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD.BY
Total Paid forRE-ROOF: $159.53 $0.00
• ••
Description: RE -ROOF HOT MOP 2100 SQ FT
Type: RE -ROOF
Subtype: Status: SUBMITTED
Applied: 12/8/2014 PJU
Approved:
Parcel No: 646210021 Site Address: 49685 ANACAPA CIR LA QUINTA,CA 92253
Subdivision:
Block: Lot:1
Issued:
Lot Sq Ft: 0
Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $0.00
Occupancy Type: Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0 No. Unites: 0
Details: RE -ROOF HOT MOP 210 SQUARE FEET PER 2013 CBC. APPROVED PER JJ
Printed: Monday, December 08, 2014 9:54:38 AM 1 of 2
RWYSTEMS
INFORMATION
DESCRIPTION'
ACCOUNT
QTY
AMOUNT >
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
CLTD
BY
RE -ROOF - EA
101-0000-42404
0
$11.60
$0.00
ADDITIONAL 1,000 SF
RE -ROOF - FIRST 2,000,
101-0000-42404
0
$49.31
$0.00
SF
Printed: Monday, December 08, 2014 9:54:38 AM 1 of 2
RWYSTEMS
Perl'Yllt Detral 5 PERMIT NUMBER
- City Of la Quinta BRER2414-1043
• Vis:
DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD
BY
RE -ROOF - FIRST 2,000 101-0000-42600 0 $98.62 $0.00
SF PC
Total Paid forRE-ROOF: $159.53 $0.00
BOND INFORMATION
ATTACHMENTS
Printed: Monday, December 08, 2014 9:54:38 AM 2 of 2
oU U SYSTEMS
RETURNED
STATUS
REMARKS
REVIEW TYPE
REVIEWER
SENT DATE
DUE DATE
NOTES
DATE
BOND INFORMATION
ATTACHMENTS
Printed: Monday, December 08, 2014 9:54:38 AM 2 of 2
oU U SYSTEMS
Qin #
Qty of La Quinta.
Building &r Safety Division
P.O. Box 1504, 78 495 Calle Tampico .
La Quinta, CA 92253 - (760) 777-7012
Building.Permit pplication and Tracking Sheet
Permit #
Project Addres .
S `
er's Name: vo
V it
A. P. Number:
Address: O
Legal Descri tion:
City, ST, Zip: ` S on h
S S
tr c
Con a t r
0
Q.
Tele h l,r%
P 0 2 9
Address:
X 25
Project Description:
City, ST, Zip: '. a
TeleP hone.
r
State Lic. # :,
City Lic. #!Lr25D
C)
Arch., Engr., Designer:
,
Address:
City., ST, Zip:
Telephone:
::
Cons n Type: Occupancy:
State Lic #:
Project (oircle one): New Add'n Alter Repair Demo
Name of Contact Person:
ti•
Sq. Ft.:
#Stories:
# Units.
Telephone #,of Contact Person:
Estimated Value of P oject:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES.
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cala.
Called Contact Person
I
Plan Check Balance.
Title 24 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Decd
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN ROUSE:-
''" Review, ready for correctionsfissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fces
STATE OF CALIFORNIA
ENVELOPE COMPONENT APPROACH
OEM
CEC-NRCC-ENV-01-E Revised 06/13 CALIFORNIA ENERGY COMMISSION =
CERTIFICATE OF COMPLIANCE NRCC-ENV-01-E
Envelope Component Approach (Page 2 of 3)
Project Name: /\ Date Prep :,J
Yk
E. ROOFING PRODUCTS (COOL ROOF)
1
2
3
4
5 6 7
8
9 10
11
Mass Roof
Comments
Proposed
Minimum
Require
Aged Solar Thermal
SRI
Aged Solar
Thermal
SRI
25 Ib ft2
CRRC Product
or greater
Roof Pittcch
ID Number
Product Type
Reflectance Emittance
(Optional)
Reflectance
Emittance
(optional)
Comments
60
❑
❑l
❑
❑1
❑ An aged solar reflectance less than 0.63 is allowed provided the maximum roof / ceiling U -factor in TABLE 140.3 is not exceeded
❑ High-rise residential buildings and Hotels and Motels with low -sloped roofs in Climate Zones 1 through 8,12 and 16 are exempted from aged Solar
Reflectance and emittance requirements.
❑ High-rise residential buildings and Hotels and Motels with steep -sloped roofs in Climate Zones 1 and 16 are exempt from aged Solar Reflectance and
emittance requirements.
❑ The roof area covered by building integrated photovoltaic panels and building integrated solar thermal panels are exempt from aged Solar Reflectance
and emittance requirements
To apply Liquid Field Applied Coatings, the coating must be applied across the entire roof surface and meet the dry mil thickness or coverage recommended
by the coatings manufacturer and meet minimum performance requirements listed in §110.8(i)4. Select the applicable coating:
❑ Aluminum -Pigmented Asphalt Roof Coating
❑ Cement -Based Roof Coating
❑ Other
NOTES:
1. O*ck the box if the aged Solar reflectance was not avaiilab7e in the Cool Roof Rating Council's Rated Product Eliiectory, These use the equation in Section 110.8(i)2 where the Initial Reflectance
value finere the same directory and use the equation (0.2+8(pirtitie1— 0.2) to obtain a cakvlated aged value. Where p is the Initial Solar Ref iectanae and Bis either set to 0 65 for Field -Applied
Cmatings or R is set to 070)or all otherraof►ng products other than Field-Appried Coating.
