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BRER2019-0152� VOICE (760) 777-7125 78-495 CALLE TAMPICO T4ty,, DLA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Permit Type/Subtype: RE -ROOF/ Owner: Application Number: BRER2019-0152 SIERCKS ROSALVA 2007 TRUST Property Address: 52625 AVENIDA RAMIREZ 52625 AVENIDA RAMIREZ APN: 773291018 LA QUINTA, CA 92253 Application Description: THOMAS / REROOF ENTIRE DWELLING WITH FOAM Property Zoning: Application Valuation: $6,450.00 Applicant: Q Contractor: RANCHO MIRAGE ROOFING D RANCHO MIRAGE ROOFING P 0 BOX 206 P 0 BOX 206 RANCHO MIRAGE, CA 92270 JUN 19 2019 Do RANCHO MIRAGE, CA 92270 GTYOF LAQUI 19A (760)832-2013 DESIGN & DEVEI.DPML--NT flEPARTMENT Llc. No.: 938533 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.: 938533 Date: 9` Coll traCLar 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).: (_) 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.). (_) 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 Na Lender's Date: 6/19/2019 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. , d t have and will maintain workers' compensation insurance, as required by Sertior13700 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: TA FUND Policy Number: 9070803 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.mmpnm �J Date- / ` e r # �Annitcant:10 fx+tg/Jtr wn 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. r Date: Signature (Applicant or Agent), '• Date: , 6/19/2019 Application Number: BRER2019-0152 Property Address: 52625 AVENIDA RAMIREZ APN: 773291018 Application Description: THOMAS / REROOF ENTIRE DWELLING WITH FOAM Property Zoning: Application Valuation: $6,450.00 Applicant: RANCHO MIRAGE ROOFING P 0 BOX 206 RANCHO MIRAGE, CA 92270 Owner: SIERCKS ROSALVA 2007 TRUST 52625 AVENIDA RAMIREZ LA QUINTA, CA 92253 Contractor: RANCHO MIRAGE ROOFING P 0 BOX 206 RANCHO MIRAGE, CA 92270 (760)832-2013 Llc. No.: 938533 Detail: REROOF WITH ERETHANE FOAM ROOFING SYSTEM OVER EXISTING BUILT-UP ROOFING PER ICC RATING... [CRRC: 0620-0015] PER 2016 CALIFORNIA ENERGY CODES. DESCRIPTION FINANCIAL INFORMATION 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 - 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: $163.30 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 i $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 �! W Qa�(ra ProjectAddress:Sa-62S A�Jen�'�a,yti APN #: Project Description: I-LLS+A•tr AfP_w V Applicant Name: LQDC- `tin 5 J;lr- U Address: X t2 City, ST, Zip: e zZ�p 0 Telephone 7 3 Z. _ 23 Email: Valuation of Project L Contractor Name: New SFD Construction: Address: no Conditioned Space SF City, St, Zip do ye G Garage SF Telephone:& 3 Z _ Patio/Porch SF Email: Fire Sprinklers SF State Lic:95J533 City Bus Lic: �-4 y i 2 © SAS �- Architect/Engineer Name: Construction Occupancy: Address: Grading: City, St, Zip Telephone: Bedrooms: Stories: # Units: Email: State Lic: City Bus Lic: Property Owner's Name: o New Commercial / Tenant Improvements: Address: 5&- 6a5 Age&rd ' Total Building _SF City, ST, Zip[_A. ao j h , S 3 Construction Type: Occupancy: TelephoneJ-6 pa5— Email: 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 PuWorks approval Fire approval City Business License STATE OF CALIFORNIA Prescriptive Residential Alterations That Do Not Require HERS Field Verification CEC-CFl R-ALT-05-E (Revised 07/17) CERTIFICATE OF COMPLIANCE Prescriptive Residential Alterations That Do Not Require HERS Field Verification This compliance document is only applicable to simple alterations that do not require HERS verification with a HERS Provider Data Registry. MMISSION 19 CF1R-ALT-05-E verification is required, a CFIR-ALT- U1 shall first be Page 1 of 3 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 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 1 Project Name: 03 Project Location 05 CA City: 07 Zip Code: 09 Climate Zone: 14.: iLL 2 499d le-c,1 Sa- EqI sa�r :� 4An: 12E2. 11 1 Building Type: BLS � .o••�e� _ 13 Project Scope (Select all that apply): 02 Date Prepared j 04 Building Front Orientation (deg or cardinal): 06 Number of Altered Dwelling Units: 08 rFuelTyp,. 