BRER2017-0030f•4
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
BRER2017-0030
54960 AVENIDA RU
774292011 /��
YORK RESIDENCE/ ELiO�F
$19,500.00
Applicant:
RELIABLE ROOFING BY T G Y
P 0 BOX 1961
PALM SPRINGS, CA 92263
`&yaw
DESIGN'& DEVELOPMENT DEPARTMENT
BUILDING PERMIT
— V
MAR 0 g r
2017
DESIGN AND DTM OF LA QUINTA
EI/DEPARTMENT
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
JOHN YORK
54960 AVENIDA RUBIO
LA QUINTA, CA 92253
Contractor:
RELIABLE ROOFING BY T G Y
P 0 BOX 1961
PALM SPRINGS,04 92263
(760)323-2705
Llc. No.: 764608
Date: 3/6/2017
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - /'- - -.- - - - - - - - - - - - - - - - - - - - - - - - - - - - ' ---------------------------
LICENSED CONTRALTO E6 TION
I hereby affirm under penalty of perjury tha am lice ed u er provisions of Chapter
9 {commencing with Section 7000) of Divisio f e Busines d Professions Code,
and my License is in full force and effect.
License Cla s: C3 License No.: 76460
r-- 'Date: Contra r:
OWN -BUILDER DECL RATION /
I hereby affirm under penalty of j erjury that I am ' empt from the Contractor's Sta
License Law for the following reason (Sec. 7031.5, usiness and Professions Code• ny
city or county that requires a permit to construct, I Iter, improve, demolish, or pair
any structure, prior to its issuance, also requires t e applicant for the per to file a
signed statement that he or she is licensed pursua \ to the provision the
Contractors State License Law (Chapter 9 (comment ion 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.).
(- 11, 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 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. Q.
Lender's Name:_
Lender's Address:
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one or 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 carriera policy number are:
Carrier: STATE COMPENSATION INSURANCE FOND Policy Number: 1795377
I certify that iA the performanceo
shall not employ any person in any manner s
compensation laws of California, and agr t
workers' compensation provisZ.—
WARNING:
ion
comply with thos provisions.
Date:
FAILURE TO SECURE WORKERS' C(
AND SHALL SUBJECT AN EMPLOYER TO CRIMI
ONE HUNDRED THOUSAND DOLLARS ($100,0
COMPENSATION, DAMAGES AS PROVIDED FC
INTEREST, AND ATTORNEY'S FEES.
f9ork for which this permit is issued, I
s )beco a subject to the workers'
h3k if I s ect to the
_700 of t Labor Code, I srthwith
ENSATION COVERAGE IS UN WFUL,
PENALTIES AND CIVIL FIN P TO
IN ADDITION TO THE CO OF
SECTION 3706 OF TH BOR CODE,
APPLICANT ACKNaWLEDG EM ENT .
IMPORTANT: Application is hereby made to the Building Official for a permi ubjectto
the conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each per n at whose
request and for whose benefit work is perforned under or pursuant any permit
.issued as a result of this application, the owner, and the applican each agrees to, and
shall defend, indemnify and hold harmless the City of La Quint its officers, agents, and
employees for any act or omission related to the work being erformed under or
following issuance of this permit.
2. Any permit issued as a result of this application be mes n d void if work is
not commenced within 180 days from date ofissuan of such permit, ssation of
work for 180 days will subject permit to cancEllatio .
I certify that l have read this application and st a that the above information is corre
I agree to comply with all'city and county or nances and stat�ots relating to buildin
construction, and hereby authorize repres t3tives of this c to nter upon the
above -menti ed yroperty for inspection urposes.
Date: 3 Signature (App icarc orAgen
l_
Date: 3/6/2017
Application Number:
BRER2017-0030
Owner:
Property Address:
54960 AVENIDA RUBIO
JOHN YORK .
APN:
774292011
54960 AVENIDA R.UBIO
Application Description:'
YORK RESIDENCE / REROOF
LA QUINTA, CA 9253
Property Zoning:
Application Valuation:
$19,500.00
Applicant:
Contractor:
RELIABLE ROOFING BY T G
Y
RELIABLE ROOFING BY T G Y.
