BRER2017-008878-495 CALLE TAMPICO Ci D �KMU�iI/
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BRER2017-0088
Property Address: 51489 AVENIDA VILLA
APN: 773102010
Application Description: SOLIS / INSTALL NEW ASPHALT SHINGLES
Property Zoning:
Application Valuation: . $6,175.00
Applicant:
ROMERO'S ROOFING
47635 PALLEN°STREET
INDIO, CA 92201
D_ D i
AUG 2 9 2017
CITY OF LAQUINTA
COMMUNITY DEVELOPMENT DEPARTMENT
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.: 984832
OWNER -BUILDS 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 fora permit
subjects the applicant to a civil penaltyof 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:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date:. 8/29/2017
Owner-.
10SEFINA SOLI
P 0 BOX 13962
PALM DESERT, CA 92253
Contractor:
ROMERO'S ROOFING
47635 PALLEN:STREET
INDIO, CA 92201
(760)698-1269
LIC. No.: 9848?2
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury oneof the following declarations:
I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by Section 300 of the Labor Code, for the performance
of the ork for which this permit is issued.
i(�"'I ave and will maintain workers' compensation insurance, as required by
Section 3700 of the Labor Code, for the perfirmance 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: 9111213
_ 1 certify that in the performance cf the work for which this permit is issued, I
shall not employ any person in any manner : o as to become subject to the workers'
compensation laws of California, and agree .hat, if I should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith .
comply with those provisions.
WARNING: FAILURE TO SECURE WORKERS']:OMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100000). 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 tathe Building Official for a permit subject to
the conditiohs 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 Ci -.y 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 anc 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 repress itatives of this city to enter upon the above-
mentioned property for inspeltion purpose:. a UJ
Date: 8/29/2017
Application Number:
BRER2017-0088
Owner:
Property Address:
51489 AVENIDA VILLA
JOSEFINA SOLIS
APN:
773102010
P 0 BOX 13963
Application Description:
SOLIS / INSTALL NEW ASPHALT SHINGLES
PALM DESERT,,CA 92253
.Property Zoning:
Application Valuation:
$6,175.00
Applicant:
Contractor:
ROMERO'S ROOFING
ROMERO'S ROOFING .
47635 PALLEN STREET
47635 PALLEN STREET
INDIO, CA 92201
INDIO, CA 92201
(760)698-1269
Llc. No.: 9848M
--=------------
------------=----------- i
,
Detail: REROOF.ENTIRE ROOF WITH COOL ROOF SHINGLES [CRRC: 0890 0009] 2016 CALIFORNIA ENERGY CODE.
1�_` m�-2-L.,
�_FINANCIAL INFORMATION,
DESCRIPTION ACCOUNT QTY AMOUNT
BSAS SB1473 FEE 101-0000-20306. 0
$1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
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: $155.04
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
TOTALS:04
L
,
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
TOTALS:04
L
Bin#
IZ- C)00OBuilding
City of La Quinta
Building & Safety Division
78-495 Calle Tampico
CA 92253 - (760) 777-7012
Permit Application and Tracking Sheet
Permit#
nLo.Quinta,
Project Address:
a pt
V
Owner's Name:— o
u
A.P. Number
Address:
_ t
Legal Description:
City, S , Zip:
Contractor:l
�.
Telephone: ® �•6
35 Address: �' �p
i
Project Descriptlon:
City, ST, Zip `
_
\t
gsa
Telephone:
4F6
65
State Lic. . 2
City Lic #:
Arch, Engr., Designer:
D
Address:
City, ST, Zip:
Telephone:
Construction Type:
Occupancy:
State Lic. #:
Proj. Type
New
Add'n
Alter
Repair
Demo
Name of Contact:
SgFt: d
#Stories
# Units:
Telephone of Contact:
Estimated Value of Project:
E7
6
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'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 Balance:
Title 24 Calcs
Plans Picked Up
Construction:
Flood Plain Plan .
