BRER2017-000678-495 CALLE TAMPICO C� 0 D �KMlf�il/
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BRER2017-0006
Property Address:
51309 AVENIDA HERRERA
APN:
773084026
Application Description:
MORRISON RESIDENCE/ REROOF
Property Zoning:
Application Valuation:
$9,928.00
E. (760) 777-7125
OY
(76PY 77-7011
INSPECTI (7601777
Jq)V2R6"�1 2
Ownee.
DEBBIEt� 7/ OP
51309 AVENIDA b UlNTA
LA QUINTA , CA 92253 Mf�T DFpA9TNjFNT
Applicant: 1 Contractor:
FOAMBOND CORPORATION FOAMBOND CORPORATION
255 N EL CIELORD STE 140-656 255 N EL CIELO RD STE 140-656
PALM SPRINGS, CA 92262 PALM SPRINGS, CA. 92262
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 Busine nd Professions Code,
and License is in full force and effect.
License
Cla s: C39 License No.: 868171
D( ate: Contractor -
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 contractors) 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 Na
Lender's Add
(866)404-5440
Llc: No.: 868171
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of _he 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-"" 1 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: CALIFORNIA INSURANCE COMPANY Policy Number: 4684631401
_ I certify that in the performance of tPe work for which this permit is issued, I
shall not employ any person in any manner so a-. to become subject to the workers'
compensation laws of California, and agree that if I sho Id become subject to the
workers' compensation provisions of Section 370 th Labor Code, I shall forthwith
comply with those provisions.
Date Z _Applican '
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 Cty 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 applicafon 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 staff that the above information is correct.
I agree to comply with all city and county ordinances a laws relating to building
construction, and hereby authorize representati of this city o enter upon the
above-mentioned property for inspection pur ses.
Date:� -1i6 Signature (Applic t or Ag
Application Number: . BRER2017-0006
Property Address:
51309 AV.ENIDA HERRERA
APN:
773084026
Application Description:
MORRISON RESIDENCE / REROOF
Property Zoning:
PALM SPRINGS, CA 92262
Application Valuation:
$9,928.00
Owner:.
DEBBIE MORRISON
51309 AVENIDA H=RRERA
LA QUINTA, CA 92253
Date: 1/26/2017
Applicant:
Contractor:
FOAMBOND CORPORATION
FOAMBOND CORPORATION
255 N EL CIELO RD STE 140-656
255 N EL CIELO RC STE 140-656
PALM SPRINGS, CA 92262
PALM SPRINGS, CA 92262
(866)404-5440
Llc. No.: 868171
Detail: REMOVE EXISTING ROOF AND INSTALL POLYURETHANE FOAM ROOFING SYSTEM. PER 2016 ENERGY AND CALIFORNIA BUILDING CODES
Q
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
aTY
AMOUNT
RE -ROOF - EA ADDITIONAL 1,000 SF
101-0000-42404
0
$12.16
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--r—
$103.36
Total Paid for RE -ROOF: $167.20
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E
Prescriptive Residential Alterations (Page 1 of 4)
Project Name: 0, 1,-4,'e ILiorr,' r f% r-- Date Prepared:
A. GENERAL INFORMATION
Ol
02
01
Project Name: Ve{jr'
02
Date Prepared: N1,'
03
Project Location: Tjp v?c.
04
Building Front Orlentaiion'(deg or cardinal):
09
CA Cily. a
00
t4unibei iif Alliired,Dirrclling UiiitS:
07
Zip Code: S 3
08
Fuel Type:
09
Climate Zone:
10
T,otal,Co"nbitloned Floor-Aiea (ft2)4
11
Building Type
12
1 Slab Area-(ft2)
13
Project Scope:
Product Type _
cl sn L tia on
B. BUILDING INSULATION DETAILS (Section 150.2(b)1)
Ol
02
03
04
05
06 �-, . 1,- 07 1 08;.r k'`09
10
11
Tag/ID
Assembly Type
Frame
Type
Frame
Depth
I (inches)
Frame
Spacing
I (inches)
Proposed 4e6A 6' N
Required
Comments
Cavity �("1
I R -value s
�,,Contmuous
Insulation
R -value >�Ufsctor
Appendix JA4
Reference
LI -Factor
Table. Cell
CRRC�Product D
��
Deck
Compliance
Pitch
Exception
., - Number ,
Product Type _
cl sn L tia on
Reflectance Reflectance Emittance (Optional) Reflectance Emittance (Optional)
C. ROOF REPLACEMENT (Prescriptive Alteration, Syeit onkY50.2(b)1H)�
01
02
03
04 ,Y^ti tn=
05't
06
( `07,'f 08 09 10 11 12 13
--��
R-value^°
F� Propos d Minimum Re uired
\'Initial Solar Aged Solar Thermal SRI Aged Solar Thermal SRI
Method of
Roof
CRRC�Product D
��
Deck
Compliance
Pitch
Exception
., - Number ,
Product Type _
cl sn L tia on
Reflectance Reflectance Emittance (Optional) Reflectance Emittance (Optional)
NOTES
• Roof area covered by; build ing'integrated photo voltalc panels and solar thermal panels are exempt from the above Cool Roof requirements.
