BRER2014-103478-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
4laQuiKs
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BRER2014-1034
Property Address:
55555 PEBBLE BEACH
APN:
775130008
Application Description:
REROOF WITH FOAM CRRC:0620-0022A
Property Zoning:
c
Application Valuation:
$30,350.00
Applicant:
PEAK ROOF MANAGEMENT INC
OUTSIDE CITY LIMITS.
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed "r provisions of Chapter
9 (commencing with Section 70001 of DivisioZofth u nesand Professions Code,
and my License is in full force and effect.
License Class: License No.::LIC-76256
Date:Contractor:
Date:.
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:
VOICE (760) 777-7125
FAX (760) 777-7011
CNSPECTIONS (760) 777-7153
Llc. No.::LIC-762564
WORKER'S COMPENSATIOR DECLARATION
I hereby affirm under penalty of perjury one of th- 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 thAK00
k for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
Secti 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 --o become subject to the workers'
compensation laws of California, and agree that, i; I should become subject to the
workers' compensation provisions of Section 3709 or 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 Riilding Official for a permit subject to
the conditions and restrictions set forth•on this application.
1. Each person upon whose behalf this applicaton 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 iss jance of such permit, or cessation of
work for 180 days will subject permit to cancellat on.
I certify that I have read this application and state that the above informati correct.
I agree to comply with all city and county ordinaiaces and statejavq rel ng t building
construction, and hereby authorize representath-es of this ci to t upon he above
mentioned property for inspection purposes.
Date: 11 - / f I Signature (Applicant orAgerb
Date:
11/7/2014
Owner:
PAUL ANTLE
g
137 LEMARCHANT RIO
c
ST JOHNS NL CANADA A1C, H3 92 z c-,
Z
O
m
C)
-n
r/
O
M p
Contractor:
zc
C===)
PEAK ROOF MANAGEMENT INC
m n
n
c�
OUTSIDE CITY LIMITS
Llc. No.::LIC-762564
WORKER'S COMPENSATIOR DECLARATION
I hereby affirm under penalty of perjury one of th- 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 thAK00
k for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
Secti 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 --o become subject to the workers'
compensation laws of California, and agree that, i; I should become subject to the
workers' compensation provisions of Section 3709 or 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 Riilding Official for a permit subject to
the conditions and restrictions set forth•on this application.
1. Each person upon whose behalf this applicaton 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 iss jance of such permit, or cessation of
work for 180 days will subject permit to cancellat on.
I certify that I have read this application and state that the above informati correct.
I agree to comply with all city and county ordinaiaces and statejavq rel ng t building
construction, and hereby authorize representath-es of this ci to t upon he above
mentioned property for inspection purposes.
Date: 11 - / f I Signature (Applicant orAgerb
i
c
FINANCIAL INFORMATION
t�
DESCRIPTION".°efy
;FFA ACCOUNT r "QTYz„AMOUNT
PAID
PAID DATE
x,'.'
{
BSAS SB1473 FEE
101-0000-20306 0 $2.00
$0.00
PAID BY—Ar""'.”,rf •
RECEIPT#
CLTD BY,t.1wMETHOD
�.
r
,
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $2.00 $0.00
-DESCRIPTION .. ;= �;
, "' '. ACCOUNT'.
QTY'
. ,AMOUNT
__," PAID
PAID" DATE
RE -ROOF - EA ADDITIONAL 1,000 SF
101-0000-42404
0
$69.60
$0.00
PAID BY '; -. '•' '
METHOD
RE CEIPT#
- 'F
CHECK # - " ;
CLTD`BY`
"DESCRIPTIONM1 ". j"
ACCOUNTti
":>QTY
AMOUNT ;"*
c_3, PAID ` '
PAID DATE'
r,
-
RE -ROOF - FIRST 2,000 SF
101-0000-42404
0
$49.31
$0.00
1PAID BYMETHOD
{ "
RECEIPT #
CHECK #
CLTD BY "
, - .. .... _ '•V.P.
