BRER2019-018378-495 CALLE TAMPICO ' 0 D � VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 10/8/2019
Permit Type/Subtype: RE -ROOF/ Owner:
Application Number: BRER2019-0183 PGA WEST RES 1 HOA
Property Address: 54932 RIVIERA 54320 SOUTHERN HILLS
APN: 775153083 LA QUINTA, CA 92253
Application Description: PGA WEST / POLYURETHANE FOAM REROOF
Property Zoning:
Application Valuation: $3,919.00
Applicant: DU W Contractor:
B R S ROOFING INC B R S ROOFING INC
777 SOUTH LUGO AVE 777 SOUTH LUGO AVE
SAN BERNARDINO, CA 92408 OCT 0 8 2019 D
SAN BERNARDINO, CA 92408
(909)884-8505
CITYOFLAQUINTA Llc. No.:907600
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 r, License No.: 907600
Date:-,t7 • R � �'t Contractor:
OWNER -BUILDER D CLA ATION
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
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, far the performance
of Jhk for which this permit is issued.
Ihave and will maintain workers' compensation insurance, as required by
Sec00 of the Labor Code, for the performance of the work Ear which this permit is
y workers' compensation insurance carrier and policy number are:
Carrier: CALIFORNIA INSURANCECOMPANY Policy Number: 828992730102
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 370D of the Labor Code, I shall forthwith
comply with those provisions.
Date: Applicant Applicant:
WARNING: FAILURE TO SECURE WORKERS' OMP NSATIO COVERAGE 15 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 ATTORNEYS 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 ofthis 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.
Date: Signature (Applicant or Agent)
Date: 10/8/2019
Application Number:
BRER2019-0183
Property Address:
54932 RIVIERA
APN:
775153083
Application Description
PGA WEST/ POLYURETHANE FOAM REROOF
Property Zoning:
Application Valuation:
$3,919.00
Applicant:
B R S ROOFING INC
777 SOUTH LUGO AVE
SAN BERNARDINO, CA 92408
Owner:
PGA WEST RES 1 HOA
54320 SOUTHERN HILLS
LA QUINTA, CA 92253
Contractor:
B R S ROOFING INC
777 SOUTH LUGO AVE
SAN BERNARDINO, CA 92408
(909)884-8505
Llc. No.: 907600
Detail: REMOVE GRAVEL ROOF AND REROOF WITH POLYURETHANE FOAM ELASTOMERIC COATING AND ROOFING GRANULES (CRRC 0770-0002) ON FLAT
AREAS ONLY. REPLACE PLYWOOD AS NECCESSARY. PER 2016 CALIFORNIA BUILDING CODES
DESCRIPTION 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
RECORDS MANAGEMENT FEE
101-0000-42416
0
$10.00
Total Paid for RECORDS MANAGEMENT FEE: $10.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
RE -ROOF - FIRST 2,000SF
101-0000-42404
0
$54.74
DESCRIPTION
ACCOUNT
CITY
AMOUNT
RE -ROOF - FIRST 2,000SF PC
101-0000-42600
0
$109.48
Total Paid for RE -ROOF 2019: $164.22
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
a
GEM OfAFrMW" -
Project Address: �2� I1 U
APN M
Applicant Name: Tb 0-e-P J �Wle.-,
Address: 5 . LU (�-oy
City, ST, Zip: PN R 270z
Telephone: -1 (D D 3
co VYN
Contractor Name: BLS ko, C\
Address: .) -1 -7 11) C, 0
city,St,zip 5SY1 LA, 94406
Telephone: q 6 a$ y S SO 5
Email: feo , C®6Rn
State Lie: Ci 016 0 0 City Bus Lie.
Arch/Eng Name:
Address:
City, St, Zip
Telephone:
Email:
State Lie: City Bus Lie:
Property Owner's Name,
Address: 154
City. ST, zip QV 1 n�_ct Cc,
Telephone:
Email;
PERNET # 0 ( Ej — (01
PLAN LOCATION:
Pjryoject Description: Pool, Remodel, Add% Elect, Plumbs Mech
Co M � 1 Q!�1
�.�q sA71 Yk
�QL1f1VI 1qGc- 0 l L/w n nnf a 7-AI
I'3 Q?
