BRER2016-0092Ki
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
BRER2016-0092
Property Address:
55405 PEBBLE BEACH
APN:
775130005
Application Description:
MACK / REROOF
Property Zoning:
Application Valuation:
$11,541.00
Applicant:
WESTERN PACIFIC ROOFING CORP
2229 EAST AVENUE Q
PALMDALE, CA 93550
c&'�p 4 aCP
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
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
Contractor.
OWNER -B LDER 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 I am exempt under Sec. IB.&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:
CE (760) 777-7125
kZEM)
NSTMO) 777-7153
11/3/2016
Owner:
ROBERT
P 0 BOX
CARDO�
Contractor:
WESTERN PACIFIC ROOFING CORP
2229 EAST AVENUE Q
PALM DALE; CA 93550
(661)273-1336
Llc. No.: 235717
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of -,.he 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
ofthewhich this permit is issued.
ve 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: ARCH INSURANCE COMPANY Policy Number: ZAWC19401700
(.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 W6iKEERCOIVIPENSATION 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.
l 3 /� ti
Date: / Signature (Applicant or Agent):
Dater 11/3/2016
Application Number:
BRER2016-0092
Owner:
Property Address:
55405 PEBBLE BEACH
ROBERT MACK
APN:
775130005
P 0 BOX 1630
Application Description:
MACK / REROOF
CARDONDALE, CO'92253
Property Zoning:
Application Valuation:
$11,541.00
Applicant:
Contractor:
WESTERN PACIFIC ROOFING
CORP
WESTERN PACIFIC ROOFING CORP
2229 EAST AVENUE Q
2229 EAST AVENUE Q
PALMDALE, CA 93550
PALMDALE, CA 93550
(661)273-1336
---------------------------------------------------------------------------------------------
Llc. No.: 235717
Detail: REROOF WITH POLYURETHANE
FOAM AND ACRYLIC [CRRC: 0626-0010] 2013 CALIFORNIA ENERGY CODE.
FINANCIAL'INFORMATION-
DESCRIPTION ACCOUNT QTY AMOUNT
BSAS SB1473 FEE 101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RE -ROOF - EA ADDITIONAL 1,000 SF
101-0000-42404
0
$12.16
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: $167.20
r
Bin ## City of La Qulnta
Building 8T Safety Division
Permit #i . - 78-495 Calle Tampico
Ls Quints, CA 92253 - (760) 777-701,2
Building Permit Application and Tracking Sheet
Project Address: �J 7 CJ £ a 13 L £ 669Gi7 JOwner's Name: %,� , %l� 9,f127-/�'1 •� u�"
A. P. Number:
Address: g�7 ��B Q ( E Q £i¢ L /7
Legal Description:
City, ST, Zip: .L/4" U, NJ! A r CA • Cfo�o�5
Contractor: or: W E N
S c � i
r 2 Y
F �o
P o f W
T I hon
e e o c•
A
Address: 3 L/ 6 a 1 4 G AM e g �vA- W A
Project Description:
_City, ST, Zip: PA cwt s P
SGS G4Srh.
L A-r,-oI-J. t r O L uRZr10
Tele -
h ne•
P hone:) 6 D yd Z
G
G R 1-� �v
� i o.
a c
F Y t'
State Lic. # :
City Lie.
s ,S'r e M
Arch.,:Engr., Designer:
- -Address:----------------- ---
City, ST, Zip:
Telephone: hone.
aneY
e• Occupancy:
Construction :
n TYP
Project Repair. Demo
P (circlee one): Add'n Alter 0
State Lic. # •
Name of Contact Person: �� jN ��rgrt M f �Z
Sq. Ft.:07 qo d
# Stories:
# Units:
Telephone # of Contact Person:(% - N� 6 -� 7
Estimated Value of Project:? 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 Cales.
Called Contact person
Plan Check Balance.
Title 24 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°' Revieiv, ready for correclionsrssue
Electrical .
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
1-I.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''d Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees,
Total Permit Fees
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
r:Fr-r'F1R-AI T -01-F !Revised 06/14)
CAI IF(lR. lA niFctnv.rnnenniecinr.i
CERTIFICATE OF COMPLIANCE
150.2(b)1H)
CF1R-ALT-0:1-E
Prescriptive Residential Alterations 2 -. Q 0 0 l-
02
(Page 1 of 4)
Project Name: -r tjA F S /A> f N C E I Date Prepared:
02
-_? -/
A. GENERAL INFORMATION,
150.2(b)1H)
01
02
03
Project Name: D S2 T M A
02
Date Prepared:
10
03
04 g'arr
Project Location: B BL E flet/
04
Building Front Or.ieritat on'(deg or cardinal
:
12 13
r07
CA City: L ry T
06
Number of Alreredbuvelling Units:
9
R value
Proposed
Zip Code:
08
Fuel Types k NV
Required
of
Compliance
Climate Zone:
10
Tofal'C Zed Floo@A_RR
^'
Deck,.
