BRER2015-011278-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: BRER2015-0112
Titr °F IwQw&rw
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Property Address: 53.590 AVENIDA RAMIREZ
APN: 774122005
Application Description: DEE / OVERLAY WITH URATHANE FOAM TWO COATS
Property Zoning:
Application Valuation: $10,000.00
Applicant: D
RELIABLE ROOFING BY T G Y DEC O 83:2:015
P 0 BOX 1961
PALM SPRINGS, CA 92263-
CITY OF LA QUINTA
COMMUNITY DEVELOPMENT DEPARTMENT
57
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
MICHAEL DEE
10.339 LARWIN AVE
CHATSWORTH, CA 92253
Contractor:
RELIABLE ROOFING BY T G Y
P 0 BOX 1961
PALM SPRINGS, CA 92263
(760)250-8610
LIc. No.: 764608
Date: 12/8/2015
----- - - - --- ----------- --- ------------------------------------------ ----------- - - - - -- - - - - - -
LICENSED CONTRACTOR'S EC TIPN
I hereby affirm under penalty of perjury that I sed under provisions of Chapter
9 {commencing with Section 7000} of Divisi 3 f the Business and Professions Code,
and my License is in full force and effect. 1
License Cl as - C39 License No.: 7 4608
pp r
Date: 12 i�)� Co actor: A
OWNER BUILDER DECLA TION
I hereby affirm under penalty of perjury that I am empt from the Contractor's ate
License Law for the following reason (Sec. 7031.5 usiness and Professions C e: Any
city or county that requires a permit to constru ,alter, improve, demolish r repair
any structure, prior to its issuance, also require the applicant for the p it to file a
signed statement that he or she is licensed pu uant to the provisio of the
Contractor's State License Law (Chapter 9 (cot,mencing with ion 7000)' of Division
3 of the Business and Professions Code) or th he or s _ ' exempt therefrom and the
basis for the alleged exemption. Any violation o ection 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 Address:
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 Co e, for the performance
of the work for which this permit is issued.
I have and will maintain workers' compensation ' surance, as required by ..
Section 3700 of the Labor Code, for the performance of a work for which this permit
is issued. My workers' compensation insurance carrier, nd policy number are:
Carrier: _ Policy Number:
I certify that in the performance of the ork for which this permit is issued, I
shall not employ any person in any manner so to b e subject to the workers'
compensation laws of California, and agree t t, if I should'become s bject to the
workers' compensation provisions of Secti 3700 o Code, shall forthwith
comply with th se ovisions.
�1 G '
Date: !i J ( Appli nt:
WARNING: FAILURE TO SECURE WORKERS' COMPENS kTION CQk4ERAGE2UNWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PE LTIES AND CIVILPTO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN DITIONTOTHECOMPENSATION, DAMAGES AS PROVIDED FOR IN SE_ON3706OFTCODE,
INTEREST, AND ATTORNEY'S FEES. \\
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to the Building Official for a permit su/bjeto
the conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at
request and for whose benefit work is performed under or pursuant to any rmit
issued as a result of this application , the owner, and the applicant, each rees to, and
shall defend, indemnify and hold harmless the City of La Quint:, its offi rs, agents, and
employees for any actor omission related to the work being perfor d under or
following issuance of this permit.
2. Any permit issued as a result of this application becomes n and void if work is
not commenced within 180 days from date of issuance of suc ermit, or cessation of
work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that t
I agree to comply with all city and county ordinances nd
construction, and hereby authorize representatives f thi:
above-mentioned property for inspection purpos .
Date: �J Signature •(Applicant rAgent):
e above information is correct.
+k,;3: *.s - .+".aa�§-, x x y;;'i a.'*• - ':'
DESCRI?TION ,; k�a r _ F, zE,
s PAID PAID
,ACCOUNT, •s. QTY DATE
rs...x ..<:54h.AMOUNT« c�'£'
BSAS SB1473 FEE
101-0000-2030th.
0 $1.00 $1.00 12/8/15
'-II)i �.MI.,,
3
METHODSp
# # CLTD BY<`
P,PA, �
.:
s $fRECEIPT RECHECK kp
RELIABLE ROOFING BY T G Y.
