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BRER2016-011378-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: Applicant: SIERRA SINGLE PLY INC 3951 RESEARCH DR STE B SACRAMENTO, CA 95838 T"tY' 4 4 Q" DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT BRER2016-0113 78865 HIGHWAY 111 643020022 nFn LOWES COMPANIES/ RERO $227,000.00 Qa DEC 0 9 2016 CITY OF LA QUINTA DESIGN AND DEVELOPMENT DEPARTMENT 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, B License No.: 669427 ate:'/ 2' �f- �/ C_ Contractor: ze OWNER -BUILDER D RATION I hereby affirm under penalty of perjury that m exempt from the Contractor's State License Law for the following reason (Sec. 31.5, 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).: (1 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 APPLICANT ACKNOWLEDGEMENT within one year of completion, the owner -builder will have the burden of proving that IMPORTANT: Application is hereby made to the Building Official for a permit subject to he or she did not build or improve for the purpose of sale.). the conditions and restrictions set forth on this application. I ) I, as owner of the property, am exclusively contracting with licensed contractors 1. Each person upon whose behalf this application is made, each person at whose to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' request and for whose benefit work is performed under or pursuant to any permit State License Law does not apply to an owner of property who builds or improves issued as a result of this application , the owner, and the applicant, each agrees to, and thereon, and who contracts for the projects with a contractor(s) licensed pursuant to shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and the Contractors' State License Law.). + employees for any act or omission related to the work being performed under or (_) I am exempt under Sec. , B.&P.C. for this reason 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. VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date:. 12/9/2016 Owner: LOWES COMPANIES, INC 1605 CURTIS BRIDGE RD WILKESBORO, NC 28697 Contractor: SIERRA SINGLE PLY INC 3951 RESEARCH DR STE B SACRAMENTO, CA 95838 (916)640-0123 Llc. No.: 669427 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: AMERICAN CASUALTY COMPANY OF READING PA 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 forth th comply with those provisions. Date: I7 Applicant: ro WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COV XGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AYD 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. 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 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: /it °l - ICS Signature (Applicant or Agent): -- 2 l Date: 12/9/2016 Application Number: BRER2016-0113 Owner: Property Address: 178865 HIGHWAY 111 LOWES COMPANIES, INC APN: 643020022 1605 CURTIS BRIDGE RD Application Description: LOWES COMPANIES/ REROOF WILKESBORO, NC 28697 Property Zoning: . Application Valuation: $227,000.00 Applicant: Contractor: SIERRA SINGLE PLY INC .' SIERRA SINGLE PLY INC 3951 RESEARCH DR STE B 3951 RESEARCH DR STE B SACRAMENTO, CA 95838 SACRAMENTO, CA 95838 (916)640-0123 --------------- ------—------------------------------=- Llc. No.: 669427 ----- Detail: COMMERCIAL REROOF OVERLAY. INSTALL OVER ONE LAYER OF EXISTING SINGLE PLY ROOF. ---------------------------------- INSTALLING TPO WHITE MEMBRANE. PER 2013 CALIFORNIA BUILDING CODE 2 l 2 FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $10.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $10.00 DESCRIPTION ACCOUNT QTY AMOUNT RE -ROOF.- EA ADDITIONAL 1,000 SF 101-0000-42404 0 $1,434.88 DESCRIPTION ACCOUNT QTY AMOUNT RE -ROOF - FIRST 2,000 SF 101-0000-42404 0 $51.68 DESCRIPTION ACCOUNT QTY AMOUNT RE -ROOF - FIRST 2,000 SF PC 101-0000-42600 0 $103.36 Total Paid for RE -ROOF: $1,589.92 } i3fn.# j / citof,.La QLlf , to Bulwg 8L Safety Division P.O. Box 1504,78-495 Caffe Tampico i a.Quillta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # � ll nn �� UI` u`" Project Address: r7A I Owner's Name:. we-,�Miltv A. P. Number. Address: Legal Description: Contractor.511104,^ City, ST, Zip: Telephone: Pmje-' Description: Address�ffl.6I S City, ST, Zip: Telephone: State Lic. # : City Lia #; Arch., Engr., Designer AJ Address: — _ a City, ST, Zip:' Telephone: State Lia #: •., ' ! ' Construction Type:. Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq, Ft : #Stories: #Unit$ Name of Contact Person:Jif�/� ��� Telephone # of Contact Person: Estimated Value of Project APPLICANT: DO NOT WRITE BELOW THIS UNE if submittal Req'd Reed TRACKIAII IG PERMIT FEES Plan Sets PIan Cheek submitted Item Amount Structural Gales. Reviewed, ready for corrections Plan Check Deposit. . 'Russ Calcs. Called Contact Person Plan Check Balance. Title 24 61cs. Pians picked up Construction Flood plain plan Plans resubmitted.' . Mecharilcal Grading plan 2" Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plana picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN ROUSE:- ''" Review; ready for correctionsAssae Developer Impact Fee Planning Approval Called Contact Person Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees STATE OF CALIFORNIA ENVELOPE COMPONENT APPROACH CEC-NRCC-ENV-01-E (Revised 08/15) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-ENV-01-E Envelope Component Approach Page 1 of 8 Project Name: LOWE'S HOME IMPROVEMENT LA QUINTA REROOF Date prepared: 12/07/16 A. GENERAL INFORMATION 1 Project Location: 78-865 HIGHWAY 111 6 Compliance Method: ✓❑ Component Unconditioned (file Affidavit) 2 CA City and Zip Code: LA QUINTA, 92253 7 Building Front Orientation (deg or cardinal): Interior or Continuous 0 New Construction 3 Climate Zone: 15 8 Phase of Construction '❑ Addition Core Insulation Appendix JA4 Proposed Required U -Factor ❑ Alteration (inches) Insulation Nonresidential 4 Total Conditioned Floor Area: 119,574 sq. ft. 9 Building Type(s) ❑ High -Rise Residential R -Value ❑ Hotel/Motel Guest Room ❑ Schools (Public School) ❑ Relocatable Public School Bldg. ❑� Conditioned Spaces ❑ Unconditioned Spaces 5 ❑ Skylight Area for Large Enclosed Space > 5000 ftz(If checked include the NRCC-ENV-04-E with submittal) B. ENVELOPE DETAILS - FRAMED 1 2 3 4 5 6 7 8 9 10 11 Frame Frame Frame Appendix JA4 Cavity Continuous Proposed Required U -Factor from Field Inspection Tag/ID Assembly Type Insulation Material Depth Spacing Reference R -Value LI -Factor Tables B, C, D Comments R -Value N/A Add Row Remove Last C. ENVELOPE DETAILS - NON -FRAMED 1 2 3 4 5 6 7 8 9 10 Interior or Continuous Tag/ID Assembly Type i Assembly Materials Thickness Core Insulation Appendix JA4 Proposed Required U -Factor Field Inspection (inches) Insulation R -Value Reference LI -Factor from Tables B, C, D Comments R -Value N/A Add Row Remove Last CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance August 2015 STATE OF CALIFORNIA ENVELOPE COMPONENT APPROACH CEC-NRCC-ENV-01-E (Revised 08/15) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-ENV-01-E Envelope Component Approach Page 2 of 8 Project Name: LOWE'S HOME IMPROVEMENT LA QUINTA REROOF Date Prepared: 12/07/16 D. ENVELOPE DETAILS - MASS 1 2 3 4 5 6 7 8 9 10 11 Mass Density Mass Furring Strip Interior Exterior Appendix JA4 Proposed Required U -Factor SR12 (Optional) Tag/ID Type (Ib/ft3) Thickness Thickness Insulation Insulation Reference Insulation Tables e, C, D Field Inspection Notes (inches) (inches) R -Value R -Value white single ply LI-Factorfrom 0.68 0.83 N/A 0.63 0.75 75 see attached CRRC printout Add Row � Rem - An aged solar reflectance less than 0.63 is allowed provided the maximum roof/ceiling U -factor in TABLE 140.3 is not exceeded - High-rise residential buildings and Hotels and Motels with low -sloped roofs in Climate Zones 1 through 8, 12, and 16 are exempted from aged Solar N/A E. ROOFING PRODUCTS (COOL ROOF) 1 2 3 4 5 1 6 7 8 9 10 11 Proposed Minimum Required Mass Roof 25 Ib-ftz Roof Pitch CRRC Product I6 Number Product Type Aged Solar Reflectance' Thermal Emittance SR12 (Optional) Aged Solar Reflectance Thermal Emittance SRI (Optional) Comments or greater i ❑ FLAT ROOF 0608-0008 white single ply ❑ 0.68 0.83 81 0.63 0.75 75 see attached CRRC printout Add Row � Rem - An aged solar reflectance less than 0.63 is allowed provided the maximum roof/ceiling U -factor in TABLE 140.3 is not exceeded - High-rise residential buildings and Hotels and Motels with low -sloped roofs in Climate Zones 1 through 8, 12, and 16 are exempted from aged Solar N/A Reflectance and