BRER2018-000178-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype: RE -ROOF/
TA'yl 4 4 Qu&.z
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BRER2018-0001
Property Address:
50320 INDIAN_ CAMP RD RD
APN:
776030048
Application Description:
JOHANSEN RE -ROOF
Property Zoning:
Llc. No.: 810537
Application Valuation:
$44,097.00
Applicant:
ROOF TILE SPECIALTY INC
P 0 BOX 11257
PALM DESERT, CA 92255
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS.(760) 777-7153
Owner:
ROBERTJOHANSON
, 92253
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm under penalty of perjurythat 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.: 810537
Date: Cont ctor
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, 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
1 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 Address:
Date: 1/2/2018
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
o work for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
Se on 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: REDWOOD FIRE AND CASUALTY INSURANCE CO Policy Number:
ROWC809729
_ 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.
Date \ 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 City of L3 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-
mentiond proper for inspection oses.
Date: Signature (A licant or Agent):
J
Contractor:
ROOF TILE SPECIALTY INC
AN U 2 2018
Fi-
P O BOX 11257
PALM DESERT, CA 92255
CITYOFLAQUINTA
4MUNITY DEVELOPMENT DEPARTMENT
(760)200 0811
Llc. No.: 810537
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm under penalty of perjurythat 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.: 810537
Date: Cont ctor
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, 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
1 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 Address:
Date: 1/2/2018
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
o work for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
Se on 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: REDWOOD FIRE AND CASUALTY INSURANCE CO Policy Number:
ROWC809729
_ 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.
Date \ 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 City of L3 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-
mentiond proper for inspection oses.
Date: Signature (A licant or Agent):
J
Date: 1/2/2018
Application Number:
BRER2018-0001
Owner:
Properl*Ad6ess:
50320 INDIAN CAMP RD RD
ROBERTJOHANSON
APN:
776030048
Application Description:
JOHANSEN RE-ROOF
92253
Property Zoning:
Application.Valuation:
$44,097.00
Applicant:
Contractor:
ROOF TILE SPECIALTY INC
ROOF TILE SPECIALTY INC
P 0 BOX 11257
P 0 BOX 11257
PALM DESERT, CA 92255
PALM DESERT, CA 92255
(760)200-0811
------------------------------------------------------------------.-----------------------.---
LIc. No.: 810537
Detail:*SINGLE LAYER REROOF
60 MIL IB OOF SYSTEM
'
r
FINANCIAL •• •
.. DESCRIPTION ACCOUNT QTY AMOUNT
BSAS SB1473 FEE 101-0000-20306 0 $2.00
- Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $2.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RE -ROOF - EA ADDITIONAL 1,000 SF.
101-0000-42404
0
$49.92 .
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: $209.08
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0'
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
TOTALS:
•,
..__....... ..— <:;13;bf <fLr. I:)i?5L'•:R:i" .�__.._.........
1 v
PERMIT #
PLAN LOCATION:
Project Address:
roject Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #:
Telephone:
Garage SF
Telephone: zon
Applicant Name: �-
Patio/Porch SF
Address:. \Z
w� I
City, ST, Zip: �\, " \ �. V
55
Telephone:
Em ' :�(�� W� l�(�
aluation of Project $
Contractor Name:
`
G SVD Construction:
Address:
Conditioned Space SF
City, St, Zip
Telephone:
Garage SF
Telephone: zon
024C
Patio/Porch SF
Ema7FTh
w� I
( _ 0,Lq Fire Sprinklers SF.'
l
State Lic: ' J"�
City Bus Lic:
Arch/Eng Name:
Construction Type: Occupancy: '
Address:
Grading:
City, St, Zip
4
Construction Type: Occupancy:
Telephone:
Bedrooms:
Stories:
# Units:
Email:
State Lic.:'* City Bus Lic:
i
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
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
ROOF TILE SPECILATY
P.O. BOX 11257 PALM DESERT, CA 92255
CONTRACTORS LICENSE # 810537
Phone 760-200-0811 Fax 760-200-0801
A proposal submitted to: Woods Construction
Mailing Address: 74923 F WY 111 La Quinta CA
Job AddreA- 50-302 Indian Camp Road La Quinta CA
Phone: 1-760-578-1929 E-mail jwglobalnet@gmail.com
Description of work to be performed:
Class A Fire rating
60 Mil IB roof system
Install over all roof surfaces one -layer 1/2 fan fold insulation fastened with screws and plates.
Install60 mil PVC roofing material fastened with IB #14 screws and spiked plates
with heat welded seams over complete roof.
Install new clad perimeter edge metal.
Install IB manufactured inside and outside corners heat welded to roof system as needed.
Install IB system manufactured roof jacks for hvac and plumbing penetrations.
Twenty-year NDL transferable warranty & Lifetime material warranty
City permits cost are not included in proposal price
IF NOT ACCEPTED 17V 30 DAYS THIS PROPOSAL IS NULL AND VOID
PROPOSAL PRICE $ 44,097.00
OWNERS SIGNATURE DATE / — / 5- — j'7
"U authori ed representative)
1
CONTRACTOR SIGNATURE v DATE 12/1/2017
sTR I OF CALIFORNIA
s.
