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BRER2019-009678-495 CALLE TAMPICO D 1 Q" LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Permit Type/Subtype: RE -ROOF/ Application Number: BRER2019-0096 Property Address: 49499 EISENHOWER DR APN: 658190011 Application Description: LQ RESORT / 1,800 SF POLYURETHANE RE -ROOF Property Zoning: Application Valuation: $7,300.00 Applicant: ZA�, 0 D WESTERN PACIFIC ROOFING CORP D 2229 VENUE Q PALM AS E,QCA 93550 MAY 2 4 2019 DD CITY OF LA QUINTA 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: B. C39 License No.: 235717 A Date: �i OWNS"UILDVR 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: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/24/2019 Owner: KSL DESERT RESORT 1 POST OFFICE SQ STE 3100 BOSTON, MA 92253 Contractor: WESTERN PACIFIC ROOFING CORP 2229 EAST AVENUE Q PALMDALE, CA 93550 (661)273-1336 Llc. No.: 235717 WORKER'S COMPENSATION DECLARATION 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 thew or which this permit is issued. I have and will maintain workers' compensation insurance, as required by Se d0 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: AjjSHLJMIJf3AlYC€COIVIPANY. Policy Number: ZAWC19401702 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. Date: / Applicant: WARNING: FAILURE TO SECURE W ERS' MPENSATION 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. Dat,3 Signature (Applicant orA Date: 5/24/2019 Application Number: BRER2019-0096 Property Address: 49499 EISENHOWER DR APN: 658190011 Application Description: LQ RESORT / 1,800 SF POLYURETHANE RE -ROOF Property Zoning: Application Valuation: $7,300.00 Applicant: WESTERN PACIFIC ROOFING CORP 2229 EAST AVENUE Q PALMDALE, CA 93550 Owner: KSL DESERT RESORT 1 POST OFFICE SQ STE 3100 BOSTON, MA 92253 Contractor: WESTERN PACIFIC ROOFING CORP 2229 EAST AVENUE Q PALMDALE, CA 93550 5661)273-1336 Ic. No.: 235717 Detail: 1,800SF REROOF FOR THE CLUBHOUSE AT KITCHEN AND HALLWAY AREAS ONLY',WITH POLYURETHANE FOAM [CRRC: 0626-0010] 2016 CALIFORNIA ENERGY CODE. DESCRIPTION FINANCIAL INFORMATION ACCOUNT CITY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 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: $163.30 DESCRIPTION ACCOUNT CITY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: TOTALS: $5.00 $169.30 ta QW�Kra PERMIT # CALIFORNIA ---- Project Address: L¢ 99 £I 5 £(v1�0wt2 Project Description: APN #: rtOA Applicant Name:/ 4 JvPA 12ISO 01 GLu Address: q qN 9 � S J 14E0rz. L City, ST, Zip: Telephone: Email: ki prJ CO Gf� Architect/Engineer Name: Address: City, St, Zip Telephone: Email. - State Lic City Bus Lic: 12do t t,� ,4 cnyl,0 r L A-F- )eo )- f+/t fig Valuation of Project $ 7 n• Od Construction Grading: Bedrooms: I Stories: Occupancy: # Units: Property Owner's Name: Li4 QV,,vrq Q wpT ",j New Commercial / Tenant Improvements: Address: �! �j LI SEAI Apv) oz 0cv Total Building / D SF City, ST, Zip LA- viNTA- CA 9 9 � Construction Type: Occupancy: Telephone: i - 77• Z tp �' D l r PLO0 Email: Pal A.-i G0C,/1 78495 CALLE TAMPICO LA QUINTA, CA 92253 760-777-7000 OFFICE USE ONLY # � Submittal � Required � Received Plan Sets Structural Calcs Truss Calcs Title 24 Calcs Soils Report Grading Plan (PM10) Landscape Plan Subcontractor List Grant Deed HOA Approval School Fees Burrtec Debris Plan Planning approval Public Works approval Fire approval City Business License Purchase order: PSPLQA9070 Page 1 of 2 '�xTC H iFfJ PURCHASE ORDER La Quinta Resort & Club, CA PO NUMBER : PSPLQA9070 Delivery date : 04/09f2019 Source Document: HSM PO No.: PO Type: Standard Purchase type : General Supplier: Western Pacific Roofing(On the Fly) 3462 La Campana Way Patin Springs, CA, 92262 Attn: Linda Johnson Title: Service Manager Phone: 7604165877 Fax: 7603208912 Email: DBA: Sent From: La Quinta Resort & Club, CA Name: Alyssa Chavez Title: Prop Ops Exec Admin Phone: (760)564-4111 Fax: Email: alyssa.chavez@waldorfastoria.com Cost Center: Notes and Attachments : Header Notes No Dotes This Purchase Order has I Attachments Status: Fax failed connection not made PO Submit Date: 04/09/2019 05:11:33 Customer Account #: Bill To: La Quinta Resort & Club, CA 49-499 Eisenhower