BRER2017-0118s
78-495 CALLE•TAMPICO VOICE (760) 777-7125 � � U .
LA QUINTA, CALIFORNIA 92fAX (760) 777-7011253 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 11/9/2017
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
Applicant:
B R S ROOFING INC
777 SOUTH LUGO AVE
SAN BERNARDINO, CA 92408
RE -ROOF/
BRER2017-0118
55240 RIVIERA
775153060
PGA WEST / REROOF FLAT AREAS / ADDRESS 55-450, 460, 470
Owner:
LQR GOLF
1 BUSH ST STE 1100 .
SAN FRANCISCO, CA
Contractor:
B R S ROOFING IMC
NOV U 9 2017 Di 777 SOUTH LUGOAVE
SAN BERNARDINO, CA 92408
CITY OF LA QUINTA (909)884-8505_
DESIGN AND DEVELOPMENT DEPARTMENT uc. No.: 907600
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSA'ION DECLARATION
I hereby affirm.under penalty of perjury that I am licensed under provisions of Chapter I hereby affirm under penalty of perjury one cf•the following declarations:
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, I have and will maintain a certificave of consent to self -insure for workers'
and my License is in full force and effect. compensation, as provided for by Section 370 of the Labor Code, for the performance,
License Clas • C39 License No.: 907600 of the work for which this permit is issued.
/1 I have and will maintain workers' ompensation insurance, as required by
Date: N Contractor. 7 5�ey(ioon 3700 of the Labor Code, for the perfo-mance of the work for which this permit
is issued. My workers' compensation insuran-e carrier and policy numberare:
OWNER -BU R DEC RATION Carrier: STATE COMPENSATION INSURANCE FJND Policy Number: 9141962
1 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 I certify that in the performance o; the work for which this permit is issued, I
city or county that requires a permit to construct, alter, improve, demolish, or repair shall not employ any person in any manner sc as to become subject to the workers'
any structure, prior to its issuance, also requires the applicant for the permit to file a compensation laws of California, and agree that, if I should become subject to the
signed statement that he or she is licensed pursuant to the provisions of the workers' compensation provisions of Section 3700 of the bo de, I shall forthwith
Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division comply with those provisions.
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 Date. Applicant:
permit subjects the applicant to a civil penalty of not more than five hundred dollars
($500).: WAR ING. FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
L_) I, as owner of the property, or my employees with wages as their sole AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
compensation, will do the work, and the structure is not intended or offered for sale. ONE HUNDRED THOUSAND' DOLLARS ($100,000). IN ADDITION TO THE COST OF
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
apply to an owner of property who builds or improves thereon, and who does the work INTEREST, AND ATTORNEY'S FEES.
'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 APPLICANT ACKNOWLEDGEMENT
within one year of completion, the owner -builder will have the burden of proving that IMPORTANT: Application is hereby made to fie Building Official for a permit subject to
he or she did not build or improve for the purpose of sale.). the conditions and restrictions set forth on tl'is application. .
U I, as owner of the property, am exclusively contracting with licensed contractors 1. Each person upon whose behalf this app:'ication is made, each person at whose
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' request and for whose benefit work is perfor-ned under or pursuant to any permit
State License Law does not apply to an owner of property who builds or improves issued as a result of this application , the owner, and the applicant, each agrees to, and
thereon, and. who contracts for the projects with a contractors) licensed pursuant to shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
the Contractors' State License Law.). employees for any act or omission related to+the work being performed under or
(� I am exempt under Sec. . B.&P.C. for this reason following issuance of this permit.
2. Any permit issued as a result of this app'ication becomes null and void if work is
not commenced within 180 days from date cif issuance of such permit, or cessation of
Date: Owner: work for 180 days will subject permit to cancellation.
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:
I certify that I have read this application and ;tate that the -above information is'correct.
I agree to comply with all city and county'orAinances and state laws relating to building
construction, and hereby authorize represematives of this city to ent n the
above -men ' ned roperty for inspection purposes.
Dater Signature (Applicant or Agent):
Date: 11/9/2017
Application Number:
BRER2017-0118
Owner:
Property Address:
55240 RIVIERA
LQR GOLF
APN:
775153060
1 BUSH ST STE 1170
Application Description:
PGA WEST / REROOF FLAT AREAS / ADDRESS 55-450,460,470
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 LUGG AVE
SAN BERNARDINO, CA 92408
SAN BERNARDINO, CA 92408
(909)884-8505
Llc. No.: 907600
Detail'. REROOF WITH FOAM AT FLAT AREAS ONLY [CRRC.' 0770-0002) 2016 CALIFORNIA ENERGY CODE.
■
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
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RE -ROOF —FIRST 2,000 SF PC
101-0000-42600
0
$106.11
Total Paid for RE -ROOF: $159.16'
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMEMT FEE: $5.00
TOTALS:
r
R
i
r
R
f
ST!kTE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
EC-CFIR-ALT-05-E (Revised 04/16) CALIFORNIA ENERGY COMMISSION�1
CERTIFICATE OF COMPLIANCE MR -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 CF1R-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-OS and CF2R- ALT -05 Compliance Documents. Possible exemptions from duct
-leakage testing inclvdc: 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 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 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.
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):
05
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):
11
Building Type:
Single Family
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) ❑ 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
NUMBERS / STREET / PHASE / UNITS / BLOG TYPE
1.. 54-984, 996, 008,020 / 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, 447,453 / 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
4 STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
CEC-CF1 R -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
FA
CALIFORNIA ENERGY COMMISSION
CF1R-ALT-05-E
. Page 2 of 3
ua`e rreparea: 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
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 (Optional)
SRI
5 2:12,
N/A
0770-0002
FOAM
.86
.71
.91
88
.20
.7S
16
Abe' ete6 21
vAdtl+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 April 2016
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
5073),
CEC-CF1 R -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 3 of 3.
Project Name: PGA WEST RE -ROOF - Date Prepared: 11/9/2017
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1.. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Narr -
Documentation Author Signature:
'r
r- e- Solrkiito
Company:
BRS ROOFING INC
Signature Date:
Address:
777 SOUTH LUGO AVE
CEA/ HERS Certiflcatlon icenqcation (f pp ¢able):
City/State/Zip:
SAN BERNARDINO / CA / 92408
Phone:
909-997-2572
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certify the following under penalty of perjury, Linder 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:
Company:
BRS ROOFING INC
Date Signed:
/ O/
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
.e
Residential Compliance
April 2016