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
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�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