BRER2017-0138�h
78-495 CALLE TAMPICO ozw,,,•, C` 0 U
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype: RE -ROOF/
Application Number: BRER2017-0138
Property Address: 55534 FIRESTONE
APN: 775151076
Application Description: PGA WEST / REROOF FLAT AREAS / ADDRESS 55498 - 55540
Property Zoning:
Application Valuation: $2,310.00'
Applicant:
B R S ROOFING INC
777 SOUTH LUGO AVE NOV 0 9,2017
SAN BERNARDINO, CA 92408
CITY OF LA QUINTA
DESIGN AND DEVELOPMENT DEPARTMENT
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
LQR GOLF
1 BUSH ST STE 1:00
SAN FRANCISCO,. -CA
Contractor:
B R S ROOFING.IIIJC
777. SOUTH LUGO AVE
SAN BERNARDINO, CA 92408
(909)884-8505
Llc. No.: 907600
Date: 11/9/2017.
LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
I hereby affirm under penalty of perjury one of the following declarations:
9 {commencing with Section 7000) of Division 3 of the Business and Professions Code,
I have and will maintain a certifica •e of consent to self -insure for workers'
and my License is in full force and effect.
compensation, as provided for by Section 37M of the Labor Code, for the performance
1:icense Class: C39 License No.: 907600
of the work for which this permit is issued.
li_c_ I have and will maintain workers' compensation insurance, as required by
Date: Contractor: /10919
Se ief 943700 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:
OWNER-BUI ER DE RATION
Carrier: STATE COMPENSATION INSURANCE FUND Policy Number: 9141962
1 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
I certify that in the performance o -'the work for which this permit is issued, 1
city or county that requires a permit to construct, alter, improve, demolish, or repair
shall not employ any person in any manner so as to become subject to the workers'
any structure, prior to its issuance, also requires the applicant for the permit to file a
compensation laws of California, and agree tt.at, if I should become subject to the
signed statement that he or she is licensed pursuant to the provisions of the
workers' compensation provisions of Section 3700 of the ode, I shall forthwith
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
comply with those provisions.
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a
Date:4, Applicant:
permit subjects the applicant to a civil penalty of not more than five hundred dollars491
($500).:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
{_) 1, as owner of the property, or my employees with wages as their sole
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UI?TO
compensation, will do the work, and the structure is not intended or offered for sale.
ONE HUNDRED THOUSAND DOLLARS ($100,00). IN ADDITION TO THE COST OF
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
apply to an owner of property who builds or improves thereon, and who does the work
INTEREST, AND ATTORNEY'S FEES.
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
APPLICANT ACKNOWLEDGEMENT
within one year of completion, the owner -builder will have the burden of proving that
IMPORTANT: Application is hereby made to fie Building Official for a permit subject to
he or she did not build or improve for th&purpose of sale.).
the conditions and restrictions set forth on this application.
( ) 1, as owner of the property, am exclusively contracting with licensed contractors
1. Each person upon whose behalf this apoication is made, each person at whose
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
request and for whose benefit work is perforned under or pursuant to any permit
State License law does not apply to an owner of property who builds or improves
issued as a result of this application , the owrer, and the applicant, each agrees to, and
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
the Contractors' State License Law.).
employees for any act or omission related to Ithe.work being performed under or
(� I am exempt under Sec. , B.&P.C. for this reason
following issuance of this permit.
2. Any permit issued as a result of this app:ication becomes null and void if work is
not commenced within 180 days from date d issuance of such permit, or cessation of
Date: Owner:
work for 180 days will subject permit to canL—llation.
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
I certify that I have read this application and :tate 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 upqAthe
above-mentioned property for inspection purposes.
Date: Signature (Applicant or Agent): )4�0
r
Date: 11/9/2017
Application Number; BRER2017-0138
Owner:
Property Address: 55534 FIRESTONE
LQR GOLF
APN: 775151076
1 BUSH ST STE 11.70
Application Description: PGA WEST / REROOF FLAT AREAS / ADDRESS 55498 - 55540.
SAN FRANCISCO, -A
Property Zoning:
Application Valuation: $2,310.00
Applicant:
Contractor:
B R S ROOFING INC
B R S ROOFING INC
777 SOUTH LUGO AVE
777 SOUTH LUGG AVE
SAN BERNARDINO, CA 92408
SAN BERNARDINO, CA 92408
(909)884-8505
LIC. No.: 907600
Detail: REROOF WITH FOAM A7 FLAT AREAS ONLY [CRRC: 0770-00021 2016 CALIFORNIA ENERGY CODt.
a]
l
DESCRIPTION
FINANCIAL INFORMATION
ACCOUNT IQTY
AMOUNT
BSAS SB1473 FEE
101-0000-20306 0
$1.00
Total Paid for BUILDING STANDARDS ADMINISTRATIONWA:
$1.00
DESCRIPTION
ACCOUNT.
