BRER2015-010478-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
c&t�p 4 4 Qa�tz
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BRER2015-0104
Property Address:
54713 INVERNESS
APN:
775092030
Application Description:
REROOF WITH FIELD APPLIED WHITE
Property Zoning:
_ I certify that in the performance of the work for which this permit is issued, I
Application Valuation:
$5,680.00
Applicant:
compensation laws of California, and agree that, if I should become subject to the
WESTERN PACIFIC ROOFING
CORP
2229 EAST AVENUE Q
comply with those provisions.
PALMDALE, CA 93550
73
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
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter I hereby affirm under penalty of perjury one of the following declarations:
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, _ I have and will maintain a certificate of consent to self -insure for workers'
and my License is in full force and effect. compensation, as provided for by Section 3700 of the Labor Code, for the performance
License Class: B. C39 License No.: 235717 1 of the work for which this permit is issued.
!d
I have and will maintain workers' compensation insurance, as required by
3700
Date: Contractor:
Sectio 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:
OWNER -BUILDER DECLARATION
Carrier: Policy Number:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
_ I certify that in the performance of the work for which this permit is issued, I
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
shall not employ any person in any manner so as to become subject to the workers'
city or county that requires a permit to construct, alter, improve, demolish, or repair
compensation laws of California, and agree that, if I should become subject to the
any structure, prior to its issuance, also requires the applicant for the permit to file a
workers' compensation provisions of Section 3700 of the Labor Code, shall forthwith
signed statement that he or she is licensed pursuant to the provisions of the
comply with those provisions.
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
/
Date: /v Applicant:
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
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
($500).:
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
(_) I, as owner of the property, or my employees with wages as their sole
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
compensation, will do the work, and the structure is not intended or offered for sale.
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
INTEREST, AND ATTORNEY'S FEES.
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
APPLICANT ACKNOWLEDGEMENT
are not intended or offered for sale. If, however, the building or improvement is sold
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
within one year of completion, the owner -builder will have the burden of proving that
the conditions and restrictions set forth on this application.
he or she did not build or improve for the purpose of sale.).
1. Each person upon whose behalf this application is made, each person at whose
(_) I, as owner of the property, am exclusively contracting with licensed contractors
request and for whose benefit work is performed under or pursuant to any permit
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
issued as a result of this application , the owner, and the applicant, each agrees to, and
State License Law does not apply to an owner of property who builds or improves
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
employees for any act or omission related to the work being performed under or
the Contractors' State License Law.).
following issuance of this permit.
(_) I am exempt under Sec. . B.&P.C. for this reason
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.
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 Address:
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.
/V
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
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
TOTALS:• 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: 54713 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:
Valuation: $5,680.00 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 5:33:25 PM 1 of 2
IWIW 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 5:33:25 PM 1 of 2
IWIW SYSTEMS
