BRER2018-000478-495 CALLE TAMP.ICO ,..
LA QUINTA, CALIFORNIA'92253
Permit Type/Subtype: RE -ROOF/
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BRER2018-0004
Property Address:
53235 AVENIDA CARRANZA
APN:
774045023
Application Description:
MAYREIS / RE -ROOF ENTIRE DWELLING
Property Zoning:.
Application Valuation:
$10,800.00
Applicant:
DEW ROOFING INC
640 WILLIAMS ROAD
PALM SPRINGS, CA 92264
JAN 0 8 2018
CITY OF LA QUINTA
COMMUNITY 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(� License No.: 409619
Dat
e: 0 "d �i — rT Contactoo-
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).:
(_j 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.).
( 11, 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:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/8/2018
Owner:
DANIELS MAYREIS
53235 AVENIDA CARRANZA
LA QUINTA, CA 92253
Contractor:
DEW ROOFING INC
640 WILLI•AMS ROAD
PALM SPRINGS, CA 92264
(760)327-3393
Llc. No.: 409619
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.
&�� 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: STATE COMPENSATION INSURANCE FUND Policy Number: 9147473
_ 1 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 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 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.
15—' tura (Applicant orAgent)': /,.�.
Date: 1/8/2018
.
r
Application Number_:
BRER2018-0004
Owner:
Prop&W"Address: ' '`'
53235-AVENIDA CARRANZA
DANIELS MAYREIS
APN:
774045023
53235 AVENIDA CARRANZA
Application Description:
MAYREIS / RE -ROOF. ENTIRE DWELLING
LA QUINTA, CA 92253
Property Zoning:
Application Valuation:
$10;800.00
Applicant:
Contractor: `
DEW ROOFING INC
DEW ROOFING INC
640 WILLIAMS ROAD
640 WILLIAMS ROAD
PALM SPRINGS, CA 92264
PALM SPRINGS, CA 92264
(760)327-3393
Llc. No.:.409619
Detail: REROOF ENTIRE DWELLING WITH SHINGLES (CRRC: 0890 0009] 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 - EA ADDITIONAL 1,000 SF
101-0000-42404
0
$12.48
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RE -ROOF -FIRST 2,000 SF
101-0000-42404
0
$53.05
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RE -ROOF - FIRST 2,000 SF PC
.101-0000-42600
0
$106.11
Total Paid for RE -ROOF: $171.64
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-000043611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $S.00
,q
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PERMIT # O�c--
o — coo
PLAN LOCATION:
City, St, Zip Lc, C 97- -Z957
Project Address:3
av �
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #:-�0
-
Fire Sprinklers SF
State Lic: City Bus Lic:
P,
0() c
Applicant Name:
Dew c7o kVA l K. C
Address:. )_7 39 NUYT K AC VA ce"'i Y6
G Pte✓ lr
OV S Jif (11
n(2 i v
City, ST, Zip- ci�w� S �I S CA c�2Z�. `�
vz ���\(� r�Er�
�r�S��c(i `30 - eow
Telephone: (qu' S�v(.2 -
cJ eO� -s L(19
� i-vi6✓ Coluy"
Email: De
ui r� JG d -6q, k vlc Mad I ` C(/Vq •
Valuation of Projects
U a
Contractor Name:. 1 e �r
'New SFD Construction:
Address:3 s V KGs V 1Z Z
Conditioned Space 1 H Q SF
City, St, Zip Lc, C 97- -Z957
Garage (,Q() SF
Telephone:
Patio/Porch 11on:12 SF
Email:
Fire Sprinklers SF
State Lic: City Bus Lic:
Arch/Eng Name:
Construction Type: -Occupancy:
Address:.
Grading:
City, St, Zip
Construction Type: 1Z e 5 r � ; Occupancy:
Telephone:
Bedrooms:
Stories:
# Units:
Email:
State Lic: City Bus Lic:
Property Owner's Name:
New Commercial / Tenant Improvements:
Address: s� z35 o vevt��K 2�
Total Building z Sao SF
City, ST, Zip L jv, ( CA, Cq 22 13
Construction Type: 1Z e 5 r � ; Occupancy:
Telephone:
Email: .
