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BRER2017-014078-495 CALLE TAMPICO 4.4 QaIA& 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: BRER2017-0140 LQR GOLF Property Address: 54400 RIVIERA 1 BUSH ST STE 1_00 APN: 775031054 SAN FRANCISCO. CA Application Description: PGA WEST/ REROOF FLAT AREAS/ ADDRESS 54400 Property Zoning: Application Valuation: $2,310.00 Applicant: NOV 0 Contractor: B R S ROOFING INC 2017 B R S ROOFING I JC 777 SOUTH LUGO AVE a F 777 SOUTH LUG -DAVE SAN BERNARDINO, CA 92408 CITY OF LA QUINTA SAN BERNARDINO, CA 92408 DESIGN AND DEVELOPMENT DEPARTMENT (909)884-8505 Llc. 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. License Class: C39 License No.: 907600 Dat Contractor , OWNER -BI DE DECLA TION I hereby affirm under penalty of perjury t at 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 foLe.a_ permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: U 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.). U 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 N Lender's Add WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one :)f 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. 4I have and will maintain workers' compensation insurance, as required by ,i 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: STATE COMPENSATION INSURANCE 1 UND Policy Number: 9141962 I certify that in the performance cf the work for which this permit is issued, I shall not employ any person in any manner sa as to become subject to the workers' compensation laws of California, and agree fiat, if I should become subject to the workers' compensation provisions of Sectiori3700 of the Labor Code, I shall forthwith comply with th se provisions. �- Date: f Applies cant WARNING: FAILURE TO SECURE WORKERS' PDMPENSATION 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 perforned 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 tc 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 up o e above-mentioned property for inspection purposes. Date: t , Signature (Applicant or A _gent): N Date: 11/9/2017 Application Number: BRER2017-014011 Owner: Property Address: 54400 RIVIERA LQR GOLF APN: 775031054 1 BUSH ST STE 1100 Application Description: PGA WEST / REROOF FLAT AREAS / ADDRESS 54400 SAN FRANCISCO, CA 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 LUGO AVE. SAN BERNARDINO, CA 92408 SAN BERNARDIND, CA 92408 (909)884-8505 ---------------------------------------------------------------------------------------------- Llc. No.: 907600 Detail: REROOF WITH FOAM AT FLAT AREAS'ONLY [CRRC: 0770-0002] 2016 CALIFORNIA ENERGY CODE. N FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY 'AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $1.00 Total Paid for BUILDING STAN DARDS'ADMINISTRATION BSA: $1.00 DESCRIPTION g ACCOUNT CITY AMOUNT RE -ROOF - FIRST 2,000 SF 101-0000-42404 0 $53.05 DESCRIPTION . - ACCOUNT CITY AMOUNT RE -ROOF - FIRST 2,000 SF PC 101-0000-42600` , 0 $106.11 Total Paid for RE -ROOF: $159.16 DESCRIPTION ACCOUNT CITY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 STSTE OF CALIFORNIA Prescriptive Residential Alterations That Do Not Require HERS Field Verification FAN CEC-CFIR-ALT-05-E (Revised 04/16) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CF1R-ALT-05-E Prescriptive Residential Alterations That Do Not Require HERS Field Verification Page 1 of 3 Project Name: PGA WEST RE -ROOF Date Prepared: 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 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 -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 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.densiry 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 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. 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): OS 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): it 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 e NUMBERS/ STREET / PHASE/ UNITS/ BLDG TYPE 1.. 54-984,996,008,02b /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, 4471 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 STATE OF CALIFORNIA Prescriptive Residential Alterations That Do Not Require HERS Field Verification CEC-CF1 R -ALT -05-E Revised 04/16 CALIFORNIA ENERGY COMMISSION11111001 CERTIFICATE OF COMPLIANCE CF111-ALT=05-E Prescriptive Residential Alterations That Do Not Require HERS Field Verification Page 2 of Project Name: PGA WEST RE -ROOF — Date Prepared: 11/9/2017 C. Roof Replacement (Prescriptive Alteration, Section 150.2(b)1H) 01 02 03 04 05 .06 07' 08 09 10 11 12 13' Proposed Minimum Required. Method of Compliance Roof Pitch Exception CRRC Product ID Number Product Type R -value Deck Insulation Initial Solar Reflectance Aged Solar Reflectance Thermal Emittance SRI (Optional) Aged Solar Reflectance Thermal Emittance SRI (Optional) SRI 5 2:12 N/A 0770-0002 FOAM .86 .71 .91 88 .20 .75 16 '_ Adtl Ro'w b� ete Re 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. j CA Building Energy Efficiency Standards - 2016 Residential Compliance April 2016 ST -.TE 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 3 of 3. Project Name: PGA WEST RE -ROOF Date Prepared: 11/9/2017 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Compliance documentation Is accurate and complete. Documentation Author Narr Documentation Author Signature: Jorge SoIwAci r Company: BRS ROOFING INC Signature Date: Address:. 777 SOUTH LUGO AVE CE HERS Certification Id nt cation f pp cablel: . City/State/Zip: SAN BERNARDINO / CA / 92408 Phone: 909-997=2572 RESPONSIBLE PERSON'S DECLARATION STATEMENT ms 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: 1Q Company: BRS ROOFING INC Date Signed: 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. 1 CA Building Energy Efficiency Standards - 2016 Residential Compliance April 2016.