BRER2017-012578 495 CALLE TAMPICO UUU D aNM�Cl/ VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253
FAX (760) 777-7011
DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 11/9/2017
Permit Type/Subtype:
RE -ROOF/
Owner:
Application Number:
BRER2017-0125
LQR GOLF
Property Address:.
80441 OAK TREE
1 BUSH ST STE 17-.00
APN:
775081091
SAN FRANCISCOXA
Application Description:
PGA WEST/ REROOF FLAT AREAS / ADDRESS 80435, 441, 447, 453
Property Zoning:
Application Valuation:
$2,310.00
..
Applicant:
— i
Contractor:
B R S ROOFING INC
r
F' N O II (i 9. � j� �
B R S ROOFING INC
777 SOUTH LUGO AVE
U -
777 SOUTH LUGO AVE
SAN BERNARDINO, CA 92408
`�"�
SAN BERNARDINO, CA 92408
DESIGN AND DEVELOPMENT 9ENTMENT
(909)884-8505
LIc. No.: 907600
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.
Ucense Class- C39 License No.: 907600
Date: Contractor
OWNER -BU DEC TION
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 ofthe 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).:
(_J 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.).
(_1 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. C.).
Lender's Name:
Lender's Address:
WORKER'S COMPENSA13ON DECLARATION
I hereby affirm under penalty of perjury one or 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
" n 3700 of the Labor Code, for the.perfor-nance of the work for which this permit
is issued. My workers' compensation insurance carrier and policy number are:
Carrier: STATE COMPENSATION INSURANCE FUND Policy Number: 9141962
1 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 2700 of the Labo e, t shall forthwith
comply wit those rovisions.
Date: Applicant:
WARN NG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UPTO
ONE HUNDRED THOUSAND DOLLARS ($100,0®). 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 thi: 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 tde work being performed under or
following issuance of this permit.
2. Any permit issued as a result of this appliotion becomes null and void if work is
not commenced within 180 days from date of ssuance of such permit, or cessation of
work for 180 days will subject permit to canceration.
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 ordie ances and state laws relating to building
construction, and hereby authorize representa:ives of this city to ent r upo e
above -menti ned roperty for inspection purposes.
Date: Signature (Applicant Dr Agent):
a
Date: "11/9/2017
Application Number:
BRER2017-0125
Owner:
Property Address:
80441 OAK TREE
LQR GOLF
APN:
775081091
1 BUSH ST STE 11D0
Application Description:
PGA WEST/ REROOF FLAT AREAS % ADDRESS 80435, 441, 447, 453
SAN FRANCISCO, ==A
Property Zoning:
Application Valuation:
$2,310.00
Applicant:
Contractor:
B R S ROOFING INC
B R S ROOFING INr
777 SOUTH LUGO AVE
777 SOUTH LUGOAVE
SAN BERNARDINO, CA 92408
SAN BERNARDINO, CA 92408
(909)884-8505
=------------------------------------=-------=-----------------------------------------------
"LIC. No.: 907600
Detail: REROOF WITH FOAM AT FLAT AREAS ONLY [CRRC: 0770-0002] 2016 CALIFORNIA ENERGY CODE:
DESCRIPTION
FINANCIAL INFORMATION
ACCOUNT QTY
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 - FIRST 2,000 SF
101-0000-42404
0
$53.05
`
Total Paid for RE -GOOF:
$53.05
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: a
$5.00
TOTALS:
i
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
CE6-CFIR-ALT-05-E Revised 04/16
CERTIFICATE OF COMPLIANCE
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
Frojecwame: PGA WEST RE -ROOF
71 �17
ENERGY COMMISSION
CF1R-ALT-05-E
Page 1 of 3
11/9/2017
This compliance document is only applicable to simple alterations that do not require HERS verification for compliance: When HERS verification is required, a CFIR-ALT- 01 shall first be registered
with a HERS Provider Data Registry.
Alterations to Space Conditioning Systems that are exempt from HERS verification requirements may use the CFIR-ALT-05 and CF2R- ALT -OS 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 are 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 on 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 on 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 responsibility for 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.
i
A. General
Information
01
Project Name:
03
Project Location:
05
CA City:
07
Zip Code:
09
Climate Zone:
PGA WEST RE -ROOF
SEE ATTACHED FOR PROJECT LOCATION
LA QUINTA - PGA WEST
92253
15
II I Building Type: I Single Family
13 Project Scope (Select all that apply):
❑ B. Insulation ❑ D. & E. Fenestration/Glazing - ADD
02 Date Prepared: 11/9/2017
04 Building Front Orientation (deg or cardinal): .
06 . Number of Altered Dwelling Units:
08 1 Fuel Type:
10 Total Conditioned Floor Area (ft'):
12 Slab Area (ft)
❑ G. Space Conditioning System (Heating, Cooling, Duct system) ❑ Lighting
✓❑ C. Roof Replacement ❑ D. & F. Fenestration/Glazing - REPLACE ❑ H. Water Heating System'
CA Building Energy Efficiency Standards - 2016 Residential Compliance
Include Mandatory Measures?
April 2016
NUMBERS./ STREET/ PHASE / UNITS /BLDG TYPE
1.. 54-984, 996, 0081 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, 45.3 / OAK TREE / 9A / 4 / 11
7. 54-624, 6201 616, 612 / INVERNESS / 25B / 4 / 5M
8. 55-498, 504, 510, 516, 522, 528, 5341 540 / FIRESTONE / 8GA / 8 / A
9. 54-400 / RIVIERA / 2E / 1 / G3BR
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 CFIR-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification Page 2 of 3
Project Name: PGA WEST RE -ROOF _ oatePrePared: 11/9/2017
C. -Roof Replacement (Prescriptive Alteration, Section 150.2(b)1H)
01
02
'03
04
05
06
OT 08 09 10
11 12 13
Prnpnspd
Minimum RPrl.iiirod
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
(Op(ional)
SRI
5 2:12
N/A
0770-0002
FOAM
.86
.71
.91
88
.20
.75
:16
Add;Row
Delete'Row�
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.
CA Building Energy Efficiency Standards -.2016 Residential Compliance
STwTE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require. HERS Field Verification
v CEC-CFiR-ALT-05-E Revised 04/16
CERTIFICATE OF COMPLIANCE
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
Project Name: PGA WEST RE -ROOF .
CF1R-ALT-OS-
Page 3 o`u3 .
11/9/2017 y
DOCLIMENTATION.ALITHOR'S DECLARATION STATEMENT
1. I certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Narr -
Documentation Author Signature: i
J6r
)nr
Company:
BRS ROOFING INC
Signature Date:
Address:
777 SOUTH LUGO AVE
CEA/ HERS.Certification Iddnt' cation ff pp ¢able):
City/State/Zip:
SAN BERNARDINO / CA / 92408
Phone: eC
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.
S. I 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:
SAME AS ABOVE
Responsible Designer Signature:
.
(a
Company:
Date Signed:
BRS ROOFING INC
T
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