BRER2015-009778-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Td4t 4 4a QuiKro
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BRER2015-0097
Property Address:
54575 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
PALMDALE, CA 93550
1 FOIA M-[ CR RCi 062 &0010]
0i vOFL.AGUNTA
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, C39 License No.: 235717
Date:
'� / "� Contractor: GG✓✓
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).:
(_J 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 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. Q.
Lender's Name:
Lender's Address:
66
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.
Date: Applicant: —./' K �/ GC/'�►
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)►,//[i��/•
FINANCIAL '
1
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
ACCOUNTQTY
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:$0.00
$147.93
$0.00
Description: REROOF WITH FIELD APPLIED WHITE FOAM [CRRC:0626-0010]
Type: RE -ROOF Subtype: Status: UNDER REVIEW
Applied: 10/6/2015 SIKH
Approved:
Parcel No: 775092030 Site Address: 54575 INVERNESS LA QUINTA,CA 92253
Subdivision: TR 22432-2 SEE ASSESSORS MB 769/43 Block: Lot: 5
Issued:
FOR CMS
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuatiom.$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.
N
Printed: Wednesday, October 07, 2015 10:32:39 AM 1 of 2
RWYSTEMS
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 10:32:39 AM 1 of 2
RWYSTEMS
' Permit Details PERMIT NUMBER
��.
City of La Quinta
BRER2011510097
Printed: Wednesday, October 07, 2015 10:32:39 AM 2 of 2
B?�SYSTEMS
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT REMARKS NOTES
0 FINAL" BLD
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
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
Printed: Wednesday, October 07, 2015 10:32:39 AM 2 of 2
B?�SYSTEMS
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT REMARKS NOTES
0 FINAL" BLD
Printed: Wednesday, October 07, 2015 10:32:39 AM 2 of 2
B?�SYSTEMS
23
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CERTIFICATE OF COMPLIANCE CHR -ALT -01-E
Prescriptive Residential Alterations (Page 4 of 4)
Proiect Name: (hiA- Lt -1--%T Date Prepared: '(1,4 i%-
DOCUMENTATION AUTHOR'S, DECLARATION STATEMENT
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Documentation Autho at
Company: [� %�/'T
TC/ �kCll1 C 1`O 9-VN!CS
Signature Date:
�I VdJ)
JAddress:
///��
CEA/ HERS Certification'__ 9n"(if applicable):3T�2.
C..'.,^ .OGIn� 0.
it *
City/State/Zip:
vnl"N eG 2-2-6
Phone: %
y%
U 16
I^ t Z
4
RESPONSIBLE PERSON'S DECLARATION STA EMENT rt
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: I am eligible under Division 3 of the Business and Professions Code to accept responsi�"il' - for the building 0 system design identified.' n this Certificate of Compliance (responsible
designer). `�"
3. That the energy features and performance specifications, materials, components, a, nd manufactured vice for 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 of the i�ifornia Code ofYtegu Ions.
4. The building design features or system design features identified on this grtificate of Co p1�l�ance are consciysten��with�tFie Information provided on other applicable compliance documents,
with
worksheets, calculations, plans and specifications submitted to the enforcement agency?fo approval this' uJding, permit application.
S. I will ensure that a registered copy of this Certificate of Co ml a'- hall be made,ila6le with the bu'Iding permit(s) issued for the building, and made available to the enforcement agency
for building
all applicable inspections. I understand that a registered ao�,y of this CertificatA.f Compliance is •equlrea to be included with the documentation the builder provides to the
owner at occupancy.Aft OL I&V ,
Responsible Designer Name:
Respc6nsible Designer Signature:
Company: �' ti°�dm
qw-
Date Signed:
Address: v I V
License:
City/State/Zip: V
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
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CEC-CF1 R -ALT -01-E (Revised 06/14)
CERTIFICATE OF COMPLIANCE
Prescriptive Residential Alterations
Project Name: PC=� Lj<=5T
Date P
Y COMMISSION
CF1R-ALT-01-E
(Page 1 of 4)
A. GENERAL INFORMATION
AW
01
Project Name: G(k- u-) 9 T des A • enk-%.
( ,t} ►w 02 Date Prepared: 9/4 Is -
S03
03
Project Location: S It - Tn ✓ erm.5 5
04 Building Front O entatlgn (deg or cardinal):
05
CA City:
06 Number of A,lt re eOwelling Units:
07
Zip Code: i5r3
08 Fuel Type:
09
Climate Zone:10.
