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BRER2015-0025LIN { 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 922 a& a" VOICE (760) 777-7125 4 FAX (760) 777-7011 ;OMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 3/6/2015 Application Number: BRER2015-0025 Owner: Property Address: - 78520 HIGHWAY 111 WASHINGTON ADAM PARTNERSHIP APN: 604050037 42620 CAROLINE CT 102 Application Description: WASHINGTON ADAM PARTNERSHIP PM25865 PALM DESERT, CA 92253 Property Zoning: Application Valuation: $5,000.00 Applicant:I Contractor: AL MILLER & SONS 111 , IrGk AL MILLER & SONS ROOFING CO IN 68760 SUMMIT DRI\`68760 SUMMIT DRIVE CATHEDRAL CITY, CA 4 2 34;.1;A �� CATHEDRAL CITY, CA 92234 CITVOFLAOUINTA (760)328-6616 COMMUNI1YnRTmPmrmTnnmcrR&m. Llc. No.: 336547 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.: 336547 y� Date: ' bb / Contractor: f -Z -V �✓ p'(,M, OWNER -BUILDER DECLARATIO f 60 �1 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 for 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 Name: Lender's Address: 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: arrier: _ 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. sate: 0f0 IS Applicant: -� Tia 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 fora 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 property for inspection purposes. 4 Date: b� Signature (Applicant orAg � FINANCIAL INFORMATION DESCRIPTION ACCOUNT - QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 PAID BY METHOD RECEIPT # CHECK # = CLTD BY Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00 DESCRIPTION : ACCOUNT QTY AMOUNT: PAID PAID DATE RE -ROOF - FIRST 2,000 SF 101-0000-42404 0 $49.31 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT . QTY 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: TOTALS:00 $147.93 $0.00 Description: WASHINGTON ADAM PARTNERSHIP PM25865 CONDITIONS Type: RE -ROOF Subtype: Status: UNDER REVIEW Applied: 3/6/2015 AZA Approved: Parcel No: 604050037 Site Address: 78520 HIGHWAY 111LA QUINTA,CA 92253 Subdivision: PM 25865 Block: Lot: 19 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $5,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 ; FAX Details: APPLICANT AL MILLER & SONS ROOFING COIN 68760 SUMMIT DRIVE CHRONOLOGY CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE ; FAX EMAIL APPLICANT AL MILLER & SONS ROOFING COIN 68760 SUMMIT DRIVE CATHEDRAL CITY CA 92234 CONTRACTOR AL MILLER & SONS ROOFING COIN 68760 SUMMIT DRIVE CATHEDRAL CITY CA 92234 OWNER WASHINGTON ADAM PARTNERSHIP 1 42.620 CAROLINE CT 102 PALM DESERT CA 92253 Printed: Friday, March 06, 2015 11:10:14 AM 1 of 2 CRWYSrEMS INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES ` PRE -ROOF FINAL" - CC DESCRIPTION ACCOUNT .QTY AMOUNT I J PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY - BSAS SB1473 FEE 101-0000-20306 0 - $1.00 $0.00 Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: RE -ROOF - FIRST 2,000 101-0000-42404 0 $49.31 $0.00 SF RE -ROOF - FIRST 2,000 101-0000-42600 0 $98.62 $0.00 SF PC Total Paid for RE -ROOF: $147.93 $0.00 TOTALS:• 00 INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES ` PRE -ROOF FINAL" REVIEWS REVIEW TYPE REVIEWER SENT DATE 1, DUE DATE RETURNED STATUS REMARKS NOTES DATE ATTACHMENTS Printed: Friday, March 06, 2015 11:10:14 AM 2 of 2 CPFW YSTEMS STATE OF CALIFORNIA ENVELOPE COMPONENT APPROACH ;EC-NRCC-ENV-01-E (Revised 06/13) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-ENV-01-E Envelope Component Approach (Page 1 of 3} Project Name: r� ] Data Prepared: Q� / ( I 1 .. S L L t 1J A. GENERAL INFORMATION Project Location:7 S1�� (\ ` 6 Compliance Method: ❑ Component El Unconditioned (file Affidavit) 1 2 CA City and Zip Code: 7 7 Building Front Orientation (deg or cardinal): 3 Climate Zone: Ta /ID 8 Permitted Scope of Work 1 ❑ New Construction ❑ Addition VAlteration 4 Total Conditioned Floor Area: �- �J 9 Building Type(s) ❑ Nonresidential ❑ High -Rise Residential ❑ Hotel/Motel Guest Room 5 ❑ Schools (Public School) ❑ Relocatable Public School Bldg. Conditioned Spaces ❑ Unconditioned Spaces ❑ Skylight Area for Large Enclosed Space 2 5000 ft2 (If checked include the NRCC-ENV-04-E with submittal) B. ENVELOPE DETAILS — Framed 1 2 3 4 5 6 7 8 9 10 11 Ta /ID Assembly Type Frame Material Frame Depth Frame Spacing Appendix JA4 Reference Cavity R -value Continuous Insulation R -value Proposed U -Factor Required U -Factor From Tables, B, C, D Comments C. ENVELOPE DETAILS — Non -framed 1 2 3 4 5 6 7 8 9 .10 Tag/ID Assembly Type Assembly Materials Thickness (inches) Interior or Core