BRER2019-0003LICENSED CONTF
I hereby affirm under penalty of perjury
9 {commencing with Section 70001 of Di
and my License is in full force and elfe�
LicenseClas . 39 License No.:76
Date: Cony,- CC
78-495 CALLE TAMPICO D IiI�A+filJ VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 1/14/2019
Permit Type/Subtype: RE -ROOF/ Owner:
Application Number: BRER2019-0003 Ham Barbara L / Barber Richard D
Property Address: 52355 AVENIDA DIAZ 52355 AVE DIAZ
APN: 773251016 LA QUINTA, CA 92253
Application Description: BARBER / REROOF
Property Zoning:
Application Valuation:
Applicant: D Contractor:
RELIABLE ROOFING BY T G Y RELIABLE ROOFING BY T G Y
P O BOX 1961 JAN 14 2019 P O BOX 1961 '
PALM SPRINGS, CA 92263 PALM SPRINGS, CA 92263
CITY OF LA QUINTA
DESIGN & DEVELOPMENT DEPARTMENT (760)323-2705
Llc. No.: 764608
-----------------------------------------------------------------------------------------
WORKER'S COMPENSATION DECLARATION
ravl5llYnSrrW-Weer I hereby affirm under penalty of perjury one of the following declarations:
am li sed u
3 sine;:s and Professions
E RATION
I hereby affirm under penalty di perjury that I a exempt from the Contras s State
License Law for the following reason (Sec. 70 .5, Business and Professi s Code: Any
city or county that requires a permit to cons uct, alter, improve, de lish, or repair
any structure, prior to its issuance, also reciTres the applicant f e permit to file a
signed statement that he or she is licensed ursuan[ to the vlstons of the
Contractor's State License Law (Chapter 9 [ mmenci nth Section 7000) of Division
3 of the Business and Professions Code) ort r 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.).
(_) 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 Naine
Lender's
I have and will maintain a certificate of consent to self -insure for workers'
comp s vlded for by Section 3700 of the Labor Cede, for the performance
of [ _ or whkh this permit is kssued,
have and wIN maintaln workers' compensation 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 tuber are:
Carrier: STATE COMPENSATION INSURANCE FUND Poll umber: 1795377
I certify that in the performance of the wv r which this permit is issued, I
shall not employ any person in any man er so as ecome subject to the workers'
compensation laws of California, and
e u
workers'compensation provisions n 3ththe
rthwith
comply witfythos>Fprovisions.
Date:
nt:
WARNING: FAILURE TO SECURE WORKERS' CO EN CO AGE ! NLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMI L P I ND C]VI INES UP TO
ONE HUNDRED THOUSAND DOLLARS ($10040). IN AD ION TO E COST OF
COMPENSATION, DAMAGES AS PROVIDED F R IN SECTION 37 F THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNtlWMIDGEMENT
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 performed under or pursuant to any permit
issued as a result of this application , the owner, and the applicant, each frees to, and
shall defend, indemnify and hold harmless the City of La Quinta, its o ers, agents, and
employees for any act or omission related to the work being pert ed under or
following issuance of this permit.
2. Any permit issued as a result of this plication beco s null and void if work is
not commenced within 180 days from a of Issuaricofsuch permit, or cessation of
work for 180 days will subject permit to cancelfati
I certify that I have read this application an ate that the above informativ scar t.
I agree to comply with all city and coup ardknance5 and state aws relatinglo buildin
construction, and hereby authorizer resentatives of this sit o enter upon the
n o above-mene propertyfor
In ection purposes.
r
defe: 1 r 4 azure (Applicant oLAg Q
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
BRER2019-0003
52355 AVENIDA DIAZ
773251016
BARBER / REROOF
Applicant:
RELIABLE ROOFING BY T G Y
P 0 BOX 1961
PALM SPRINGS, CA 92263
Date: :1/14/2019
Owner:
Ham Barbara L / Barber Richard D
52355 AVE DIAZ
LA QUINTA, CA 92253
Contractor:
RELIABLE ROOFING BY T G Y
P 0 BOX 1961
PALM SPRINGS, CA 92263
(760)323-2705
Llc. No.: 764608
Detail: REROOF WITH FOAM ROOF 2 COATSAND GRANUALIZATION SIMPLE OVERLAY. CRRC 0010-0070 2016 CALIFORNIA ENERGY CODE.
