BRER2016-001078-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
c&t!t 4 4 Qum&
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BRER2016-0010
Property Address:
52417 AVENIDA ALVARADO
APN:
773253020
Application Description:
SOLAR RESIDENCE / REPLACE FOAM ROOF
Property Zoning:
Application Valuation:
$4,320.00
Applicant: `
FOAMBOND CORPORATION
255 N EL CIELO RD STE 140-656
PALM SPRINGS, CA 92262
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.: 868171
Date: 7 G 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).:
(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 Na
Lender's
6,
.VOICE (760) 777-7125
FAX (760)777-7011
a OWNS (760) 777-7153
Contractor:
FOAMBOND CORPORATION
255. N EL CIELO RD STE 140-656
PALM SPRINGS, CA 92262
(866)404-5440
Llc. No.: 868171
2/9/2016
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 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 polity 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 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 Section 3700 of the Labor Code, I shall forthwith
comply with those pr isions.
Date: -1h; 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 ci nter upon the
above -menti ed operty for inspection purposes.
Date % '/O/ Signature (Applicant or Agint):
FINANCIAL INFORMATION
it +�' izatz°TION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
PAID BY
METHOD
- RECEIPT #
CHECK #
CLTD BY
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:
$1.00
$0.00
DESCRIPTION
-ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RE -ROOF - FIRST 2,000 SF
101-0000-42404
0
$49.31
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RE -ROOF - FIRST 2,000 SF PC
101-0000-42600
0
$98.62
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for RE -ROOF:
TOTALS:00
$147.93
$0.00
0
�C6`rOF'j1j�,9
Description: SOLAR RESIDENCE / REPLACE FOAM ROOF
Type: RE -ROOF Subtype:
Status: APPROVED
Applied: 2/9/2016 MFA
Approved: 2/9/2016 MFA
Parcel No: 773253020 Site Address: 52417 AVENIDA ALVARADO LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 10
Lot: 9
Issued:
UNIT 1
NAME
ADDRESSI
Lot Sq Ft: 0 Building Sq Ft: 0
Zoning:
Finaled:
Valuation: $4,320.00 Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0
No. Unites: 0
255 N EL CIELO RD STE
Details: TEAR OFF EXISTING FOAM ROOF SYSTEM AND INSTALL NEW POLYURETHAN FOAM ROOF SYSTEM PER 2013 CALIFORNIA ENERGY
CODE
92262
(760)578-1826
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESSI
CITY
STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT
FOAMBOND CORPORATION
255 N EL CIELO RD STE
PALM SPRINGS
CA
92262
(760)578-1826
140-656
CONTRACTOR
FOAMBOND CORPORATION
2S5 N EL CIELO RD STE
PALM SPRINGS
CA
92262
(760)578-1826
140-656
OWNER
SOLTERIS SOLAR
52417 AVENIDA
LA QUINTA
CA
92253
(760)578-1826
ALVARADO
Printed: Tuesday; February 09, 2016 10:59:11 AM 1 of 2 CR
SYS7Eti1S
Printed: Tuesday, February 09, 2016 10:59:11 AM 2 of 2 rp
SYSTEti1S
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
BSAS 561473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid for BUILDING 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
SF PC
Total Paid for RE -ROOF: $147.93 $0.00
TOTALS:4.$0.00
Printed: Tuesday, February 09, 2016 10:59:11 AM 2 of 2 rp
SYSTEti1S
F CALIFORNIA
RESIDENTIAL ALTERATIONSIMN-
10
CEC-CFIR-ALT-01-E Revised 06/14 CALIFORNIA ENERGY COMMISSION e
CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E
Prescriptive Residential Alterations (Page 1 of 4)
Project Name: Date Prepared:
A. GENERAL INFORMATION
01
,L,
01
Project Name: 0 C,0-, G �.-
02
Date Prepared: 0,
03
Project Location:. -!--Z-ILI
04
Building Front, Orienfat)on'(deg or cardinal):
05
CA City:_
06
Number of Altered,D elling Units: #,
07
Zip Code:
08
Fuel Type: ` $p
09
Climate Zone:
10
Tota),Conclitioned Floor,A�ea (ft2)
11
Building Type
12
SIWArea`(ft2) I A,w
13
Project Scope:
NOTES „4 "
• Roof area covered , building`integrated pho tovoltaia panels and solar thermal panels are exempt from the above Cool Roof requirements.
