BRER2018-001678-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
S
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
RE -ROOF/
BRER2018-0016
54550 AVENIDA VELASCO
774284003
RIVERO / RE -ROOF
$6,800.00
Applicant: ,
WESTERN PACIFIC ROOFING CORP / KEITH KAMMER
2229 EAST AVENUE Q
PALMDALE, CA 93550
�a
D
MAR 0 7 2018
CITY OF LA QUINTA
DESIGN AND DEVELOPMENT DEPARTMENT
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: B. C39 License No.: 235717
'Da5t 3 Contr-attor
OWNER-BUILDE 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, 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 contractors) 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
Lerider's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/7/2018
Owner:
MARY JO RIVERO
54550 AVENIEA VELASCO
LA QUINTA, CA 92253
Contractor:
WESTERN PACIFIC ROOFING CORP / KEITH KAMMER
2229 EAST AVENUE Q
PALMDALE, CA 93550
(661)271-1336
Llc. No.: 23577
WORKER'S COMPEN'ATION DECLARATION
I hereby affirm under penalty of perjury oneof the following declarations:
I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by Section 3a00 of the Labor Code, for the performance
of the wor or which this permit is issued.
='a I have and will maintain workers' =ompensation 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 carrier and policy number are:
Carrier: ARCH INSURANCE COMPANY Policy Number: ZAWC19401701
_ I certify that in the performance d 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 - hat, if I should become subject to the
workers' compensation provisions of Sectior. 3700 of the Labor Code, I shall forthwith
comply with those provisions.
Dam Applicant:
WARNING: FAILURE TO SECURE W RS' COMP TION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIN INAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FDR 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 t:iis application.
1. Each person upon whose behalf this appllication 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 Cit-. 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 appocation becomes null and void if work is.not
commenced within 180 days from date of is-vance of such permit, or cessation of work
for 180 days will subject permit to cancellati m.
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 orcinances and state laws relating to building
construction, and hereby authorize represericatives of this city to enter upon the above-
mentioned property for inspection purposes-
Datelc+ — �lJ Signature (Applican: or Agen
C
Date: 3/7/2018
Application Number:
BRER2018-0016
Owner:
Property Address:
54550 AVENIDA VELASCO
MARY JO RIVE RO
APN:
774284003 ,
54550 AVENIDA VELASCO
Application Description:
RIVERO / RE -ROOF
LA QUINTA; CA 92253
Property Zoning:
-
Application Valuation:
$6,800.00
Applicant:
Contractor:
WESTERN PACIFIC ROOFING
CORP / KEITH KAMMER
WESTERN PACIFIC ROOFING CORP / KEITH KAMMER
2229 EAST AVENUE Q
2229 EAST AVENUE Q
PALMDALE, CA 93550
PALMDALE, CA 93550
(661)273-1336
----------------------------------------------------------------=---------------------------
Llc. No.: 235717
Detail: CLEAN EXISTING ROOFING INSTALL POLY FOAM & ACRYLIC COATING
ROOF SYSTEM [CRRC: 0626-0010] 2016 CALIFORNIA ENERGY CODE.
DESCRIPTION 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 - EA ADDITIONAL 1,000 SF
101-0000-42404
0
$12.48
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: $171.64
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEM ENT FEE: $5.00
TOTALS: $177.64
q
Bin # City of La Q uin to
Buildin. 8i: Safety Division
Permit # . . 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-701,2
,_ rG Building Permit Application and Tracking Sheet
Project AddressSyZO AV 11V—f P 4 V E 1,tq -5
_ Owner's Name: M S• MAR J"O ' V F It Q
A. P. Number:Address: S_I/SSO 4V f "/10 4 ✓ 1145G p
Legal Description:
City, ST, Zip: l) 0V1,,jF t C a ;�3
Contractor: J
Es 1�2/ P�w�JG 0 n/
Te e hon 7
e 7 �
......................
Address: 3
y -a 1.A C�9MP/1^�q I�Ji4
— 1
Project Description: clim,,
City, ST, Zip: PA L r? S PQ/ NGS CA - %,?ot
�NS% AGm7-/LTJ Q 1" / U L fJRf R J�I�AN
Telephone:
le h o . ��O -7%(�-J�%•%
>
OAM 4 C� �IG C' /Y�`/N�i �Zodr�..��,.
State Lie. #: a 3,5' 7 I'7
CityLie. #;. 000 y 9
Arch., Engr., Designer:
-Address: _.....: ..._
:....._....-_..
City, ST, Zip:
Telephone:
State to Lic. #
x''=�'><�rPr
Construction Type: R1 foo Occupancy:
Project
rv Repair. Dema
type circle one), New Add'n Alter
Name of Contact Person: /4 P42
Sq. Ft.:X Q p
# Stories:
# Units:
Telephone # of Contact Person:? b
- N
Estimated Value of Project: d 0 , Q (?
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACMG
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance
Title 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" Review, ready for corrcctionsrissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
I-I.O.A. Approval
Plans resubmitted
Grading
IN! IfOUSE:-
'•a Review, ready for correctionstissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees,
Li=
Total Permit Fces
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CFC-CFIR-ALT-01-F (Revised 06/141
RAI mr1R IIA NPOr]v rn KA11A1CC1nK1
CERTIFICATE OF COMPLIANCE
CF1R-ALT-0.1-E -
Prescriptive Residential Alterations - 0 0!""
