BRER2015-010170
4 78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
Applicant:
BERRY ROOFING INC
3226 KLUK LANE
RIVERSIDE, CA 92501
BRER2015-0101
51600 AVENIDA OBREGON
773124006
DAUT RESIDENCE / REROOF
$8,500.00
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: C39, C43, C-2 License No.: 691947
Dater /�V 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 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
Lender's Address:
(/�/, T FAX 1761)),-77-,INSPECTIONS77;
COMMNN/r�l1yo,.,
Owner: DEVE(OPAfDO/
FNT
VERONICA DAUT
51600 AVENIDA OBREGON
LA QUINTA, CA 92253
Contractor:
BERRY ROOFING INC
3226 KLUK LANE.
RIVERSIDE, CA 92501
(951)905-5116
Llc. No.: 691947
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:
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: /D1711,A- Signature WI &r Agent)
��`�DESCRIPTION� ACCOUNT "QTY �AINIOUNT PAID" $RAID DATE `
.p_a.AF".�X,l,. r-.�'3;ik7:§'.�r. .,a'h '✓.. .".�'sS:4x.?C<
BSAS SB1473 FEE 101-0000-20306
0 $1.00 $1.00 10/7/15
:n..
r „�.., moo..WR
PAID By, ME?HOD�REGEIPT#JN
CHECK Blf
WON
wy<� n y .:
# CLTD
BERRY ROOFING INC CHECK
MR229 .16382 MFA
Total. Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION ry SFr
+���ACCOUNT '°? Y `
�5?..^.3'.�.
QTY,
„ AMOUNT ?
W
PAID • h
PAID DALE
a'.`.�„
'10.�te.:.fi
c4{`
..
RE -ROOF -,FIRST 2,000 SF
101-0000-42404
0
$49.31
$49.31
10/7/15
PAID BY r
yMETFIOD���RECEI#x
CHECKS#�
"C 7 DBY'
r
ir
BERRY ROOFING INC
CHECK
MR229
16382
MFA
Jigg{tq"x � DESCRIPTION
=g OUNT'
QTY
2 MOUNT
�
PAID.
LF",N DSDATE
fi?
a
�x
RE -ROOF - FIRST 2,000 SF PC
101-0000-42600
0
$98:62..
$98.62
10/7/15
YMETHODPENN
�R PT
CHECK,#�CLTDBY
Yw
tom.,L
BERRY ROOFING INC
CHECK
MR229 '.'
-16382
MFA
Total Paid for RE -ROOF: $147.93 $147.93
•
ir
Description: DAUT RESIDENCE / REROOF
CONDITIONS
NAME TYPE
Type: RE -ROOF Subtype:
Status: ISSUED
Applied: 10/7/2015 MFA
Approved: 10/7/2015 MFA
Parcel No: 773124006 Site Address: 51600 AVENIDA OBREGON LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 20
Lot: 3
Issued: 10/7/2015 MFA
UNIT 2
APPLICANT
BERRY ROOFING INC
Lot Scl Ft: 0 Building Sq Ft: 0
Zoning:
Finaled:
Valuation: $8,500.00 Occupancy Type:
Construction Type:
Expired: 4/4/2016 MFA
No. Buildings: 0 No. Stories: 0
No. Unites: 0
BERRY ROOFING INC
Details: THERMAL PLASTIC MEMBRANE SINGLE PLY REROOF. PER 2013 CALIFORNIA BUILDING CODE.