• Liquid field applied coatings must comply with,i installation criteria from section 110.8(i)4.
Registration Number: Registration Date/Time: HERS Provider:
CA Building Energy Efficiency Standards - 2013 Residential Compliance June 2014
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS�411
CEC-CFIR-ALT-01-E Revised 06/14 CALIFORNIA ENERGY COMMISSION r
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. d,(• "
Documentation Author Name: ,( /
nnnimrntatinn Authnr Signature, ` 1..\
Company: j
Signature Date: /
Address: -/
- f3.)
CEA/ HERS Certification Identification'(if applicablel:
,
City/State/Zip:
Phone:
RESPONSIBLE PERSON'S DECLA ATION STAftEMENT
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 respons•6� it t' for the building&eslg""n,1or 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'Regulatlons.
4. The building design features or system design features identified on this Certificate of Complian a are consisten wit.h�,tF,ie 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 Compllant�,§hall be made available with the building permit(s) issued for the building, and made available to the enforcement agency
11, "!mac)
�`'a��
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. 1r , 1, 'C', �,f
Responsible Designer Name: �.
Responsible Designer Signature:
Company: r 7`
•t7
Date Signed:
'
G �"� ��0
"_
`y �
Address: �y
0/
License:
.2c�
City/Stat e/Z �j ' y'
CA i?2G2
Phone:
For assistance or -questions reg:
Ing the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.
Registration be • Registration Date/Time: HERS Provider:
CA Building Energy Efficiency Standards = 2013 Residential Compliance June 2014
urn.#
Of %a QUinta
Building 8r Safety Division
P.O Box 1504,78-495 Calle Tampico
La.Quinta, CA 92253 -=(760) 7777012
Building Permit -Application' and Tracking Sheet
Permit #
PmjectAddress. AUe,
A. P. Number.
Address: �hvc.
Legal Description:
City, ST, Zip: L.� G
Contractor. cor inryt H61,
Telephone-- 0— o?a G a
Project Description: vC_C.L6
Address: v,5 5 eh,�o —ff3 S'
city, ST, zip: R j S C A j6 a
Ybol CjbL.&jV\ L&:Oo O Cj
Telephone. Cyo 9 - b'd "'667 -�Ocx
Gthd ins S 4-1 11 ►�t..w a l �
State Lia # 7 I City Lia!(;
Arch. Eng-, Designer.
Address.
City., ST, Zip:
Telephone:
State Lia #:
Construction Type:. c—f`L-,,fOcccpancy:
Project type (circle one): New Add'a Alter cep—aa)Demo
Name of Contact Person: �. �'
Sq. Ft :q ,j # Stcries: S f4. #Unity
Telephone # of Contact Person: 6
Estimated Value of Project G/, 9
APPLICANT: DO NOT WRITE BELOW THIS UI9E
#
Submittal
ReWd
Recd
TRACK NG
PERMIT FEES
Plan Sete
Plan Check submitted
Item Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit_ .
Truss Calcs.
Caged Contact Person
Plan Check Balance-
Tide 24 Coles.
Pians picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2'! Review, ready for correcti uensae
Electrical
Sobeoatactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN IIOUSE:-
'^' Revtew, ready for correctionslissae
Developer Impact Fee
Planning Approval.
Called Contact Person
A".P.
Pub. Wks. Appr -
Date of permit issue
School Fees
to Permit Fees