• Liquid field applied tir, st comply vv ,installation criteria from section 110.8(i)4.,
B. BUILDING'INSULATION DETAILS (Section 150.2(b)1)
01
02
03
04
05
06 r , ` 07 08,E X09
10
11
Tag/ID
Assembly Type
Frame
Type
Frame
Depth
I (inches)
Frame
Spacing
I (inches)
rP,roposed 4w
1011
Required
Comments
Continuous
Cavity lI sulation
R -value, R -value 49 y LI: -,factor
V6pendixJA4
Reference
U -Factor
Table, Cell
.,�,is
001' Qr:
NOTES „4 "
• Roof area covered , building`integrated pho tovoltaia panels and solar thermal panels are exempt from the above Cool Roof requirements.
• Liquid field applied tir, st comply vv ,installation criteria from section 110.8(i)4.,
o**, '* -I,
ea v% 14, IV 16 --,VILI
C. ROOF REPLACEMENT (Prescriptive Alteration, SSeett%150.2(b)1H `
01
02
03
04 ,
05R
06
tr `0,70 08 09 10 11 12 13
Method of
Compliance
Roof
Pitch
Exception
CRRC Product ID�
Number
O',PrgdUctType _
R -value„
De k,
< Insula
Propos d Minimum Required
Initial Solar Aged Solar Thermal SRI Aged Solar Thermal - SRI
Reflectance Reflectance I Emittance (Optional) Reflectance Emittance (Optional)
.,�,is
NOTES „4 "
• Roof area covered , building`integrated pho tovoltaia panels and solar thermal panels are exempt from the above Cool Roof requirements.
• Liquid field applied tir, st comply vv ,installation criteria from section 110.8(i)4.,
Registration Number: Registration Date/Time: HERS Provider:
CA Building Energy Efficiency Standards - 2013 Residential Compliance June 2014
STATOF CALIFORNIA
RESIDENTIAL ALTERATIONS
CEC-CFIR-ALT-01-E Revised 06/14 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E
Prescriptive Residential Alterations (Page 2 of 4)
Project Name: Date.Prepared:
D. FENESTRATION/GLAZING AREAS ALLOWED (Section 150.2(b)1) ,:'N
01 02 03
04
Alteration Type Orientation Maximum Allowed ft2
Comments Yf'
E. FENESTRATION/GLAZING PROPOSED AREAS AND EFFICIENCIES (Section 150.2(b)1)
"�i�
01
02
03
04
05
06
07
08 �.�-
09
10'
I? 11
12
13
14
15
Combined
Orientation
Area
Area z
Net"er'
.Maximum,
Exterior
SHGC'
Tag/
Fenestration
Frame
Dynamic
N, S, W, E, or
Removed
Added
Added
Allowed
Shading
from
ID
Type
Type
Glazing
Roof
ft2
Area ft2
fac''t'or
U -factor
Source
SHGC
Source
Device
CF1R-ENV-03
gqft3
-r,
a
Net Added West=fac n'g* enestration Area,",
'V
>
b
Existing + Added West -facing Fenestration Area
A -1k
c
Maximum AIIw d \Nest facing`Fenestation Area
d
Is West -facing Fenestration Area < Maxim' u m`Al lowed West-ffacing Fenestration
w
�}
e
o Net Added Fenestration Area (all o�r�e",f ptions)
f
, XlExE fisting+Added;Renestration Area (al`orie nations)
g
maximum. -All 'eaFenestration Area (all orientations))
h
Is Existing +'Adedwrenestration Area <Naximum Allowed Fenestration Area (all
tl orientations)
Registration Number: Registration Date/Time: HERS Provider:
CA Building Energy Efficiency Standards - 2013 Residential Compliance June 2014
STAiEUF CALIFORNIA
RESIDENTIAL ALTERATIONS
CEC-CF1 R -ALT -01-E Revised 06114 CALIFORNIA ENERGY COMMISSION h
CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E
Prescriptive Residential Alterations (Page 3 of 4)
Project Name: Date Prepared:
F. SPACE CONDITIONING(SC) SYSTEMS — HEATING/COOLING (Prescriptive section 150.2(b))
01 02 03
'ep a
Dwelling Unit Name Dwelling Unit CFA (Ft2) Commentsy t" �C'
G. WATER HEATING SYSTEMS (Section 150.2(b)1G) 'z'
01
02
03
04
05
06
07
08
09ky"\�.