RIVERSIDE
Approved to Issued
CHRONOLOGY
CONDITIONS
NAME TYPE
NAME
ADDRESSI
CONTACTS
CITY
STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT
BERRY ROOFING INC
3226 KLUK LANE
RIVERSIDE
CA
92501
(949)207-8438
BY
BSAS SB1473 FEE 101-0000-20306 0
CONTRACTOR
BERRY ROOFING INC
3226 KLUK LANE
RIVERSIDE
CA
92501
(949)207-8438
BSA:
OWNER
VERONICA DAUT
51600 AVENIDA
OBREGON
LA QUINTA
CA
92253
(949)207-8438
Printed: Wednesday, October 07, 2015 9:24:51 AM 1 of 2 r
SYSTEMS
FINANCIAL
INFORMATION
CLTD
DESCRIPTION ACCOUNT QTY
AMOUNT
PAID
PAID DATE
RECEIPT # CHECK # METHOD PAID BY
BY
BSAS SB1473 FEE 101-0000-20306 0
$1.00
$1.00
10/7/15
MR229 16382 CHECK BERRY ROOFING INC MFA
Total Paid for BUILDING STANDARDS ADMINISTRATION
$1.00
$1.00
BSA:
Printed: Wednesday, October 07, 2015 9:24:51 AM 1 of 2 r
SYSTEMS
Printed: Wednesday, October 07, 2015 9:24:51 AM 2 of 2 _
srsrrMs
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
$49.31
10/7/15
MR229
16382
CHECK
BERRY ROOFING INC
MFA
SF
RE -ROOF - FIRST 2,000
101-0000-42600
0
$98.62
$98.62
10/7/15
MR229
16382
CHECK
BERRY ROOFING INC
MFA
SF PC
Total Paid for RE -ROOF: $147.93 $147.93
Printed: Wednesday, October 07, 2015 9:24:51 AM 2 of 2 _
srsrrMs
;?=SIDENTIL- . l T =Ftf -i-VO `S
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CER i IFICAT_ OF COh4PLIAIh--= - - -- _,.17_01,_=
-r=_ser i-vT=_ Residertial ,I== -=ions
PrDje-=i N=_ 1=_:
r_'G ENEF:''ll 1 NFDPJ✓L=.iiDN
D2. - ( ?rojeei Name.- IWx
I m I G =
G I Prnj se, I==on: � I S%�jC � �/'✓�j� f p
Ds I CA • ��Q
D'/ Zip Coda /
� I M 13ub ng F=r: Grient-a-zorn lea- or mm-maL I N A:
D3 Number c' Alm=_d DwSmg un:_ I I
I Ds I =uJ Tyoc
D5 I Di (
:--DI ToTTConomn=- . ogr
„ I Bullg 1v I
i I slab Ars t) I 1
I -coni ( I CRRC PnDdun D I
cion z�o5on Number j r-ndu= Tvpe
R-1•a)ue
Deet InFJ3l Solar
Insula ion Raf me
C. ROOF RE?L-hCEIVIENT (prescriptive s=cam
01
I D2 ( 03 I D4 I 05 I
D5 I Di (
DB I C° I ?-U
13
wisoe. of
Cnmolian=e
I -coni ( I CRRC PnDdun D I
cion z�o5on Number j r-ndu= Tvpe
R-1•a)ue
Deet InFJ3l Solar
Insula ion Raf me
.:;edsolar Tnar,al SP,I
RETl_�an_e -m'rant.- I (Groual)
I IflRimurn RaDuired
lied Solar Tnarm3l sal
I IG>7o,al)
1 a 1 f
N�eS
Roof arse-=m1ared by buildng irate_= o>=d ph=vottai[ panels End solar'flermal panels are e..em�. ',gym the above
!i�uid slJd appiiad Ga7nM My comply ufth *sn3'atla5on a1`u'is fromsec6on - ,n.9M4.
C»I Rnoi re?uirernants.
C. ROOF REPL4CEMEW (Prescriptive Alt=er=tion, Section 15D.2[b)!H)
1Nhen 50°6 ormore of the roof is being replaced the roofing requirements are triggered. Any :rets of rDDf covered by building integrated
photDvoltaiC panels and solar thenrlal panels (the area of roof not cove -red by phctovo)=sic panels would still need to meet any applic5ble cool roof
require T12nt5). ^ddit)D�al9y;-hi=re ar>_ m'cny'aI'tirnain+eS�cXCe'ptlDnS' 1Nhen'a'GDDI rOD-i IS r-equir-ed.-- - -----
Whcn the roof IS Steep Slop? (pitch greater Ilion 2:12) the roof requirements include a cool rc)o in climate zones 10-15. The minimum requirement
is 0.21D aged solar rerlecttance, 0.75 thermal em'rtl=nce, or a minimum SRI of 1 S.
1. Method of Compliance: indicate if the method of compliance is going to be based on Aged Solar Raflemance and Thermal Emittance, the
Solar Re, ec Bhce Ind:x (SRI), or 2n Exception.
2. Roof Pitch: Expressed as 4:12, for example, xvhich means the roof rises 4 foot within a span of 12 feet_ When rDDi5 have multiple pitches the
r=quirem nLs are based on the pitch.of 5Die or more of the roof.