DESCRIPTION I r ACCOUNT I QTY I AMOUNT I PAID I PAID DATE I RECEIPT # I CHECK # 1 METHOD ( PAID BY I C T -I
RE -ROOF - FIRST 2,000 101-0000-424040 $49.31 $0.00
SF
Total Paid for RE -ROOF: $49.31 $0.00
"... 5, . BOND INFORMATION
a _ - --_- --- -
Mp
ATTACHMENTS _
Printed: Wednesday, October 07, 2015 5:33:25 PM 2 of 2
RWSY57fM5
A9
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CEC-CFIR-ALT-01-E Revised 06114 CALIFORNIA ENERGY COMMISSION -%W
CERTIFICATE OF COMPLIANCE CF111-ALT-01-E
Prescriptive Residential Alterations (Page 1 of 4)
Proiect Name: (JCA- LL)e---N-r (Z -t- r, -1 k VVn \ Date Prepared: qt 1411 v -
A. GENERAL INFORMATION
01
Alk
01
Project Name: sok V.1 I- T es %cieA o_
flr 02
Date Prepared: � Vs, `I
03
Project Location: cj — 1 1 T4 Ve/',)2
04
Building Front Ci ientatign (deg or cardinal):
05
CA City:
06
Number of Alt re gdbwelling Units: =
07
Zip Code:08
Continuous r
Cavity l'nsulation
R -value, R -value g"j U`fa"`gtor
Fuel Type:
09
Climate Zone:
,10.;
;tiTofal,Conditioned Floor 64 (t2)
11
1 Building Type
12 , 'Sla ,Xe1 ft2) sv,%o
13
Project Scope: o o' d Do\ r
�Ic cv.► %0 5� c
v
B. BUILDING INSULATION DETAILS (Section 150.2(b)1)
01
02
03
04
05
06 ,dqlh,�7 1 08„t 0. 9
10
11
Tag/ID
1 Assembly Type
Frame
I Type
Frame
Depth
(inches)
Frame
Spacing
(inches)
Pcopo ed y V
Required
I Comments
Continuous r
Cavity l'nsulation
R -value, R -value g"j U`fa"`gtor
Referelnce 4
I U -Factor
Table Cell
Aged Solar Thermal SRI Aged Solar Thermal SRI
Method of
Roof
eft'
CRC P�rD,
#9 146 01
.4041
Compliance
Pitch
Exception
tuber Qduct
Type _
, In ulation
Reflectance
?- '$ -
a �r`% 10 3w 1% V s %_j* .
C. ROOF REPLACEMENT (Prescriptive Alteration, Seett h 50.2(b)1H),
01
02
03
04 µ
051 ` WP
06
' '67,0
08 09 10 11 12 13
lut
Ruea
Proposed Minimum Re uired
Initial Solar
Aged Solar Thermal SRI Aged Solar Thermal SRI
Method of
Roof
eft'
CRC P�rD,
Dec
Compliance
Pitch
Exception
tuber Qduct
Type _
, In ulation
Reflectance
Reflectance Emittance (Optional) Reflectance Emittance (Optional)
NOTES V '6
from
• Roof area covered by, buililing integrated ph-dtovoltai panels and solar thermal panels are, exempt the above
• Liquid field ;;th l from section 110.8(i)4.
Cool Roof requirements.
applieftoa mgss must comply allation criteria
Registration Number: Registration Date/Time: HERS Provider:
CA Building Energy Efficiency Standards - 2013 Residential Compliance June 2014
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 4 of 4)
Project Name: &Pl L06-5-1— A- � � Date Prepared: '(
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Compliance documentation is accurate and complete. e W _
Documentation Author Name:
Documentation Author at
Company: (� /
Signature Date: Nxl�
SIC{
Address:�[/! // //��
3T
CEA/ HERS Certification Id t atign`{if applicable}: '�
b? C A.✓� Gl/1� ft
16
City/State/Zip:
l��,l M f'✓ i r� s. CA-
Phone:
o _5116-9�,V; 7
RESPONSIBLE PERSON'S DECLARATION STA EMENT
I certify the following under penalty of perjury, under the laws of the State of California: `d
1. The information provided on this Certificate of Compliance is true and correct.
2. 1 Division 3 the Business Professions Code to building de(g design
am eligible under of and accept responsib'ility�for the or or system identified on this Certificate of Compliance (responsible
designer).
3. That the energy features and performance specifications, materials, compondents, an manufacturerd'ewce •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 gfornia Code ofidglu afiions.
N.
4. The building design features or system design features identified onthisrtificate of Co pll�ance°are consistern swit�t nformation provided on other applicable compliance documents,
calculations, specifications foi4approval Ing
worksheets, plans and submittedto�the enforcement ager with this wi permit application.
permit(s)
5. 1 will ensure that a registered copy of this Certificate of Compllanceshall be made,available with the building issued for the building, and made available to the enforcement agency
of Compliance
for all applicable inspections. I understand that a regist$r gayy this CCertifiic'at of is equ�le�a to be included with the documentation the builder provides to the building
'
owner at occupancy. Aftor'p
Responsible Designer Name: 410bc4 f Responsible Designer Signature:
Q
Company:K `D � ��1
Date Signed:
.,A1QL
Address:`' - '
License:
City/State/Zip: V `"'
Phone:
r �
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