',:Tofal,C6 itioned Floo ;Area Jft,_2
11
Building Type
' 12 9Ia0,X (ft2)
13
Project Scope:
reo Pr sYS:ew%'.:.
-tL .w Ti -1w
B. BUILDING INSULATION DETAILS (Section 150.2(b)1)
01
02
03
04
05
06 08, 99
10100%
11
Tag/ID
Assembly Type
Frame
Type
Frame
Depth
(inches)
Frame
Spacing
(inches)
Ilk
Propo ed
Required
Comments
Continuous
Cavity insulation
R -value R -value i
�
, U;fa�tor
)t{Appendix 1A4
Reference
LI -Factor
Table. Cell
Exception
tuber n iodud Typ1e
Ito//
i�,lns.0100n
Reflectance Reflectance Emittanyce (Optional) Reflectance Emittance (Optional)
yyN ({ r
NOTES fir''
• Roof area covered by; building integrated pho ovollt`�alelpanels and solar thermal panels are exempt from the above Cool Roof requirements.
Liquid field from 110.8(i)4.
appliedtcoa mgss must comply withainstallation criteria section
w
_.. $A
K- A v XV V& v & W -Aft
C. ROOF REPLACEMENT (Prescriptive Alteration, SSeec-ti�o�nn Ob.2(b)1H), 4 V
01
02
03
04 4%,, 05),, �
�"' 06
08 09 10 11 12 13
Method
Roof
CRC Rrrooduct ID
R-�ue
Deck
!�#K'dMO
. Fly Proposed Minimum Required
Solar. Aged Solar Thermal SRI Aged Solar Thermal SRI
of
.
►initial
Compliance
Pitch
Exception
tuber n iodud Typ1e
Ito//
i�,lns.0100n
Reflectance Reflectance Emittanyce (Optional) Reflectance Emittance (Optional)
yyN ({ r
NOTES fir''
• Roof area covered by; building integrated pho ovollt`�alelpanels and solar thermal panels are exempt from the above Cool Roof requirements.
Liquid field from 110.8(i)4.
appliedtcoa mgss must comply withainstallation criteria section
w
_.. $A
Registration Number:
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time:
HERS Provider:
June 2014
11
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS-
CEC-CFIR-ALT-01-E Revised 06/14
CERTIFICATE OF COMPLIANCE
Prescriptive Residential Alterations
Proiect Name: (h IA- (,tom -3T (lc
Date
ERGY COMMISSION
CF 1R -ALT -01-E
• (Page 4 of 4)
-
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT v
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name: 1
�
Documentation Author at /�'//J �� $
O � W I II `L
/ / . 4►�.
Company: .,
Signature Date:
Address:
� �
CEA/ HERS Certification'lde6tifick gn`1if applicable):
tr. Z (� � DAi►�. 4-
d
City/State/Zip- �j
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. - Vw
2: I am eligible under Division 3 of the Business and Professions Code to accept responsik„.`il'rry�for the building deesssi or system design identified.on this Certificate of Compliance (responsible. .
designer).
3. That the energy features and performance specifications, materials, compon6?-nt �d manufactur 'd�`deSie�for the building design or system design identified on this Certificate of
24, Regaeons.
Compliance conform to the requirements of Title Part 1 and Part 6 of the Zlifornia Code of �,
building features
4. The design features or system design identified on t iss ertificate of C%`pliiaance are consisten w�it�i,tthe information'provided on other applicable compliance documents,
worksheets, calculations, plans and specifications submitted toRtKe' enforcement agerLc fo Aproval withis� uil Ing permit application.
S. I will ensure that a registered copy of this Certificate of Complia� !shall be made�avail�able with the bu'IdIAg permits) issued for the building, and made available to the enforcement agency
for all applicable inspections. I understand that a registe�e Dopy of this CCertific� a�Cof Compliancee its r,.equiM to be included with the documentation the builder provides to the building
owner at occupancy. 06 `trw
Responsible Designer Name: 104g Responsible Designer Signature:
INV' ,
Company:'J�Xlv
Date Signed:
Address;License:
1% INbo
City/State/Zip: t0
Phone:
1
For assistance 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