,r ;r; .. •. >
Y';.dSi:
^- ,, ;.'DESCRIPTION
ACCOUNT
'QTY
_' " AMOUNT `
,' PAID T'"
PAID:DATE
RE -ROOF -FIRST 2,000 SF PC
101-0000-42600
0
$98.62
$0.00
,*," 1.. PAIb"BY �'`� 'r
METHODRECEIPT
''-
- CHECK #,i
=
CLTD BY''
kw
Total Paid forRE-ROOF: $217.53 $0.00
TOTALS:00
c
t�
` a
c
n
{
n
Description: 119ROOF WITH FOAM CRRC:0620-0022A
Type: RE -ROOF Subtype: Status: SUBMITTED
Applied: 11/7/2014 SKH
Approved:
Parcel No:.775130008 Site Address: 55555 PEBBLE BEACH LA QUINTACA 92253
Subdivision: TR 20717-2 SEE ASSR MB 769 PGS 3134 Block: Lot: 16
Issued:
35 36
CONDITIONS
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
f
CONTACTS
Valuation: $30,350.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: REROOF - WITH WHITE FOAM [CRRC: 0620-002A] 2013 CALIFORNIA ENERGY CODE.
ADDITIONAL SITES
Damb 5614/3 rcr 101_0000_20306 v ?2.0
Total Paid for BUILDING STANDARDS ADMINISTRATION $2.00 $0.00
BSA:
Printed: Friday, November 07, 2014 11:35:34 AM 1of2
CB?wSYSTEMS
CHRONOLOGY
CONDITIONS
INFORMATION
CONTACTS
N AM E_ W PE-
'4�ADDRESS
S FA�Xg'.��
Cl TATE. I -j1 EMAIL
TY �Zlp
TD
'BY-,-
``DESCRIPTION
ACCOUNTQTY AMOUNT'
APPLICANT
PEAK ROOF MANAGEMENT INC
OUTSIDE CITY LIMITS
METHOD
;PAIDPAID
,
CONTRACTOR
PEAK ROOF MANAGEMENT INC
OUTSIDE CITY LIMITS
OWNER
PAUL ANTLE
137 LEMARCHANT RD
ST JOHNS NL
H3
92253
CANADA A1C
Damb 5614/3 rcr 101_0000_20306 v ?2.0
Total Paid for BUILDING STANDARDS ADMINISTRATION $2.00 $0.00
BSA:
Printed: Friday, November 07, 2014 11:35:34 AM 1of2
CB?wSYSTEMS
FINANCIAL
INFORMATION
'7
TD
'BY-,-
``DESCRIPTION
ACCOUNTQTY AMOUNT'
PAID
DATE RECEIPT
CHECK #'-
METHOD
;PAIDPAID
,
Damb 5614/3 rcr 101_0000_20306 v ?2.0
Total Paid for BUILDING STANDARDS ADMINISTRATION $2.00 $0.00
BSA:
Printed: Friday, November 07, 2014 11:35:34 AM 1of2
CB?wSYSTEMS
'
.777777
BOND
7 777r,
'SliQlb�'
"I NM E
-IMPECTOR SCHEDULED COMPLETED.
REMARK
RESULT� S,
CLTD,'
ADDITIONAL 1,000 SF
101-0000-42404
0
$49.31
$0.00
SF
RE -ROOF FIRST 2, 000
101-0000-42600
0
$98.62
$0.00
SF PC
Total Paid for RE -ROOF: $217.53 $0.00
TOTALS: $219.53 $0.00
- . . .
'
.
BOND
INSPECTIONS
'SliQlb�'
"I NM E
-IMPECTOR SCHEDULED COMPLETED.
REMARK
RESULT� S,
.!4
- . . .
'
.
BOND
INFORMATION
Printed: Friday, November 07, 2014 11:35:34 AM ' ` 2 of � . ' � ~
---- — -- ----
. . .
'
. . .
'
STATE OF CALIFORNIA N
RESIDENTIAL ALTERATIONS
CEC-CFIR-ALT-01-E Revised 06/14 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E
Prescriptive Residential Alterations (Page 1 of 4)
ProiectName: < Zr /,J..Date Prepared:
A. GENERAL INFORMATION
01
02
01
Project Name:
02
Date Prepared: t3
03
Project Location: / G F /1
04
Building Front.Orientatlon (deg or cardinal):
05
CA City: a
06
tt e
Number.of Aldk ;;elling Units:
07
Zip Code:
08
fuel Type: A
Deck
Aroct o
Climate Zone:
10
Total,Gonr4itio ed Floor,Are_a (ft2)'
109
11
Building Type
12
1 SIab4Area (ft2) n.%
.13
Project Scope:
I�, i - �, ,.. „
.B. BUILDING' INSULATION DETAILS (Section 150.2(b)1),
01
02
03
04
05 06 w Z' ,' 07 08&
ffC09
10
11
Tag ID
Assembly Type
Frame
Type
Frame
Depth
(inches)
;"Proposed
�~v° Appendix JA4
Frame Continuous Reference
Spacing Cavity kolnsulation
(inches R -value R value Ulf Table. Cell
Required
Comments
U -Factor
Roof
CRRC.Produc�11: D
Deck
Aroct o
Compliance
Pitch
Exception
Number
Type , ,�I'g3_ulat
Reflectance Reflectance Emittance ) (Optional)
(Optional) Reflectance Emittance
C. ROOF REPLACEMENT (Prescriptive Alteration, Sem
n'150.2(b)1H)
Ol
02
03
04
05 06
07 08 09 10 11 12 13
R -value
r a Required
Pro Minimum Re
� � Proposed q
'Initial Solar Aged Solar Thermal SRI Aged Solar Thermal SRI
Method of
Roof
CRRC.Produc�11: D
Deck
Aroct o
Compliance
Pitch
Exception
Number
Type , ,�I'g3_ulat
Reflectance Reflectance Emittance ) (Optional)
(Optional) Reflectance Emittance
,:
;, -
NOTES . .' .