CASH
R11367: SGU
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $1.00
DESCRIPTION ''
M"�1
QTN
gjr
AMOUNT £,
PAID<�t
PAID DATE
f' r'. ,
�.ACCOUNTDD
RE-ROOF - EA ADDITIONAL 1,000 SF
101-0000-42404
0
$11.60
$11.60
12/8/15
PAID6Ys�,M
' U L
p 3
D
''k�'-i
. vi'w•fY. -,3:.° v' 'ArD'
#
" r`2iW'"k 2' Y'vs . Y
C HECK #"
+f, $✓
CLTD BY,.
aa.e «r
s�.< ETH.RECEIPT
x
{y
RELIABLE ROOFING BY T G Y
CASH
R11367
SGU
Y.y1-.v ?'."', • { - 1 §
*DESCRIPTIONS `�
4#$`i '{ ,>E=,� k
# ACCOUNT,'QTY3AMOUNTa
4
8 'W' `A i.`:e' " qv-
Y -.i '✓
- m s
°y'af xPAID��TPAIDDA7E
RE-ROOF - FIRST 2,000 SF
101-0000-42404
0
$49.31
$49.31
12/8/15
PAID BYr:>. '
".�f-z
METIOD
hg`c
4Px -r
RECEIRT #x:':.
v _....:..S {u Rpf
s CFIECK # ass s
d ,CLTD BYE
ti K .. L,, -. 1
i 4 x :; s� F.:a.
.n.-,.'-i34.Ne9>P._.a#R.v
,
N
RELIABLE ROOFING BY T G Y.'
CASH
R11367
SGU
'DESCRIPTIONS°.
. F'k ACCOUNT
" TY
=AMOUNT `i "
PAIDp
PAID DAT&
,� r,,. ,;-.... }'>.. 'y�'<'a
�'`�„�.":,
`'v,sshk:h`�f.
RE-ROOF - FIRST 21-000 SF PC
101-0000-42600
0
$98.62
$98.62
12/8/15
dry
PAID.BY
METH0#D 3:REGEI
_T kE
P #
u.> r
CHECK #�
#f
CLTD BY
rte.
,#t>�'.
.,.. s'}r-
RELIABLE ROOFING BY T G Y
CASH
R11367
SGU
Total Paid for RE-ROOF: $159.53 $159.53'
e_,$160*53 $i6O.53,
Description: DEE / OVERLAY WITH URATHANE FOAM TWO COATS
FINANCIAL
INFORMATION
Type: RE -ROOF Subtype:
Status: APPROVED
Applied: 12/8/2015 SGU
Approved: 12/8/2015 SGU
Parcel No: 774122005 Site Address: 53590 AVENIDA RAMIREZ LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 231
Lot: 20
Issued:
UNIT 22
PAID
PAID DATE RECEIPT # CHECK # METHOD PAID BY
Lot Sq Ft: 0 Building Sq Ft: 0
Zoning:
Finaled:
Valuation: $10,000.00 Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0
No. Unites: 0
CITY
[Details: REROOF WITH OVERLAY WITH TWO COATS URATHANE FOAM. COLOR WHITE [CRRC: 0770-0001] 2013 CALIFORNIA ENERGY CODE.
Applied to Approved
Printed: Tuesday, December 08, 2015 2:40:42 PM 1 of 2 r
SYS7fMS
FINANCIAL
INFORMATION
CHRONOLOGY
CLTD
CONDITIONS
AMOUNT
PAID
PAID DATE RECEIPT # CHECK # METHOD PAID BY
CONTACTS
BY
BSAS SB1473 FEE 101-0000-20306 0
NAME TYPE
NAME
ADDRESSI
CITY
STATE
ZIP PHONE FAX EMAIL
APPLICANT
RELIABLE ROOFING BY T G Y
P 0 BOX 1961
PALM SPRINGS
CA
92263
CONTRACTOR
RELIABLE ROOFING BY T G Y
P 0 BOX 1961
PALM SPRINGS
CA
92263
OWNER
MICHAEL DEE
10338 LARWIN AVE
CHATSWORTH
CA
92253
Printed: Tuesday, December 08, 2015 2:40:42 PM 1 of 2 r
SYS7fMS
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
12/8/15 R11367 CASH RELIABL T G OFING BY SGU
Total Paid for BUILDING STANDARDS ADMINISTRATION
$1.00
$1.00
BSA:
Printed: Tuesday, December 08, 2015 2:40:42 PM 1 of 2 r
SYS7fMS
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #�
METHOD
PAID BY
CLTD,
BY
RE -ROOF - EA
101-0000-42404
0
$11.60
$11.60
12/8/15
R11367
CASH
RELIABLE ROOFING BY
SGU
ADDITIONAL 11000 SF
T G Y
RE -ROOF - FIRST 2,000
101-0000-42404
0
$49.31
$49.31
12/8/15
R11367
CASH
RELIABLE ROOFING BY
SGU
SF
TGY
RE -ROOF - FIRST 2,000
101-0000-42600
0
$98.62
$98.62
12/8/15
R11367
CASH
RELIABLE ROOFING BY
SGU
SF PC
TGY
Total Paid for RE -ROOF: $159.53 $159.53
TOTALS:.• .0 .53
INSPECTIONS
ATTACHMENTS
Printed: Tuesday, December 08, 2015 2:40:42 PM 2 of 2 CR
SYSTEtitS
Bin.#
Qty of La Quanta.
