BRER2019-008578-495 CALLE TAMPICO 4 4P
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype: RE -ROOF/
Application Number: BRER2019-0085
Property Address: 48400 CASITAS DR
APN: 602112024
Application Description: RANCH LA QUINTA / REROOF
Property Zoning.
Application Valuation: $26,166.00
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/14/2019
Owner:
CASITAS AT RANCHO LA QUINTA
P 0 BOX 19703
IRVINE, CA 0
Applicant: �j� Contractor:
ROOF ASSET MANAGEMENT INC / \ a ROOF ASSET MANAGEMENT INC
72056 NORTHSHORE STREET STE B V LJ—\� 72056 NORTHSHORE STREET STE B
MAY 2 1 2019
THOUSAND PALMS, CA 92276 THOUSAND PALMS, CA 92276
0 (760)813-9999
CITY OF LA QUINTA LIc. 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 7000) of Division 3 of the Business and Professions Code, and
my License is in full force and effect.
License Class: C39 License No.: 677708
Daie: 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.).
(_) 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 Address:
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 the work for which this permit is issued.
�
I have and will maintain workers' compensation insurance, as required by
� S tion 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: 57ATE COMPENSATION INSURANCE FUND Policy Number: 9155203
_ 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 subject to the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with those provisions.
Ap.
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.
S(Applicant or Agent):
Date: 5/14/2019
Application Number: BRER2019-0085
Property Address: 48400 CASITAS DR
APN: 602112024
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
Llc. 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 INFORMATION
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
ta) Qa�fra
Project Address: 1/?Yoc
APN #:
Applicant Name: Poof AwS
Address: 2AQ SC
City, ST, Zip: �fC,61
Telephone: ,p r �f,
Email:
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Property Owner's Name: a5),45 0
Address: s r
City, ST, Zip L� G.n fw �IQ Te
Telephone:
Email:
PE
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a/! Project Description: Fie n 4O�
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of S Q F A1 j� (
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Valuation of Project $Q�g4 /9- 00 _
New Commercial / Tenant Improvements:
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-CF1R-ALT-05-E (Revised 04116
CERTIFICATE OF COMPLIANCE
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
Project Name: 6 -04- S 61) at rA
This compliance document is only applicable to
with a HERS Provider Data Registry.
do not require
0
compliance. When HERS verification is required, a CFIR-ALT- 01 shall first be registered
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 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 Project Name: Lt 02 Date Pre are&
Ca 5 ��3 p 5113119
03 Project Location: yj ao 04 Building Front Orientation (deg or cardinal):
05 CA City: /'1_ 06 Number of Altered Dwelling Units:
07 Zip Code: 08 1 Fuel Type:
09 Climate Zone: 1 S
11 Building Type: I] else_/�nlr��
13 Project Scope (Select all that apply): T
❑ B. Insulation ❑ D. & E. Fenestration/Glazing -ADD
10 I Total Conditioned Floor Area (ftz)
12 � Slab Area (ft2)
5, Soo 0,
❑ 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
GEC-OFIR-ALT-05-E (Revised 04116)
CERTIFICATE OF COMPLIANCE CF1R-ALT 05 E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification Page 2 of 3
Project Name: Date Prepared: Il 4. ■ n
C. 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
I
R-value
Method of CRRC Product Product Deck Initial Solar Aged Solar Thermal SRI Aged Solar Thermal SRI
Compliance Roof Pitch Exception n ID Number/ Type Insulation Reflectance Reflectance Emittance (Optional) Reflectance Emittance (Optional)
(O 11 �1111
�,7
Add Rc4 Delete Raw C " . 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.
CA Building Energy Efficiency Standards - 2016 Residential Compliance
April 2016
STATE OF CAUFORNIA
Prescriptive Residential Alterations
CEC-MR-ALT-05-E Revised 04116
CERTIFICATE OF COMPLIANCE
Prescriptive Residentia
That Do Not Require HERS Field Verification
Do Not Require HERS Field Verification
scud
COMMISSION
CF1R-ALT-05-E
Page 3 of 3
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name: r - f
Documentation Author Signature:
CZ
Company: r ��
7 �'1 l�
5'rgnature Dater '9
Address.
CEA1 HER5 Certifcatian Ideralfication (if applicable):
citypstate/Zip: ,1 r C4 is /
Phone:
RESPONSIBLE PERSON'S DECLARATION STOEMENT
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 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. 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 Designer Name: Res possible Designer Signature:
Company - Date 5t ed:
Address: License:
City/5tate/7.ip:
Vhor' .
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