BRER2019-007178-495 CALLE TAMPICO T4ht D 4 Qu&M VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 5/14/2019
Permit Type/Subtype: RE -ROOF/ Owner:
Application Number: BRER2019-0071 CASITAS AT RANCHO LA QUINTA
Property Address: 48040 VIA VALLARTA P 0 BOX 19703
APN: 602111020 IRVINE, CA 0
Application Description: RANCH LA QUINTA / REROOF
Property Zoning:
Application Valuation: $26,166.00
Applicant: Contractor:
ROOF ASSET MANAGEMENT INC ROOF ASSET MANAGEMENT INC
72056 NORTHSHORE STREET STE B P
72056 NORTHSHORE STREET STE B
THOUSAND PALMS, CA 92276 MAY 2 1 2019 THOUSAND PALMS, CA 92276
(760)813-9999
CITY OF LA QUINTA Llc. No.: 677708
DESIGN & 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 70001 of Division 3 of the Business and Professions Code, and
my License is in full force and effect.
License Class: C39 License No.: 677708
OWNER -BUILD R DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contract State
License Law for the following reason (Sec. 7031.5, Business and Professf Code: Any
Ry or county that requires a permit to construct, alter, improve, de sh, or repair any
stru e, prior to its issuance, also requires the applicant for the mit to file a signed
statemen [ he or she is licensed pursuant to the provisions the Contractor's State
License Law ( ter 9 (commencing with Section 7000) of vision 3 of the Business
and Professions Cc or that he or she is exempt theref m and the basis for the
alleged exemption. Any ' lation of Section 7031.5 any applicant for a permit
subjects the applicant to a ci ' penalty of not mo than five hundred dollars ($500).:
Woos owner of the proper , r my emplo es with wages as their sole
compensation, will do the work, an a st ture is not intended or offered for sale.
(Sec. 7044, Business and Professions Co : The Contractors' State License Law does not
apply to an owner of property who b ' ds o ' proves thereon, and who does the work
himself or herself through his or h own emp ees, provided that the improvements
are not intended or offered fors e. If, however, t building or improvement is sold
within one year of completion he owner-buil( er will ve the burden of proving that he
or she did not build or Impr for the purpose of sale.).
a" 1, as owner of the pr erty, am exclusively contracting th licensed contractors to
construct the project. c. 7044, Business and Professions Co The Contractors' State
License Law does not pply to an owner of property who builds or i roves thereon,
and who contracts r the projects with a contractor(s) licensed pursu t to the
Contractors' Stat lcense Law.).
(_) I am exe t 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 Ad
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 tbgwork for which this permit is issued.
l have and will maintain workers' compensation insurance, as required by
Session 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: 9155203
1 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 subject to the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with those provisions.
0051 11 / I Aonlicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL 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 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 property for inspection purposes.
(Applicant or Agent): ��
Date
5/14/2019
Application Number: BRER2019-0071
Property Address: 48040 VIA VALLARTA
APN: 602111020
Application Description: RANCH LA QUINTA / REROOF
Property Zoning:
Application Valuation: $26,166.00
Applicant:
ROOF ASSET MANAGEMENT INC
72056 NORTHSHORE STREET STE B
THOUSAND PALMS, CA 92276
Owner:
CASITAS AT RANCHO LA QUINTA
P 0 BOX 19703
IRVINE, CA 0
Contractor:
ROOF ASSET MANAGEMENT INC
72056 NORTHSHORE STREET STE B
THOUSAND PALMS, CA 92276
(760)813-9999
LIc. No.: 677708
Detail: REROOF WITH EXISITNG CLAY TILE AT SLOPED AREAS NEW UNDERLAYMENT AND FOAM AT ROOF CRICKET AREAS [CRRC: 0626-0010] 2016
CALIFORNIA ENERGY CODE
FINANCIAL
DESCRIPTION ACCOUNT CITY AMOUNT
BSAS SB1473 FEE
101-0000-20306 0 $2.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $2.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
RE -ROOF - EA ADDITIONAL 1,000 SF
101-0000-42404
0
$12.81
DESCRIPTION
ACCOUNT
CITY
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: $176.11
DESCRIPTION
ACCOUNT
CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
��TOTALS:
ta Qa�tra
11illsi-1.11
Project Address: y1GyO 144
Um-
APN #:
Applicant Name: Voof Msei / 6
Address: 70ko 6 rf/Qrf�S�v�f
City, ST, Zip:
Telephone 7,,-o 9 ffY
Email:
Property Owner's Name: - 1
Address:
City, ST, Zip L� �� �� ` C
Telephone:
Email:
Project Description:
a eJ10,14, Aa
W-110
Qe -- 0-Q0 E
nig&.,., Oeyn,
-i-de.
&)44,0.. of sfF al
cr, rkeq. G 005). 0010
Valuation of Project $ 0'- _1 PC9- 00
0 QL(. WI)A New commercial / Tenant Improvements:
t 4i Total Building SF
Construction Type: Occupancy:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
CEC-CFIR-ALT-05-E JReV4SSd 04116) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE
Prescriptive Residential Alterations That Do Not Require HERS Field Verification CF1R-ALT-05-EPage 1 of 3
Prelate Name
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 exemptfrom HERS verification requirements may use the CFIR-ACT-fly and CF2R- AL7-05 Cornplionce 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 Roter. If space conditioning systems ore altered and are not exempt from HERS verification, then a CFIR-AL7 02 must be completed and registered with a HERS Provider Doto 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 CF1 R-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 o 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
Ol
Project Name:
t
aL-y�
.
1
02
Date Prepared
Building Front Orientation (deg or cardinal).
Number of Altered Dwelling Units:
03
Project Location:
CA City:
04
06
08
10
05
07
09
Zip Code:
Climate Zone:
9['
1 �7
Fuel Type.
Total Conditioned Floor Area (ft):
f
11I Building Type: es �_/�nirA 12 Slab Area (ftz)
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 CALIFORNIA ENERGY COMMISSION
CEC CF1R-ALT-05-E (Revised 04116) - — — - CF1R-ALT-05-E
CERTIFICATE OF COMPLIANCE
Prescriptive Residential Alterations That Do Not Require HERS Field Verification Page 2 of 3
pale arr{wred. ]
aroie[s Npme: /'_
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)
�c�►�•� �t t �6-nol� Coat« o `6 4 , 7 Cn 6
Add R • delete Rawls. C
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.
April 2016
CA Building Energy Efficiency Standards - 2016 Residential Compliance
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
CEC-CF1 R-ALT-05-E (Revised 04116)
CERTIFICATE OF COMPLIANCE
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
� �
Prai"I Na— `f i�� I /)
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name: f Documenmian Author Signature:
h /W C,, on
Company:
7, Signature Dale-
Sri19
Address:
S� S7�i ACW HER$ Certiflcat}on Identificattan (if appluahle);
ENERGY
CF 1R-ALT-05-E
Page 3 of 3
■.�.a.�.� K: r L !'7ri��� phone: /V0
RESPONSIBLE PERSON'S DECLARATION STAfEMENT
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 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 avrth 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. 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 Desrgner Nam`E: ` Responsible Designer Signature: _
I
>7 r�
1, r4 , ,
5igneti: 5
se:
Ao-
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
i