f
11
Building Type E S / ADz V 714 L
12
Siiaib, red (ft2) �
chq
13
Project Scope: 5TA1,d,4T1,0^) of Pj 014r11W Ne AA,4 1,4c/? Ylle C&Iiw
S =M '
Frame .appendix
_ Reference
B. BUILDING INSULATION DETAILS (Section 150.2(b)1) 11,10.
150.2(b)1H)
01
02
03
04
05 06 0
:&�07 I 08 ,?l 1r,,.09
10
03
04 g'arr
11
40 06
'67,d 08 09 10 1
12 13
-Proposed
Roof
CRR,CC Rroduct ID
9
R value
Proposed
Minimum
Required
e
Required
of
Compliance
Pi
Exception
g N;bmber
Deck,.
f
(nrtial Solar Aged Solar Thermal SRI Aged
1A4
'C
Thermal SRI
chq
Product Type ,
Frame
Frame .appendix
_ Reference
Emittance (Olitional)
�...r� 00 ,x
Frame
Depth
Spacing Cavity. � Insulation
Tag/ID
Assembly Type
Type
(inches)
(inches) R-vglug, R -value 4souein,tor Tabl,e.. Cell
U -Factor
NOTES
Roof by buuildlgintegrated
Comments
• area covered phbtovollaidlanels and solar theerinal panels are exempt from the above Cool Roof requirements.
• Liquid field applled3co tings must comply wltkjriVallation criteria from section 110.8(i)4.
.
m.a
C. ROOF REPLACEMENT (Prescriptive Alteration, Sectzf6
150.2(b)1H)
to-
Ol
02
03
04 g'arr
051, ;
40 06
'67,d 08 09 10 1
12 13
Method
Roof
CRR,CC Rroduct ID
9
R value
Proposed
Minimum
Required
V
of
Compliance
Pi
Exception
g N;bmber
Deck,.
f
(nrtial Solar Aged Solar Thermal SRI Aged
ola
Thermal SRI
chq
Product Type ,
Insulation
Reflectance Reflectance Emittance (Optional) Reflectance
Emittance (Olitional)
�...r� 00 ,x
�n fou
07
NOTES
Roof by buuildlgintegrated
• area covered phbtovollaidlanels and solar theerinal panels are exempt from the above Cool Roof requirements.
• Liquid field applled3co tings must comply wltkjriVallation criteria from section 110.8(i)4.
.
Registration. Number: .
Registration Date/Time:
HERS
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CEC_CF1R_GI T.n1-F (Rpvisprl MR AI
CALIFOR 41A E NERGY COMMISSION
CERTIFICATE OF COMPLIANCE
CF1R-ALT-01-E
Prescriptive Residential Alterations £ -R 0 OF
(Page 4 of.4)
Project Name:. C)2. /Z0QJar M#CJe Date Prepare
:
l'] `'
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT _.X. �"`
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Auth nature:
Documen tion Author Nam=
�7; �iM
/
Company:
W �Sitfe/J 19RG��L 12v0Y�rNlr GoR1�
• n re Date:
/�"2 � �3
Address:
3
60. 'Alorit(if applicablei: 4� V
CEA/ HERS Certification 3"A
-Q G� c,�M PAHA-
City/State/Zip:
Phone:a
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certify the following under penalty of perjury, under the laws of the State of California:. toy' :Y
a
1. The information provided on this Certificate of Compliance is true and correct.
2. I am eligible under Division 3 of the Business and Professions Code:to accept respons%bIli y for the building deessl ,fir or system design identified on this Certificat
041
designer)..
of
ompliance (responsible
3. That the energy features and performance specifications, materials, components and manufactured d`eViZe0or the building design or system design identifiedon
.gip Q
Compliance conform to the requirements of Title 24, Part 1 and Part 6 Whe California Code of'RSegula"t"ions.
his Certificate of
4., The building design features or system design features identified ohs Certificate of Colmpvli.a,�nce='are consiwtentw�It tt}ie information provided on other applicable
compliance documents,
worksheets, calculations, plans and specifications submitted .to t e enforcement agericyy for approval with this • taijdi'ng permit application.
5. I will ensure that a registered copy of this Certificate of Complian4ce�sliall be made ava1,)able with the bulldlrlg per' it(s) issued for the building, and made available
cop:y�of Compliance ec'to
t
the enforcement agency
y
for all applicable inspections. I understand that a registed this Certifica�t�e �f isrequ ri be included with the documentation the builder
provides
to the building
owner at occupancy. :l 3�
Y 'l^„?
Responsible Designer Name: m
w
Respar'Designer Signature:
C�' c
Company : ' Q� a
Z�
Date Signed:
:.n Fx Ci?
Y...
Address: � '” ,,� '
License:
City/State/Zip:v. `
r. N2
Phone:
% i
s
For assistance orquestions regarding.the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.
Registration Number:
Registration Date/Time:
der: