BRER2015-0099.* r
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
`&r4eewR
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BRER2015-0099
Property Address:
54551 INVERNESS
APN:
775092030
Application Description:
REROOF WITH FIELD APPLIED
Property Zoning:
Application Valuation:
$2,765.00
Applicant:
WESTERN PACIFIC ROOFING
CORP
2229 EAST AVENUE Q
PALM DALE, CA 93550
LICENSED CONTRACTOR'S DECLARATION \1
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. C39 License No.: 235717
Date `i Contractorf
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 hepr 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 Name:
Lender's Address:
68
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/7/2015
Owner:
SUNRISE DESERT PARTNERS
300 EAGLE DANCE CIR
PALM DESERT, CA 92253
Contractor:
WESTERN PACIFIC ROOFING CORP
2229 EAST AVENUE Q
PALMDALE, CA 93550
(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.
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 t se provisions. �J
Date: / Applica `:-:n
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 LABORCODE,
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 -menti hed property for inspection purposes.
!a
Date: 4 Signature (Applicant or Agen
F.1 NANCIAL: INFORMATION
r�'QTYt:�AMOUNT "`PAID
PAID DATE'S
n+
BSAS SB147.3 FEE 101-0000-20306
0
$1.00 $0.00
fes,
B CHECK
AE
-Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00
1,vl
"N" `DESCRIPTION T
7 - .. -1-1_1_N _'
;�i
"
_�
7, V
�PA[DiDATE�
RE -ROOF - FIRST 2,000 SF
101-0000-42404
0
$49.31
$0.00
PAI D BY i--.
METH
#
#
=CLTD BY
Total Paid for RE -ROOF: $49.31 $0.00
TOTALS: -$50.31 0.00
i
Permit Details PERMIT NUMBER
y BRER20115-0099 "
City of La. Qu i nta
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: 54551 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 Sq Ft: 0 Zoning:
Finaled:
Valuation: $2,765.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
NAME
Details: REROOF WITH LIGHT -NATIONAL COATINGS CORPORATION ACRYSHIELD-A510 WHITE [CRRC: 0626-0010] 2013 CALIFORNIA ENERGY
CODE.
Printed: Wednesday, October 07, 2015 10:50:28 AM 1 of 2 cgr�
SYSTEMS
CHRONOLOGY
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESSI
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 10:50:28 AM 1 of 2 cgr�
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
Printed: Wednesday, October 07, 2015 10:50:28 AM 2 of 2 CN?
SYSTEM 5
STATE OF 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 1 of 4)
Proiect Name: GA— Lt,k�ST Date Prepared: K 4Y I
A. GENERAL INFORMATION
01
02
01
Project Name: GA- UJ g r (Les enh'�LIM&
V- 02
Date Prepared: 4y f
03
Project Location:
04
Building Front djentation (deg or cardinal):
05
CA City:
06
Number of Alte er dVwelling Units:
07
Zip Code:g
08
Fuel Type:
LI -Factor
Climate Zone:
10
Total, Conditioned Floo wA�ea ift2)h
E09
11
Building Type
_ 12
Sla ,)re (ft2)
13
Project Scope: ,r; .1 .iso . o' d Do\v ✓
nc c..•+ roc, S1454e+h
E\ . . \\ 1W
B. BUILDING INSULATION DETAILS (Section 150.2(b)1)
01
02
03
04
05
06 , `07 08�t09
10
11
Tag/ID
Assembly Type
Frame
Type
Frame
Depth
(inches)
Frame
Spacing
(inches)
ks- ed 4"# V"f,
Required
Comments
a
Continuous
Cavity Insulation
R -value R -value � � U-,fAtor
Appendix 1A4
Reference
LI -Factor
Table Cell
Qe
Initial Solar Aged Solar Thermal SRI Aged Solar Thermal SRI
Compliance
Pitch
Exception
X 00
Type ,
�ulati0n
Reflectance Reflectance Emittance (Optional) Reflectance Emittance (Optional)
.C> . - c�o� �e.�
-ka aAn
.-7 10(0 sr"T It
0 IY"A `a mr lk 10 - 0,
C. ROOF REPLACEMENT (Prescriptive Alteration, Se Won`�j50.2(b)1Hk 'W
01
02
03
04 A4
051,
06
`070` 08 09 10 11 12 13
R -value
Proposed Minimum Required
Method of
Roof
ID
Qe
Initial Solar Aged Solar Thermal SRI Aged Solar Thermal SRI
Compliance
Pitch
Exception
pCRRC�Prrrood
NGmberiodud
Type ,
�ulati0n
Reflectance Reflectance Emittance (Optional) Reflectance Emittance (Optional)
.C> . - c�o� �e.�
-ka aAn
.-7 10(0 sr"T It
NOTES 1'
• Roof area covered by building,jntegrated ph3tovoltai panels and solar thermal panels are exempt
• Liquid field "coatmgsPmust Nin "tallation from 110.8(i)4.
from the above Cool Roof requirements.
applied comply wit criteria section
Registration Number: Registration Date/Time: HERS Provider:
CA Building Energy Efficiency Standards - 2013 Residential Compliance June 2014
;111y
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CEC-CF1 R -ALT -01-E Revised 06/14 CALIFORNIA ENERGY COMMISSION.
CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E
Prescriptive Residential Alterations (Page 4 of 4)
Project Name: PKA- Ltd -3-T 9e,-,%1Ae.,0Z0 4tiAr °'t Date Prepared: 11(411%-
DOCUMENTATION
4 i% -
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT,
1. 1 certify that this Certificate of Compliance documentation is accurate and complete. "
Documentation Author Name:
W i
Documentation Author at
f%
�, n, � _
C
&I .
Company:
Signature Date: x
Address: rrLL /�
CEA/ HERS Certification'In`(if applicable):
T Z LiL OAA-- 0.
Irentlf�fc�Atipy1,
City/State/Zip: f I
-5PflA5 CA- �r2zGZ
Phone:
� Go-4lt6- Q, 7
RESPONSIBLE PERSON'S DECLARATION STA EMENT ® k —414-00
v �
1 certify the following under penalty of perjury, under the laws of the State of California:V
40
1. The information provided on this Certificate of Compliance is true and correct.
2: I Division 3 the Business Professions Code to for the building de�s�Ig design identified, this Certificate Compliance (responsible
am eligible under of and accept responsib h or system on of
designer).
3. That the energy features and performance specifications, materials, components,qnd manufactur `devie 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 th; ifornia Code of`Regulb' on �,
4. The building design features or system design features identified on this Certificate of Co pliance are consiste with iie information provided on other applicable compliance documents,
tee.'
this 6ullding
worksheets, calculations, plans and specifications submitted to the enforcement agerji..+f0 approval with permit application.
5. 1 will ensure that a registered copy of this Certificate of Compliances all be madeA ailatilb 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 py of this Certificates, f Compliance is .equ�i e�to be included with the documentation the builder provides to the building
v
owner at occupancy. ,q, F,a,
Responsible Designer Name: V44)p <
Responsible Designer Signature:
Company : ' �
-
Date Signed:
v e:9
Address: '"� t'
License:
p
City/State(Zip:
Phone:
\A
For assistance orrquestions 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