BRER2015-0059� C
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O.�iC`
64P
VOICE (760) 777-7125
78-495 CALLE TAMPICO
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FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253
COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 7/22/2015
Application Number: BRER2015-0059
Owner:
Property Address: 79845 WESTWARD HO DR
MICHAEL BERNEP,
APN: 600050007
79845 WESTWA, �_I_ G -D
Application Description: BERNER / REROOF
LA QUINTA, CA 9-1253 +–
Property Zoning:
`
Application Valuation: $10,000.00
Q
O o do
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Applicant:
Contractor:
ROZBUILDERS
ROZ BUILDE Co
31305 LAS FLORES WAY
31305 LAS F4 � iWAY–i w
0
THOUSAND PALMS, CA 92276
THOUSAND ALhl -
a
(760)674-655.9 o
LIc. No.: 9729i9 ------,d
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: B License No.: 972979
Date: -7-Z Z- / S
Contractor: f o Z �y ) k i` -e- 5
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).:
(1 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 COMPENSA .ION DECLARATION
I hereby affirm under penalty of perjury one & the following declarations:
I have and will maintain a certificates 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 saas 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 'x700 of the Labor Code, I shall forthwith
comply with those provisions.
Date: 2 2 Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMII&AL 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 the application.
1. Each person upon whose behalf this application is made, each person at whose
request and for whose benefit work is perforrued 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 representFtives of this city to enter upon the ove.
mentioned property for inspection purposes.
Date:?—?Z_/ Signature (Applicant orAgent)
�
FINANCIAL INFORMATION
.`DESCRIPTION` e µ ?ACCOUNT,q°QTY T` AMOUNT' __PAID
FPAIDDATE'
BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00
PAID BYa�#" ,RECEIP.T,# CHECK#`
'CLTD BY
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00 -,
"E,'fDESCRIP;TION i
ACCOUNT,.f"'�
TY:_
AMOUNT W
• PAID$ °4
PAID DATE'
RE -ROOF - FIRST 2,000 SF
101-0000-42404
0
$49.31
$0.00
PAID. Ys `- 45
B
METHOD40 t
x kb..
';RECEIPT #
CHECK # >r ":
�CITD BY
DESCRI?TION
` r�ACCOUNT
QTY
rt":. t AMOUNT Y
-' PAID"�r,
�PAID`DATE
RE -ROOF - FIRST 2,000 SF PC
101-0000-42600
0
$98.62
$0.00
w Y'#z`
PAID BY
x' g. METHOD' �'?
b t
"S ,'j _ 4a
; ''RECEIPT #CHECK
# E
� s �' ..t..."'
CLTD BY��
RC. 4 ".y.
Total Paid for RE -ROOF: $147.93 $0.00
TOTALS: $148.93 00
Description: BERNER / REROOF '
CONTACTS
Type: RE -ROOF
Subtype: .• Status: UNDER REVIEW
Applied: 7/22/2015 SKH
Approved:
Parcel No: 600050007 Site Address: 79845 WESTWARD HO DR LA QUINTA,CA 92253
Subdivision: TR 2190
Block: Lot: 7
Issued:
Lot Sq Ft: 0
Building Scl Ft: 0 Zoning:
'
Finaled:
Valuation: $10,000.00
Occupancy Type: Construction Type: '
Expired:
No. Buildings: 0
No. Stories: 0 No. Unites: 0
Details: REROOF WITH LIGHT -WEIGHT TRU DEFINITION DURATION -AMBER
COLOR [CRRC: 0890-0009] 2013 CALIFORNIA ENERGY CODE.
THOUSAND
CONDITIONS
q
CONTACTS
a ADDRESSI
NAMErTYPENAME"' nM
;CITY ;
=STATE •°
ZIP "
PHONE
FAX `
EMAIL M
x
APPLICANT ROZ BUILDERS 31305 LAS FLORES WAY
THOUSAND
CA
92276
(310)739-4191
PALMS
CONTRACTOR 'ROZ BUILDERS 31305 LAS FLORES WAY
THOUSAND
CA
92276
(310)739-4191
PALMS
OWNER MICHAEL BERNER 79845 WESTWARD HO
LA QUINTA
CA
.92253
(310)739-4191
DR
q
+ -
;
.......-
CLTD
DESCRIPTION
t t
- . "ACCOUNT,
QTY..
,. ^.AMOUNT
PAID a
Y.PAID, DATE
`RECEIPT #
-
Y
.,
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
7
SF PC,,
-
Total Paid for RE -ROOF: $147.93 $0.00
TOTALS:00
PARENT PROJECTS
Printed: Wednesday, July 22, 2015 10:03:47 AM 2 of 2
• -sysreMs
STATE OF'CALIFORNIA,
RESIDENTIAL ALTERATIONS
CEC-CF1R-ALT-01-E Revised 06/14 `
CERTIFICATE OF COMPLIANCE
Prescriptive Residential Alterations
Project Name:
Date Prepared:.
ENERGY. COMMISSION "
CF1R-ALT-01-E
(Page 1 of 4)
A. GENERAL INFORMATION
Ol
U
Project Name:
Date Prepared:.
