BRER2017-014244a"
78-495 CALLE TAMPICO
LA QUIN TA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT. .
BUILDING PERMIT
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
RE -ROOF/
BRER2017-0142
52433 AVENIDA VILLA
773273024
WRIGHT /RESIDENCE REROOF
$7,890.00
Applicant:
DIVERSIFIED ROOFING SERVICES INC
77-700 ENFIELD LANE UNIT B-1
PALM DESERT, CA 92211
f I NOV, 2 7 20V
FOFQ LA QUINTA
COMMUNfI'Y DEVELOPMENT DEP�MENT
VOICE (760) 777-7125
FAX (760) 777 7'011
INSPECTIONS (760) 777-7153
Dater 11/27/2017
Owner:
JAMES WRIGHT
4
92253
Contractor.
DIVERSIFIED ROOFING SERVICES INC
77-700 EN:=IELD LANE KNIT B-1
PALM DESERT, CA 92211
(760)275-4168
Llc. No.: 947919
LICENSED CONTRACTOR'S DECLARATION' WORKER'S COMPENSATION DECLARATION
I hereby affirm underpenalty of perjury that I am licensed under provisions of Chapter 9 1 hereby affirm under penalty of perjury one of the following declarations:
.(commencing with Section 7000) of Division 3 of the.Business and Professions Code, and _ 1 have and will maintain a certificate of consent to self -insure for workers'
my License is in full force and effect. compensation, as provided for by Section 3700 of the Labor Code, for the performance
license Class: C39 License No.: 947919 of the jQrk for which this permit is issu=d.
I have and will maintain worlers' compensation insurance, as required by.
r
Date:, Z%– /Contractor: + Section 3700 of the Labor Code, for the oerformance of the work for which this permit is
issued. My workers' compensation insurance carrier and policy number are:
OWNER -B ER D RATION Carrier: AMERICAN ZURICH INSURANCE COMPANY Policy Number:
I hereby affirm under penalty of perjury that I exempt from the Contractor's State WC593395701
license Law for the following' reason (Sec. 7 1.5, Business and Professions Code: Any _ I certify that in the performar ce of the work for which this permit is issued, l
city or county that requires a permit to construct, alter, improve, demolish, or repair any shall not employ any person in any manner so as to become subject to the workers'
structure, prior to its issuance, also requires the applicant for the permit to file a signed compensation laws of California, and agree that, if I should become subject to the
statement that he or she is licensed pursuant to the provisions of the Contractor's State workers' compensation provisions of SL --tion 3700 of the Labor Code, I shall forthwith
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business comply with those provisions.
and Professions Code) or that he or she is exempt therefrom and the basis for the _ –7 J
alleged exemption. Any violation of Section 7031.5 by any applicant for permit DatS e: z % j "7—Applicant:
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 WARNING: FAILURE TO SECURE WORKL=: ' OM h ATION'COVERAGE IS UNLAWFUL,
compensation, will do the work, and the structure is not intended or offered for sale. AND SHALL SUBJECT AN EMPLOYER TO a_RIMIN ENALTIES AND CIVIL FINES UP TO
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not. ONE HUNDRED THOUSAND DOLLARS ($400,00 . IN ADDITION TO THE COST OF
apply to an owner of property whb'builds or improves thereon, and who does the work COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
himself or herself through his or her own employees, provided that the improvements INTEREST, AND ATTORNEY'S FEES.
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 ' APPLICANT ACKNOWLEDGEMENT
or she did not build or improve for the purpose, of sale.). IMPORTANT: Application is hereby mace to the Building Official for a permit subject to
(_) I, as owner of the property, am exclusively contracting with licensed contractors to the conditions and restrictions set forth. -on this application. .
construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State 1. Each person upon whose behalf this: application is made, each person at who
License Law does not apply town owner of property who builds or improves thereon, request andforwhose benefit work is performed under or pursuant to any permit issued
and who contracts for the projects with a contractors) licensed pursuant to the as a result of this application, the owner, and the applicant, each agrees to, and s)iall
Contractors' State License Law.). defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
(� I am exempt under Sec. B.&P.C. for.this reason employees for any act or omission related to the work being performed under or
following issuance of this permit.
u.
2. Any permit issued, as a result of this applicatioh becomes null and void if work is not
Date: Owner: commenced within 180 days from date of issuance of such permit, or cessation of work
for 180 days will subject permit to cancellation.
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for I certify that I have read this applicationand state that the above information is correct.
the performance of the work for which this permit is issued (Sec. 3097, Civ.'C.). I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize repr=esentatives of this city to enter upon the above-
Lendee's Name: mentioned property for inspection purposes.
Lender's Address: Date ��– Z 7–/ / ,-Signature (App icant or Agent):
-
Date:• 11/27/2017
Application Number. BRER2017-0142.