10
gf1
? 12
13
14
15
System Identification or.,�
�Water'Heating System
Alteration to the Space
Water
,
;Identification or Name
Conditioning System(s)?
Comments
Water Heating '
«Of
Water
Heater
,
THeatin�
Back -Up
System
Water
Water
Heaters
Storage
Rated
Rated
q l%
Heating
10,x.�:-]t
Exterior
Solar
Dwelling Unit DHW
Identification or
Heating
Heater
in
Volume
Fuel
Input
�mput '
Efficiency
Efficiency
Standby
Insul.
Savings
Central DHW System
System
Name
System Type
Type
system
(gal)
Type
Type'.
Value
Type's
Value
Loss.(%)
R -Value
Fraction
Distribution Type
Distribution Type
H. SPACE CONDITIONING SYSTEMS AND WATER HEATING SYSTEMS I.WMULTIFAMILY�+DWELLING UNITS
01
02 'R
tGe 03 ''
,. 1 , 04y
05
06
Central'Wier ,,Heating
Dwelling Unit
Dwelling Unit:
Dwelling iLlnit Totarl FA
System Identification or.,�
�Water'Heating System
Alteration to the Space
Dwelling Unit Name
,
;Identification or Name
Conditioning System(s)?
Comments
F
Registration Number: Registration Date/Time: HERS Provider:
CA Building Energy Efficiency Standards - 2013 Residential Compliance June 2014
Z
` STA 00F CALIFORNIA
,, 1 ESIDENTIAL.ALTERATIONS
CEC-CFIR-ALT-01-E Revised 06/14
CERTIFICATE OF COMPLIANCE
Prescriptive Residential Alterations
Proiect Name:
Date Prepared:
CFIR-ALT-01-E
(Page 4 of 4)
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 'fq
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name: /
Documentation Author Signature:
Company: '
�l�
Signature Date:
2jAM02-4 �
Q Ga %r/( H I 6
Address:
Z r5- ' /U-
CEA/ HERS Certification Identificatio&(if applicablel:
11:55,/
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.
'for
2. I am eligible under. Division 3 of the Business and Professions Code to accept respons6b 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'ma nufactured dd'eviees"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 ertificate of Compliance re consiste�nwitlie information provided on other applicable compliance documents,
worksheets, calculations, plans and specifications submitted :to thee enforcement agericy'f6 =approval with his building permit application.
f.'
5. 1 will ensure that a registered copy of this Certificate of Corn ,plianckssha11 be made available with the building pgrmlt(s) issued for the building, and made available to the enforcement agency
opy of o Compliance end documentation the builder to the building
for all applicable inspections. I understand that a registered this Certificat is requ rl to be included with the provides
owner at occupancy.
Responsible Designer Name:- b
ite's{io risible Designer Sig
Company : // ' V
Date Signed: `
Address:
License:
`! Al�
l, vVII C-?Ilgjv�
City/State/Zip:/",or
Phone:
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 Quinta
Building Si Safety Division
C, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit # f
Project Address::'Z A Va/, Jo.
Owner's Namep�p,;�� S 5b
A. P. Number:
Address: S -L -112
Legal Description:
City, ST, Zip: / A
f^ � G H• 1 � C /�'
ontra
C ctoi•: �
Tele hone• _
� 7 Z6•
Address: LS� �(�, F 6 3
Project Description: A S
City, ST, zip: 4 ��,•. v, «
rn root
Telephone: U G
9'Sly/- C
o
State Lic. # :
City Lic. #.
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
aneY:
Construction Type: Occupancy:
a
S t to L•ic. #
r Demo
Project type circle one): NewAdd'n Alter Repairai
Name of Contact Person: I 4111
Sq. Ft.: 1313
# Stories:
# Units:
Telephone # of Contact Person: 90 p_8 D6
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
tl
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cales.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" Review, ready for corrections/issue
Electrical .
Subcontacl'or List
Called Contact Person
Plumbing
Grant Decd
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN ROUSE:-
'rd Review, ready for correctionstissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
SCII001 Fees,
Total Permit Fees