BRER2017-004878-495 CALLE TAMPICO D 449m&
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BRER2017-0048
Property Address:
51370 AVENIDA CARRANZA
APN:
773082006
Application Description:
ADAMS / REROOF 2000 SQ FT
Property Zoning:
Application Valuation:
$6,750.00
Applicant:
RELIABLE ROOFING BY T G .Y .
P 0 BOX 1961
PALM SPRINGS, CA 92263
VOICE (760) 777-7125
*FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
CECELIA ADAMS
51370 AVENIDA CARRANZA
LA QUINTA, CA 92253
Contractor:
RELIABLE ROOFING BY T G
P0BOX 1961 '
PALM SPRINGS, CA 92263
(760)323-2705
LIc. No.: 764608
Date: 5/18/2017
---------------------------- f---'---------------------------------------- ---------=---- - - - - - -
LICENSED CONTRACTOR' DECLARATION
I hereby affirm under penalty of perjury that m licensed under provisions of Chapter 9
{commencing with Section 7000} of Divisio 3 of the Busi Professions Code, and
my License is in full force and effect.
License Class: . License No.: 764 8
OWNER -BUILDER ECLARATI0
I hereby affirm under penalty of perjury that I m exempt from the Contractor's St e
License Law for the following reason (Sec._ 703 .5, Business and Professions Cod . Any
city or county that requires a permit to constru t, alter, improve, demolish, o epair any
structure, prior to its issuance, also requires the licant for the perm' file a signed
statement that he or she is licensed pursuant to the p e 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.).
(� 1, 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. 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 p ' one of the following declarations:.
I have and will m . ain a certificate of consent to self -insure for workers'
compensation, as pro ' ed for by Section 3700 of the Labor Code, for the performance
of the work for ch this permit is issued.
�— ve and will maintain workers' compensation insurance, as re wired by
Sectio 700 of the Labor Code, for the performance of the work for ch this permit is'
issued. My workers' compensation insurance carrier and policy ber are:
Carrier: STATE COMPENSATION INSURANCE FUND P ' Number: 1795377
_ I certify that in the performance of the work which this permit is issued, I
shall not employ any person in any manner so as t ec a subject to the workers'
compensation laws_ of California, and agree th , if I s uld become subject to the
workers' compen ion provisions of Secti 3700 th bor Code, I shall forthwith'
comply with tho pro Bions.
�r �
Date. ` Applican
WARNING: FAILURE 0 SECURE WORKER COMPENSATION COVE AGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO IMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS( 00,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVI ED FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
IMPORTANT: Application is hereby made tba Building Offi 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 voi work is not
commenced within 180 days from date of issuance of such permit, essation of work
for 180 days will subject permit to cancellation.
I certify that I have read this application and state
I agree to comply with all city and county ordina
construction, and hereby authorize represen rvl
mentioned pr per ty r i pepection purpos
Date Signature (Applicant or A
�e above in o is correct.
s and state laws relating to ' ing
of this city to enter upon the abov
Date: 5/18/2017 .
Application Number:
BRER2017-0048
Owner:
Property Address:
51370 AVENIDA CARRANZA
CECELIA ADAMS
APN:
773082006
51370 AVENIDA CARRANZA
Application Description:
ADAMS / REROOF 2000 SQ FT
LA QUINTA, CA.92253
Property Zoning:
Application Valuation:
$6,750.00
Applicant:
Contractor:
RELIABLE ROOFING BY T G Y
RELIABLE ROOFING BY T G Y
P 0 BOX 1961
P 0 BOX 1961
PALM SPRINGS, CA 92263
PALM SPRINGS, CA 92263
(760)323-2705
Llc. No.: 764608
"Detail: REROOF WITH OWENS CORNING ROOFING AND ASPHALT IN' BRIGHT WHITE [CRRC: 0890-0008] 2016 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 - 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:$1SS.04
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $S.00
TOTALS: $161.0
9
Find rated products - Cool Roof Rating'Council Page 1 of 1.
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Selected filters
Keywords: o890-0008
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 PROOUCTTYPE COLOR SOLAR REFLECTANCE THERMAL EMnTANCE SRI MORE
MODEL
INFO
Initial 3year Initial 3year Initial 3Year
3
08900008 Owens Coming Roofing and Asphalt, Steep Slope: Asphalt Bright white 015 � 019 ? 0.94 i o.87 27 � 29
LLC TruDefinition®Duration®, Shingles y —
RapidEdgel Rake Starter Shingle.
Shasta White ! t
COOL ROOF RATING COUNCIL 44915th Street, Suite 40.0 .TEL(866)465-2523 EMAIL info@coolroofs.org
Oakland, CA 94612 FAX (510) 482-4421
Certificate 3+46.ot
r
http://coolroofs.org/products/results 5/18/2017
Bin
Bin #
Permit ,f
Project Address �" U
City of La Quinta
Buitdinc, 8t Safety Division
78-495 Caffe Tampico
La Quinta, CA 92253 - (760) 777-701,2 '
Building Permit Application and Trackil.i Sheet
OV O� COw it is Name:
A. P. Number:
—Address:
Legal Descriptio
_
C` oil�t a tor:
`ty, ST, Zip- . q ��
. �
Tele n
Ph o c:
-Address: 1� ( 1 (p
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` L4, ST, Zip: ,S ,
9L (19
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�PfojectDescription:
o p -C, :�
T ele h ne•
P o .
i &
QState Lic. # :
City Lic. #t
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Arch., Engr., Designer:
Address:
City, ST, Zip:
ele h ne:
Telephone -
P0
-
s tructi
Con on T e•
Construction Occupancy:
P ecu Panc Y
State Lic. • i
ProJe t type (circle one): New ddn Alter Repair r Demo
FN�arne of Contact Person:—
:� ^
S Ft 10
# St
#Units:
# of Contact Person:
__,+Telephone
`Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
9
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 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"' Revicw, ready for corrcctions/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.[.
