BRER2017-00341 1. T4bf 4v Qu
78-495 CALLE TAMPICO V As
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BRER2017-0034
Property Address:
51680 AVENIDA MADERO
APN:
773113003
Application Description:
WEBB ELLIS INC / REROOF ENTIRE DWELLING WITH NEW TILE
Property Zoning:
Application Valuation:
$6,500.00
Applicant:
G MROOFING
1251 W BANYON STREET
RIALTO, CA 92377
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
-
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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 certificate of consent to self -insure for workers'
and my License is in full force and effect. compensation, as provided for by Section 3700 of the Labor Code, for the performance
License Class: C39 License No.: 895916 of thew rk for which this permit is issued.
O�, 1 have and will maintain workers' compensation insurance, as required by
Date: W — (Q _ Contractor: t!9 %Oi 1Q� r (✓( e( Section 700 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 -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).:
(1 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
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. Q.
Lender's Name:
Lender's Address: _
Carrier: STATE COMPENSATION INSURANCE FUND Policy Number: 9010492
_ 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/wwith those provisions.
Dal � — Iq — (.? 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.
Date: �7[fT Signature (Applicant or Agent): n _�
Date: 4/19/2017
Owner:
WEBB ELLIS INC
180 NEWPORT CENTER DR
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NEWPORT BEACH, CA 92660
g
LU
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Contractor:
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G M ROOFING
�
1251 W BANYON STREET
RIALTO, CA 92377
aO
LU
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(626)705-4011
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Llc. No.: 895916
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-
Z
C3
-------------------------------------------
------------------------------------
11�
W- O
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 certificate of consent to self -insure for workers'
and my License is in full force and effect. compensation, as provided for by Section 3700 of the Labor Code, for the performance
License Class: C39 License No.: 895916 of thew rk for which this permit is issued.
O�, 1 have and will maintain workers' compensation insurance, as required by
Date: W — (Q _ Contractor: t!9 %Oi 1Q� r (✓( e( Section 700 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 -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).:
(1 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
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. Q.
Lender's Name:
Lender's Address: _
Carrier: STATE COMPENSATION INSURANCE FUND Policy Number: 9010492
_ 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/wwith those provisions.
Dal � — Iq — (.? 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.
Date: �7[fT Signature (Applicant or Agent): n _�
Date: 4/19/2017 i
Application Number:
BRER2017-0034
Owner:
Property Address:
51680 AVENIDA MADERO
WEBB ELLIS INC
APN:
773113003
180 NEWPORT CENTER DR
Application Description:
WEBB ELLIS INC / REROOF ENTIRE DWELLING WITH NEW TILE
NEWPORT BEACH, CA 92660 i
Property Zoning:
Application Valuation:
$6,500.00
i
Applicant:
Contractor:
G M ROOFING
G M ROOFING
1251 W BANYON STREET
1251 W BANYON STREET {
RIALTO, CA 92377
RIALTO, CA 92377
(626)705-4011
Llc. No.: 895916
-----------7--------------------------------------------=-------------'=----------------------
Detail: REROOF WITH TIMBERLINE HD [CRRC: 0676-0098] AND 2016 CALIFORNIA ENERGY CODE.
i
DESCRIPTION
ACCOUNT I QTY I 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
$12.16
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
$103.36
Total Paid for RE -ROOF: $167.20
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
TOTALS: $173.20
n
B;It #
Permit
i,Prcject,Address: S O(5
City of La Quinti'
Guildinn 8T Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-701.2
Building Permit Application and Tracking Sheet
A. P. Number:
Address: � 90 �C(
Legal Description:
':City, S--T z p p13"R!;�Ch t9,6Q
olr ct r .•
t
Tee ,—on
c�D5 t
Address: �'
Project-Description:_?
Ltyr ST' P4p CAq#3
7 7
e� er
1 h ne-
Te e o
__p 75 l
State-- S'
_City7.c #: ✓:>;::
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
........................................
...............
Pane
Occupancy:
Con : tructi n TYPe:
State ic.