P 0 BOX 1961
P 0 BOX 1961
PALM SPRINGS, CA 92263
PALM SPRINGS, CA 92263
(760)323-2705
--------------------------------------------------
LIc. No.: 764608
--------------------------------------------
Detail: REROOF WITH URATHANE FOAM OVERLAY 2 COATS PER 2016 CALIFORNIA ENERGY CODE.
1
ESCRIPTION ACCOUNT QTY AMOUNT
77 FINANCIAL a.
7ABSAS
SB1473 FEE • 101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATIOM BSA: $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RE -ROOF - EA ADDITIONAL 1,000 SF
101-0000-42404
0
-$12.16
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RE -ROOF - FIRST 2,000 SF
101-0000-42404
0
$51.68
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RE -ROOF.- FIRST 2,000 SF PC
101-0000-42600
0
$103.36
Total Paid for RE -ROOF: $167.20
DESCRIPTION
ACCOUNT
QTY1
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
TOTALS: $173.20
G r
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
TOTALS: $173.20
STATE OF CALIFORNIA �
RESIDENTIAL ALTERATIONS tla�
CEC-CFIR-ALT-01-E Revised 06/16)' CALIFORNIA ENERGY COMMISSION '4 c
CERTIFICATE OF COMPLIANCE MR -ALT -01-E.
Prescriptive Residential Alterations (Page 6 of 6)
Project Name: Date Prepared:
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT P
1. I certify that this Certificate of Compliance documentation is accurate and complete.,.
Documentation Author Name:
Documen tom r Signature: ?. e, y3
ot':.
Company: i-
- /%j/f
Signature Date: Fiu'
r� a.
(
1
soh .#� :1t.u��'t'hY'
Address: /�'\J �n
CEA/ HERS Certlficati n Id e Ifl}ca��llon ( Applicable): (' {'
City/State/ P - �(� //� ► V� 7one:`
1 T
sn `i: �D
RESPON IBLE PERSON'S DECLARATION STATEMENTg,
I certify the following under penalty of perjury, under the laws of the State of California: �v
1. The information provided on this Certificate of Compliance is true and correct.�^�,'
design
2. 1 am eligible under Division 3 of the BusMess and Professions Code to accept responsibility fo'1 t�Fi� building design oPsystem identified on this Certificate of Compliance (responsible
designeX4,
,
building
3. That theeatures and formance specifications, materials, component�;ah hieufactured de/(ces fothe design or system design identified on this Certificate of
Compliarm to th equirements of Title 24, Part 1 and Part 6 of the CallfbAt Code of RegU,lations,,4. The builgn fe res' system design features identifiedon this Certifi ate of Compliance a e.;c�nsstent wlthytfieinformation provided on other applicable compliance documents,
workshl o I fitted to the enfortem n agency�for approal with this bildlit'g permit application.
5. 1 will ena registered c y of this Certif cate of gliancei than be made availal;'I-ay �7ith the buildings ermlt(s) Issued for the building, and made available to the enforcement agency
for all ainspections. understand that�a registere opy 6fxtihis Certificate of�Compl-I. is required�to�Ze included with the documentation.the builder provides to the building
ownerancy.
Responsible D ter me:� �
Resp ible,Vesigner Signature:
Company:
�sGwwX
-`�beSigned:
Y"'
Address: ^ "" v. �: "d
License:
.N, 13.il.4
City/State/Zip: k s' Fact
Phone:
NilFo 'assisitance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300
'.
Registration Number: Registration Date/Time: HERS Provider:
CA Building Energy Efficiency Standards - 2013 Residential Compliance lune 2016
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CEC-CFIR-ALT-01-E Revised 06/16 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF113-ALT-01-E
Prescriptive Residential Alterations (Page 1 of 6)
Project Name: Date Prepared:
A. General Information
01
02
01
Project Name: t
02
Date Prepared:
10
03
Project Location: —
04
Building Front Orienfation'('deg or cardinal):
Frame
Depth
(inches)
0
07 .
