BRER2015-010278-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
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COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BRER2015-0102
Property Address:
54725 INVERNESS
APN:
775092030
Application Description:
REROOF WITH FIELD APPLIED WHITE FOAM [CR
Property Zoning:
Application Valuation:
$5,680.00
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, C39 License No.: 235717
�_ Date: Contractor: e:2
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
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VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
SERT PARTNERS
DANCE CIR
RT, CA 92253
Date: 10/7/2015
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.
L 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.
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Date: `7 Applicant: —101
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: tv Signature (Applicant or Agent)!G
FINANCIAL INFORMATION
DESCRIPTION'
ACCOUNT
QTY
r 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
DESCRIPTION'
ACCOUNTQTY
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:
$147.93
$148.93
$0.00
00
Permit Details PERMIT NUMBER
City of La Quinta BRER2015-0102
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: 54725 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: $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 5:25:17 PM 1 of 2
09LJ LJ SYS iEMS
00
Permit Oetrai5 PERMIT NUMBER
City of La Quinta BRERs201r5-0102
Printed: Wednesday, October 07, 2015 5:25:17 PM 2 of 2
LJ L.1 LJ LJ SYSTEMS
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
j 101-0000-42600
0
$98.62
$0.00
SF PC
Total Paid for RE -ROOF: $147.93 $0.00
Printed: Wednesday, October 07, 2015 5:25:17 PM 2 of 2
LJ L.1 LJ LJ SYSTEMS
16
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CEC-CFIR-ALT-01-E Revised 06/14 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CFIR-ALT-01-E
Prescriptive Residential Alterations (Page 1 of 4)
Project Name: PG/'- LJeST Date Prepared: q I �t
A. GENERAL INFORMATION
V
M
01
Project Name: Gk Q £ T es icier 'ct
02
Date Prepared: o `I r
03
Project Location: 5dlS D) Vf/Y1Q55
04
Building Front 01eriiat on (deg or cardinal):
05
CA City:
06
Number of Alteied P elling Units:
07
Zip Code: S
08
Fuel Type: Qom,
09
Climate Zone:
10
Tof�I,($1?$ Toned Floo Ar7 ( 2)"�
11
Building Type
12
SI'a. ,Ahea (ft2)
13
Project Scope: o al o� ✓
cv�+ row S ��ea1 _f
4..
it '— O V
B. BUILDING INSULATION DETAILS (Section 150.2(b)1)'
V
01
02
03
04
05 06 08& 99
10
11
Method of
Compliance
Roof
Pitch
Exception
'51
CRRC Prroduct ID
C rQmber f
AP11-po ed yyr Ira-
Required
fit`
it Proposed Minimum Required
' , Initial Solar Aged Solar Thermal SRI Aged Solar Thermal SRI
Reflectance Reflectance Emittance (Optional) Reflectance Emittance (Optional)
Frame
Frame NContinuousAppenReference4
NOTES° Aw
• Roof area covered by building integrated photovoltaicpanels and solar thermal panels are exempt from the above Cool Roof requirements.
• Liquid field applied coatings)must comply w�thtallation criteria from section 110.8(1)4.
Frame
Depth
Spacing Cavity 4lnsulation
Tag/ID
Assembly Type
I Type
I (inches)
1 (inches) R -value, R -value fagtor Table Cell
I LI -Factor
I Comments
o lig" rr VIKs -t'k%,P
C. ROOF REPLACEMENT (Prescriptive Alteration, �opn„�:50.2(b)iH)�
V
01
02
03
04 v.4
05-,- "00
14 06
`07A 08 1 09 10 11 1 12 13
Method of
Compliance
Roof
Pitch
Exception
'51
CRRC Prroduct ID
C rQmber f
• t? 3
6
Product Type
R -value
Deck ,
, ln3ulation
fit`
it Proposed Minimum Required
' , Initial Solar Aged Solar Thermal SRI Aged Solar Thermal SRI
Reflectance Reflectance Emittance (Optional) Reflectance Emittance (Optional)
NOTES° Aw
• Roof area covered by building integrated photovoltaicpanels and solar thermal panels are exempt from the above Cool Roof requirements.
• Liquid field applied coatings)must comply w�thtallation criteria from section 110.8(1)4.
Registration Number: Registration Date/Time: HERS Provider:
CA Building Energy Efficiency Standards - 2013 Residential Compliance June 2014
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CALIFORNIA
CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E
Prescriptive Residential Alterations (Page 4 of 4)
Project Name: (�)A- Date Prepared: u ��
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Compliance documentation is accurate and complete. p;, K
Documentation Author Name:
Documentation Author at
x
41,V"'I" (I*
Company:
Signature Date: cJ
Address: r� /!
� 4 �
CEA/ HERS Certification Idents A119n`0f applicable):
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City/State/Zip:
RelM Cl4�jZz�Z
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.
2. 1 Division 3 the Business Professions Code to for building design Certificate Compliance
am eligible under of and accept responsib the deg` system identified on this of (responsible
designer). , ��✓
3. That the energy features and performance specifications, materials, componer�tt.,�,, _n manufactured-,S'evice 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 California Code of`R�eg, mons.
4. The building design features or system design features identified onntthis C`ertificate of Ciir t�pl nce�re consisten w,." information provided on other applicable compliance documents,
worksheets, calculations, plans and specifications submitted to. the enforcement aged foWapproval with A is�,uil ing. permit application.
its5.
1 will ensure that a registered copy of this Certificate of Comm ian shall be madealllable with the bu'II d ng permit(s) issued for the building, and made available to the enforcement agency
for
all applicable inspections. I understand that a registeere ably of this Certific'a'te f Compliance is . quired to be included with the documentation the builder provides to the building
owner at occupancy.vit %OP
Aft 0r.AW,
Responsible Designer Name: �1 t Responsible Designer Signature:
V
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Company: �''"�,-4
Date Signed:
7W
T �
Address:`
'NO
License:
City/State/Zip: `b
Phone:
. szko
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