JecttYP circle one • New Add'n Alter Repair.air Demo
e of'ContactPerson:
o Int Q / e
Sq. F[.: 6
# Stories.
# Units:
___IepA # of Contact Perso
\
EstimatedValue of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rcc'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance.
Title 24 Caics.
Plans picked up
Construction '
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
god Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S•M.L
II.O.A. Approval
Plans resubmitted
Grading
IN If OUSE:-
Jrd Revicw, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
Schodl Fees,
Total Pcrmit Fees
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
P
CEC-MR-ALT-01-E Revised 09/16 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE
CF1R-ALT-01-E
Prescriptive Residential Alterations (Page 1 of 6)
Project Name: Date Prepared:
,A: General'Information�
Insulation Details – Framed (Section 150.2(b)1)
01
01
Project Name:
02
Date Prepared: — rq Xk
03
Project Location: a
fta 04
Building Front Orientation (deg or cardinal);:; *'V
OS
CA City:
06
Number of Altered Dwelling Units:; + -
07
Zip Code:
08
Fuel Type: -
09
Climate Zone:
10
Total Conditioned Floor Area ("ft.,)
11
Building Type:
12
Slab Area (ft'): < ' .
13Project
Scope:
14
Exceptions to MlnimumWgedaSolar Reflectante!. '
?�
and Minimum Ther ._al EMi tante or SRII
B. Building
Insulation Details – Framed (Section 150.2(b)1)
01
02
03
04
05 06 ` x`107 1 08,, .11&069
10
11
Tag/ID
Assembly Type
Frame
Type
Frame
Depth
I (inches)
po"Osed
`AppendixJA4
Frame0 Continuous Reference
Spacing Cavity � Insulation
I (inches) R-va,IGe R-valueUctor Table" Cell
Required
Comments
U -Factor
Appendix JA4
Reference
Required
Table Cell
U -factor
from
'Package A
Note: 41, ,
• Where insulation is installed above the roofing mem bran�r6 ve the layer us�i��t�al the roof from er penetration, the insulation shall have a maximum water absorption of 0.3
percent by volume when tested according to'ASTM,dSta,nclard C272. ?a
. K-91 .%L Iff he .
C. Building Insulation Details — Non -framed V
01'
02
.03k
01=A''
� ' 05� 06 "itt 1 07 1 08 1 09
10
11
Tag/ID
s�
*
Assembly T
1# 01
Assembly
Maters"als(inches)
11 0
114
Thickness014ore:
Proposed"
Required
Comments
Iitplation
R -value
Continuous
Insulation U -factor
R -value
Appendix JA4
Reference
Required
Table Cell
U -factor
from
'Package A
V.�
Registration Number: Registration Date/Time: HERS Provider:
CA Building Energy Efficiency Standards - 2016 Reside ntial.Compliance September 2016
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
!,~,.
'EC-CF1R-ALT-01-E (Revised 09/16) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF111-ALT-01-E
Prescriptive Residential Alterations (Page 2 of 6)
Project Name: Date Prepared:
D. Building Insulation Details — Mass Walls
01
.02
03
04
05
06
07 08 09
10 11
Tag/ID
Wall Above
Grade
Mass Type
Mass
Thickness
(inches)
Interior
Furring
Strip
Thickness
(inches)
Exterior
Furring
Strip
Thickness
(inches)
Proposed
Required
Interior Insulation
Exterior Insulation
A�p�r kA4
01 Akference
Interior Insulation
Exterior Insulation
R -value
U -factor
R -value
Urfacor
ableCe1h,R
Zg value U -factor
R value U factor
Facing
13_
14
Maximum Maximum
Maximum
Maximum
Aroadr.AI)
'
'
,_
Allowod Allowod
Allowod
Minimum
Required
Alteration
Tag/
Method of,
Roof
rProposed
v
CRRC
Product
ID Product
R -value
Deck
�
aR"qoa
Aged Sola
hermal
(
rr�Roof-Replacement!(Sect o 150- (b) -1H))
t`
01
02
03Zlk
,
05
06
07
Maximum
VMax1imumIN
`�
O1
02
03
04
05
06
07
08
0' 11
12
Facing
13_
14
Maximum Maximum
Maximum
Maximum
Aroadr.AI)
Fonoctration�
roa for All
,_
Allowod Allowod
Allowod
Minimum
Required
Alteration
Tag/
Method of,
Roof
rProposed
v
CRRC
Product
ID Product
R -value
Deck
�
aR"qoa
Aged Sola
hermal
SRI
Aged Solar
Reflectance
Aged Solar
Reflectance
Thermal
SRI
(Windows)
(Skylights)
Comments
�IR,
r&tance
ID
Compliance
Pitch
Exception
Number_ Type
'66�6_I
Insulation
�sRe
Reflec
EmittangpI
(Optional)
(Max)
(Min)
Emittance
(Optional)
IQ a2elf"14.2�AV
76'
16
rK.
