BRER2019-0190Td4
78-495 CALLE TAMPICO 0 D `CQ"
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype: RE -ROOF/
Application Number:
BRER2019-0190
Property Address:
54689 INVERNESS
APN:
775092010
Application Description:
PGA WEST / POLYURETHANE FOAM REROOF
Property Zoning:
Application Valuation:
$3,919.00
Applicant: D
B R S ROOFING INC
777 SOUTH LUGO AVE
SAN BERNARDINO, CA 92408 OCT 0 8 2019
CITYOF LAQUINTA
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.: 90760ON {1
Date: i L 1, 0° I ► Contractor:
OWNER -BUILDER DECLARATION v
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
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
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'
to pe tion, as provided for by Section 3700 of the Labor Code, for the performance
of rk for which this permit is issued.
have and will maintain workers' compensation insurance, as required by
Set 'an 3700 of the Labor Code, for the performance of the work for which this permit is
issu . Y workers' compensation insurance carrier and policy number are:
Carrier: CALIFORNIA INSURANCE COMPANY Policy Number: 828992730102
1 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 Sectio 700 the Labor Code, I shall forthwith
comply with those provisions.
Date: 10 ` Applicant:
WARNING: FAILURE TO SECURE WORKERS' C PEN ATION CO 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 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.
Date: 10
' ' Signature (Applicant or Agent).
Date: 10/8/2019
Application Number:
BRER2019-0190
Property Address:
54689 INVERNESS
APN:
775092010
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
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
i tint
PERIviiT # " Q
GEM ajoo DESERT - -
PLAN LOCATION:
Project Address: SN 1069
�V1CS
Project Description: Pool, Remodel, Add't, Elects Plumb, Meeb
AFN #:
rrvlCiY� e.. r S ► � V P-.,� ,C�.�y, yl
t }
Applicant Name: �� �� � J
Address:, 5 , LU �
�'q S�o
City, ST, Zip:
Telephone: Z (D D
Email:,, DP-9 br, CP04) tltos CO
valuation oiProject S
Contractor Name: US kD o�\ � �� C ,
Now S;FD, Construction:
Address: -1-1-7 5. Lu C--Q
Conditioned Space Sp
City, St, Zip 5,Yl C-A , 9 zy 0>1
Garage
Telephone: q o ei cb $ y $ SD
SF
Pado/Porch
Email: � Of- Q b f�y TOO `1
SF
Fire Sprinklers
p
State Lic: CJ DI to 0 0 City Bus Lic:
SF
Arcli/Eag Name:
Address:
Construction Type: Occupancy:
City, St Zip
Grading:
Telephone:
Email;
Bedrooms: Stories: # Units:
State Lic: City BusLic:
Property Owner's Name:
New Commercial / Tenant Improvements:
Address:rj�ZU
l l5 Total Building SF
City, ST, Zip � QV i v1�-•
4 -. 9- 2L7 - - S�(� 5- Construction Type: Occupancy:
Telephone: p y.
Email:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
CEC-CFSR-ALT-06-E Reviser107117)
CERTIFICATE OF COMPLIANCE CALIFORNIA ENERGY COMMISSION
Prescriptive Residential Alterations That Do Not Require HERS Field Verification ECFIR-ALT-05-E
— Page 1 of 3
hue Preparee
This compliance document is only applicable to simple alteratithatons do not require HERS verification for compliance. When HERS verification is required, a CF1R-ALT- 01 shall first be reaistered
with o HERS Provider Data Registry.
Alterations to Spate Conditioning Systems that are exempt from HERS verification requirements may use the CF1R-ALT-05 and CF2R- AL T-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 ore altered andare 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 an R-value of 3.6 per inch, shall complete Registry. and register a CF1R 4LT-01 with a HERS Provider Data
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 Project Name:
03 Project Location:
05 CA City:
07 Zip Code:
%J i,L
9
09 Climate Zone; p e w•..
11 Building Type: v-e_>k
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: I
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
CA Building Energy Efficiency Standards - 2016 Residential Compliance
El Include Mandatory Measures?
July 2017
STATE OF CALIFORNIA
'Prescriptive Residential Alterations That Do Not Require HERS Field Verification CALIFORNIA ENERGY CaCMMISSN
F1R ON
CEC-CF1R-ALT-05-E Revised07/17y _ CF1R-ALT-05-E
CERTIFICATE OF COMPLIANCE Page 2 of 3
Prescriptive Residential Alterations That Do Not Require HERS Field Verification Date Pmpared:
NN—t Name:
C. Roof Replacement (Prescriptive Alteration, Section 150.2(b)1H)
O1 02 03 04 OS
Method of
CRRC Product
Product
Compliance
Roof Pitch
F,14:tv
Exception
ID Number
6716
Type
F�aj&,
06
08
)CI10
11
12 13
��07
Proposed
Minimum Required
R-value
Deck
Initial Solar
Aged Solar
Thermal
SRI
Aged Solar
Thermal SRI
Emittance (Optional)
Insulation
Reflectance
Reflectance
Emittance
(Optional)
Reflectance
I S?
L l I
, fa
11id
,26
. 5
Add Row I Delete Row
NOTES:
• Roof area covered by building integrated photovoltaic panels and solar thermal panels are exempt from the above Cool Roo requirements,
• Liquid field applied coatings must comply with installation criteria from Section 110.8(i)4. —
July 2017
CA Building Energy Efficiency Standards - 2016 Residential Compliance
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
CEC-CFIR-ALT-05-E ReviseU07/17
CERTIFICATE OF COMPLIANCE
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
�.i
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. Icertify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Nam Documenta[io uth r ignature
sampan Signature pate:
4ddress: CEAt HERS Certification Identifirz
GY COMMISSION
E:
CF 1 R-ALT-05-E
Page 3 of 3
Suing k(n0�.fCAiii,% C' -�-`f0 „.„... 32—k
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 Cade of Regulations.
4. The building design features or system design features identified an this Certificate of Compfiance 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.
Responsible Designer Name- Responsible Designer Signature:
V
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