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BRER2019-005378-495 CALLE TAMPICO D �P LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Permit Type/Subtype: RE -ROOF/ Application Number: BRER2019-0053 Property Address: 52313 AVENIDA MADERO APN: 773241021 Application Description: WHITE / RE -ROOF LIGHTWEIGHT TILE Property Zoning: Application Valuation: $13,250.00 _f '0 Applicant: 17 SOUTHWEST ROOFING P0BOX 126 APR 04 ";,a INDIO, CA 92202 I'S /1A�A CIT"10FLAOUINTt'i srJ1Y1!11�11i)Tt ° r�nM: prnA'�.�7a1 i LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70001 of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: C39 License No.: Date: T �� Contractor:: !Lr OWNER -131 ER 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.). (_) 1, 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 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 Na Lender's Add VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/4/2019 Owner: White Steven & Carrie 52313 AVENIDA MADERO LA QUINTA, CA 92253 Contractor: SOUTHWEST ROOFING P0BOX 126 INDIO, CA 92202 (760)578-3735 Llc. No.: 787029 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of 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�e ark for which this permit is issued. I have and will maintain 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 number are: Carrier: STATE. COMPENSATION INSURANCE FUND Policy Number: 9041840 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 as to become subject to the workers' compensation laws of California, and agree that, if I should become sub' e o the workers' compensation provisions of Section 3700 of the Lab ode, shall ort ith comply with those provisions. Date: Applican/S'COMPENSATION WARNING: FAILURE TO SECURE WORCOVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER T 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 performed 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 to 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 rect. I agree to comply with all city and county ordinances and state laws lating t Iding construction, and hereby authorize representatives of 0 ity to er upo h a ove mentioned property for inspection purposes. 1 a P Date: Signature (Applicant or4n ;� Application Number: Property Address: APN: Application Description Property Zoning: Application Valuation: Applicant: SOUTHWEST ROOFING P0BOX 126 I N DIO, CA 92202 BRER2019-0053 52313 AVENIDA MADERO 773241021 WHITE / RE -ROOF LIGHT WEIGHT TILE $13,250.00 Owner: White Steven & Carrie 52313 AVENIDA MADERO LA QUINTA, CA 92253 Contractor: SOUTHWEST ROOFING P 0 BOX 126 INDIO, CA 92202 (760)578-3735 Llc. No.: 787029 Hate: 4/4/2019 ---------------------------------------------------;---------------------------------------- Detail: REROOF ENTIRE DWELLING REMOVE SHINGLES AND REPLACE UNDERLAYMENT AND WITH LIGHT WEIGHT ROOF TILE [CRRC: 0918-0046] 2016 CALIFORNIA ENERGY CODE Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 FINANCIAL • /• 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 $12.81 DESCRIPTION ACCOUNT QTY AMOUNT RE -ROOF - FIRST 2,000 SF 101-0000-42404 0 $54.43 DESCRIPTION ACCOUNT QTY AMOUNT RE -ROOF - FIRST 2,000 SF PC 101-0000-42600 0 $108.87 Total Paid for RE -ROOF: $176.11 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 W PERMIT # PLAN LOCATION: Project Address: �� (�(= C Project Description: Garage SF Telephone: C7�aC� ? Patio/Porch SF Email: Applicant Name: State Lic: ��7�� City Bus Lic: Address: 0 State Lic: City Bus Lic: City, ST, Zip: 9Z7 Telephone: (�C.� 1-2 zj 7 3 Email: _ Valuation of Project $ Contractor Nam=�� r`t` 7�� New SFD Construction: Address: �� 2) Conditioned Space SF City, St, Zip `��'�7� Garage SF Telephone: C7�aC� ? Patio/Porch SF Email: Fire Sprinklers SF State Lic: ��7�� City Bus Lic: Architect/ Engineer Name: Construction Occupancy: Address: Grading: City, St, Zip Telephone: Bedrooms: Stories: # Units: Email: State Lic: City Bus Lic: Property Owner's Name: v� New Commercial / Tenant Improvements: Address: S-,2313 6- City, ST, Zip "► Total Building SF Construction Type: Occupancy: Telephone: Email: 78495 CALLE TAMPICO LA QUINTA, CA 92253 760-777-7000 OFFICE USE ONLY # Submittal Required Received Plan Sets iii Structural Calcs Truss Calcs .......... Title 24 Calcs CVWD Fire Flow Letter Soils Report Grading Plan (PM10) Landscape Plan Subcontractor List ................ ..... 1 Grant Deed .. _.............. HOA Approval .......... .. School Fees i Burrtec Debris Plan Planning approval Public Works approval Fire approval City Business License 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: .,_ - — E. A., 1 .• � `. /lA4s, r �= 'C CALIFORNIA ENERGY COMMISSION CF 1 R -ALT -05-E r Page 1 of 3 reaared. C..' I,i 1�1 r� mm ims compuance 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 with a HERS Provider Data Registry. Alterations to Space Conditioning Systems that are exempt from HERS verification requirements may use the CF1R-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 CF1R-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 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. 02 Date Prepared: r 4 W 04 Building Front Orientation (deg or cardinal): 03 Project Location: 05 CA City. - 06 Number of Altered Dwelling Units: 07 Zip Code. 7 08 Fuel Type: 09 Climate Zone: r- 10 Total Conditioned Floor Area (ft): 11 f Building Type: � 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 STATE OF CALIFORNIA Prescriptive Residential Alterations That Do Not Require HERS Field Verification CEC-CFIR-ALT-05-E (Revised 04116) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CF1R-ALT-05-E Prescriptive Residential Alterations That Do Not Require HERS Field Verification Page 2 of 3 aw,Mr. Name' .S'�— --5 ( -�,, A')a Q \ _ -0 .._. - ... C. Roof Replacement (Prescriptive Alteration, Section 150.2(b)1H) 01 02 03 04 05 06 07 08 1 09 , 10 Proposed 11 1 12 1 13 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) u`z Add4ft a 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(1)4. _......... April 2016 CA Building Energy Efficiency Standards - 2016 Residential Compliance STATE OF CALIFORNIA Prescriptive Residential Alterations That Do Not Require HERS Field Verification CEC-CFIR-ALT-05-E Revised 04116) CERTIFICATE OF COMPLIANCE Prescriptive Residential Alterations That Do Not Require HERS Field Verification Project lYarne: _ ... DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and comp UIXUrnentation All t"f Nam Company: Date: NO aLt n Pit IA CF1R-ALT-05-E Page 3 of 3 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 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 Reguiations. 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. 5. 1 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. 1 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: Respensih•.c Designer Signatu 'o mpany : Date Sig ned: LAJ 4ddress: ,� ^� tylstate�iip: 1(V" F� 1 7 (!�j 7 0 !� shone: C./ 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 April 2016