Plans Resubmitted
Mechankal:
Grading Plan
2nd Rev, Ready. for corrections/
Electrics:
Subcontractor List
Called Contact Person
Plumbing:
Grant Deed
Plans Picked Up
S.M.I.
HOA Approval
Plans Resubmitted
Grading
IN-HOUSE
3rd Rev, Ready for corrections /
Developer Impact Fee
Planning Approval
Called Contact.Person
A.I.P.P.
Pub. Wks. Apps
Date of permit issue
School Fees
Total Permit Fees
,STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
CEC-CFIR-ALT-05-E Revised 04/16) CALIFORNIA ENERGY COMMISSIONI
CERTIFICATE OF COMPLIANCECFIR-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification Page 1 of 3
Project Name:
_ - Dale Prepared: _
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 aie exemptfrom HERS verification requirements,moy 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 ductsystem was insulated with asbestos, or the existing dud system was previously tested and passed by a
HERS Rater. If space conditioning systems ore altered and aie not exempt from HERS verification, then.o CFIR-ALT-02 must be completed and iegist&L1d WIrA 6 HEWS Provider Dow Fteylstry.
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 jocSPF) 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, each person shall prepare and sign d certificate applicable to the portion of construction for which they are
responsible. Alternatively, the person with chief responsibilityfor 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.
A. General Information
61
Project Name:
.,
_
02
Date Prepared:
�C(
03
Project Location:
j C`
04
Building Front Orientation (deg or cardinal):
05
CA City:
_
06
Number of Altered Dwelling Units:
07
Zip Code:
�/
7•
08
Fuel Type:
09
Climate Zone:
15
10
Total.Condition ed Floor Area (ft):
*11.
Building Type:
; r
12
Slab.Area (ft)
1
13
Project Scope (Select all that apply):
❑ ;B. Irisulation �❑ D. & E. Fenestration/Glazing - ADD
❑ G. Space Conditioning System (Heating, Cooling, Dud system) ❑ Lighting
Q C. Roof Replacement ❑ D. & F. Fenestration/Glazing
-REPLACE ❑ .H. Water Heating System r ❑ include -Mandatory Measures?
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
.'
-EC-CFIR-ALT-05-E (Revised 04/16) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ALT-05-E
Prescriptive. Residential Alterations That Do Not Require HERS Field Verification Page 2 of 3
Project Name: Date Prepared:
C. Roof Replacement (Prescriptive Alteration, Section 150.2(b)IH)
01
02
03
04
0S
06
07
08 09 10
11 12
13
Proposed
Minimum Required
R -value
Method of
CRRC Product
Product
Deck
Initial Solar
Aged Solar
Thermal
SRI
Aged Solar
Thermal
SRI
Compliance
Roof Pitch
Exception
ID Number
Type
Insulation
Reflectance
Reflectance
Emittance
(Optional)
Reflectance
Emittance
(Optional)
512 i v�
;�/� '2-
Row:*
g!
F Delete Row%
-7C+ .r-
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. .
CA Building Energy Efficiency Standards - 2016 Residential Compliance
April 2016
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification`
CEC-CFIR-ALT-05-E Revised 04/16) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification Page 3 of 3
Project Name: - Date Prepared:
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Docu ' ntation Author Signatu
nzA • ICA 40
�.2.- Z
C mpany: 't
n
re Date:
Address:
CEA/ HERS Certification I entificati (if applicable):
14 G3
City/tate/Zip:
CYc
Phone: _
0
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,
worBheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application.
S. I 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:
1
A, �� . '
Respon ble Designer Signature: - -
co ny:
1 5
Date Med'
®
yo V1
Ad ess:
G � fdAe�
License:
City/State/Zip: -
Phone:
ell
For assistance or questions regarding the Energy Standards; contact the Energy Hotline at: 1-800-772-3300.
CtA Building Energy Efficiency Standards - 2016 Residential Compliance April 2016