BRER2015-0074w t„
78-495 CALLE TAMPICO I
LA QUINTA, CALIFORNIA 92253
T4t�p 4 4 Qum&
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BRER2015-0074
Property Address: 55334 RIVIERA
APN: 775153054
Application Description: REROOF WITH FIELD APPLIED WHITE FOAM [CRRC; 0626-00101
Property Zoning:
Application Valuation: $2,765.00
Applicant:
WESTERN PACIFIC ROOFING CORP
2229 EAST AVENUE Q
PALMDALE, CA 93550
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: License No.: 235717
Date: fD Contractor:
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.).
(_J 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
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
CLADIANOS DOROTHY
55334 RIVIERA
LA QUINTA, CA 9253
Contractor:
WESTERN PACIFIC ROOFING
2229 EAST AVENUE Q
PALMDALE, CA 93550
(661)273-1336
LIC. No.: 235717
Date: 9/14/2015
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of Lie following declarations:
I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by Section 3700 cf the Labor Code, for the performance
of the work for which this permit is issued.
I have and will maintain workers' corn pensation insurance, as required by
Section 3700 of the Labor Code, for the performance of the work for which this permit
is issued. My workers' compensation insurance :arrier and policy number are:
Carrier: _ Policy Number: _
_ 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 a: to become subject to the workers'
compensation laws of California, and agree thatiif I should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with those provisions. �/
Date: �(rt Applicant_/% I%1
WARNING: FAILURE TO SECURE WORKERS' COM'ENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINA- PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000) IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR ILI SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to the Euilding Official for a permit subject to
the conditions and restrictions set forth on this a plication.
1. Each person upon whose behalf this application is made, each person at whose
request and for whose benefit work is performec under or pursuant to any permit
issued as a result of this application , the owner, end the applicant, each agrees to, and
shall defend, indemnify and hold harmless the Ciy 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 applicatbn becomes null and void if work is
not commenced within 180 days from date of iss uance of such permit, or cessation of
work for 180 days will subject permit to cancellaton.
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 propert for inspection purposes.
Date: Signature (Applicant or Agent io
z
w
0
a
Q w
�o
0 tV
z
w
L
a
C RP '""�
o
p UJ
Q
LU
0
U
z
+�
C)
o
U
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of Lie following declarations:
I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by Section 3700 cf the Labor Code, for the performance
of the work for which this permit is issued.
I have and will maintain workers' corn pensation insurance, as required by
Section 3700 of the Labor Code, for the performance of the work for which this permit
is issued. My workers' compensation insurance :arrier and policy number are:
Carrier: _ Policy Number: _
_ 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 a: to become subject to the workers'
compensation laws of California, and agree thatiif I should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with those provisions. �/
Date: �(rt Applicant_/% I%1
WARNING: FAILURE TO SECURE WORKERS' COM'ENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINA- PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000) IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR ILI SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to the Euilding Official for a permit subject to
the conditions and restrictions set forth on this a plication.
1. Each person upon whose behalf this application is made, each person at whose
request and for whose benefit work is performec under or pursuant to any permit
issued as a result of this application , the owner, end the applicant, each agrees to, and
shall defend, indemnify and hold harmless the Ciy 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 applicatbn becomes null and void if work is
not commenced within 180 days from date of iss uance of such permit, or cessation of
work for 180 days will subject permit to cancellaton.
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 propert for inspection purposes.
Date: Signature (Applicant or Agent io
_ _DESCRIPTION ",'' qt,,
FINANCIAL •• •
� _'_;;ACCOUNT �. QTY-'AMOUNT_`,,�t�ti-r
PAID
PAID DATE
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
PAID BY } - _
METHOD
L..
RECEIPT #
CHECK # '
CLTD BY ;
v 4 /
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA
$1.00
$0.00
,DESCRIPTION s. »'' .
r ACCOUNT ,' :
;QTY"
„. AMOUNT,..
PAID "
' PAID DATE
RE -ROOF - FIRST 2,000 SF
101-0000-42404
0
$49.31
$0.00
PAID,:BY , ''�,
METHOD
RECEIPT # ''-
CHECK #, "
CLTD BY
Total Paid for RE -ROOF:
$49.31
$0.00
TOTALS:00
r
v 4 /
r
Description: REROOF WITH FIELD APPLIED WHITE FOAM [CRRC: 0626-0010]
Type: RE -ROOF
Subtype:' Status: UNDER REVIEW
Applied: 9/3/2015 AOR
Approved:
Parcel No: 775153054 Site Address: 55334 RIVIERA LA QUINTA,CA 92253
Subdivision: TR 21846-5
Block: Lot: 2
Issued:
Lot Sq Ft: 0
Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $2,765.00
Occupancy Type: Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0 No. Unites: 0
Details: REROOF WITH LIGHT -NATIONAL COATINGS CORPORATION ACRYSHIELD-A510 WHITE [CRRC: 0626-0010] 2013 CALIFORNIA ENERGY
CODE.
Printed: Monday, September 14, 2015 5:52:03 PM 1 of 2 CJ
SYSTEMS
ADDITIONAL
CHRONOLOGY
• •
CONTACTS
,;NAME TYPE (NAME - .