2. Cakutate the SRI Value by using the SRF Worksheet at (WO) and enter the resulting value in the SRI Column above and attach a copy for the SRI -Worksheet NRCC-ENV-03E to the to this form
F. Air Barrier
1
2
3
4
5
Ta /ID
Air Barrier
Material Type
Air Barrier
Assembly Type
Whole Building
Air Leakage Testing
Comments
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2013
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CEC-CFIR-ALT-01-E Revised 06/14 CALIFORNIA ENERGY COMMISSION rG
CERTIFICATE OF COMPLIANCE - CF1R-ALT-01-E
Prescriptive Residenti I Alterati ns of 4)
Proiect Name: Int j Date Prepared:
A. GENERAL INFORMATION
01
,w In
01
Project Name:
02
-
Date Prepared: ,., . I►
03
Project Location:
04
Building Front_dr{jekation(deg or cardinal):
05
CA City:
06
Number of Alterpa Dwelling Units: * O
07
Zip Code:
08
Fuel Type. O(
09
Climate Zone:
10
Total•Condhioned Floor Area (ft2)3
11
Building Type
12
Slab„Area 0U)p`QI v
13
Projed Scope:(N-V-'
__
-
( V '-, AINA
B. BUILDING INSULATION DETAILS (Section 150.2(b)1)
01
02
03
04
05
06 1 08 t 09
10
11
Tag/ID
Assembly Type
Frame
Type
Frame
Depth
(inches)
Frame
Spacing
(inches)
gdPropo ed
Required
Comments
f C; ntinuousy
Cavity Insulation
R -value, R-valuei
p 6N `
, U;factor
)b;Appendix JA4
Reference
LI -Factor
TableJ Cell
s A—* 'D 2P X 10 _'. F
C. ROOF REPLACEMENT (Prescriptive Alteration, SSeecti * 150.2(b)iH
01 02
03 04
05►k '' 06 ``070 08 09 10 11 12 13
'
R -value Proposed Minimum Required
Method of Roof
CRRC,P'oduct ID
D nitial Solar Aged Solar Thermal SRI Aged Solar Thermal SRI
Comp#lance i
Exception` umberroduct
Ty'ilLletio Reflectance Reflectance Emi ance (Optional) Reflectance Emittance (Optional)
NOTES „Q ` ► ” 1
• Roof area covered by, building integrated photouoltaic•panels and solar thermal panels are exempt from the above Cool Roof requirements.
tingstallation
• Liquid field applied must comply within criteria from section 110.8(i)4.
Registration Number: Registration Date/Time: HERS Provider:
CA Building Energy Efficiency Standards - 2013 Residential Compliance June 2014
CERTIFICATE OF CQMPLIANCE — DATA FIELD DEFINITIONS AND CALCULATIONS NRCC-ENV-01-E
Envelope Component Approach (Page 1 of 1)
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. I certify that this Certificate of Compliance documentation is accurate and complete.
Document 'o Aut o
Documentation Author Sig a e:
Comp
(
Signature Dat : A
Address: r ,
` I \
CEA/ HERS Certification Identification (if applicable):
City/State/Zi\ `1Yc
Phone : /^ , 1 p , O ( ) I
J Ll/LJ v
RESPONSIBLE. DECLARATI N STATEMENT
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. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design
identified on this Certificate of Compliance (responsible designer).
3. The energy features and performance specifications, materials, components, and manufactured devices for the building design or system
design identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of
Regulations.
4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information
provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement
agency for approval with this building permit application.
5. 1 will ensure that a completed signed copy'of this Certificate of Compliance shall be made available with the building permit(s) issued for the
building, and made available to the enforcement agency for all applicable inspections. I understand that a completed signed copy of this
Certificat of Compliance is required to be included with the documentation the builc1qrVcou4es to the building owner at occupancy.
Responsible De ' n Nam : , 1
V
Responsible Designer g Lure:
Company: i
Date Signed: \
Address: ` 1r/
`
License:
City/State/Zip: r \
L \ )
Phone: O —L00
CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance June 2013
+ ROOF TILE SPECIALTY
PQ BOX 11.257 PALM, DESERT -CA 92255 ,
CONTRACTORS -.LICENSE #81053.7
Phone 760m200-0814 Fax 760-200-0801
A proposal SlibnIMCCt. to:: Angle WOUI
.Mailing . address: 3100,We t, 69.! .St. Miss'io'n Hills
Is KS, 66208
J C 006, La Ouinta. CA! 922511.
Boli Address-. 496M An
Phdhe:-, 913-722-74962 E mail! -an ieiistbiitoaadi.com
work to, be performcd:,
c I-ODdo
Rentove.ond dLsp6se.qf existing roof yste-M.:
Installcan't all roof to i . 11,transkions.
new can'1 and taper to va
Install I layer 515 Malarkey glas's base -inechanicallyfastefied
er. drains and 2coppeT Munderbirdro
Institknesp scupper of drains.
Apply 3 layers Maliirkq 506glassply 6 with application of asphalt type 4 inner mop of25#.per 106 s' ft. per ply.
Install new roofflashingsJor HVAC and plumbing penetrations with asphalt primer surfdce.
Apply new storm- cqllars..
flashing. 'a n
Apply 2 la ers' p 6 ivith hot asphalt *t6 all. metal hing. :si li g(or.o6f.
Flood coat roo 'runt appy n wMe 24'gravel (Glacier Rock) to all air..:condition.ar s,pon,
:conditioned.-areds to receive 3%8 white rock.
Apply asphaft.masticand 1webbing to all roof t6i.talltransitions and penetrations coat.'ivfth.mhulex.
Clean job site of all roofing debris.
513,45.00
Five year warr#qty
IF NOT ACCEPTED -IN 30.IDAYSTRIS PROPOSAL IS. NULL. AND. VOID