02
(Page 1 of 4)
Project Name: !!IS, /t'1 AJ2 I i ) c %Z Q c S i p Date Prepare
MS • M/} -T-0 R,V112 12 1 S., iJ f C 6
02
A. GENERAL INFORMATION
01
02
01
Project Name:
MS • M/} -T-0 R,V112 12 1 S., iJ f C 6
02
Date Prepared:
12 13
03
Project location:
x/ n� DA L19 S G 0
04
Building Front dHenfation'(deg or cardinal
Frame
Spacing
(inches)
Prdp`bsed;.
65
CA City:
A v i ,J
06
Number of Al(e qdb, Welling Units.
Reference
U -Factor
07
Zip Code:
08
Fuel Type,. A ,
Reflectance Reflectance Emittance (Optional)[Aged!
Reflec
09
Climate Zone:
10
TofaLConiiit oned FloorjA'rea m):
0 ab -0P� %R c►� R`"
11
Building Type
12
Sl51b,,Are15* (ft2) '
13
Project Scope:
,r1 -,4L rw a V P0 4 VV!Q iA ti E O ^4 A G/1
_
(-Un/ 1Nrr M00J—I'r4` C- V C Tf M K .14" % 'w I I
w
B. BUILDING INSULATION DETAILS (Section 150.2(b)1)&Wow
01
02
03
04
05
06 " 107 08 09
10
12 13
11
Tag/ID
Assembly Type
Frame
Type
Frame
Depth
(inches)
Frame
Spacing
(inches)
Prdp`bsed;.
Required
Roof
Pitch
Exception
Comments
`VAppendixJA4
Continuous
Cavity ��Insulation
R-valge, R -value J U=factor
Reference
U -Factor
Table Cell
Reflectance Reflectance Emittance (Optional)[Aged!
Reflec
anc
Emittance (Optional)
[61A r
0 ab -0P� %R c►� R`"
y . 7 /06
a g .Is V 3T' %L W i TL aw I I
C. ROOF REPLACEMENT (Prescriptive Alteration; Seect bnn 50.2(b)1H) 1w V
01
02
03
04 051,
06
it 07,x"" 08 09 10 1
12 13
04L
I
-value
Proposed
inimum Required
Method of
Compliance
Roof
Pitch
Exception
CRRProduct ID0S, i
NR
Number + P,roductType
Deeks
Insulation
'Initial Solar Aged Solar Thermal SRI
ola
Thermal SRI
Reflectance Reflectance Emittance (Optional)[Aged!
Reflec
anc
Emittance (Optional)
[61A r
0 ab -0P� %R c►� R`"
y . 7 /06
NOTES '"
• Roof area covered bey, buildingjntegeated pW(5ttovolfaic'panels and solar thermal panels are exempt from the above Cool Roof requirements.
• liquid field appliedtngs must comply wit zinstallation criteria from section 110.8(i)4.
,
Registration Number: Registration Date/Time:
CLA Building Energy Efficiency Standards - 2013 Residential Compliance
rovider: .
June 2014
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CEC-CFIR-ALT-01-E Revised 06/14
CALIFOR 41A E NERGY COMMISSION
CERTIFICATE OF COMPLIANCE
CFIR-ALT-01-E
Prescriptive Residential Alterations U- 00 f- _
(Page 4 of 4)
Project Name: /�/L "'(� t /Z Date Prepare
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT !� .
1. I certify that this Certificate of Compliance documentation is accurate and complete.'
Document ion Author Name: Document thor Sign ' ���+�,,_
C
rir)l
sRMMil�
Company: natureD �
W f.5-rL 12 PJ (S A G1 F1 c_ %Z00% / A16- .3-7
Address: CEA/ HERS Certification Identikication'(if applicable):
3 L GA M PA A'A wi4
S.
City/State/Zip: Phone:
9aabdl o
�GS .
ALi2N
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 Codeito accept responsiby for the building &M or system design identified on this Certificateof
designer).
ompliance (responsible
3. That the energy features and performance specifications, materials, compose�n't�sm�and manufactu�re�d`picie'es for the building design or system design identifiedon
his Certificate of
Compliance conform to the requirements of Title 24, Part 1 and Part 6of the California Code of'R,egulg'tions.
building design features design features identified bare
4. The or system on t_his�C�ertificate of Ctirnpliance consisten�,t wlth�tFite information provided on other appli
able
compliance documents,
worksheets, calculations, plans and specifications submitted to the ennforcement age nc 'f Lai roval with this building permit application.
S. I will ensure that a registered co of this Certificate of Corn hast e• hall be the bulldir issued for
copy building,
g' made available with the and made avails
p rig permit(s)
for all applicable inspections. I understand that a registered copy of this Certificate f Compliance is.reij'ui eev6to be included with the documentation the builder
let
provides
the enforcement agency
to the building
owner at occupancy. 'tx
Responsible Designer Name: r
r
Responsible Designer Signature:
` "k
. ..I
Company: x" ,,'?
k
Date Signed:
Address: : 3
License:
` d..
r. .;.
City/State/Zip: ti
Phone:
VA
For assistance 6" "questions regarding.the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.
Registration Number: Registration Date/Time:
-EA Building Energy Efficiency Standards - 2013 Residential Compliance
HRS
der:
June 2014