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
OFFICE USE ONLY
#
: Submittal
Req'd
:Rec'd
Plan Sets
Structural Calcs
Truss Calcs
Title 24 Calcs
'
Soils Report
Grading. Plan (PM 10)
Landscape Plan
Subcontractor List
`
Grant Deed
HOA Approval
School Fees
Burrtec Debris Plan
Planning approval
Public Works approval
Fire approval
City Business License
STATE OF CALIFORNIA.
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
4
:EC-CF1 R -ALT -05-E (Revised 04/16) CALIFORNIA ENERGY COMMISSIONISAN
CERTIFICATE OF COMPLIANCE CF1R-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification Page 1 of3
Project Name: - — ` Date Prepared:
"�
This compliance document is only applicable to
with a HERS Provider Data Registry.
at do not require*HERS verification for compliance. When HERS verification is required, a CF1R-ALT- 01
Alterations to Space Conditioning Systems that are exemptfrom HERS verification requirements may use the CF1R-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 a
HERS Rater. If space conditioning systems are altered and are not exempt from HERS verification, then a CFIR-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 S.8 per inch, or Open Cell Spray
Polyurethane Foam (ocSPF) with o density of 0.4 to less than 1.5 pounds per cubic foot hoving_on R -value of 3.6 per inch, shall complete and register a CF1R-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 a certificate applicable to the portion of construction for which they are
responsible. Alternatively, the person with chief responsibilityfor 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 Informations
01
Project Name:
Q J l J
02
Date Prepared: _ /,
03
Project Location:
n �� �ON
/—\
CAr v7C L�AV,
04
Building Front Orientation (deg or cardinal):
05
CA City:
of t h . A .
06-
Number of Altered Dwelling Units:
07
Zip Code:
08
Fuel Type:
,09.
IClimate Zone:
c s
10"
Total Conditioned Floor Area•(ft): "
11
Building Type:
�04At V a[ 1
\
( S ` r;7 _t
` F— C— C7Q
12
Slab Area (ft')
`J k0o r�
L
13 Project Scope (Select all that apply):
ei�B. Insulation ❑ D. & E. Fenestration/Glazing - ADD ❑ G. Space Conditioning System (Heating, Cooling, Duct system) ❑ Lighting
[Y]/C. Roof Replacement ❑ D. & F. Fenestration/Glazing -REPLACE ❑ H. Water Heating System ❑Include Mandatory Measures?
CA Building Energy Efficiency Standards - 2.016 Residential Compliance April 2016
STATE OF CALIFORNIA
Prescriptive Residential Alterations Tha't Do Not Require HERS Field Verification
CEC-CF1R-ALT-05-E (Revised 04/16) CALIFORNIA ENERGY COMMISSION WMM
CERTIFICATE OF COMPLIANCE CF111-ALT-05-E
Prescriptive Residential Alterations That.Do Not Require HERS Field Verification
Page 2 of 3
Project Name: Date Prepared:
C. Roof Repl6cernent (Prescriptive Alteration, Section 15.0.2(b)1H)
01
02
03
04
05
06
07 08 09 10
11712 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)e
Reflectanc
tta
Emi nce
(optional)
5R9:
3
'It4q
_eroe4
G)
tlR
Delete
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 Ene�irgy,Efficiency Standards - 2016 Residential Compliance
April 2016'
Jt
STATE OF CALIFORNIA
-Prescriptive Residential Alterations That Do Not Require HERS Field Verification
CEC-CFIR-ALT-05-E Revised 04/16 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF111-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification Page 3 of 3
Project Name:�� �1 r ` ��•� ���
V `'^ �; /t Date Prepare ( ^ Q G _ Z 0� ^
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentatj Author Name:
&J
Documentati Author Si ature: .
7�
Company:Signature
eco oo�tvt �VkC
ate:
at -0 C)t �
Address:
a 3� odsAln
CEA/ HERS Certification Identification (if applicable):
City/State/Zip: t
na w� e� RZz
Phone:
(76 0). �_ S3
RESPONSIBL PERSON'S DELILA ATION ATEMENT `
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. F
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. 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. 1 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.
Responsibl esigner Name: ^_
Responsible DesignerWature:
Company:
Date Signed:
Address:
�� cl OarAt� C0-iL-f0 v� _Dc cve .
License:
LK_ v a G C - `-5 7 -
City/State/Zip:
CIL �� ,et s CA_
Phone:
3 —33 `3'—��<< ��0 �r
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.
CA Building Energy Efficiency Standards - 2016 Residential Compliance - �_ April 2016