ENERGY. COMMISSION "
CF1R-ALT-01-E
(Page 1 of 4)
A. GENERAL INFORMATION
Ol
01
Project Name:
0405
- 02 Date Prepared:
03
Project Location:
�. Li W 2 g.l, ' w aC -'. p
'. 04 Building Front Orientati"on (deg or cardinal): i t 9-4 h S--14
05
CA City:
(, 0- 0-j i Ov
06 Number of AIWe i gavelling Units: rA1. -T;W�
07
Zip Code:
22
08 FuelTypg:l A
09
Climate Zone:
ej
30 TotahC;on1Jitioned Floor?A�ea (ft2)-> `
11
Building Type
U
12 Siab;A`rga (ft2) - -
13
Project Scope:
'
_ I , 'w
Edi
B. BUILDING INSULATION DETAILS (Section 150.2(b)1)
Ol
02
03
0405
04 05
06 t„'07 08 09
10
11
Tag/ID
Assembly TypeType
Frame
Frame.
Depth
(inches)
FrameGontinuous
Spacing
(inches)
-Proposed
Required
-
Comments
`.
Cavity Insulation 5
V, �: S.
R -value, R -value s U4factor
gppendix JA4
Reference
U -Factor
Table. Cell
Reflectance Reflectance Emittance (Optional) 'Reflectance Emittance (Optional)'
J-90,990
-0004
Ci 7
'
��1�
�N,.�6•AWt 4�
NOTES '� .
• Roof area covered by bullding"integrated photuoltaic panels and solar thermal panels aro exempt from the above Cool Roof requirements.
• Liquid field Ilation from 110.8(i)4.
appliedtingt' must comply withnst criteria section
'
C. ROOF REPLACEMENT (Prescriptive Alteration, Secrtn150.2(b)11-11)
01
02 '
03
04 05
07 08 09 10 11 12 13 '
R -value
Proposed Minimum Required
Method of
Roof
CRRC Product ID Deck
�. -
o
'Initial Solar Aged Solar Thermal SRI Aged Solar Thermal, SRI
Compliance
Pitch
Exception
Number P",duct Type _ Insulat
Reflectance Reflectance Emittance (Optional) 'Reflectance Emittance (Optional)'
J-90,990
-0004
Ci 7
'
��1�
�N,.�6•AWt 4�
NOTES '� .
• Roof area covered by bullding"integrated photuoltaic panels and solar thermal panels aro exempt from the above Cool Roof requirements.
• Liquid field Ilation from 110.8(i)4.
appliedtingt' must comply withnst criteria section
'
S
Registration Number:
CA Building Energy Efficiency Standards- 2013 Residential Compliance
STATE OF CALIFORNIA • r
RESIDENTIAL ALTERATIONS
CEC-CFIR-ALT-01-E Revised 06114
CERTIFICATE OF COMPLIANCE
Prescriptive Residential.Alterations
Project Name:
y CALIFORNIA ENERGY COMMISSION
CF1R-ALT-01-E
" (Page 4 of 4) Y
Date Prepared: -
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT-
1'� I certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name: _ - -
Documentation Author Signature:
Company: ^R
r- '5w
Signature Date:
Address:
CEA/ HERS Certification Identificationil(if applicable):
City/Sta p:Phone:
RESPONSIBLE PERSON'S DECLARATION STATEMENT �►
I certify the following under penalty of perjury, under the laws of the State of California: "• • V
1. The information this Certificate Compliance is
provided on of true and correct.
2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building des•Ign or system design identified on this Certificate of Compliance (responsible
designer).
3. That the energy features and performance specifications, materials, components, nd manufactured d`evieefor the building design or system design identified on this Certificate -of
Compliance conform to the requirements of Title 24, Part land Part 6 of the Ca fornia Code of�iAegla"tions.
pliant are
4. The building design features or system design features identified on this Certificate of Co Consistent with tKe information provided on other applicable compliance documents,
ff
worksheets, calculations, plans and specifications submitted,to the enforcement agency'foKapproval with this building permit application.
enforcement
5. I will ensure that a registered copy of this Certificate of CompiianceshaII be made;available with the building perrhit(s) issued for the building, and made available to the a y -
for all applicable inspections. I understand that a registered" opy of this Certificate of C mpliance is requui ekd'to be included with the documentation the er pr vides to the
owner at occupancy..,
Responsible Designer Name: -n �, _ a
Responsible Designer Signature:
Company: - -�
Date Signed:
z =/ S
Address: +
License:
171- 1 7 �j
City/State/Zip: \ " -
�rW
Phone: -
Le t 1i L.9 S
For assistance 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 June 2014
Bin #
City of La .Quints
Building &• Safety Division
P.Q. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012.
Building Permit Application and Tracking Sheet
'
Permit #
Project Address:
Owner's Name:N1tc-6eL, eC'Ne�-
A. P. Number:
Address: -]
Legal Description:
City, ST, Zip: C J
Contractor: o. Z U � 12 r
d 5
Telephone: � - l9
P 30 7
Address: �J 13®rj LG-�S Vl c4-4e-S VJ Cc.
Project Description:
City, ST, Zip: Tr aVS 0. �cG�
P0..1►r� s
Te —
le h ne•
o .% C7
� 4 S
P 1
State Lic. # : 7 Z � 7
City Lia #.
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
Construction TY Pe: Occupancy:ancY
•
State Lic. #•
Project tYPe (circle one): . New Add'n Alter Repairair
De m 0
Name of Contact Person:
Sq. Ft.: I g
#Stories:
#Units:
/v
Telephone # of Contact Person:
Estimated Value of Project: 1 u
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
Submittal
Req'd
Ree'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check BaLince
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2nd Review, ready for'corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing .
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
3'' Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
ti
Total Permit Fees
E