•x "ADDRES51
.CITY
STATE
ZIP'
PHONE r ? •- FAX _ EMAIL
APPLICANT WESTERN PACIFIC ROOFING CORP
2229 EAST AVENUE Q
PALMDALE
CA
93550
CONTRACTOR WESTERN PACIFIC ROOFING CORP
2229 EAST AVENUE Q
PALMDALE
CA
93550
OWNER CLADIANOS DOROTHY
55334 RIVIERA
LA QUINTA
CA
92253
FINANCIAL•
•
•
DESCRIPTION ACCOUNT.
c
QTY "AMOUNT
PAID
PAID DATE
•RECEIPT# CHECK METHOD METHOD PAID BY`:
CLTD
BSAS SB1473 FEE 101-0000-20306
0 $1.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00
BSA:
$0.00
Printed: Monday, September 14, 2015 5:52:03 PM 1 of 2 CJ
SYSTEMS
PARENT PROJECTS
REVIEW TYPE w REVIEWER * SENT DATE DUE DATE: RETURNED, . STATUS REMARKS^ ,
DATE, �t
y -NOTE f {
Printed: Monday, September 14, 2015 5:52:03 PM 2 of 2 CR SYSTEMS .
INSPECTIONS
SEQID INSPECTION TYPE , - INSPECTOR SCHEDULED COMPLETED RESULT "' REMARKS NOTES' <
s
DATE' DATE..
PRE -ROOF BLD
FINAL" BLD
PARENT PROJECTS
REVIEW TYPE w REVIEWER * SENT DATE DUE DATE: RETURNED, . STATUS REMARKS^ ,
DATE, �t
y -NOTE f {
Printed: Monday, September 14, 2015 5:52:03 PM 2 of 2 CR SYSTEMS .
I
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E
Prescriptive Residential Alterations (Page 1 of 4)
Project Name: 6A- LjCt'r (Zes i en Date Prepared:
A. GENERAL INFORMATION
01
02
01
Project Name: G(At U3 E T (Les i ' en 0.
V- 02
Date Prepared: 111 =45-
03
Project Location: — 3 3 Q y / Cr'0--
04
Building Front Orientation (deg or cardinal):
05
CA City:
06
Number of Alt eco gavelling Units: e,%*
07
Zip Code:
08
Fuel Type:
09
Climate Zone:
10
' Tota Conditio ed Floo -,Aea If—t2))
11
Building Type
12
Sla ,A'tea(ft2) at' `t
13
1 Project Scope: 1�a�o� o d o\
nc
B. BUILDING INSULATION DETAILS (Section 150.2(b)1) It V1.
01
02
03
04
05
06 _ ,� .X07 08wr 1V_'g9
10
11
Tag/ID
1 Assembly Type
Frame
Type
Frame
Depth
(inches)
Frame
Spacing
(inches)
Rropo ed '4'.0 a
Required
Comments
140-
J(icgnt our 0
Cavity Insulation
R -value, R -value U,;fibor
ppendixJA4
Reference
LI -Factor
Table Cell
-
Pitch
Exception
R rod'`uct Type _
, nsulation
Reflectance Reflectance Emittance (Optional) Reflectance Emittance (Optional)
- 0b
`
�c�t�_ �o����F;��a l�
b� �. �1 I
NOTES
® ar m y u� v � s •w
C. ROOF REPLACEMENT (Prescriptive Alteration, Se cfiibnjS0.2(b)1H)_
01
02
03
04 oW' CJU 05-�„ '4§�
oO 06
` b7 ' 08 09 10 11 12 1 13
cif;
R-alue
Pro osed Minimum Required
Initial Solar Aged Solar Thermal SRI Aged Solar Thermal SRI
Method of
Roof
CRC Product ID
j Number
Duk
Compliance
Pitch
Exception
R rod'`uct Type _
, nsulation
Reflectance Reflectance Emittance (Optional) Reflectance Emittance (Optional)
`
�c�t�_ �o����F;��a l�
b� �. �1 I
NOTES
• Roof area covered by, bull8ing,integrated pho�toltai panels and solar thermal panels are exempt from the above Cool Roof requirements.
• Liquid field applied from
coatings 110.8(i)4.
must comply wiftinstallation criteria section
w
Registration Number: Registration Date/Time: HERS Provider:
CA Building Energy Efficiency Standards - 2013 Residential Compliance June 2014
I
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CERTIFICATE OF COMPLIANCE
CF1R-ALT-01-E
Prescriptive Residential Alterations . (Page 4 of 4)
Project Name: A- Date Prepared:
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT '
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.;
Documentation Author Name; 1
Documentation Author at °�
AW
Company:
Signature Date:
Address:
CEA/ HERS Certification Id t atjgn`tlf applicable):
City/State/Zip: f
(06J for t" s. C 2.2-C.
Phone:
- � 1 E- , ; 7
RESPONSIBLE PERSON'S DECLARATION STA EMENT
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: lam eligible under Division 3 of the Business and Professions Code to accept responsibil . for the building de�g�n or system design identified on this Certificate of Compliance (responsible
0
designer).
3. That the energy features and performance specifications, materials, component;a and manufactured le 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 th e C�Iifornia Code oft egulations.
4. The building design features or system design features identified on t s 4rtificate of Compliant are consistent witf�ttie inform atiori provided on other applicable compliance documents,
worksheets, calculations, plans and specifications submitted :to th enfo cement agen-W�-,c approval with this uiming permit application..
5. I will ensure that a registered copy of this Certificate of Complianceeshall be made a—V ilalilewith the buildin permlt(s) issued for the building, and made available to the enforcement agency
for all applicable inspections. I understand that a registeredcopy this�CertifcateFo�f Compliance be
,require to included with the documentation the builder provides to the building
�l"& �,yr
owner at occupancy.
1lrr gds
Responsible Designer Name:
® fkesponsible Designer Signature:
�w
Company: : '� J"'AW
@�
Date Signed:
Address: e
License:
..
City/State/ZiP:
Phone:
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.
Registration Number: Registration Date/Time: HERS Provider:
CA Building Energy Efficiency Standards - 2013 Residential Compliance June 2014