II.O.A. Approval
Plans resubmitted
Grading
IN IIOUSE:-
'rd 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
31
u.
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
�i`ctt/
CEC-CF1 R -ALT -05-E (Revised 04/16) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification Page 1 of 3.
Project Name: 'ADAMS. Date Prepared: 5-18-17
This compliance document is only applicable to simple alterations that do not require HERS verification for compliance. When HERS verification is required, a CF1R-ALT- 01 shall first be regis
.with a HERS Provider Data Registry.
Alterations to Space Conditioning Systems that are exempt from HERS verification requirements may use the CFIR-ALT-05 and CF2R- ALT -05 Compliance Documents. Possible exemptions from duct
leakage testing include: less than 40 ft of ducts were added or replaced, or the existing duct system was insulated with asbestos; or the existing duct system was previously tested and passed by o
HERS Rater. If space conditioning systems are altered and are not exempt from HERS verification, then a CF1R-ALT-02 must be completed and registered with a HERS Provider Data Registry.
Alterations that utilize close Cell Spray Polyurethane Foam (ccSPF) with a density of 1.5 to less than 2.5 pounds per cubic foot having an R -value other than 5.8 per inch, or Open Cell Spray'
Polyurethone Foam (ocSPF) with a density of 0.4 to less than 1.5 pounds per cubic foot having on R -value of 3.6 per inch, shall complete and register a CFIR-ALT-01 with a HERS Provider Data
Registry.
If more than one person has responsibility for installation of the items on this certificate, each person shall prepare and sign o certificate applicable to the portion of construction for which they are
responsible. Alternatively, the person with chief responsibility for construction shall prepare and sign this certificate for the entire construction. All applicable Mandatory Measures shall be met..
Temporary labels shall not be removed before verification by the building inspector.
A. General Information
01
Project Name:
ADAMS
02
Date Prepared:
5-18-17
03
Project Location:
51370 AVENIDA CARRANZA
04
Building Front Orientation (deg or cardinal):
WEST
05
CA City:
LA QUINTA
06
Number of Altered Dwelling Units:
1
07
Zip Code:
92253
08
Fuel Type:
Natural Gas
09.
Climate Zone:
15
10
Total Conditioned Floor Area •(ft):
2000
11
Building Type:
Single Family
12
Slab Area (ftZ)
2000
13
Project Scope (Select all that apply):
B. Insulation D. & E. Fenestration/Glazing - ADD G. Space Conditioning System (Heating, Cooling, Duct system) Lighting
F/ C. Roof Replacement D. & F. Fenestration/Glazing - REPLACE H. Water Heating System Include Mandatory Measures?
CA Building Energy Efficiency Standards - 2016 Residential Compliance April 2016
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
:EC-CFIR-ALT-OS-E (Revised 04/16) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ALT-057E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification Page 2 of 3
.Project Name: ADAMS Date Prepared: 5-18-17
C. Roof Replacement (Prescriptive Alteration, Section 150.2(b)1H) '
01
02
03
04
05
06
07 08 09 10
11 12 13
Proposed
Minimum Required
R -value
Method of
CRRC Product
Product
Deck
Initial Solar
Aged Solar
Thermal
SRI
Aged Solar
Thermal
SRI.
Compliance
Roof Pitch
Exception
ID Number
Type,
Insulation
Reflectance
Reflectance
Emittance
(Optional)
Reflectance
Emittance
(Optional)
OWNES CORNING
SRI
> 2:12
0890-0008
SHASTA WHITE
.25
.94
27
Add. Row•
Delete Row
` - -
NOTES:
• Roof area covered by building integrated photovoltaic panels and solar thermal panels are exempt from the above Cool Roof requirements.
• Liquid field applied coatings must comply with installation criteria from Section 110.8(i)4.
CA Building Energy Efficiency Standards - 2016 Residential Compliance April 2016
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
CEC-CF1 R -ALT -05-E (Revised 04/16)
CERTIFICATE OF COMPLIANCE
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
Project Name: ADAMS
Date
IA
5-18-17
CF1R-ALT-05-E
Page 3 of 3•
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name: TODD YOUNG
Documentation Author Signature:
Company:
RELIABLE ROOFING BY TGY
Signature Date:
5-18-17
Address:PO BOX 1961
CEA/ HERS Certification Identification (if applicable):
City/State/Zip:
PALM. SPRINGS, CA 92263
Phone:
(760)250-8610
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 underbivision 3 of the Business and Professions Code to accept responsibility for the building design o.r system design identified on this Certificate of Compliance (responsible
designer).
3. That 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.
S. I will ensure that a registered copy of this Certificate of Compliance shall be made available.with the building permit(s) issued for the building, and made available to the enforcement agency
for all applicable inspections. I understand that a registered copy of this Certificate of Compliance is required to be included with the documentation the builder provides to the building
owner at occupancy.
.4esponsible Designer Name:
Responsible Designer Signature:
SAME AS ABOVE
Company:
Date Signed:
Address:
License:
City/State/Zip:
Phone:
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.
_ 3
CA Building Energy Efficiency Standards - 2016 Residential Compliance April 2016