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BRER2019-018678-495 CALLE TAMPICO D '"i-uMAL�t1 LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Permit Type/Subtype: RE -ROOF/ Application Number: BRER2019-0186 Property Address: 54828 INVERNESS APN: 775091015 Application Description: PGA WEST / POLYURETHANE FOAM REROOF Property Zoning: Application Valuation: $3,919.00 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: PGA WEST RES 1 HOA 54320 SOUTHERN HILLS LA QUINTA, CA 92253 Date: 10/8/2019 Applicant: Contractor: B R S ROOFING INC B R S ROOFING INC 777 SOUTH LUGO AVE, 777 SOUTH LUGO AVE SAN BERNARDINO, CA 92408 P SAN BERNARDINO, CA 92408 OCT 0 8 2019 (909)884-8505 CITY OF LA QUINTA in Llc. No.: 907600 _QE%QIV&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.: 907600 Date: io ,g^,T 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 constructthe 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 Add 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' co pensation, as provided for by Section 3700 of the Labor Code, For the performance oft rk For which this permit is issued. I have and will maintain workers' compensation insurance, as required by Sec on 700 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: ANCOMPANY Policy Number: 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 fprovisions. Date: 10 ' �t 1 1 Applican WARNING: FAILURE TO SECURE WORKERS' OMPE SATION 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 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`rity to enter upon the above - mentioned property for inspection purposes. 1111 Date: 1v ��` Signature (Applicant orAgen Date: 10/8/2019 Application Number: BRER2019-0186 Property Address: 54828 INVERNESS APN: 775091015 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 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 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 Total Paid for RE -ROOF 2019: $54.74 DESCRIPTION ACCOUNT CITY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 t Q1.� GEM.JI&DESERT - -, ,, syaza Project Address: APN #: Applicant Flame: (.Tb z-P—h J v0tM-C- Address: L-U ("-0 City, ST, Zip: 5.q 4 f,� tZfyn 'A 4 V, b z ibz Telephone: Z (D D ?� Email: J OPS9? bra CV04.,�, Vtc� , co VVN Contractor (game: FRS Address: -, -7 -7 5 A i city, St, Zip 5G h e�it ��Cr1t+t1© CA, q zy i9% Telephone: Q d 41 cb $ 4 S SO S Email: 3Qr- State Lie: C( 01 b 0 6 City Bus Lic: Arch/Eng Flame: Address: City, St, Zip Telephone: Email: State Lie: City Bus Lie: Property Owner's blame: Address: 54 wo- City, ST, Zip Q V h�q C c, an 22�3 - Telephone: Email: PERMIT # IJ rLE>�.11-� I PLAN LOCAMM. Project (Description: Pool, Remodel, Add% Elect, Plumbs Mech PO�4vr '04 A SA'0 +1 e-P t L C Q GL n f 5 t cah0�vs. 1ac� ` wo0 5>1 Valuation of Project S (P d � New SFL Construction: Conditioned Space SP Garage SF Patio/Porch SF Fire Sprinklers SF ConAMetion 'Type: Occupancy: Grading: Bedrooms: I Stories: I # unit,: New Commercial / Tenant Improvements: Total Building SF Construction Type: Occupancy: 78495 CALLETAMPICO LA QUINTA, CA 92253 760-777-7000 rYl . STATE OF CALIFORNIA Prescriptive Residential Alterations That Do Not Require HERS Field Verification CEC-CF s R-ALT-05-E Revised 07/17] CERTIFICATE OF COMPLIA_NCE — CALIFORNIA Prescriptive Residential Alterations That Do Not Require HERS Field Verification M M(SS ION CFIR-ALT-05-E Page 1 of 3 This compliance document is only applicable to simple alterations Mot 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 ore exempt from HERS verification requirements may use the CFIR AtT-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 rll_RS Raterif space conditioning systems ore altered and are not exempt frorn HERS verification, then a CFIR-ALT-02 must be completed and registered with a HERS Provider Data Registry. Alterations that utilize close Cell Spray Polyurethone Foam (ccSPF) with a density of 1.5 to less than 2.5 pounds per cubic foot hawing an R-value other than 5.8 per inch, or Open Cell Spray 'olyurethone 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 CFIR-ALT-01 with a HERS Provider Data ?egistry. 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 TPI.ject Name: 03 Project Location: 05 CA City: 07 Zip Code: -;- 2� 09 Climate Zone: I - pw• 11 Building Type: 13 Project Scope (Select all that apply): ❑ B. Insulation ❑ D. & E. Fenestration/Glazing - ADD 02 Date Prepared: 04 Building Front Orientation (deg or cardinal): 06 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) ❑✓ C. Roof Replacement ❑ D. & F. Fenestration/Glazing - REPLACE ❑ H. Water Heating System CA Building Energy Efficiency Standards - 2016 Residential Compliance ❑ Lighting ❑ Include Mandatory Measures? July 2017 STATE OF CALIFORNIA Prescriptive Residential Alterations That Do Not Require HERS Field Verification CEC-CFIR-ALT-05-E Revisers 07M) CERTIFICATE OF COMPLIANCE - - - — — Prescriptive Residential Alterations That Do Not Require HERS Field Verification CALIFORNIA EN IISSION 1R-ALT-05-E Page -3of 3 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Compliance documentation is accurate and complete. DCciunentationAuthor Nam tlocumentatio uth ignature Compan c f - {Tj�'� Signature pate v1 Zvi `1 4ddress: CEAI HERS Lervricatfon identification (lf applicaolej: "ity/state�1ip: Phone: - 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. i 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 I and Part 6 of the California Code of Regulations. t. 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. i. 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 ofthis Certificate of compliance is required to be included with the documentation the builder provides to the building owner at occupancy. tesponsi6le 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