Building 8£ Safety Division
—,6)[J2— 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit t'f
ProjectAddress:S3.'5�7 ej Aw.
Owner's Name: 4. ir(Q
A. P. Number:
Address: Sa~.AL ,
Legal Description:
City, ST, Zip:
t
r c r.
CoXtrao
Telephone:
Address: Me I
Project Description:
City, ST, Zip: 6,S
Telephone: 7 0 6 U
State Lic. # :
City Lic. C.
Arch., Engr., Designer:
Address:
City, ST, Zip:
n:
Tele h oe
P
n n • Occupancy:
Co structio T e:
Y P
S tat tc. #.
Project type (circlee one • New Add'n Alter Repair Demo
Name of Contact Person: -F& fl G
S Ft.: as�
#Stories:
#Units:
Telephone # of Contact Person: &AMA* •
Estimated Value of Project: in) �Q
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rcc'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance
Title 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"' Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
I-I.O.A. Approval
Plans resubmitted
Grading
IN ROUSE:-
'`d Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees,
r.
Total Permit Fees
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CERTIFICATE OF COMPLIANCE CF111-ALT-01-E
Prescriptive Rej' ial Alter 'ons (Page 1 of 4)
Proiect Name: a A, Date Prepared: IL I-S�'
A. GENERAL INFORMATION
01
4W4
01
Project Name:
02
Date Prepared: .�., ,
03
Project Location: T
04
_hS
Building Front,Oir'ie oation (deg or cardinal):
05
CA City: �
06
Number of AIL g& elling Units: ,
07
Zip Code:
08
Fuel Type: � Q"�
09
Climate Zone:
10
Total,Cor4If1'oned Floorz - '(ft21'
11
1 Building Type
12
1 Si4.' 6T(ft2) 0k."ho
13
1 Project Scope:
B. BUILDING INSULATION DETAILS (Section 150.2(b)1) 41110. A%KT1%4_
01
02
03
04
05
06m L. X67 I 08 ` 09
10
11
Tag/ID
Assembly Type
Frame
Type
Frame
Depth
I (inches),
Frame
Spacing
I (inches)
-Prd'posed
Required
Comments
i( G�ontinuous.. # =
Cavity `Insulation
R-vaiue V R -value U:,factor
Appendix 1A4
Reference
U=Factor
Tabl•Q. Cell
initial Solar Aged Solar Thermal SRI Aged Solar Thermal SRI
Compliance
Pitch
Exception
C, ,I Number .
RrgductType
Insulation
Reflectance Reflectance Emittance (Optional) Reflectance Emittance (Optional)
e R- `9� rr XX V 'tx
C. ROOF REPLACEMENT (Prescriptive Alteration, Si"on'��1S�0.2(b)1H) w
4011K01
02
03
04
05 ,
06
'0:7 '08 09 10 11 12 13
R -value
e
R Proposed Minimum Required
Method of
Roof
CRRC PrPactD
Deck
initial Solar Aged Solar Thermal SRI Aged Solar Thermal SRI
Compliance
Pitch
Exception
C, ,I Number .
RrgductType
Insulation
Reflectance Reflectance Emittance (Optional) Reflectance Emittance (Optional)
�j
NOTES C��.. �"'/ `O � S �� "
• Roof area covered by building integrated ph'otov a and soar thermal panels are exempt from thea ove Cool Roof requirements.