Owner:
Property Address: 52433 AVENIDA VILLA
JAMES WR: GHT
APN: 773273024
-
Application Description: WRIGHT / RESIDENCE REROOF
92253
Property Zoning
Application Valuation: $7,890.00
Applicant:
Contractor ^
DIVERSIFIED ROOFING SERVICES INC
DIVERSIFIED ROOFING SERVICES INC
77-700 ENFIELD LANE UNIT B-1
77-700 ENFIELD LANE UNIT B-1
PALM DESERT, CA 92211
PALM DESERT, CA 92211
(760)275-4168
Llc. No:: 947919
Detail: REMOVAL OF EXISTING BUR ROCK ROOF.REROOF WITH EAGLE LIGHT WEIGHT TILE_ OVER TIGER PAW PA?ER AT SLOPED AREAS [CRRC: 0918-0046]
2016.CALIFORNIA ENERGY CODE..
n
TINANCIAON FORMATION
.: a. :,e=DESCRIPTION ACCOUNTQTY 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
$53.05
DESCRIPTION
1 ACCOUNT
QTY
AMOUNT
RE -ROOF -FIRST 2,000 SF PC
10.1-0000-42600
0
$106.11
Total Paid for RE -ROOF: $159.16
DESCRIPTION
ACCOUNT
QTY
AMOUNT
^ TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
--- PERMIT
17
PLAN LOCATION
Address: -7-2_ QCJ
Project'Address: Project Description:: Pool, Remodel, Add't, beet, Plumb, Mech '
APN
G s /J/:U W A111
Telephone: -Z 2 ZG (
76��, 02.7
Patio/Porch SF
Applicant Name: /��T ; _�
71
L/f� Gf 1—a C! (�� ►� '/ L
Address: SZ �(33 /dee, iic�i-..
7-a��" aw .
City, ST, Zip:
Telephone:
Email:
Valuation of Projects" /► l
Contractor Name:
New. SFD Construction:. i
Address: -7-2_ QCJ
Conditioned Space SF
City, St, Zip 'S%-6
Garage .. _ SF
Telephone: -Z 2 ZG (
76��, 02.7
Patio/Porch SF
Email: ►
Fire Sprinklers SF
ca
State Lic: %L/7�1 <7 City Bus Lic: .
Arch/Eng Name:
Construction Type:' Occupancy:.
Address:
Grading:'
City, St, Zip
Construction Type: Occupancy:. ;
Telephone:
Bedrooms:
Stories:
# Units:
Email:
State Lic: 'City Bus Lic:
Property Owner's Name:
New Commercial /.Tenant Improvements:
Address:
Total Building SF
City, ST, Zip
Construction Type: Occupancy:. ;
Telephone:
Email:
`
78495.CALLE TAMPICO
+, LA QUINTA, CA 92253
' 760-777-7000 t
1-1
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
CEC-CF1 R -ALT -05-E Revised 04/16)
CERTIFICATE OF COMPLIANCE "
.Prescriptive
Residential Alterations That Do Not Require.HERS Field Verification
Project Name: /�/ /. ..�P� - • .
CALIFORNIA ENERGY COMMISSION
CF111-ALT-05-E
Page 1 of 3
Date PreOared:
if ^ z� —/:7
This compliance document is only applicable to simple alterations that do not reytiire 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, • dr 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 an 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, each person shall prepare and sign o 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.
A. General Information
01
Project Name:
/6� r �S.r
02
Date Prepared:
Z��/7
03
Project Location:
04
Building Front Orientation (deg or cardinal):
05
CA City:.
_
06
Number of Altered Dwelling Units:
07
Zip Code:
9 2 Z S
08
Fuel Type:
09
Climate Zone:
o '� r
10
Total Conditioned Floor Area (ft):
'
11
Building Type:
12
Slab Area (ft)
13
"✓❑
Project Scope (Select all that apply): W
B. Insulation' 0 D. & E. Fenestration/Glazing - ADD Q G. Space Conditioning System (Heating, Cooling, Duct system) • 0 Lighting
•C. Roof Replacement- 0 D. & F. Fenestration/Glazing - REPLACE H. Water Heating System EJ Include Mandatory Measures?
t
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
K
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 2 of 3
Project Name: T o S Date Prepared: Z7—E7 7—/
C. Roof Replacement (Prescriptive Alteration, Section 150.2(b)1H)
01
02
03
04
OS
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)
oq18
F - —fz-
4TQ,£Atl�R�g.w
Dete'Ro
i ASS J e
�:
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
F-� a�
CEC-CFIR-ALT-05-E Revised 04/16 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CFIR-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification Page 3 of '
Project Name: , 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:
Signature Date:
CEA/ HERS Certification identification (if applicable):
Address:
City/State/Zip:. _
Phone:
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, Parti 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.
S. I will ensure that a registered copy of this Certificate of Compliance shall be.made available with thebuilding permit(s) issued for the building; and made availableto 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:
Company:
Date Signed:
Address: � .
' t
License:
-
City/State/Zip:
Phone:
'For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.
r CA Building Energy Efficiency Standards - 2016 Residential Compliance
April 2016