BRER2018-000678-495 CALLE TAMPICO ' .
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
RE -ROOF/
BRER2018-0006
54050 EISENHOWER DR
774221003
NELSON / REROOF
$7,050.00
Applicant:
DIVERSIFIED ROOFING SERVICES INC
77 -700 -ENFIELD LANE UNIT B-1
PALM DESERT, CA 92211
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DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
A
i A N 9. 3 20113
CITYOFLAQUINTA
COMMUNITY DEVELOPMENTDEPARTMENT
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.
�,Liicceense Class: C39 oLicense No.: 9479199
%at'e: Z ^ 13—� 6 Contractor. A�� S � �J C
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 )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 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: 1/23/2018
Owner:
KEITH NELSON
54050 EISENHOWER
LA QUINTA, CA 92253
Contractor:
DIVERSIFIED ROOFING SERVICES INC
77-700 ENFIELD LANE UNIT B-1
PALM DESERT, CA 92211
(760)275-4168
Llc. No.: 947919
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 ZURICH INSURANCE COMPANY Polity Number:
WC593395703
_ 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 forthwith
comply /with those provisions.
Oita e: Applicant:
WARNING: FAILURE TO SECURE WOR C P NSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER O CRI AL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLA 1
$10 ,0 0). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDE 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 Cityof 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.
Date: % 7 S Siggnnauurre (Applicant or Agent):
Date: 1/29/2018
Application Number: BRER2018-0006
Owner:
Property'A•ddress x'34050 EISENHOWER DR
KEITH NELSON
APN: 714221003
54050 EISENHOWER
Application Description: NELSON / REROOF
LA QUINTA, CA 92253 .
Property Zoning:
Application Valuation: $7,050.00
Applicant:
Contractor:
DIVERSIFIED ROOFING SERVICES INC
DIVERSIFIED ROOFING SERVICES INC
. 77 -700 -ENFIELD LANE UNIT B-1
77-700 ENFIELD LANE UNIT B-1
PALM DESERT, CA 92211
PALM DESERT, CA 92211
(760)275-4168
---------------------------------------------------------------------------------------------
LIc. No.: 947919
Detail: REROOF WITH SINGLE PLY COOL ROOF SYSTEM [CRRC: 0676-0613) 2016
CALIFORNIA ENERGY CODE.
FINANCIAL •' a•
r.;..,.:..=S:DfSCRIPTION ACCOUNTQTY 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
101-000042404
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
101-0000742600
0
$106.11
DESCRIPTION
TECHNOLOGY ENHANCEMENT FEE
Total Paid for RE -ROOF:. $171.64
ACCOUNT QTY AMOUNT
502-0000-43611 0 $5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE:' $5.00
TOTALS:
r
0
r
r
0
DIVERSIFIED
ROOFING SERVICES INC.
77-700 Enfield Ln. Ste. 131
Palm Desert, CA 92211
Phone 760.895.4168
Fax 760.888.4777
Date: 1-23-18
Owner: Keith Nelson
r
Project Address:
54050 Eisenhower
La Quinta Ca. 92253
Billing Address:
Same
Description of work to be performed:
• Clean and prep roof. Supply and install 60MM TPO single ply cool roof system
mechanically attached over Y cover board. All walls and vents to be fully adhered.
• Existing
• Z -bar metal will be pulled out to allow membrane to tuck underneath. After
membrane is installed z -bar will be screwed down tight and sealed.
• Dispose of all roofing debris.
• Permits included.
Contract pricing: $7,050.00
Total Cost: (initial)
Any additional work will be at additional cost and will require paperwork with signature for
acceptance by Owner and/or Builder.
Terms: 1.00% per completion
15 year Material guarantee 1 warranty, 10 year labor
(initial)
Roofs are not guaranteed / warranteed until 100% complete.
Project estimated start date:
j+
.......... _.__
PERMIT #
PLAN LOCATION:
Project Address: �I C S Q
Project. Description: Pool, Remodel, Add't,.Elect, Plumb, Mech
APN #:
Telephone:
Patio/Porch SF
Email:
Applicant Name:
State Lic: / %�% !� City Bus Lic:
Address: -77-70(3-
77-%OU
State Lic: City Bus Lic:
City,
City, ST, Zip:
Telephone: Q — 2% /
Email:Q /�%%
10 � � !� C�oC�si�2/�1 j 00 Ui6
Valuation of Project / $ 0 J
cep
Contractor Name:
-New SFD Construction:
Address: '
Conditioned Space SF
City; St, Zip
Garage SF
Telephone:
Patio/Porch SF
Email:
Fire Sprinklers SF
State Lic: / %�% !� City Bus Lic:
,Arch/Eng-Name:
Construction Type: Occupancy:
Address:
Grading:
City, St, Zip
Construction Type: Occupancy:
Telephone:
Bedrooms:
Stories:
# Units:
Email:
State Lic: City Bus Lic:
Property Owner's Name:
New Commercial / Tenant Improvements:
Address:
Total Building _ SF .
City, ST,. Zip
Construction Type: Occupancy:
Telephone:
Email:
78495 CALLE TAMPICO
LA QUINTA, CA 92253 ,
760-777-7000
# .
Submittal
Req'd
Ree'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
m
1
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 CF1R-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS Field VerificationPage 2 of 3
Project Name: /Me Pept(�
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)
y'
Add Row
��"
�eleV
w
1 V
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.
s
CA Building Energy Efficiency Standards -.2016 Residential Compliance