BRER2015-010078-495 CALLE.TAMPICO
LA QUINTA, CALIFORNIA 92253
T,d4t 4 4� Qumr(v
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
69
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/7/2015
Application Number:
BRER2015-0100
Owner:
Property Address:
54539 INVERNESS
SUNRISE DESERT PARTNERS
APN:
775092030
6°
1011 n
300 EAGLE DANCE CIR
Application Description:
Property Zoning:
REROOF WITH FIELD APPLIED WHITE FOAM [CRRC0626-0010_]
l;j
PALM DESERT, CA 92253
Application Valuation:
$2,765.00
�' V LA
Applicant:
C1�7!�r!d%01.'Ii'JfA
Contractor:
WESTERN PACIFIC ROOFING
CORP'r�;iEPdT�)GP^R'T�r.Nr
WESTERN PACIFIC ROOFING CORP
2229 EAST AVENUE Q
2229 EAST AVENUE Q
PALMDALE, CA 93550
PALMDALE, CA 93550
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 70001 of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: B. C39 License No.: 235717
(v
Date: 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, 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
Lender's
(661)273-1336
Llc. No.: 235717
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.
1_ 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 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 provisions.
l �iA
Date: t 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.
Date: �� Signature (Applicant or Agent).
FINANCIAL INFORMATION
DESCRIPTION
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
CITY
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
Total Paid for RE -ROOF:
TOTALS:•0
$49.31
$0.00
Description: REROOF WITH FIELD APPLIED WHITE FOAM [CRRC:0626-0010]
Type: RE -ROOF . Subtype: Status: UNDER REVIEW
Applied: 10/6/2015 SKH
Approved:
Parcel No: 775092030 Site Address: 54539 INVERNESS LA QUINTA,CA 92253
Subdivision: TR 22432-2 SEE ASSESSORS MB 769/43 Block: Lot: 5
Issued:
FOR CMS
Lot Scl Ft: 0 Building Scl Ft: 0 Zoning:
Finaled:
Valuation: $2,765.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: REROOF WITH LIGHT -NATIONAL COATINGS CORPORATION ACRYSHIELD-A510 WHITE [CRRC: 0626-0010] 2013 CALIFORNIA ENERGY
CODE.
Printed: Wednesday, October 07, 2015 12:01:30 PM 1 of 2 ���
SYSTEMS
CHRONOLOGY
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRES51
CITY
STATE
ZIP PHONE FAX EMAIL
APPLICANT
WESTERN PACIFIC ROOFING CORP
2229 EAST AVENUE Q
PALMDALE
CA
93550
CONTRACTOR
WESTERN PACIFIC ROOFING CORP
2229 EAST AVENUE Q
PALMDALE
CA
93550
OWNER
SUNRISE DESERT PARTNERS
300 EAGLE DANCE CIR
PALM DESERT
CA
92253
Printed: Wednesday, October 07, 2015 12:01:30 PM 1 of 2 ���
SYSTEMS
DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD
BY
RE -ROOF - FIRST 2,000 101-0000-42404 0 $49.31 $0.00
SF
Total Paid for RE -ROOF: $49.31 $0.00
INSPECTIONS
Printed: Wednesday, October 07, 2015 12:01:30 PM 2 of 2 CI?
SYSTEMS
'IS
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E
Prescriptive Residential Alterations (Page 1 of 4)
Proiect Name: 6:.� L,v& (Z -P—, i'A %t n t (,n A,4 - \ Date Prepared: e? 141 i c -
A. GENERAL INFORMATION
01
02
Ol
Project Name: �� 11,) >`S� (Les �Cien cL
05
Date Prepared: y Ir
03
Project Location: — 9 uQrntss
Building Front O�ientatign(deg or cardinal):
05
CA City:
PO4
Number of Altereowelling Units:07
Required
Zip Code:
Fuel Type: t. t VO
09
Climate Zone:
Table Cell
_Toi a Condi toned Floor,Ar'ea(ft2P
111
Building Type
1 S120, (ft2)
13
Project Scope: �y}s.1 a o o' ct Po\ ✓
nc- c..v► roo SVS�ew� i i:V`r
a a
B. BUILDING INSULATION DETAILS (Section 150.2(b)1) 116. v
01
02
03
04
05
06 o*�1�, i 07 I 08r 09
10
11
Tag/ID
Assembly Type
Frame
Type
Frame
Depth
(inches)
FrameContinuous
Spacing
(inches)
P,ropo d Sri
Required
Comments
Cavity
R -value
`�- 0
Insulation
R -value ,;fagtor
Appendix 1A4
Reference
1 LI -Factor
Table Cell
r CRI10 D
CN/umber
Deck
Initial Solar Aged Solar Thermal SRI Aged Solar Thermal SRI
Compliance
CIO
ir
,
productType
nsulatign
Reflectance Reflectance Emittaance (Optional) Reflectance Emittance (Optional)
VII 7—.