Ch City:
1
Zip Code: S
— —
08
Number of Alter>ed'Dwellinp Units: �`�
�i ...... ..
Fuel Type:
�r
%
CaviQy����
g;R-value
09
Climate Zone:
30
Total Conditioned Floor Ar�ea,(ft2)'i m
�
Table Cell
11
Building Type
12
SlabArea (ft2) f
12
13
Project Scope:
Exceptions to Minimum'Aged Solar
1°,4' `Reflectance;ald Mlnlum Thermal or SRI
�? 150.2(b)1Hi,,
B. Building Insulation Details Section 150.2(b)l)
Ikk
01
02
03
04
05
06 75 `' 07 `'09
10
Tag/ID
Assembly Type
Frame
Type
Frame
Depth
(inches)
Frame
Spacing
(inches)
��v
Proposed
Required77-7
�4 00 i
_ . 0 U I
LITS' C/ L
WPOA-
Comments4A.
�r
%
CaviQy����
g;R-value
" Continuous.„
Insula�izq�"���
�R-vafWe•
�r'`�3 �
U factors
Appendix JA4
Reference
U Factor
�
Table Cell
08. a
09
10
11
12
13
14
CRRC
Proposed
Minimum Required
Solar Aged Solar Thermal
SRI
Aged Solar
Reflectance
Aged Solar
Reflectance Thermal.
Tag/
Method of
C. Roof Replacement (Section 150.2(b)1H)1
Ol
02
03
04
0,5`�
06
07
08. a
09
10
11
12
13
14
CRRC
Proposed
Minimum Required
Solar Aged Solar Thermal
SRI
Aged Solar
Reflectance
Aged Solar
Reflectance Thermal.
Tag/
Method of
Roof
,W
F roduct'
ID
�QProduct
R value
Deck
�initlal
SRI
ID
Compliance
Pitch
Exception
Numbers«,
4Type
Insulatldni
.Reflectance Reflectance Emittance
(Optional)
(Max)
(Min) Emittance (Optional)
,,?y
NOTES fir,
u' S'�` � 1� P'i.
• Roof area covered by bull'diglini"egrated photovoltaic panels and solar thermal panels are exempt from the above Cool Roof requirements.
• Liquid field applied cotl gs>must comply with installation criteria from section 110.8(i)4.
Registration Number: Registration Date/Time:
CA Building Energy Efficiency Standards - 2013 Residential Compliance
HERS Provider:
June 2016
Bin #
O��
Permit ,
Permit
Project Address:Owner's
City of La Q uI n t a
Building 8i' Safety Division
78-495 Calle Tampico
78-495
Quinta, CA 92253 -'(760) 777-701,2
Building Permit Application and Trackil g Sheet
Name:
A. P. Number:
Address: SCly".0--
Legal Description:
City, ST, Zip: i
ntra
C o ctor:
l�
Telephone:
Tele P
Address:J' �p !
Project Description:
City, ST, Zip: vV(/W�
V. UT L)
---
Telephone:--�t7 •o
�r��A
State Lic. # : 7& (QQ e?
City Lic. #;
Arch., Engr., Designer:
Address:
City, ST, Zip:
Con iruti nType: O c cu ecY
:Telephone:
State Lic.
JttYPe circle one :New Ad d n P1ter Repair.air Demo
Name of Contact Person:
Sq. Ft.: "PSt es:
# Units.
Telephone # of Contact Person:
Estimated Value of Proj
APPLICANT: DO NOT WRITE BELOW THIS LINE
H
Submittal
Req'd
Rcc'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Depesit
Truss Calcs.
Called Contact Person
Plan Check Bala. -ice ,
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" Revicw, ready for corrections/issue
Electrical .
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
`S.M.I.
M.O.A. Approval
Plans resubmitted
Grading
IN IiOUSF_:-
Reyierv, ready for corrections/issue
Developer Impart Fee
Planning Approval
Called Contact Person
A.I_P.P.
Pub. Wks_ Appr
Date of permit issue
School Fees,
Total Permit Fees