Notes:
•
•
Roof area covered by building integrated photovoltaic.pd'ng and solar the'rN " panels are exernjit-from the above Cool Roof requirements.
Liquid field applied coatings must comply withinstall tian criteria Rom s,tl: 110,8(1)4.
F. Fenestration/Glazing Allowed Areag a tl ffltiencies (Sects"on 150'2(b)1)
01
02
03Zlk
,
05
06
07
Maximum
VMax1imumIN
`�
Allowed
Allowed West-
E'istinj
Exists gales
Fenestration.
Facing
Fene-ration
Facing>
Maximum Maximum
Maximum
Maximum
Aroadr.AI)
Fonoctration�
roa for All
Fonoctration
Allowod Allowod
Allowod
Allowod
Alteration
Orientations
Area Only
Orientations
Area
U -factor U -factor
SHGC
SHGC
Type
(ft')
(ft,) ,
(ftz)
(ft')
(Windows) (Skylights)
(Windows)
(Skylights)
Comments
Registration Number: Registration Date/Time: HERS Provider:
CA Building Energy Efficiency Standards - 2016 Residential Compliance September 2016
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
tP�B 7.
'EC-CFIR-ALT-01-E (Revised 09/16) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE C1`111 -ALT -01-E
Prescriptive Residential Alterations (Page 6 of 6)
Project Name: Date Prepared:
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT)
1. 1 certify`th`aYthis'Certificate of Compliance documentation is accurate and completer
Document t' Auth r Name:
�r
Documentation Author 4a, u
-.,.
2
Company:
o
Signature Date: '
Address:
s�-
CEA/ HERS Certlficatlon ldentiflcltlon�(ifiiiiplftgble): �.
City/State/Zip1r � q 93 7
V`\(\
Phone: � �
'f%�
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 fAhe ilding designKo s stem design identified on this Certificate of Compliance (responsible
designer).
3. That the energy features and performance specifications, materials, components, and "manufactured deviCee he building design or system design identified on this Certificate of
Compliance conform to the Title 24, Part 1 Part 6 the Call iVa -b ReguIat
requirements of and of oo of ort .
4. The building design features or system design features identified on this Certrta a of Compliance rd 'Ee 'o *Stent with th;P information provided on other applicable compliance documents,
worksheets, calculations, plans and specifications submitted to the enforcemie agency fo••��,app val with this buildin7g p ;mit application.
S. I I �
will ensure that a registered copy of this Certificate of Compliance shy made availa'gle ith tke building per�'jt�`',li (�),dsued for the building, and made available to the enforcement agency
for all applicable inspections. I understand.that a registered cdppy of t�i;?Certificate of, p4,11 "r'ice Is required ,e-included�with the documentation the builder provides to the building
owner at occupancy. I
Responsible Designer Name: +
Respyo�nsibl6ibesig6erSignature:
Company: "' K
DatA Siined:
Address: ,,
License:
City/State/Zip: , ` X% `W
NO
Phone:
'For ssistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300
Registration Number: Reglstration.Date/Time: HERS Provider:
CA Building Energy Efficiency Standards - 2016 Residential Compliance September 2016