Drive La Quinta, CA, 92253, US Attn: Accounts Payable Ship To: La Quinta Resort & Club, CA 49=499 Eisenhower Drive La Quinta, CA, 92253, US Attn: Ordering Department Terms: Subject: Partial Order Accepted: Payment Terms: Department: Payment method: 0 Item SKU Product Dese. Qty UOM 1 1 ' 161015-Construction-in -Progress 2 / 1.00 EA NODEPT-No Department New roof system * - Non catalog item Sub Total: Freight: Tax Amount: Less Discount: Total amount due: r� Resort Emergency CAPEX- Adobe Elevator No Net 30 Days NODEPT-No Department Purchase order Price Extension $7,300.0000 $7,300,00 Lur, I. $7,300.00 $0.00 $0.00 $0.00 $7,300.00 Tilton Worldwide is an equal opportunity employer and federal contractor or subcontractor. Consequently, the parties gree that, if Seller has operations physically located in the territorial United States including Puerto Rico which are avolved in Seller's performance under this agreement, and to the extent otherwise applicable, they will abide by the equipments of 41 CFR 60-1.4(a), 41 CFR 60-300.5(a) and 41 CFR 60-741.5(a) and that these laws are incorporated erein by reference. These regulations prohibit discrimination against qualified individuals based on their status s protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based n their race, color, religion, sex, or national origin. These regulations require that covered prime contractors nd subcontractors take affirmative action to employ and advance In employment individuals without regard s race, color, religion, sex, national origin, protected veteran status or disability. The parties also agree that, as https://appOl.birchstreetsystems.com/j4/POReport jsp?po_number=PSPLQA9070&subscri... 4/17/2019 .lt� INS Exhibit A i� .4' till `. i 1' T 1e1a_ NO .. QUinta Kitchen Hallway Roof Area.,. TT T— Wi 6�'. ekITEM ' _r t ��� STATE OF CALIFORNIA ENVELOPE COMPONENT APPROACH CEC-NRCC-ENV-01-E (Revised 01116) CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-ENV-01-E Envelope Component Approach Page 1 of 4 Project Name: / _ ♦ ,'+ pate prrpau A. GENERAL INFORMATION 01 Project Location: ^ L� q A � S�Nh�aw� 06 Compliance Method: ❑ Component ( a/t❑ Unconditioned (file Affidavit) 02 CA City and Zip Code: (,�} Q �, ,¢ 9�arf� 07 Building Front Orientation: ❑ New Construction 03 Climate Zone: 08 Phase of Construction: ❑ Additions ❑ Alteration ❑ Nonresidential 04 Total Conditioned Floor Area: 09 Building Occupancy: ❑ High Rise Residential ❑ Hotel/Motel Guest Room 05 Building Type: ❑ Schools (Public Schools) ❑ Relocatable Public School Building ✓❑ Conditioned Spaces ❑ Unconditioned Spaces ❑ Skylight Area for Large Enclosed Space > 5000 ftz (If checked, include the NRCC-ENV-04-E with submittal) B. ENVELOPE DETAILS - FRAMED 01 02 03 04 05 06 07 08 09 10 11 Continuous Appendix JA4 Required Reference Frame Frame Frame Cavity Insulation ReProposed U-Factor from Tables Field Inspection Tag/ID Assembly Type Material Depth Spacing R-value R-value I Table Cell U-Factor 140.3-B, C, or D Comments Add Row 11Remove C. ENVELOPE DETAILS - NON -FRAMED 01 02 03 04 i 05 06 07 08 09 10 Interior or Core Continuous Appendix JA4 Assembly Thickness Insulation Insulation Reference Proposed Required U-Factor from Field Inspection Tag/ID Assembly Type Materials (inches) R-Value R-Value Table Cell U-Factor Tables 140.3-B, C, or D Comments Add Row lirmove Last D. ENVELOPE DETAILS - MASS 01 1 02 1 03 04 05 06 07 08 09 10 11 CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance January 2016 STATE OF CALIFORNIA ENVELOPE COMPONENT APPROACH GtG-NKGG-tNV-UI-t {KeV45eO 0711bj CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-ENV-01-E Envelope Component Approach /f is Page 2 of 4 Protect rvame: L ^ L%!