emittance requirements - High-rise residential and Hotels and Motels with steep -sloped roofs in Climate Zones 1 and 16 are exempt from aged Solar Reflectance and emittance N/A requirements - The roof area covered by building integrated photovoltaic panels and building integrated solar thermal panels are exempt from aged Solar Reflectance N/A and emittance requirements - To apply Liquid Field Applied' Coatings, the coating must be applied across the entire roof surface and meet the dry mil thickness or coverage recommended by the coatings manufacturer and meet minimum performance requirements listed in 4110.80)4. Select the applicable coating: ❑ Aluminum -Pigmented Asphalt Roof Coating ❑ Cement -Based Roof Coating ❑ Other NOTES: 1. Check the box if the aged Solar Reflectance was not available in the Cool Roof Council's Rated Products Directory, then use the equation in Section 110.8(1)2: paged = 0.2 + a(Pinitial - 0.2) where 6 is either 0.65 for Field applied coatings or 0.70 for all other roofing products and initial reflectance is the value found in the CRRC directory 2. Calculate the SRI Value by using'the SRI -Worksheet and enter the resulting value in the SRI column above and attach a copy for the SRI -Worksheet NRCC-ENV-03-E to the end of this form CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance August 2015 STATE OF CALIFORNIA ENVELOPE COMPONENT APPROACH CEC-NRCC-ENV-01-E (Revised 08/15)CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-ENV-01-E Envelope Component Approach Page 3 of 8 Project Name: LOWE'S HOME IMPROVEMENT LA QUINTA REROOF Date Prepared: 12/07/16 Add Row G. FENESTRATION PROPOSED AREAS AND EFFICIENCIES 1 2 ! 3 4 5 6 7 8 9 10 11 12 Tag/ID I Fenestration Type Surface Area Orientation # of panes Max U -Factor Overhang Max SHGC Min VT Label Conditions Status Comments i T Add Row ; Remove Last-, _ �.._ _ _ _ __ _ _ _ __ _ . _ _ _ -- — _ _ - - _ - - - - - - -• - . _._ w H. ENVELOPE MANDATORY MEASURES Indicate location on building plans of Mandatory Envelope Measures Note Block: INSTRUCTIONS TO APPLICANT ENVELOPE COMPLIANCE & WORKSHEETS (check box if worksheet are included) For detailed instructions on the use of this and all Energy Efficiency Standards compliance forms, please refer to the Nonresidential Compliance Manual. ❑ NRCC-ENV-01-E ! Certificate of Compliance. Required on plans for all submittals. ❑ NRCC-ENV-04-E j Use when minimum skylight requirements for large enclosed spaces are required in climate zones 2 through 15. Optional on plans. i CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance August 2015 STATE OF CALIFORNIA ENVELOPE COMPONENT APPROACH CEC-NRCC-ENV-01-E (Revised 08/15) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-ENV-01-E Envelope Component Approach Page 4 of 8 Project Name: LOWE'S HOME IMPROVEMENT LA QUINTA REROOF Date Prepared: 12/07/16 l DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate'of Compliance documentation is accurate and complete. Documentation Author Name71NAYUNGLING oc a' n h rSigna re: CompanvSIERRA SINGLE PLY, INC. n r Date 12/07/1 Address:3951 RESEARCH DRIVE, SUITE B CEA/ HERS Certification Identification (if applicable): N/A City/State/zip:SACRAMENTO, CA 95838 Phone:916-640-0123 RESPONSIBLE PERSON'S DECLARATION STATEMENT 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 am eligible under Division3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance (responsible designer). 3. The energy features and performance specifications, materials, components, and manufactured devices for 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 California Code of Regulations. 4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. 5. 