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BRER2015-010578-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T,;+^r 4 4Qu&rw COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BRER2015-0105 D Property Address: 54717 INVERNESS APN: 775092030 Emi� 20103 Application Description: REROOF WITH FIELD APPLIED WHITE FOAM,[CRR6:0626 0010] Property Zoning: Application Valuation: $5,680.00 CI�YO�LAQUlPdTA COl.!P+1UNITY D�VELO�i.1cNT DEPf,ATt,°SMT Applicant: 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. 039 License No.: 235717 �C�V D t rJ`t 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 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.). () 1, 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 1 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 Address: 74 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. n 1 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: _ Polity 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. o r` Date: 1. i 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) �.� SCRI,,TI I'K�g'ACCOUNTq N.,AMOUNT PAID �' PAIO DATE . ......... BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 R, a'� 4. 444 41 PAID513YtT, RECEIF �2� —CHECKV yCLTD BYE Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 .$0.00 MY L _4"m DESCRIPTIONP fN-#ACCO § MIS -7 UN" 4OUNT'W" p '�g .A RE -ROOF - FIRST 2,0003F 101-0000-42404. 0 $49.131 $0.00 R', PAID' Y, H FE "�Rt -_ 4 RECEI 0 T 4 I I -T L ME EK iw R, -IMM . �c "X�p DESCRIPTION', ACCOUNT TY, 0 6JNTN _ —X 1 ePAIDrvDATE RE -ROOF - FIRST 2,000 SF. PC 101-0060-42600 0 $98.62 $0.00 -v, METHOD kj 1,10 RE CEIT17"A"I IHIECK*�,W-.�,k-q Rt�- it _14 jZMIR W` Total Paid for RE -ROOF: $147.93 $0.00, 9TAILS: 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: 54717 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-A530 WHITE [CRRC: 0626-0010] 2013 CALIFORNIA ENERGY CODE. Printed: Wednesday, October 07, 2015 5:43:45 PM 1 of 2 C SYSTEMS Printed: Wednesday, October 07, 2015 5:43:45 PM 2 of 2 SYSTEMS CLTD DESCRIPTION ACCOUNT CITY 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 TOTALS -4: 0.00 Printed: Wednesday, October 07, 2015 5:43:45 PM 2 of 2 SYSTEMS STATE OF CALIFORNIA RESIDENTIAL ALTERATIONS CEC-CFIR-ALT-01-E Revised 06/14 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CHR -ALT -OI -E Prescriptive Residential Alterations (Pagel of 4) Project Name:C=/ IJ4=,7- (Zen zA t^+iLv /,r►I-\ Date Prepared: K it I A. GENERAL INFORMATION ANK 01 Project Name: G(`r U-) 95T 02 Date Prepared: r 03 Project Location: Cj - 717 -Ti U&r^f 3 5 04 Building Front Me tat n (deg or cardinal): 05 CA City: 06 Number of AI a welling Units: 07 Zip Code: "3 08 1w !hAft Fuel Ty e: 09 Climate Zone: 10 aT_ otal, i ned Floor, P 11 Building Type 12 S �. a ft2) 4L% Vbo 13 Project Scope: ,r;1..1 a o o• a o\ i✓ mac. cv.. I—•o 5YS�w� __ ( �. B. BUILDING INSULATION DETAILS (Section 150.2(b)i) AM& — I& 111L 01 02 03 04 05 06 1 0 9 10 11 08 09 10 11 12 13 � A" sed , s Required Pro osed Minimum Re uired Y )Appendix Method of Roof C RC'P _o uct ID � �ck. iQnitial Solar Aged Solar Thermal SRI Aged Solar Thermal SRI Compliance Pitch Exception Frame Frame Reflectance ntinuous e Reference Insulation q�r fP �:J_ iSW zrfr ` V V � O'+`y' , r r, t �� 1 i Frame Depth Spacing Cavity � Tag/ID Assembly Type Type (inches) (inches) R -value, R -value 01 lltf etor Table Cell 1 LI -Factor I Comments V ST -".' V XIC 1%V � & 1&4�-' C. ROOF REPLACEMENT (Prescriptive Alteration, Se�vd�h';M.2(b)iH))z 01 02 03 04 _ ,ea1 �y.6r�' 05�, 06 °07W 08 09 10 11 12 13 � R -value; Pro osed Minimum Re uired Y Method of Roof C RC'P _o uct ID � �ck. iQnitial Solar Aged Solar Thermal SRI Aged Solar Thermal SRI Compliance Pitch Exception Number hct Tye lati. " Reflectance Reflectance Emittance (Optional) Reflectance Emittance (Optional) q�r fP �:J_ iSW zrfr ` V V � O'+`y' , r r, t �� 1 i 1p We � • I r 'L I - r I � r ( 'iy NOTES i �� + Roof area covered by b, II'ding integrated phdt olt3iC'panels and solar the mal panels are exempt from the above Cool Roof requirements. • Liquid field applied coatings must comply Jkl stallation criteria from section 110.8(1)4. Registration Number: CA Building Energy Efficiency Standards - 2013 Residential Compliance Registration Date/Time: HERS Provider: June 2014 z� STATE OF CALIFORNIA RESIDENTIAL ALTERATIONS CEC-CFIR-ALT-01-E Revised 06114 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE MR -ALT -01-E Prescriptive Residential Alterations (Page 4 of 4) Project Name: (',,A- LCk-f-3'l' Ekptq- L i Date Prepared: "Ila h -r DOCUMENTATION AUTHOR'S DECLARATION STATEMENT I Q. 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. V L Documentation Author Name: Documentation Autho at Company: {- ' Signature Date: y Address: I 3q CEA/ HERS Certifcati�ori4�n If applicable) : ,_ -11,wvas'—(a-% . . City/State/Zip: G ✓ S. CImo. `f 2Z�Z Phone: ! y` g' " �.�—J�% 0 V M 1 1 ✓� ha SRi) RESPONSIBLE PERSON'S DECLARATION STA EMENT ,� t I certify the following under penalty of perjury, under the laws of the State of California: dr 1. The information provided on this Certificate of Compliance is true and correct. 2. 1 am eligible under Division 3 of the Business and Professions Code to accept tesponslIII..,,for the building'de��i;ln or system• design identified on this Certificate of Compliance (responsible designer). 3. That the energy features and performance specifications, materials, comporle`���n manufactl t or the bu• ding design or system design identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of Yigg I - 4. The building design features or system design features identified on it rtificate a C a is re consiste tie information provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to t e e�i' cement ager Li�o a roval with L�i i g permit application. S. I will ensure that a registered copy of this Certificate of Co pliq —Hall be made liable with the buiIngVermit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a registq�of this Certi iCgv�ompliance isMrtisd to be included with the documentation the builder provides to the building g owner at occupancy. Responsible Designer Name:, cg b ible Designer Signature: ` Company; X11 41 'p Date Signed: Address: (�^ �y` License: City/State/Zip: may, , .k Phone: 0", For 19.E 47 For assistance oF�q'uestions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300. Registration Number: CA Building Energy Efficiency Standards - 2013 Residential Compliance Registration Date/Time: HERS Provider: June 2014 0