• Liquid field applied oatingsmust comply withinXallgti�n iteria 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
CERTIFICATE -OF COMPLIANCE CF1R-ALT-01-E
Prescriptive Residential AltE;<rations^' (Paee 4 of 4)
I Proiect Name: 1 )PP _ J I Date Prepared: t7 In /. C— I
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
DocUM tatigj A N e: r
DoCumentatlAtSth r Si ure:
Company:� . `►-6 ^
4!1k, •
1I Lo
Signature Date:
L 2
Addres •-
'CEA/ HERS Certification, lden'tffica�foy ' if appli able): •
— _
`..
City tate/Zip- V �3
Phone:
SPONSIBLE PERSON'S LARA N STATEMENT
I certify the following under penalty of perjury, under the laws of the State of California: AW -
1. The information Certificate Compliance is
provided on this of true and correct.
2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibili . for the building esor system design identified on this Certificate of Compliance (responsible
designer).
3. That the energy features and performance specifications, materials, components, na manufactured device or 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 Ca ifornla Code of�f3eg a"dons
4. The building design features or system design features identified on this Certificate of Co pliance are consisten ithgtfie information provided on other applicable compliance documents,
worksheets, calculations, plans and specifications submitted,to the enforcement agencyfor,approval with this Building permit application.
4
S. I will ensure that a registered copy of this Certificate of Compliance3shall be made;available with the building permlt(s) issued for the building, and made available to the enforcement agency
for all applicable inspections. I understand that a registered opy)of this Certificite` bff C mpliance is rea to be included with the documentation the builder provides to the building
owner at occupancy. ;
Responsible Designer Name: '' a
0�
Responsible Designer Signature:
—.4 k
Company: V
Date Signed:
Address:
License:
City/State/Zip: V
Phone:
w
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
Find rated products - Cool Roof Rating Council
6 SEARCH RESULTS
Selected filters
Manufacturer. LaPolla Industr(es, Inc.
"CRRC Rapid Ratings: T"Se are Interim laboratory -aged values that simulate weathered values. These 4ues will be replaced withthe measured three-yearaged
values upon Completion of the weathering process- SRI values calculated using Rapid Ratings may Change once the aged rating replaces the interim rating. - ..
PRINT EXPORY ALL PRODUCTS
tinot0 3146-01
cRec vgoo.w
mANUFACTURER: BRAND
pRaoucrnv4
COLOR
SOW RErjCTANcc THERMAL EMRTANCE
$01
MORE
'
f <
MODEL -
_ _—_
......-,
INFO
: L .
Initial
3rwr Adtlal
3year
0IMI
iyv!
07704003
LaPolb Industrla-, Inc.: t.epona Coatingg
Fleld Appited
grtghtWhite
o,86
0.76 0.90
0.91
tog
: 95
+
-i '
RCS • Som
Coatlr gs: Acrylic
i • y
0770.0006
LaPolla IndVOW096 Ina: LaPolb Coating;
Fleld-1 pplied
Bright White
0.94
F-&rg 0.91
Ptndmg
' +o6
pending
+
RCS 60'
Coatings! Acrylic
j.
077"001
LpPeiga Industries, lna: LaPolla Coatings
Field -Applied
Bright White
0.86
0.76 0.90
0,91
i tog
95
i
+`�'
-
TFtoot
Coatings: Acryfk
j
i.I
J.
0770-0002
LaPolla Indattries, Inc.: LePolla Coatings
Field -Applied
Bright White
0,86
0.7E ' 0.90
' 0.91
: log
68
+
TF•791
Coatings: Acrylic
.
'
0770.0007
LaFolla industries, Inc.: Lafblla
FleldApplled
Br+ghtwhit0
6.69
0.73 0.90
` o.86
' 113
IndOgteie9, Inc.
Coating;: Silicone
—
•' i
Thermo•sil 32at white Htgh Solids Low
''•;
VOC Silicone Roof Coating
?' '
0770.0009
LaP011a Industrie:, Inc: Thermo-Sil 22o1
FleldApplled
BriZht White
0.87
pending 0.90
Pending
110
: pen4ha
;F
'% �•...*'
Low Solids SlUcone Roof coatings
Coatings: Silicone
Thermo -51)2201
,
COOL ROOFRATINO COUNCIL 44915th Street, Suite 400 TEL (866) 465-x53 CMAIL: info cootroofs.org
.• ;.. •', .
Oakland.C/A946tx FAY, (910)482,442+
tinot0 3146-01