Insulation R -value Continuous Insulation R -value Appendix JA4 Reference Proposed U -Factor Required U -Factor from Tables, B, C, D Comments Required U -Factor from Tables, B, C, D Comments D. ENVELOPE DETAILS — Mass 1 2 3 4 5 6 7 8 9 10 11 Tag/ID Mass Type Density (Ib/ft3 Mass Thickness (inches) Furring Strip Thickness (inches) Interior Insulation R -value Exterior Insulation R -value Appendix JA4 Reference Proposed Insulation U -factor Required U -Factor from Tables, B, C, D Comments (.A tsuuomg tnergy efficiency standards - 2013 Nonresidential Compliance June 2013 . e+ STATE OF CALIFORNIA ENVELOPE COMPONENT APPROACH ;EC-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: �R,ott-oij Q Date Prepared: Q.3( 0�6 S E. ROOFING PRODUCTS (COOL ROOF) 1 2 3 4 5 6 7 8 9 10 .11 Mass Roof 25 Ib ft2 or greater Roof Pitch CRRC Product ID Number Product Type Proposed Minimum Required Comments Aged Solar Reflectance Thermal Emittance SRI' (Optional) Aged Solar Reflectance Thermal Emittance SRI (optional) ❑063A _10co1 SPw�c�L� fwd Ell0 . b D, -I ❑ ❑1 ❑ ❑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. Check the box if the eged'Solarreflectance was not avaibh&- in the Cool Roof Rating Council's Rated Product Dinectary, Then use the equation in Section 110.8(i)2 where the /nine/Reflectance vaVoe from the same d►rectoty and use the equation ("0.2+80ior1el — 02) to obtains a calculated aged'value. Where pis the Initial Solar Reflectance and 8 is either set to 065 for Freld Applied Coatings or it is set to 070for all other roofing products other then Fleld-Applied Coating. 2. CakuWe the SRI Value by using the SRI-WWorksheet at (TBD) and enter the resu ing value in tree SRI Column above and attach a capyfor the SRI -Worksheet NROC-EW--03-E 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 L,A tsunoing tnergy ttticiency Jtandards- 2013. Nonresidential Compliance June 2013 CERTIFICATE,OF COMPLIANCE.— DATA FIELD DEFINITIONS AND CALCULATIONS NRCC-ENV-01-E Envelope Component Approach (Page 1 of 1) DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name:Documentation ��rr�'. Tim 2%1 Author Signatur Company:& `^` 1 Kf U SgnatureDate: Address: � tp� >L"L IT( f � CEA/ HERS Certification Identification (if applicable): City/State/Zip: Phone: RESPONSIBLE PERSON'S DECLARATION S ATEMENT 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 Qivision 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 tfie.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 Certificate of Compliance is required to be included with the documentation the builder provides to the building owner at occupancy. Responsible Designer Name: Responsible Desi g ature: Company: A Date Signed: Address: _ Kms.«.,,- y License:' City/State/Zip. c�%Ti{FA* C Phone: s i ' I , CA Building Energy Efficiency Standards- 2013 Nonresidential Compliance June 2013 T . Bin # s City of La Quino. -Building 8i' Safety Division Permit # P.O. Box 1504, 78-495 Calle Tampico . La Quinta, CA 92253 - (760)'777-7012 ..Building Permit Application and Tracking Sheet Projcct Address..' j,�,Z,® ll.� F�i/111/f%{' (� Owncr'sName: U- . (41N(,ItW_f4MF�L�J I- A. P. Number: Address: 1n1�- cT # 102 �{' 2b2 a t��- Legal Description: City, ST, Zip: �' -4N1, �i�j� G4 9.22 s3 °.. ' Contractor: 06. Address: ��� (,1 t 9r� cphonc: ::� •-H ; ,.>;o:< .:.:,: Project Description: City, ST, zip: p� u GlZz3f e.i Svfik-L f( s►=�r1'-rr 'Tele }tone: J 1 1 ........ .. _ lwfv o-v s � City: Lie.. #;. MC;/i-LC /�G�i :..0-� t A-M I Arch ,: Engr., Designer.: Address: City; ST, Zip:. ' Tel hone..:,:.!-> cP Statc.Lk.#: kk '�`a=""=-""-~=` "' `> :::. .. Construction Typc:. Occupancy: Pro'cct c circleone): Ncw, Add'n Alter Repair Demo Name ofConract Bison: � S IM I t–I–�f Sg. �2 SO #.Stories: W.Units Telzphone # of Contact Puson: i (o©— Z 5,0 ---70 Z.� Estrmatcd Value.of Projcct � � 000 - APPLICANT: DO'NOT Wfi1TE SEL V THIS LINE # .: Sulimittal. Rcq'd Recd TRACKITIG PERMIT FEES. Plan Sets.. Platt Checksubmitted Tfcm Amount Stiuelural.. -ales.12evicwed, ready for corrections Plan Chcck Deposit. Truss?Cales.: Called Contact Person Pian Check Balance. 'Title 24Calcs. Platts picked up Construction ' Flood.plam •plan. cPlans resubmitted .' Mechanical. Grading plan jp' Rcvicw, ready for correcliodsfissue Electrical Subcontact& ListCalled Contact Person Plumbing Grant Decd Plans picked up S.M.L' I1.0A Approval Plans resubmitted Grading IN Iil)U3E- ' . '`.° Rcyicw, ready for correctionsfissue Dcvdoper Impact Fee. Plarinmg Appr 16fied Contact Person Pub: W.ks. Appr Date of permftissuc School Fees Tota] Permit Fccs