Prea scriptive Residential Alterations That Do Not Require HERS Field Verification
CEC-CFIR-Alt-05-E Revised 04/16
CERTIFICATE OF COMPLIANCE
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
Project Name:
This compliance document is only applicable to simple alterations that do not require
with a HERS Provider Data Registry.
compliance. When HERS verification is reouired, a
Alterations to Space Conditioning Systems that are exempt from HERS verification requirements may use the CFIR-ALT-05 and CF2R-ALT-05 Compliance Documi
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
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
Alterations that utilize close Cell Spray Polyurethane Foam (ccSPF) with a density of 1.5 to less than 2.5 pounds percubic foot having an. R -value other than 5.8 p
Polyurethane 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
Registry.
ECOMMISSION
CF1R-ALT-05-E
Page 1 of 3 .
T- 01 shall first be registered
ts. Possible exemptions from duct
Deviously tested and passed by a
'RS Provider Data Registry.
inch, or Open Cell Spray
I with a HERS Provider Data
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 portio' 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
i
01
Project Name:
( Q
.02
Date Prepared:
03
Project location: ,
Cj �\ ^� j
lJ` 1 l
04
Building Front Orientation (deg or cardinal):
05
CA City:
;l
06
Number of Altered Dwelling Units:
07
iZip Code:
ZZC
J
08
Fuel Type:
.09.
Climate Zone:
10
Total Conditioned Floor Area (ft):
li
:Building Type:
12
Slab Area (ft2)
13.
~Project Scope (Select all that apply):
❑ B. Insulation ❑ D. & E. Fenestration/Glazing - ADD ❑ G. Space Conditioning System (Heating, Cooling, Duct system)
❑✓ C. Roof Replacement ❑ D. & F. Fenestration/Glazing - REPLACE ❑ H. Water Heating System ❑ Include Mi
❑ Lighting
nclatory Measures?
U
CA Building Energy Efficiency Standards - 2.016 Residential Compliance
April 2016
SI�7E OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
r CGCFIR-AI TJK_F /P—A—A nAMM
N—m— "fiN
CERTIFICATE OF COMPLIANCE
CF1R-ALT-05-E
_
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
i Page 2 of 3
Project Name: - - ,. Date Prepared:
I I J ,
C. Roof Replacement (Prescriptive Alteration, Section 150.2(b)1H)
0i
02
03
04
05
06
07 08 09 10
'.11 12. 13
Proposed
I Minimum Required
R -value
f
Method of
CRRC Product
Product
Deck
Initial Solar
Aged Solar.
Thermal
SRI
Aged
Solar
Thermal
SRI
Compliance •
Roof Pitch
Exception
ID Number
Type
Insulation
I Reflectance
Reflectance
Emittance
(Optional)
Reflectance
Emittance
(Optional)
1
��
, �; �i
11 011
'
CH
' ""WtlAow
Delete o
�.
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: '
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
CFr.-CF'IR-AI T-nS-P [P—i—rl nAllrl. '
CERTIFICATE OF COMPLIANCE .
I VVIVIIVIIJJI VIV w
I CF1R-ALT-05-E
I
Prescriptive R sidential Alterations That Do Not Require HERS Field Verification
Page 3 of 3
Project Name: Date Prepar
cr Sign ure:
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
i l
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documeuth r Name:
�VTv�-61
Documentation Au
cr Sign ure:
C P
)-F Ce, -0-12 0 A
Signature Date:
� �\
Addr s /'� {/�
'
CEA/ HERS Certification ld ti kation (if applicable):
� , 1
V��+'t
City/state
�V�✓\� YP.
Phone:
rOK
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.
S. I will ensure that a registered copy of•this Certificate of Compliance shall be made available with thebuilding permits) 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 b
ilder provides to the building
owner at occupancy.
I:
Respbnsible Designec,Name:
Responsible Designer Signature:
Company:
Date Signed:
Address:
.
License:
City/State/Zip: l
Phone: i
i
For assistance. or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.
CA 6Ullding Energy Efficiency Standards - 2016 Residential Compliance
April 2016
4 SEARCH RESULTS
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Manufacturer. IB Roof Systems
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 PRODUCTTYPE COLOR SOLAR REFLECTANCE THERMAL EMnTANCE SRI
MODEL
Initial 3 year Initial 3 year Initial
o640-0003
IS Roof Systems: IS Roof Systems
Membrane: Single Ply
Off -White 0.77 o.65
10.87
o.85
95
Cool Sand PVC
Thermoplastic and
Thermoset Roofing
o640-0005
IS Roof Systems: IS Roof Systems
Membrane: Single Ply
Gre_y__—_.--0:77--- ! o:63»..,._.o.87
___,
0.87
95
—C -sol -Stone IB PVC S- ingle 'Single - Smooth.or Thermoplastic•and-"-`-
--
Fleeceback
Thermoset Roofing
s
0640-0004
IS Roof Systems: IB Roof Systems
Membrane: Single Ply
Bright White 0.77 pending
0.86
pending
95
GR Class PVC Single Ply
Thermoplastic and
Thermoset Roofing
0646-oo0t -_
-•-IB-Roof S-ystems: IB-R'oof•Systems
Membrane: Single Ply
:.
Bright White o.87 ' 0.74
o.88
o.89
10
White PVC
-, Thermoplastic and
Thermoset Roofing �_�_.____..�_.-,�-__._._-.
.,__._. -
._,.�----•-�-.�`"���
COOL ROOF RATING COUNCIL 3519 NE 15th Ave, #205 TEL (866) 465-2523 EMAIL: info@coolroofs.org
Portland, OR 97212
MORE
INFO
3 year
78
75
t
pending 1
91
Certificate 3146.or