BRER2015-009878-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: BRER2015-0098
c&tit 4 4 Q"
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Property Address: 54563 INVERNESS n
APN: 775092030 n !J -
Application Description: REROOF WITH FIELD APPLIED WHITETOAfvI (CRRC:0626-00110)
Property Zoning: �� Z015 � �
Application Valuation: $2,765.00 J.
Ci 4Y OF U', QUINTA
Applicant: CO";' ITY DEVELOPN'.ENT DEPARTMENT
WESTERN PACIFIC ROOFING CORP
2229 EAST AVENUE Q
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 7000) of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: B C399 License No.: 235717
ADate: r/ `I / /C 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 Name:
Lender's Address:
67
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 those provisions.
01
Date: `� 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 me tinned property for inspection purposes.
Date: If, Signature (Applicant or Agen
FINANCIAL ,1•
DESCRIPTIONACCOUNT
QTY" AMOUNT
PAID-.,- . ,'
PAID DATE
BSAS SB1473 FEE 101-0000-20306
0 $1.00
$0.00
' PAID BY f " ;. 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 .'
Total Paid for RE -ROOF: $49.31 $0.00
• 1LS: $50.31 $0.00
Description: REROOF WITH FIELD APPLIED WHITE FOAM [CRRC:0626-0010]
Type: RE -ROOF Subtype: Status: UNDER REVIEW
Applied:
Approved:
Parcel No: 775092030 Site Address: 54563 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
ADDRESSI
Details: REROOF WITH LIGHT -NATIONAL COATINGS CORPORATION ACRYSHIELD-A510 WHITE [CRRC:.0626-0010] 2013 CALIFORNIA ENERGY
CODE.
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 10:44:42 AM 1 of 2 CR
SYSTEMS
yPermit Details PERMIT NUMBER
City of La Quints BRER2015-0098 "4
DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CL BY
.
RE -ROOF - FIRST 2,000 101-0000-42404 0 $49.31 $0.00
SF
Total Paid for RE -ROOF: $49.31 $0.00
ATTACHMENTS
Printed: Wednesday, October 07, 2015 10:44:42 AM 2 of 2
- RWSYSTEMS
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CEC-CFIR-ALT-01-E Revised 06/14 CALIFORNIA ENERGY COMMISSION -
CERTIFICATE OF COMPLIANCE CF111-ALT-01-E
Prescriptive Residential Alterations (Page 1 of 4)
Project Name: (o/t- lA.)Ct;T ('Zee k4n,AL
-\ Date Prepared: ei I iif
A. GENERAL INFORMATION -
01
02
O3
Project Name: Gi% U.) 15 T Qes ► cleAinla-
( & V- 1 02
Date Prepared: 1 y r
03
Project Location: Slf— S6 :�nvernpSs
04
Building Front Orientation (deg or cardinal):
05
CA City:
06
Number of Altere dwelling Units: `!^
07
Zip Code:
08
FuelTy
09
Climate Zone:
.10a-LLQOLCon"di Toned Floor-A-r077ft2) )
11
Building Type
.12
%5 ab,A ea (h2)
13
1 Project Scope: o . a a o\ ,
c c.,.+ Coc, 5
VrIk
B. BUILDING INSULATION DETAILS (Section 150.2(b)1)`✓
01
02
03
04
05 061 08 09
e
10
11
Ta ID
Assembly Type
Frame
Type
Frame
Depth
(inches)
Proposed yyy
' d ppendix JA4
Frame G�ontinuous Reference
Spacing Cavity . Insulation
(inches) R -value R value ^ > U'fgoor Table Cell
Required
I Comments
LI -Factor
Initial Solar Aged Solar Thermal SRI Aged Solar Thermal SRI
Reflectance Reflecctance Emittance (Optional) Reflectance Emittance (Optional)
t.i ifi J� ooI 00+.,t
\G �� it" .
a I . 2- .I / r
VrIk
IV . 4
.
A'•N'0 %r %1 -a® V-A
C. ROOF REPLACEMENT (Prescriptive Alteration, Sec�ti�oAn �50.2(b)1H) j.
oft
Ol
02
03
04 ,
05P
06
tr b•7,a� 08 09 10 11 12 13
Method of
Compliance
Roof
Pitch
Exception
CRRC Product ID
fpp NN,i�mber e
roductType, jgb�
R-�ue �rv�.
11 Proposed Minimum Required
Initial Solar Aged Solar Thermal SRI Aged Solar Thermal SRI
Reflectance Reflecctance Emittance (Optional) Reflectance Emittance (Optional)
t.i ifi J� ooI 00+.,t
\G �� it" .
a I . 2- .I / r
qV'4*
NOTES"
• Roof area covered b buildin . me rated hotovoltaic anels and solar thermal panels are exempt from the above Cool Roof requirements.
Y, g� g P� P P P q
• Liquid field applie8fcoatmgVmust comply WA installation criteria from section 110.8(i)4.
V
a.- fA
Registration Number:
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time:
HERS Provider:
June 2014
a3