BRER2017-006878-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T-� 4 4aw. .
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BRER2017-0068
Property Address: 52420 AVENIDA VELASCO
APN: 773265009
Application Description: AGUILERA/ REROOF ENTIRE DWELLING WITH FOAM
Property Zoning:
Application Valuation: $8,250.00
Applicant:
BECERRA BROTHERS ROOFING
69712 PALM SPRINGS AVENUE
MOUNTAIN CENTER, CA 92561
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 I License No.: 887380, .,
Date: ' I I I U 1 1 1 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 11, 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:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
no — I
Owner: 3
DEVIN AGUILERA c _
52420 AVENIDA VELASCO =? n C
LA QUINTA, CA 92253 �m r
rn IV
=y o
Contractor:
BECERRA BROTHERS ROOFING
69712 PALM SPRINGS AVENUE C
MOUNTAIN CENTER, CA -92561.
(760)349-9705
LIc. No.: 887380
0
7m—
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 wor or 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: STATE COMPENSATION INSURANCE -FUND Policy Number: 9032239
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 Section3 00 of the Labo��de, I shall forthwith
comply with those provisions. l 31 ( 1
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 property for inspection purposes. y
Date: U —)Signature (Applicant or Agent •
' Date: 7/10/2017
Application Number: BRER2017-0068
Owner:
Property Address: 52420 AVENIDA VELASCO
DEVIN AGUILERA
APN: 773265009
.52420 AVE NIDA VELASCO
Application Description: AGUILERA / REROOF ENTIRE DWELLING WITH FOAM
LA QUINTA, CA 92253
Property Zoning:
Application Valuation:. $8,250.00
Applicant:
Contactor:
BECERRA BROTHERS ROOFING
BECERRA BROTHERS ROOFING
69712 PALM SPRINGS AVENUE
69712 PALM SPRINGS AVENUE
MOUNTAIN CENTER, CA 92561
MOUNTAIN CENTER, CA 92561
(760)349-9705
Llc. No.: 887380
Detail: REROOF WITH WHITE FOAM [CRRC: 0790-0001] AND REPLACE FASICA AS NEEEDED.
2016 CALIFORNIA ENERGY CODE.
J
,
F1 AN IAL
DESCRIPTION . ACCOUNT CITY AMOUNT '
BSAS S131473 FEE 101-0000-20306 0 $1.00,
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
CITY
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: $155.04
DESCRIPTION
ACCOUNT-
CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
STATE OF CALIFORNIA
Prescriptive Residential. Alterations That. Do Not Require HERS Field Verification
CEC-CFIR-ALT-05-E Revised 06/14
CERTIFICATE OF COMPLIANCE
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
PfOle"Name: AGUILERA
r ,
CALIFORNIA
epared: 7-10-1 i
CFIR-ALT-05-E
(Page 1 of 7)
This compliance document is only applicable to simple alterations that do not require HERS verification for compliance. ,When HERS verification is required, a CFIR-ALT-01 shall first be registered
with a HERS Provider Data Registry.
Alterations to Space Conditioning Systems that are exempt from HERS verification requirements may use the CFIR-ALT=05 and CF2R- ALT -05 Compliance Documents. Possible exemptions from duct
leakage testing include: less than 40 ft of ducts were added or replaced; or the existing duct system was insulated with asbestos; or the existing duct system was previously tested and passed by a
HERS Rater. If space conditioning systems are altered and are not exempt from HERS verification, then a CFIR-ALT-02 must be completed and registered with a•HERS Provider Data Registry.
Alterations that utilize close Cell Spray Polyurethane Foam (ccSPF) with a density of 1.5 to less than 2.5 pounds per cubic foot having on R -value other than 5.8 per inch, or Open Cell Spray
Polyurethane Foam (ocSPF) with a density of 0.4 to less than 1.5 pounds per cubic foot having on R -value of 3.6 per inch, shall complete and register a CFIR-ALT-01 with a HERS Provider Data
Registry. $
If more than one person has responsibility for installation of the items on this certificate, eachperson shall prepare and sign a certificate applicable to the portion of construction for which they are
responsible. Alternatively, the person with -chief responsibility for construction shall prepare and sign this certificate for the entire construction. All applicable Mandatory Measures shall be met.