Valuation of Project S.
New SFD Construction:
Conditioned Space
Garage
Patio/Porch
Fire Sprinklers
Construction Type:
Grading:
SF
SF
SF
SF
Occupancy:
Bedrooms: I Stories: I # Units:
New Commercial / Tenant Improvements:
Total Building SP
Construction Type. Occupancy:
78495 CALLETAMPICO
LA QUINTA, CA 922S3
760-777-7000
ovAnol
QssA r v .
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
CEC-CF1 R-ALT-ME (Revised 07/17)
CERTIFICATE OF COMPLIANCE - —
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
ENERGY COMMISSION
CFIR-ALT-05-E
Page 1 of 3
This compliance document is only applicable to simple alterations that do not require HERS verification for compliance. When HERS verification is required, a CFIR-ALT- 01 shall first be registered
with a HERS Provider Data Registry.
i
Alterations to Space Conditioning Systems that are exempt from HERS verification requirements may use the CFIR ALT-05 and CF2R- ALT-05 Compliance Documents. Possible exemptions from duct
leakage testing include: less than 40 ft of ducts were added at replaced, • of the existing duct system was insulated withasbestos, 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, their a CFIR 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 I.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 (ccSPF) 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 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,
m. ueneral Inrormation
01 7Prj.,t Name;
03 Project Location:
05 CA City:
07 Zip Code:
PGA \N)cS�-
09 Climate Zorie;
11 Building Type
$ i to
13 Project Scope (Select all that apply):
❑ B. Insulation ❑ D. & E. Fenestration/Glazing - ADD
02 1 Date Prepared: I r,
04 Building Front Orientation (deg or cardinal):
06 1 Number of Altered Dwelling Units:
08 Fuel Type:
10. Total Conditioned Floor Area (ftZ):
12 Slab Area (ft)
❑ 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 2017
STATE OF CALIFORNIA
Alterations That Do Not Require HERS Field Verification
Prescriptive Residential
CALIFORNIA ENERGY COMM15S14N
CEC-CFIR-ALT-05-E Revised07/17 —
CF1R-ALT-05-E
CERTIFICATE OF COMPLIANCE
Page 2 of 3
Prescriptive Residential Alterations That Do Not Require HE Field Verification
Date Prcparrd
Project ePeme:
C. Roof Replacement (Prescriptive Alteration, Section 150.2(b)1H)
13
01 02 03 04 05 06
07
08 09
Proposed
10 11 12
Minimum Required
R-value
Method of CRRC Product Product Deck
Insulation
Initial Solar
Reflectance
Aged Solar Thermal
Reflectance Emittance
SRI Aged Solar Thermal SRI
(optional) Reflectance Emittance (Optional)
Compliance Roof Pitch Exception ID Number Type
Add Row 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(i)4.
July2017
CA Building Energy Efficiency Standards - 2016 Residential Compliance
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
'EC-CF1R-ALT-05-E Revised 07/17)
CERTIFICATE OF COMPLIANCE - — — — CALWORNIA ENERGY COMMISSfON
Prescriptive Residential Alterations That Do Not Require HERS Field Verification CF11R-ALT-05-E
Pt•1ieCt"°m�:�}�—�L _ Ih y i 'r — / Page 3 of 3
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Compliance documentation #i accurate a
----••• wa. rvcm
�Doumentatio th r wrature:
Compa _ LJ&�r Z—
®l Qn Signature Date:
Address:
r 1 LEA/ HER5 Certification 10Wifisation (if applicable):
Cit /State1z' �f phone
in k\('Ainv �`{ 7"32lo
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certify the following under penalty of perjury, under the laws of the State of California:
I. 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:
mpany
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
July 2017