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BRER2019-018978-495 CALLE TAMPICO D aC Q" LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Permit Type/Subtype: RE -ROOF/ Application Number: BRER2019-0189 Property Address: 54681 INVERNESS WY APN: 775092012 Application Description: PGA WEST / POLYURETHANE FOAM REROOF Property Zoning: Application Valuation: $3,919.00 Applicant: B R S ROOFING INC P 777 SOUTH LUGO AVE SAN BERNARDINO, CA 92408 OCT 0 8 2019 CITY OF LA QUINTA 0 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.:22 Date la+� Contractor: OWNER -BUILDER EC 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 Name: Lender's Address: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/8/2019 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 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' #-d alion, as provided for by Section 3700 of the Labor Code, for the performance rkfor which this permit is issued. Ihave and will maintain workers' compensation insurance, as required by 700 of the Labor Code, for the performance of the work for which this permit is y workers' compensation insurance carrier and policy number are: Carrier: CAJtFORNIA INSURANCE COMPANY 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 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: f 1 —1 Applicant: WARNING: FAILURE TO SECURE WORKERS' CO PE ATION COV AGE 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 behalfthis 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 e)[y to ter upon the above - mentioned property for inspection purposes. " Date: 0 + ` lll, Signature (Applicant or Agent); Date: 10/8/2019 Application Number: BRER2019-0189 Property Address: 54681 INVERNESS WY APN: 775092012 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 FINANCIAL INFORMATION DESCRIPTION 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 RECORDS MANAGEMENT FEE 101-0000-42416 0 $10.00 Total Paid for RECORDS MANAGEMENT FEE: $10.00 DESCRIPTION ACCOUNT QTY AMOUNT RE -ROOF - FIRST 2,000SF 101-0000-42404 0 $54.74 DESCRIPTION ACCOUNT QTY 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 TOTALS::0 da QW: n ta PER&HT # /3RER2d1 q-C7 g GEWgJk6nEsEjW - PLAN LOCATION: Project Address: - Project Description: Pool, Remodel, Add% Elect, Plumbs Mech APN #: �,rrillY 3 sr ► VI �f' V d a [14 �� 'A Applicant Name: CTb 5--p-P Address: L U (�-o 2.�a-T -oMe.PlL C. YI City, ST, Zip: Telephone: jd D i Z � 6 Email. V),\ Valuation of project I. 3 O !7 Contractor Name: k4 oC' Y> New SFD Construction: Address: -117 5. LQ G Q Conditioned Space SP City, St, Zip SCiY) f1 cxf-A inp C.A. -1 Z ci% Garage Telephone: Q 6 A `a $ y S $O S SF Patio/Porch Email: b Ay Pik© y�9 OG � C061n SF Fire Sprinklers State Lie: d( 01 to 0 0 City Bus Lie: SF Arch/Eng Name: Address: Construction Type: Occupancy: City, St, Zip Grading: Telephone: Email: Bedrooms: Stories: # Units: State Lie: City Bus Lie: Property Owner's Name: ���� �C�S `� New Commercial / Tenant Improvements: Address: 5y 20 5 4 _ ° �� �t �l Total Building City, ST, Zip SF QV t n� Ce" °i 22�'3 - 5L� [� S Causrxuction Type: Occupancy: Telephone: Tp y. Email: 78495 CALLS TAMPICO LA QUINTA, CA 92253 760-777-7000 STATE OF CALIFORNIA Prescriptive Residential Alterations That Do Not Require HERS Field Verification CEC-CEIR-ALT-05-E Revised 07"" CERTIFICATE OF COMPLIANCE — — — CALIFORNIA ENERGY COMMISSION Prescriptive Residential Alterations That Do Not Require HERS Field Verification CF1R-ALT-05-E +■++� cu+apirunce document is only aI with a HERS Provider Data Registry. Page 1 of 3 to simple alterations that do not require HERS verification far compliance. When HERS verification is required, a CF1R-ALT- 01 shall first be registered Alterations to Space Conditioning Systems that are exempt from HERS verification requirements may use the CFTR-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 o CF1R ALT-02 must be completed and registered with a HERS Provider Dato 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-4Z with a HERS Provider Data Registry. I I 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: 03 J Project Location: 05 1 CA City: 07 1 Zip Code: 09 Climate Zone; S r p w 11 Building 13 Project Scope (Select all that apply): B. Insulation El 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 (ft2): 12 Slab A(ftz) rea G. Space Conditioning System (Heating, Cooling, Duct system) ❑ Lighting 0✓ 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 Prescriptive Residential Alterations That Do Not Require HERS Field Verification GEC-CF1R-ALT-05-E Revised07117 CERTIFICATE OF COMPLIANCE Prescriptive Residential Alterations That Do Not Require HERS Field Verification C. Roof Replacement (Prescriptive Alteration, Section 150.2(b)1H) 01 02 03 04 - - ___ 05 �E Method of Compliance i Roof Pitch F71tv Exception CRRC Product ID Number G 77G Product Type � a r 06 07 08 109 Proposed R-value Deck Initial Solar Aged Solar Thermal Insulation Reflectance Reflectance Emittance Eis* ? Ill • 1z�r I Add Raw I 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. _ J FO MMISSION CF1R-ALT-05-E Page 2 of 3 10 11 1 12 13 Minimum Required SRI Aged Solar Thermal SRI itional) Reflectance I Emittance (Optional) 'W1 July 2017 CA Building Energy Efficiency Standards - 2016 Residential Compliance STATE OF CALIFORNIA Prescriptive Residential Alterations That Do Not Require HERS Field Verification CEC-CF1R-ALT-05-E Revised 07/17 CERTIFICATE OF COMPLIANCE — -- - - — — — CALIFORNIA Prescriptive Residential Alterations That Do Not Require HERS Field Verification DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Aocumentatiyon Author Nam Documentation uth ignature: Cflmpan Signature Date: Ci 4ddress: CEA/ HERSCertfRcatidn ldentifrcatian ISSION 1 R-A LT-05-E Page —3of 3 Pnone: - RESPONSIBLE PERSON'S DECLARATION STATEMENT - I certify the foliowing under penalty of perjury, under the laws oft e 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 specificatioris, 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. iesponsihle Designer Name: 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