QTY
AMOUNT
RE -ROOF - FIRST 2,000 SF
101-0000-42404
0
$53.05
Total Paid for RE -ROOF:
$53.05
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE:
$5.00
TOTALS:
-$59.05
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i' STATE OF CALIFORNIA
prescriptive Residential Alterations That Do Not Require HERS Field. Verification
;EC-CF1 R -ALT -OS -E (Revised 04/16) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CFIR-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification Page 1 of 3
Project PGA WEST RE -ROOF Date Prepared: 11/9/2017
to
with a HERS Provider Data Registry.
not require HERS verification for compliance. When HERS verification is required, a CFIR-ALT- 01 shall first be
Alterations to Space Conditioning Systems that are exempt from 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 ore 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 5.8 per inch, or Open Cell Spray
Polyurethane Foam (ocSPF) with a density of 0.4 to less than 1.5 pounds per cubic foot having an 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 responsibilityfor 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 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. .
r
A. General Information
01
Project Name:
PGA WEST RE -ROOF
02-
Date Prepared:
11/9/2017
03
Project Location:
SEE ATTACHED FOR PROJECT LOCATION
04
Building Front Orientation (deg or cardinal):
05
CA City:
LA QUINTA - PGA WEST
06 .
Number of Altered Dwelling Units:
07
Zip Code:
92253
08
fuel Type:
09
Climate Zone:
15
10
Total Conditioned Floor Area (ft):
11
Building Type:
Single Family
12
Slab Area (ft)
13
Project Scope (Select all that apply):
❑ B. Insulation ❑ D. & E. Fenestration/Glazing - ADD ❑ G. Space Conditioning System (Heating, Cooling, Duct system) ❑ Lighting
❑✓ 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
NUMBERS/ STREET/ PHASE / UNITS / BLDG TYPE
1.. 54-984, 996, 008, 020 / SHOAL CREEK / 16A / 4 / 10M
2. 54792, 804, 816,828 [SHOAL. CREEK/ 16A / 4 / 10M
3. 55-540,460,470 / RIVIERA / 36A / 3 / 28M
4. 55-240; 250, 260 / RIVIERA / 36A / 3 /'28M
5. 55-030, 040, 050 / RIVIERA / 37A / 3 / 28M
6. 80-435, 441, 447, 453 / OAK TREE / 9A / 4 / 11
7. 54-624, 620, 616, 612 / INVERNESS / 25B / 4 / 5M
8. 55-498, 504, 510, 516, 522, 528, 534, 540 / FIRESTONE / 8GA / 8 / A
9. 54-400 / RIVIERA / 2E / 1 / G3BR
0
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
7,467*'.
:EC-CF1 R -ALT -05-E (Revised 04116) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ALT-0S-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification Page 2 of 3
FroJect Name: PGA WEST RE -ROOF Date Prepared: 11/9/2017
C. Roof Replacement (Prescript'ive Alteration, Section 150.2(b)1H)
01
02
03
04
05
06
07' 08 09 10
11 12 13
R -value
Proposed
Minimum Required
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)
SRI
5 2::31F2a
N/A
0770-0002
FOAM
.86
.71
,91
88
.20
.75
16
�AddFRow
b'elete
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(1)4.
CA Building Energy Efficiency Standards - 2016 Residential Compliance April 2016
STr1TE OF'CALIFORNIA
Prescriptive Residential Alterations That Do Not.Require HERS Field Verification
:EC-CF1 R -ALT -05-E (Revised 04/16) - - ^ CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CFIR-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification Page 3 of 3.
Project Name: PGA WEST RE -ROOF Date Prepared: 11/9/2017
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Nan• -
Documentation Author Signature:
. . j
r-, r,
Company:
BRS,ROOFING INC
Signature Date:
Z/
Address:
777 SOUTH LUGO AVE
CEA/ HERS CertlFlcation Id nt catioh f pp cablel:
City/State/Zip:
SAN BERNARDINO / CA / 92408
Phone:
909-997-2572
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 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.
5. 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.
Responsible Designer Name:
Responsible Designer Signature:
SAME AS ABOVE
Company:
Date Signed:
BRS ROOFING INC
Address:
License:
777 SOUTH LUGO AVE .
907600
City/State/Zip:
Phone:
SAN BERNARDINO / CA / 92408
9098848505
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
. •mss, � .