•. Roof area covered by b�u�ild thermal from the Cool Roof
integrated photov�ol�ta�epanels and solar panels are exempt above requirements.
Liquid field.applied-c-coatmgi LP ',s id fl 110.8(1)4.
mu9t comply �� dllnliun LI ilei um secUun
Registration Number: Registration Date/Time: HERS Provider:
CA Building Energy Efficiency Standards - 2013 Residential Compliance June 2014
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CEC-CFIR-ALT-01-E Revised 06/14 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E
Prescriptive Residential Alterations (Page 4 of 4)
Project Name: Date Prepared:
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT >� ,
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Na
Documentation Author S' natu : -`""'� '
' ,
Company:
Signature Date:W y
Address:CEA/
HERS Certification aation`(if applicable):
ea
City/State/Zip:
Phone:
RESPONSIBLE PERSON'S DECLARATI N STATEMENT
I certify the following under penalty of perjury, under the laws of the State of California:'
1. The information Certificate is
provided on this of Compliance true and correct.
2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsib for the building degnor system design identified on this Certificate of Compliance (responsible
designer).
3. That the energy features and performance specifications, materials, component"sand manufactured dde�vl 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 plianc are
or system design features identified on this Certificate of Co tt'With.We information provided on other applicable compliance.documents,
,� .Al
worksheets, calculations, plans and specifications submitted to the enforcement agencyt,%approval with this building permit application. .
5. 1
will ensure that a registered copy of this Certificate of Compllanceashall be mad �av5ilable with the building permit(s) issued for ng, d made available to the enforcement agency
for inspections. l Certificate`rovf Compliance a
all applicable understand that a register.,.ed cbp of this is 6equii` to be included docum tation the builder provides to the building
A
owner at occupancy.
Responsible Designer N
GN
fiA nsible Designer Signatur .
U r
Company :/
t
Date Signed:
-711
AdQtess:
o -µ
License:
City/State/Zip:?
Phone:
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
#
:. Cityof La Quints
Building 8T 5aky Division
` P.O. Box 1504,78-495 Calle Tampico
ta.Quinta, CA 92253 -:(760) 777-7012
Building Permit Application and Tracking Shet
Permit #.
Project Address:
v
A. P. Number.
7Addrc=ss:
Legal Description:
Contractor.
Telephone:
Address:
ProjegDescription:
City, ST, Zip:
Telephone:
k
State Lic. # :A7,10111City Lie'. #;
Atch , Engr., Designer
Address:
City., ST, Zip:
Telephone: 1
M;� Y
., � ��'y��. .
State Lic. #:``,';r'a
Name of Contact Person: G
Construction Type: . O ancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. FL:
# Stories:
# Units:
i
Telephone # of Contact Person:
Estimated Value of Project o�
APPLICANT: DO NOT WRITE BELOW -THIS UNE
p
Submittal
Req'd
Reed
TRAC MG
'PERMrrFEES
Plan Sets
Plan Check submitted.Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Cates.
Called Contact Person
Plan Check 130ance.
Title 24 Calls.
Plans picked up
Construction
Flood plain plan
Plans resubmitted..
Mechanical
Grading plan
2•a Review, ready for correctionsrrssrte
Electrical
Subcontactor List
Called ContactPerson
Plumbing
Gmut Deed
I Plans picked up
SAWL
H.O.A. Approval
Plans resubmitted
Grading
IN DOUSE:-
'"` Review; ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Coutact Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permiffees