10 1 Total Conditioned Floor Area (ft): 12 1 Slab Area (ft) ❑ 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 July Zul/ STATE OF CALIFORNIA Prescriptive Residential Alterations That Do Not Require HERS Field Verification CEC-GF1R•ALT-05-E (Revised 07/17 _ CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE CF1R-ALT-05-E Prescriptive Residential Alterations That Do Not Require HERS Field Verification Page 2 of 3 Project home ; A_ i 42ro UG� Date Prepared: Roof Replacement (Prescriptive Alteration, Section 150.2(b)1H) 01 02 03 04 05 06 07 08 09 10 11 12 13 R-value Proposed Minimum Required Method of CRRC Product Product Deck Initial Solar Aged Solar Thermal SRI Aged Solar Thermal SRI Compliance Roof Pitch Exception I ID Number Type Insulation I I Reflectance Reflectance Emittance (Optional) Reflectance Emittance (Optional 44 s �,:�ti xo-oo�s O.y$ o.) 3 0. ic k%� M- 17 10 111 Add Row IDelete 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 Building Energy Efficiency Standards - 2016 Residential Compliance July 2017 STATE OF CALIFORNIA Prescriptive Residential Alterations That Do Not Require HERS Field Verification CEC-CFIR-ALT-05-E (Revised OV17) — CERTIFICATE OF COMPLIANCE Prescriptive Residential Alterations That Do Not Require HERS Field Verification Prole«Name f7 . . . A �— 0.19--C_ %e-k- DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. A74AUG ,(k Company: Q.16-44A0 1-V:1A6e' 42-aDr t r'O-t i9l'411-- 7, MMISSION CF1R-ALT-05-E Page 3 of 3 w `dab$ �v r6 +7 - _• 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 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. S. I 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. sible Designer Name: MAiJe, ( c-Vko ,M. !ZA a �)� Zo � coil r, A,5 -2.o(3 For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300. July 2017 CA Building Energy Efficiency Standards - 2016 Residential Compliance J Find rated products - uoo1 Kom xaung i-ouncii i ap;; i vi 1 0620-0015 SHOW FILTERS Clear Filters x 1 SEARCH RESULTS A CRRC product rating describes the radiative performance of a roofing material; it does not indicate a ranking or approval. A product's placement on the Rated Products Directory (Directory) does not mean that the product is "cool" as defined by any particular code or program. Only products with active ratings can be found on the Directory. Read'More PRINT EXPORT ALL PRODUCTS Showing 1-1 of 1 result CRRC PROD. ID MANUFACTURER BRAND AND MODEL PRODUCTTYPE COLOR SOLAR REFLECTANCE THERMAL EMITTANCE SRI MORE INFO INITIAL 3YEAR INITIAL 3YEAR INITIAL 3YEAR o620-0015 Henry Company Pro -Graded 28o Elastomeric White Coating Bright o.88 0.73 0.90 0.87 111 89 + Roof Coating White - COOL ROOF RATING COUNCIL 2435 N. Lombard St. TEL (866) 465-2523 EMAIL: lnf COplrM5.Or Portland, OR 97217 Showing 1-1 of 1 result Certificate 3146.m https://coolroofs.org/directory 6/19/2019 $2•6 )..A RANCHO MIRAGE ROOFING INC / CSL8 #938533 P.O BOX 206 RANCHO MIRAGE, CALIFORNIA 92270 Estimate # Phone: (760) 832-2013 Date Email:-anchomirageroofing@aol.com PO # Web: www.ranchomirageroofing.com Business / Tax # Description 1" INCH HENRY RTC POLYURETHANE FOAM ROOFING SYSTEM PRFP EXISTING FLAT ROOFING SYSTEM REMOVE ALL GRAVEL, DIRT, DUST, ETC... FROM ROOF SURFACE OF BUILDING ,PATIOS , ETC... REMOVE & REPLACE ANY BAD PLYWOOD ($45 PER SHEET) iNSPECT & PREP ALL EXISTING ROOF DRAINS, FLASHINGS , ETC... GAS LINES, PLUMBING FLASHINGS , ELECTRICAL CONDUITS, WOOD BLOCK AS NEEDED (601yo �-7s7q INSTALL ANY NEEDED ROOF FLASHINGS TO MEET ALL MANUFACTER SPECIFICATIONS HENRY RTC POLYURETHANE ROOFING SYSTEM TO BE INSTALLED TO MEET ALL MANUFACTER SPECIFICATIONS APPLY ACYPRIME @ A RATE OF 1/2 GALLON / PER 100 SQFT OVER ENTIRE ROOF SURFACE INSTALL A MINIMUM OF 1" INCH 2.5 HENRY RTC CLOSED CELL POLYURETHANE FOAM ROOFING SYSTEM OVER ENTIRE ROOF SURFACE SLOPE AND CRICKET WHERE NEEDED FOR WATER FLOW DETAIL ENTIRE ROOF SURFACE WHERE NEEDED WITH POWER GRINDER APPLY HENRY ROOF CAULKING ON FLASHINGS , LAPS, VENTS, ETC... APPLY HENRY 285 ACRYLIC FOAM ROOF COATINGS / ENERGY STAR QUALIFIED / CALIFORNIA TITLE 24 COMPLIANT BASE COAT ) @ A RATE OF 1 GALLON / PER 100 SQFT TO ENTIRE ROOF SURFACE ( TOP COAT) @ A RATE OF 1 GALLON / PER 100 SQFTTO ENTIRE ROOF SURFACE APPLY ARTIC WHITE COOL ROOF GRANULES EMBEDDED IN WET ACRYLIC ROOF COATING APPLIED WITH MECHANICAL GRANULE BLOWER TO ACHIEVE MANUFACTER REQUIRED 40LB PER 100 SO FT APPLICATION A TOTAL OF 2.0 GALLONS / 15 DRY MILLS OF ROOF COATING PER 100 SQFT INSTALLED ON FINISHED ROOFING SYSTEM D52625 06/1 1 /2019 52625 81-4782874 Total $6,450.00 By signing this document, the customer agrees to the services and conditions outlined in this document. MANUEL ORTEGA SOUTHLAND CONTRACTING INC / KEITH TOMAS