3. EXceotlon: Ii meeting one D) the exceptions. Indic=ts which exc=eption is, or will be, mcL
NDTE:S; EXCEPTIONS AND AL -j ERNATNES FOR STEEP SLOPE ROOFS:
(�) IVIa55 roof 25 lbs/iii or g-rEcter (uncommon situation such as Sod roof);
(b) Air space 2' from tDp of roof deck to bottom of roofin.-;
(t) RDofin.- product has a profile bio of rise to wirdth 01 2 to 5 -,Dr 5D percent or .-rester of the width of the roofing. product;
�d) Ducts already meetS=CJon 250.1(c) insulation and dun leakage requirements;
/(r) Roof 1)25 R-38 insulation;
(r� Rom has a radiant barrier;
(g) No duns are installed in the attic, or
(h) R-^. insulation above the roof deck
In climate zones 23-2S, when there is a low slope roof (pitch 2:12 or I2:f) the CDD) roof requiremahts are MY a minimum a=_ed solar rz lemnca of
D.63, a minimum D.75 thermal eniiLan• Dr a minimum SRI of 75.
EXCEPTIDNS AI,JD ALTERIRATNES FOR LOW SLDPE ROOFS:
(a) Mass roof 25 lbs/ft' or greater (uncommon situation such 25 sod rDD�1;
(b) No ducts are installed in the attic; or
(c) Roof deck installatbri—by installing roof deck insulation, a lower aged solar reflectance is required: R-2 (D.62-0.GD), ?,-4 (059-0.55),
R-6 (D.S4-0.50), P, -B (D.?5-0.45), R-� (D.44-0.40), R-1,6 (0.39-0.35), R-20 (0.34-D.30), R-24 (D.29-0.25).
NOTE: if one of the Exceptions above has been selected than the rest of Section c is Not Required.
4. The CRRC Product ID Number is obtained IrDm the Cool Roof Rating Council's Rated Product' Directory ai
th+1NW.cDDIrDOi_.DrE/DrDDUcts/re_uIts . Products are listed by manufasturer, bl_.nd, type Df ins c11ation, roofing m,tarisl, and color, as well as
product p=rormance.
5. Product type: See Cool Roof Ratilr_ Council's directory. Generally product types include sin. -le -ply rocf, wood shingles, asphalt roof, metal
roof, tlz roof.
6. R -value Deck InSUIoiiDn: I? one of the exce Dtions selected includes adding roof deck insulation, IndlCale the R-v-nlue of insul`atiDn.
7. Proposed Initis' Solar r_-lzr Lance: base on the product chosen from the CDDI Roof Rating_ Council's R=_ -ted Product Directory. If us)n_ default
a55Ump7Dn indiCetLe NA since the ,�\ged soler rerl?ft_i1Ce is =v- -b .
OF C>IJIPLI''h��11_ DA -1- cl=D D==1[of iDtG Nn LSI • ULA i 1DIVSI-J1--
R. PfD?=>a d r ed Solar R le=1==: VEIU= !s from lie CDDI ?Du7 R= in= Cou rI CI Ips RF-- d Prod U=i Dir acto ry. ii =n° __ed 1/>I'JE S nD:
I-- late vitt C_IcUibFcd r'. ed SDIBr reT�=u_ nC= USing t e $Diet ?=T�� _nC= L-dez (SRI) Celcui_=1Dn ye/DrlShe=t IDC_t=d Dn 1e CBWo nl_
Energq CDmmiSsiDn im=sre Dre thacing eglu Bt'Dpe_�=(ID. =PLpinttal'0.21; \where a1= =h= initial solar r=fl_:ance end sclllin='rash.-n _ 3
. is lzted by PrDduLi type bi akn /. ,
144.LUESN.S94-YNG'E515•TANCE- 3Y -PRODUCT YP=.....
PrDductTy?e
I C?RCProduct Category
Ar_vmenai— Audra, reemc
Field-Alppiied Coati n=
p,55
-nmpnnY
=i=ld- .1.1lied Coating.
/+crinax:
D sh I
I
D.70
fiESPONs15L^" PME SON's DECLAP.AnDN SA70JCh71
NDA ", F1aId,-''ppIiEd CD_ ln�
L The information provided on this CePdfica_ of Cnrnpliance is vue and mrrecL
9. Proposed Tharmel Emit�nnce: From the product speff"icz-tlDn de 1 au It Valua. If using a caloJ la. -.3 SRI pIBce ul=t =r in31 ami once USEd -D
Calculate SRI.
1D. Proposed SRI: It is optional to meet elthar the SRI but iT chosen to do so, use t5=_ SDI9r R=TleCcante Index (SRI) Calculation Worksheet found
on the CBIrDrniB Energy Comrirlssion websitE iliLD:IIu/1nM/.enerE14 C3._DV�t%IEZ4�.
11 Minimum Remuirad w._ed Soler R=IeC`nce: Hosed on Clim_t= _Drl_ and roof slope.
I') Minimum ReouirEd That i m_I Emi«ance: based on Clim_te zone and roof slope.