/ol�yn
V m! G `� � 601 (y%.,,�
t �irt �ci. &O.'MA
�
6 / • _I 2— I r / L1 I
e K"% v i V&r 6�Jo'
C. ROOF REPLACEMENT (Prescriptive Alteration, Se ion50.2(b)1H)1 "'i`
IV
'R�'V
01%
01
02
03
04 q.'06
05�, Vr
06
Ar '67# 08 09 10 11 12 13
od
•
R -value
Proposed Minimum Required
Method of
Roof
r CRI10 D
CN/umber
Deck
Initial Solar Aged Solar Thermal SRI Aged Solar Thermal SRI
Compliance
Pitch
Exception
,
productType
nsulatign
Reflectance Reflectance Emittaance (Optional) Reflectance Emittance (Optional)
VII 7—.
/ol�yn
V m! G `� � 601 (y%.,,�
t �irt �ci. &O.'MA
�
6 / • _I 2— I r / L1 I
'Or
NOTES,�taa
• Roof area covered by building integrated phdtovolanels and solar thermal panels are exempt
p
• Liquid field from section 110.8(1)4.
from the above Cool Roof requirements.
applied'coanngP; ust comply with�iinstst�allation criteria
w
Registration Number: Registration Date/Time: HERS Provider:
CA Building Energy Efficiency Standards - 2013 Residential Compliance June 2014
is
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CFC-CFIR-ALT-01-E Revised 06/14 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CHR -ALT -01-E
Prescriptive Residential Alterations (Page 4 of 4)
Project Name: Lb IA- LA -*k_ --%T I., 1i I Date Prepared:(4 h
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. I certify that this Certificate of Compliance documentation is accurate and complete. 141.
Documentation Author Name:
Documentation Author at
Company:
Signature Date:A
Address:CEA/
3��Z �.,.
HERS CertlOcatlon Ide(i 3tOn�(if applicable): �
a.►� bJ4.
,P�
City/State/Zip: ,,/✓\
Phone: .
RESPONSIBLE PERSON'S DECLARATION STA EMENT
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. lam Division 3 the Business Professions Code to -(,for buildingdesign Certificate Compliance
eligible under of and accept responsib'ili the esl�g'9or system identified on this of (responsible
designer).
3. That the energy features and performance specifications, materials, compone- s, art manufactured d'ewce or the buil' ing design or system design identified on this Certificate of
Compliance conform to the requirements of Title 24, Part 1 and Part 6 05. the a ifornia Code offReguladlons.
4. The building design features or system design features identified on this�Certificate of Co pliance'tara consiste�{ wii . Ke information provided on other applicable compliance documents,
lquildin
worksheets, calculations, plans and specifications submitted to thodge"'nfo cement a en fcs ,a is
p p g approval with g permit application.
5. I will ensure that a registered co of this Certificate of Com liance shall be mad available with the building permit(s) issued for the building, made available to the enforcement agency
g PY P g P () g g cY
for building
all applicable inspections. I understand that a registeere o )y of this Certificate Compliance is . quir3`ed to be included with the documentation the builder provides to the
owner occupancy.
at 10.
Responsible Designer Name: AM 111110 Responsible Designer Signature:
Company: '�
�
Date Signed:
.r A a
Address: �+ i+� '�'
v
License:
�i tia I
City/State/Zip: V
Phone:
For assistance o -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