BRER2019-019778-495 CALLE TAMPICO C� 0 D �P1iAr(i[J
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype: RE -ROOF/
Application Number:
BRER2019-0197
Property Address:
54599 INVERNESS
APN:
775092022
Application Description:
PGA WEST/ POLYURETHANE FOAM REROOF
Property Zoning:
Application Valuation:
$5,000.00
Applicant: D
B R S ROOFING INC
777 SOUTH LUGO AVE
SAN BERNARDINO, CA 92408 OCT 0 8 2019
CITY OF LAQUINTA 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 70001 of Division 3 of the Business and Professions Code, and
my License is in full force and effect.
License Class: C39 License No.:
Date: I o ,QL",. I a Contractor:
OWNER -BUILDER fulTION
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
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'
com nsation, as provided for by Section 3700 of the Labor Code, For the performance
oft k for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
Sect n 3700 of the Labor Code, far the performance of the work for which this permit is
issued. My workers' compensation insurance carrier and policy number are:
Carrier: CALIFORNIA INSURANCE COMPANY Policy Number: 28A 99273Q10Z
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 37 of the Labor Code, I shall forthwith
comply with those provisions.
Date: 0 21 Applicant:
WARNING: FAILURE TO SECURE WORKERS' COM NS TiON COV AGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL ENALTIES 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 properrty for inspection purposes.
Date: Q ! L Signature (Applicant or Agentm;L"
Date: 10/8/2019
Application Number:
BRER2019-0197
Property Address:
54599 INVERNESS
APN:
775092022
Application Description:
PGA WEST / POLYURETHANE FOAM REROOF
Property Zoning:
Application Valuation:
$5,000.00
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
GEM of'& DESERT —
Project Address:
APN M
Applicant Name: (.Tb �dtf Z
Address:' 5, LU CI-0
City, ST, Zip: rj c( �! 1'd��i !8 �I b � a 2LIW
Telephone: j0 Ds
Email: J 0P-D bf`S CO0-1;'ZI nt , CO vIA
Contractor Name: US kogcl n Yoe
Address: �' � ,
City, s4 zip CA,
Telephone: q 6 q cb $ 4 S $0 5
Email: 3or-0 b t00,�l4G �dpbtil
State Lie: d( 01 b 0 0 City Bus Lie:
Arch/Eng Name. -
Address:
City, St, zip
Telephone:
Email:
State Lie:
City Bus Lie:
Property Owner's Name:
Address: �y 320 5 44 --
o
City, ST, zip L� 4 V 1 +n T-c� Ccs Telephone: 5-
Email:
PIRR&ffT # 8 iL.F Jr-)t Q,- 01
PLAN LOCATION:
Project Description: Pool, Remodel, Add% Elect, Plumb, Mech
�0
�►� . l�, e�m��gn
Valuation of Projdct S l' d (o (; . 0 a
New SED Construction:
Conditioned Space SF
Garage SF
Patio/Porch SF
Fire Sprinklers SF
Construction Type: Occupancy:
Grading:
Bedrooms: + Stories: #units:
New Commercial / Tenant Improvements:
Total Building SF
Construction Type: Occupancy:
78495 CALLE TAMP IICO
LA QUINTA, CA 92253
760-777-7000
rvl .
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
CEC-CFIR-ALT-05-E Revised 07/1
CERTIFICATE OF COMPLIANCE
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
•. - —... V. .« uuwmenr 15 omy applicable to
with a HERS Provider Data Registry.
FORNIA EN
Oate arnuarrd
that do not require HERS verification for compliance. When HERS verification is required, a CF1R-ALTO-01 $h
COMMISSION
IM
C F 1 R-ALT-05-E
Page 1 of 3
be registered
Alterations to Space Conditioning Systems that are exempt from HERS verification requirements may use the CFIR-ALT 05 and CQR- ALT-05 Compliance Documents. Possible exemptions from duct
leakage testing Include: less than 40 ft of ducts were added or replaced; ar the existing duct system was insuloted 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 CFIR-ALT-02 must he completed and registered with a HERS Provider Data Registry.
Alterations that utilize close Cell Spray Polyurethane Foam (ccSPF) with o 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 (ac5PF) with a density of 0.4 to less than 1.5 pounds per cubic foot having an Rwalue of 3.5 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
A. t3eneral Intormation
01 Project Name:
03 Project Location`.
05 CA City:
07 Zip Code:
Pc---Ar 'Iti E S �-
09 Climate Zone; l e
11 Building Type:
13 Project Scope (Select all that apply): t
❑ B. Insulation ❑ D. & E. Fenestration/Glazing - ADD
❑✓ C. Roof Replacement
02 1 Date Prepared: I /_
04 I Building Front Orientation (deg or cardinal):
06 Number of Altered Dwelling Units:
08 Fuel Type:
10, Total Conditioned Floor Area (ft2y
12 Slab Area (ftz) '
❑ G. Space Conditioning System (Heating, Cooling, Duct system) ❑ Lighting
❑ D. & F. Fenestration/Glazing - REPLACE ❑ H. Water Heating System
CA Building Energy Efficiency Standards - 2016 Residential Compliance
❑ Include Mandatory Measures?
July 2017
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
CEC-CFIR-ALT-05-E(Revised 07/17 — ---
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
Method of CRRC Product Product
Compliance Roof Pitch Exception ID Number Type
Rlmv F46A',
ENERGY COMMISSION
CF1R-AL1 -05-E
06
07 08
09 10
11
12
13
Proposed
Minimum
Required
R-value
Deck
Initial Solar Aged Solar
Thermal SRI
Aged Solar
Thermal
SRI
Insulation
Reflectance Reflectance
Emittance (Optional)
Reflectance
Emittance
(Optional)
Add Raw Delete Row
NOTES: a
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.
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 (Revised 07117
CERTIFICATE OF COMPLIANCE CALIFORNIA ENERGY COMMISSION
Prescriptive Residential Alterations That Do Not Require HERS Field Verification CF11R-ALT-05-E
Page 3 of 3
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certcate of Compliance documentation is accurate and complete.
7ocumerrtation Author Nam
Documentat10 uth gnature:
J
-ompa n
�u Signature Date:
%ddress- }~►~J C1 2-- -- , r
—) --? -� a L-, 9 CEA/ HERS CerMcatlon Identif cat
rnone:
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.
re:
License:
e:
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