FINANCIAL
DESCRIPTION
• •
ACCOUNT
QTY
AMOUNT
RE -ROOF - FIRST 2,000 SF
101-0000-42404
0
$54.43
DESCRIPTION
ACCOUNT
CITY
AMOUNT
RE -ROOF - FIRST 2,000 SF PC
101-0000-42600
0
$108.87
Total Paid for RE -ROOF:
$163.30
DESCRIPTION
ACCOUNT CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611 0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE:
TOTALS:
$5.00
—WC; EM of el r D GSF RT f •—
PERMIT #IF
PLAN LOCATION:
Project Address:
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
10
APN #:
I Fo"
dQ
Applicant Name:
Weave,qn
G
Address:
! l Ca
City, ST, Zip:
S �—• ;Q (e3
Telephone:
. S W E)
aluation o Project
Email:
1
Contractor Name:
New SFD Construction:
Address:
Conditioned Space SF
City, St, Zip
Garage SF
Telephone:
Patio/Porch SF
Email:
Fire Sprinklers SF
State Lic: Q 8 City Bus Lic:
Are /Eng Name:
Construction Type: Occupancy:
Address:
Grading:
City, St, Zip
Telephone:
Bedrooms:
Stories:
# Units:
Email. -
State Lic: City Bus Lic:
Property Owner's Name: ,
New Commercial / Tenant Improvements:
Address:
Total Building SF
City, ST, Zip
Construction Type: Occupancy:
Telephone:
Email:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
X
STATE' CALIFORNIA
Pcrcptive Residential Alterations That Do Not Require HERS Field Verification
CEC-CFIR-ALT-05-F fRevised 0411SI
compliance. When
with a HERS Provider Data Registry.
CALIFORNIA EN
MMISSIONM
CFIR-ALT-05-E
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 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 CF1R-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 I Project Name:
03
Project Location.
05
CA City:
07
Zip Code:
09
Climate Zone:
11
Building Type:
02 1 Date Prepared:
04 Building Front Orientation (deg or cardinal):
06 ' Number of Altered Dwelling Units:
08 Fuel Type:
10 Total Conditioned Floor Area (ft):
12 Slab Area (ft)
13 Project Scope (Select all that apply):
❑ B. Insulati , ❑ D. & E. Fenestration/Glazing - ADD ❑ G. Space Conditioning System (Heating, Cooling, Duct system) ❑ Lighting
Raaf Replacement ❑ D. & F. Fenestration/Glazing - REPLACE ❑ H. Water Heating System ❑ Include Mandatory Measures?
CA Building Energy Efficiency Standards - 2016 Residential Compliance April 2016
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
CEC-CF1R•ALT-05-E.(Revi3ed 04/115) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ALT-05-E
Prescriptive Residential terati s That Q dr Require HERS Field Verification Page 2 of 3
Project Name: 0C /y f] Qaln Prepared:
Vf/ � f �
C. Roof Replacement (Prescriptive Alteration, Section 150.2(b)1H)
01 02 1 03 1 04 05
Method of CRRC Product Product
Compliance Roof Pitch Exception I ID Number Type
06 07 1 08 1 09
Proposed
R-value
Deck Initial Solar Aged Solar Thermal
Insulation Reflectance Reflectance Emittance
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$uifi�°` ;"fnergy Efficiency Standards - 2016 Residential Compliance
10 11 1 12 1 13
Minimum Required
SRI Aged Solar Thermal SRI
itional) Reflectance Emittance (Optional)
April 2016
STATE C. ':ALIFORNIA
Pr4,Scri'ptive Residential Alterations That Do Not Require HERS Field Verification
GEC-CF1 R-ALT-05-E (Revised 041 6
CERTIFICATE OF COMPLIANCE
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. I cert that this Certificate of Compliance dacumentati�>y��ccurate a
H
Author
QAte
CALIFORMA ENERGY COMMISSION
CFIR-ALT-05-E
Page 3 of 3
s Or w.0 Phone: •
O
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certify;he fallowing under penalty ❑f perjury, under the laws ❑f 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 n r entl le rs Certificate of
Com lance con arm ❑ f Title 24, Part 1 and Part 6 of the California Code of Regulations.
4. The building design features or system design featur on this Certificate of Compliance are consys the information provided on other applicable compliance documents,
worksheets, calculations, plans and specifications submitted to the en ❑ >aval
proval is building permit application.
5. 1 will ensure that a registered copy of this Certificate of Compliance shall be ma building permit(s) issuedfor the building, and made available to the enforcement agency
for all applicable inspections. I understand that a registered copy of this Certifince Is d to be included with the documentation the builder provides to the building
owner at occupancy.
Responsible Designer Name: Responsible Designer Signature: _
Company
se:
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
Mpf I[ LUlO