1 will ensure that a completed signed copy of this Certificate of Compliance shall be made available with the building permit(s) issued for the building, a ade available to the enforcement. agency for all applicable inspections. I understand that a completed signed copy of this Certificate of Co i nce is required to a included with the mentation the builder provides to the building owner at occupancy. - Responsible Designer Name7INA YUNGLING lKespo sib si n ure: Company:SIERRA SINGLE PLY, INC.' Date Si ed:12/07/16 Address: 3951 RESEARCH DRIVE, SUITE B License: 669427 City/state/zip: SACRAMENTO, CA 95838 Phone: 916-640-0123 I CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance August 2015 Find rated products - Cool Roof Rating Council Page 1 of 1 I 1 SEARCH RESULTS Selected filters Manufacturer. Firestone Building Products LLC I Instal Solar Reflectance: 0.79 i 3 Year Solar Reflectance: o.68 Initial Thermal Emittance: o.85 } 3 Year Thermal Emittance: 0.83 Initial SRI: 98 3 Year SRI: 81 Please note that the CRRC does not set a minimum definition for "cool", the CRRC simply lists the measured radiative property values on our Directory. A product's placement on the Directory does not mean that the product is "cool" as defined by any particular code body or program. *CRRC Rapid Ratings: These are interim laboratory -aged values that simulate weathered values. These values will be replaced with the measured three-year aged values upon completion of the weathering process. SRI values calculated using Rapid Ratings may change once the aged rating replaces the interim rating. PRINT EXPORT ALL PRODUCTS CRRC PROD. ID MANUFACTURER: BRAND PRODUCTTYPE COLOR SOLAR REFLECTANCE TNERMALEMITTANCE SRI MORE MODEL i INFO Initial 3 year Initial 3 year initial 3 year o6o80008 Firestone Building Products LLC UltraPiy Membrane: Single Ply Bright white 0.79 o.68 0.85 0.83 98 81 + + TPO White Thermoplastic and - TPO White Thermoset Roofing + COOL ROOF RATING COUNCIL 44915th Street, Suite 400 TEL (866) 465-2523 EMAIL: info@coolroofs.org Oakland, CA 94612 FAX (510) 482-4421 I I L i I i Certificate 3+46.01 I 1 http://coolroofs.org/products/results 12/7/2016 STATE OF CALIFORNIA SOLAR REFLECTANCE INDEX CALCULATION WORKSHEET ;EC-NRCC-ENV-03-E (Revised 08/15) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-ENV-03-E Solar Reflectance Index Calculation Worksheet (Page 1 of 2) ProjectName:LOWE'S HOME IMPROVEMENT LA QUINTA REROOF Date Prepared:12/07/16 A. Product Information 1 1 CRRC Product ID Number 0608-0008 2 Manufacturer FIRESTONE BUILDING PRODUCTS 3 Brand ULTRAPLY TPO WHITE 4 Model SINGLE PLY MEMBRANE 5 1 Product Type 10ther (not field -applied) 6 1 Roof Slope liess than or equal to 2:12 B. SRI Calculations A 1 Aged Reflectance Listed with CRRC Yes 0 No 2 CRRC Listed Aged Solar Reflectance 0.68 3 Initial Solar Reflectance 4 Calculated Aged Solar Reflectance 5 Thermal Emittance 0.83 C. Results 1 1 Solar Reflective Index 81.65443883 CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance August 2015 . Lv STATE OF CALIFORNIA SOLAR REPLtCTANCE INDEX CALCULATION WORKSHEET :EG-NRGG-ENV-03-E (Revised 08/15) CALIFORNIA ENERGY COMMISSION —qW CERTIFICATE OF COMPLIANCE NRCC-ENV-03-E Solar Reflectance Index Calculation Worksheet (Page 2 of 2) r ProjectName:LOWE'S HOME IMPROVEMENT LA QUINTA REROOF Date Prepared:12/07/16 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 119 1117 1. 1 certify that this Certificate of Compliance documentation is accurate and cpaxpletz Documentation Author Name Tina Yungling Do mentat' ture• `ompanv:Sierra Single Ply, Inc. sign e D 12/07/16 Address: 3951 Research Drive, Suite B ti CEA/ HERS Certification Ide kation (if applicable):N/A city/state/zlp:Sacramento, CA 95838 Phone: 916-640-0123 RESPONSIBLE PERSON'S DECLARATION STATEMENT 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 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance (responsible designer). 3. The energy features and performance specifications, materials, components, and manufactured devices for 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 California Code of Regulations. 1 4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. 5. 1 will ensure that a completed signed copy of this Certificate of Compliance shall be made available with the building permits issued for the building, and made available to the enforcement agency for all applicable ins ections. I understa d that a completed si opy of this Certificate of Compliance is required to be included with the docurnentat n toe builder provid s to a building own9f Woccupancy._ Responsible Designer Name Tina Yungling i r natur company :Sierra Single Ply, Inc. Date gned:l2/07/16 Addres::3951 Research Drive, Suite B License: 669427 city/state/zlp:Sacramento, CA 95838 Phone: 916-640-0123 A CA Building Energy Efficiency Standards - 2013 Nonresidential Compliance I J August 2015