Temporary labels shall not be removed before verification by the building inspector.
3 -
A. GENERAL INFORMATION
01
Project Name:
AGUILERA
02
Date Prepared:
7/10/17
03
Project Location:
52420 AVENIDA VELASCO —
04
Building Front Orientation (deg or cardinal):
05
CA City:
LA QUINTA CALIFORNIA
06
Number of Altered. Dwelling. Units:
1
07
Zip Code:
92253
08
Fuel Type:
09
Climate Zone:
30
Total Conditioned Floor Area (ft):
11
Building Type
RESIDENTIAL
12
Slab Area (ft)
13
Project Scope:
FOAM ROOF APPLICATION 2 INCH DENSITY
CA Building Energy Efficiency Standards - 2013 Residential Compliance June 2014
I
i
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
CERTIFICATE OF COMPLIANCE
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
ProjectN—a: AGUILERA -
Date Prepared: 7-10-17
CF1R-ALT-05-E
(Page 3 of 7)
C. ROOF REPLACEMENT (Prescriptive Alteration, Section 150.2(b)1H)
01
02
03
04
05
06
07 08 09 10
11 12 .13
Method of
Compliance
Roof
Pitch
Exception
CRRC Product ID
Number
Product Type
R -value
Deck
Insulation
Proposed
Minimum Required
Initial Solar
Reflectance
Aged Solar
Reflectance
Thermal
Emittance
SRI
(Optional)
Aged Solar
Reflectance
Thermal
Emittance.
SRI
(Optional)
Title 24
2/1.2
0790-0001
elastomeric pa
0.86
0.81
.88
102
.20
.75
16
'NOTES
• Roof area covered by building integrated photovoltaic panels and solar thermal panels are exempt from the above Cool Roof requirements. .
• Liquid field applied coatings must comply with installation criteria from section 110.8(i)4.
D. FENESTRATION/GLAZING AREAS ALLOWED (Section 150.2(b)1)
01
02
03
04 '
Alteration Type
Orientation
Maximum Allowed ftz
Comments
CA Building Energy Efficiency Standards - 2013 Residential Compliance June 2014
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
CEC-CF I R -ALT -05-E (Revised 06/14)
CERTIFICATE OF COMPLIANCE
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
Project Name: AGUILERA
Date Prepared: 7-10-17
CFIR-ALT-05-E
(Page 7 of 7)
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name: -
Documentation Author Signature:
Carmen Rubio Becerra
Company: -
Signature Date:
Becerra Brothers Roofing
7/10/2017
Address:
CEA/ HERS Certification Identification (lf applicable):
69-712 Palm Springs Avenue
City/State/Zip: - -
Phone:
Mountain Center CA 92561 -
760-880-6592
RESPONSIBLE PERSON'S DECLARATION 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. That 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 registered 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 registered 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 Designer Signature:
Carmen Rubio Becerra
Company:
Date Signed: ,
Becerra Brothers Roofing
7/10/2017
Address: -
License: '
69-712 Palm Springs Avenue
887380
City/State/Zip: - -
Phone:
Mountain Center CA 92561
760-880-6592
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.
CA Building Energy Efficiency Standards - 2013 Residential Compliance June 2014
Qty of La Quinta
Building 81 Safety Division
Permit„ 78-495 Calle Tampico
La Quinta, CA M53 - (760) 777-701.2
-on Building Permit Application and Tracking Sheet
Project Address: —Q2 / `V� Ve. Q ��� Owner's Name;
A. P. Number: Address:
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Telephone # of Contact Person: 1lP D M Lo Sci 2- Estimated Value of Project:
APPLICANT: DO NOT WRITE RELOW THIS LINE
i<
Submittal
Req'd
Rcc'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item ..
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance.
Title 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
T4ech2nical
Grading plan
2°" Review, ready for corrcctions/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.[.
Ii.O.A. Approval
Plans resubmitted
Grading
IN ROUSE:-
J'J. Revietiv, ready for corrcctions/issue
Developer Impact Fee
Planning Approval
Called Contact Person.
A.I.P.P.
Pub, Wks. Appr
Dale of permit issue
School Fees,
Total Permit Fees