�l � S0/C f f _ /U r'{ ¢ CW Date Papered: Appendix JA4 Mass Furring Strip Interior Exterior Reference Mass Density Thickness Thickness Insulation Insulation Tag/ID Type (lb/ft3) (inches) (inches) ` R-Value R-Value Table Cell Add Row Required LI-Factor Proposed from Tables 140.3-B, Field Inspection Ll-Factor C, or D Comments E. ROOFING PRODUCTS (COOL ROOF) 01 02 03 04 05 06 07 08 09 10 11 Proposed Minimum Required Mass Roof 25 Ib/ftz or Greater Roof Pitch CRRC Product ID Number Product Type Aged Solar Reflectance) Thermal Emittance SRIZ (Optional) Aged Solar Reflectance Thermal Emittance SRI (Optional) Comments El L(VO-0016 c-0,4n El Add Row An aged solar reflectance less than 0.63 is allowed provided the maximum roof/ceiling LI-factor in TABLE 140.3 is not exceeded High-rise residential buildings and Hotels and Motels with low -sloped roofs in Climate Zones 1 through 8, 12, and 16 are exempted from aged Solar Reflectance and thermal emittance requirements - High-rise residential and Hotels/Motels with steep -sloped roofs in Climate Zones 1 and 16 are exempt from aged Solar Reflectance and thermal emittance requirements - The roof area covered by building integrated photovoltaic panels and building integrated solar thermal panels are exempt from aged Solar Reflectance and thermal emittance requirements - To apply Liquid Field Applied Coatings, the coating must be applied across the entire roof surface and meet the dry mil thickness or coverage recommended by the coatings manufacturer and meet minimum performance requirements listed in §110.8(i)4. Select the applicable coating: ❑ Aluminum -Pigmented Asphalt Roof Coating ❑ Cement -Based Roof Coating ❑ Other Check the box if the aged Solar Reflectance was not available in the Cool Roof Council's Rated Product Directory, then use the equation in Section 110.8(i)2: paged = 0.2 + B(pinitial - 0.2) to obtain a Iculoted aged solar reflectance value. Where Pinitial is the Initial Solar Reflectance found in the directory and 6 is either 0.65 for Field applied coatings or 0.70 for all other roofing products other on Field -Applied Coating. Calculate the SRI Value by using the SRI-Worksheet and enter the resulting value in the SRI column above and attach a copy of the SRI-Worksheet (NRCC-ENV-03-E) to this compliance document. CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance January 2016 STATE OF CALIFORNIA ENVELOPE COMPONENT APPROACH CEC-NRCC-ENV-01-E (Revised 61116) CERTIFICATE OF COMPLIANCE Envelope Component Approach Proiect Name: F. AIR BARRIER 01 Name 02 Air Barrier Material Type 03 04 Air Barrier Whole Building Assembly Type Air Leakage Testing Add Row I Remove Last G. FENESTRATION PROPOSED AREAS AND EFFICIENCIES 01 02 03 04 05 06 07 08 Proposed Surface # of Max Max Tag/ID Fenestration Type Area i Orientation Panes U-Factor (R)SHGC Min VT Add Row 1, Remove Last 09 Label I Ove COMMISSION NRCC-ENV-01-E Page 3 of 4 05 Comments 10 1 11 1 12 i' Condition Status Comments H. ENVELOPE MANDATORY MEASURES Indicate location on building plans of Mandatory Envelope Measures Note Block: INSTRUCTIONS TO APPLICANT ENVELOPE COMPLIANCE & WORKSHEETS (check box if worksheet are included) For detailed instructions on the use of this and all Energy Efficiency Standards compliance documents, please refer to the Energy Commission website. ❑ NRCC-ENV-01-E Certificate of Compliance. Required on plans for all submittals. ❑ NRCC-ENV-04-E Use when minimum skylight requirements for large enclosed spaces are required in climate zones 2 through 15. Optional on plans. CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance January 2016 STATE OF CALIFORNIA ENVELOPE COMPONENT APPROACH '+ 't i Z u u ioy CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE NRCC-ENV-01-E Envelope Component Approach Ax ot- d ZZ 17r--/}e.0� Page 4 of 4 ` Project Nam-4 /NT� AirsoRr 1 `rG'1i,,,, Pet—u- 14 Y Date Pr'c Pared & 9 +--1'3;' DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documents ion Author Name: Documentation Author Signature: Company: �J j. w £sT£ /t y✓ Signature Date: .. Address: 3 6 44 1/��An CEA/ HERS Certification Identification (if applicable): Phone' / �7 7 /fin City/1 A-11� s Ic.l ^'&-� 1 l.�T .� �`�� a" +`✓ 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. 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 completed signed 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 completed signed 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: Responsible Designer Signature: Company. Date Signed: Address: License: City/State%Zip: Phone: CA Building Energy Efficiency Standards - 2016 Nonresidential Compliance January 2016