13. Minimum SRI: Based Drl climate zone and roof slope.
__NOTE:•i th=_.cool rpDTing requiremens_will he m=t by a liquid field applied c0atin-&actiDn I10.B(i)4 requirsthe coating be _pplied'acruss .
the =_mire rDDT surBCe and meet the dry mil thickness or cDvaraSe recommendedbyt3h=_ manuforiJrcf.
DDCUMEhTAT10N AU HDR's DECLkF =t i10N S'ki7Vl=tqTJ
1 1 certify =trot oris C-•7/co,E ri ConpizncE documenztion is accura-t= and ?ondleta.
Ar_vmenai— Audra, reemc
Go=,m_n:nu�n wurho� S,g arure
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--
Cz 0 r��
fiESPONs15L^" PME SON's DECLAP.AnDN SA70JCh71
I certify the following under ps41.y rf perjury, under rhe laws Df ore s;at2 of CBJYvmia:
L The information provided on this CePdfica_ of Cnrnpliance is vue and mrrecL
2 I am eligible under Division 3 D-1 yhe Business and Professions Code toa¢ep[ rspdnsibir y, for the building design or si,sien design identified on firs C=.rbfi=y of Conphance (responsible
designer).
3. That the end features and per'ormance spec f moons, materiaL, components, and manufamured devices for tine building dsi_n or sl- em design identified on ifi'_ CesdficE =_ of
Compliance conform to tie requ'ir'ements a' Tittle 24, Par, 2 and Par; 6 of the Csrr'umia Code of'regulstions.
4. The building design f=cur`s or system design faaturs idendned on this C_ertific :e of Compliance are consitent wiul rhe imdrnab'on provided on oxer applicable compliance documents,
war kshee3, ralculaions, pian_ and speJn>Sons subntned to the enforcenam eRenry fo,, approval wrh this building pe-nr application.
S. I will e*sure tho a regis+.e; ed opy af'ia Cell c E of Compliance Shall be mzd=_ evailaNt with rhe building pa, ni ls) rued for the building and rade e.•ai:able w• the enforcement aaenr),
for all applicable inspections. I undE Knd tat a realsised copy of this CertficEte of Cor nprlance is required to be included wehm the documentation the builder provide m the building
owner at o=upancv.
rupans3r� ]:signs name
( fis, gnsible LecV u S4'nat,r_: '
r
r—p—r:
I DnL• Sued
+dera
r].ry/S�trJ'up:
Phanc
=or zzss-nm or qua5Sf:�rs re p., -di = _ie Energy.St3ndBrds, co rta_t the =rrer_ryHotline at 1-3DD-7 _3bD.
P.egisb - on Number. Re=i-Ttidn Dater I irre HEPS Provider.
CA Bulding Enegn, E-ciency Standards - 2723 Residential Compliance June2014
Btn.#
City. Of La Wen' to
Building 8i Safety Division
P.
"� O. Box 1504,•78-495 Calle Tampico
La.Qulnta, CA 92253 -:(760) 777-7012
Building Permit ApPlicatlon and Tracking Sheet
Permit # ��
Project Address: p �/Lr�y ^ ��J Owner's Name:. %�t7i✓K� ..
A. P. Number. Address: e#f e_y
Legal Description: City, ST, Zip:4, 4,� r , �ys�
. Contractor: %Telephone:
Address: 1411—XAz q/ Project Description: &ROW
City, ST, Zip: !�� ���L_ 6a, '9 J- S V ZDD
Telephone:
State Ldc. # : '' /
City Q Foe�
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:Construction Type: 4�pp%sz- Occupancy:
State Lic. #: ,''�''• £` mo:<' Project type circle one New Add'n Alt Repair Demo
Name of Contact Person: Alt-1111,21—V Sq. Ft.: goo # Stories: #'Units:
Telephone # of Contact Person: �l faSl �� Estimated Value of Project: ����0 '
APPLICANT: DO NOT WRITE BELOW THIS LINE
!!
Submittal
Req'd
Recd
TRACICTIVG
PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Strgctut'al Cates.
Reviewed, ready for corrections
Plan Check Deposit_
Truss Caics.
Called Contact Person
Plan Check Balance
Title 14 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted..
Mechanical
Grading plan
V Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
I1.0.4. Approval
Plans resubmitted
Grading
1K HOUSE:-
'"' Review; ready for corrections/'issue
Developer Impact Fee
Planning Approval.
Called Contact Person
AJ.P.P.
Pub. Wks. Appr '
Date of permit Issue
School Fees '
Total Permit Fees