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BRER2019-019978-495 CALLE TAMPICO D 4V+uLfC[J LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Permit Type/Subtype: RE -ROOF/ Application Number: BRER2019-0199 Property Address: 54623 INVERNESS APN: 775092020 Application Description: PGA WEST/ POLYURETHANE FOAM REROOF Property Zoning: Application Valuation: $5,000.00 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 Applicant: Contractor: B R S ROOFING INC Q � B R S ROOFING INC 777 SOUTH LUGO AVED 777 SOUTH LUGO AVE SAN BERNARDINO, CA 92408 SAN BERNARDINO, CA 92408 OCT 0 8 2019 (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 License No.:9()7600 Date: Lid �Q—i• q Contractor: OWNER -BUILDER DE LARA ION 1 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 Add Date: 10/8/2019 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' Icom ns 'on, as provided for by Section 3700 of the Labor Code, for the performance of t for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Sect n 700 of the Labor Code, for the performance of the work for which this permit is issu d. y workers' compensation insurance carrier and policy number are: Carrier: Policy Number: 828992730102 I certify that in the performance of the work for which this permit is issued, 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. ll Date: ` d Applicant: WARNING: FAILURE TO SECURE WORKERS' ATION COVE E 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 subjectto 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 p[ty toter upon the above - mentioned property for inspection purposes. Date:' Signature (Applicant or Agen Date: 10/8/2019 Application Number: BRER2019-0199 Property Address: 54623 INVERNESS APN: 775092020 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 QTY 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 QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 �� PERMIT # [ j PLAN LOCATION: Project Address: ' 23 T ./ �-r1c Project Description: fool, Remodel, Add't, Elect, Plumb, Mech APN #: Applicant Name: (Tb a� Address-. 5 LU City, ST, Zip: rj c3, � p, CI-A.�.i ➢ �! 6 �� q 2L03 40i L'C- Telephone: jp b l W D O S AtLtS 019 2-0Email: ') 0 � f r ,(�j�1 nt . Co vy1 Valuation of Project s ( '4 d C, Contractor Name: US kd oC� � �� C 5 New SFD Construction: Address: -17 5, Conditioned Space SF City, St, Zip Sin C-A, Garage Telephone: Q o a 00 y 8 SO 5 SF Patio/Porch SF Email:n t'0® f—O➢vo Fire Sprinklers State Lie: 6[ Ol to 0 0 City Bus Lie: SF Arch/Eng Name: Address: Construction e. Occupancy: Grading: City, St, Zip Telephone: Email: Bedrooms: Stories: # Units: State Lie: City Bus Lie: Property Owner's Name: Wes ��s `�, New Commercial / Tenaut Impravements: Address: ����0 Sd P�Y1� 44 __ L� Total Building SF City, ST, Zip Q V , vl�^q Cc q 226'3 ` 6-Io Telephone: fo Construction Type: Occupancy: Email: 78495 CALLETAMPICO LA QUINTA, CA 92253 760-777-7000 rvi . STATE OF CALIFORNIA Prescriptive Residential Alterations That Do Not Require HERS Field Verification CEC-CFIR-ALT-05-E Reviseq 07117 CERTIFICATE OF COMPLIANCE Prescriptive Residential Alterations That Do Not Require HERS Field Verification This compliance document is only applicable to with a HERS Provider Data Registry. do not require compliance. When NIA EN Doty Pre Pared"� 7 is required, a CF1R-ALT- 0I shall first be registered Lon COMMISSION CFIR-ALT-OS-E Page 1 of 3 Alterations to Space Con ditianing 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 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 exemptfrom HERS verification, then a CFIR-ALT-02 must be completed and registered with a HERS Provider Do to Registry. Alterations that utilize close Cell Spray Polyurethane Foam (ccSPF) with a density of 15 to less than 2.5 pounds per cubic foot having an R-volue 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 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. General Information 01 Project Name: 03 Project Location 05 CA City: 07 Zip Code: CSC 09 Climate Zone; 11 Building Type: TIP5k 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 1 Fuel Type: 10. Total Conditioned Floor Area (ft) 12 Slab Area (ft) ❑ G. Space Conditioning System (Heating, Cooling, Duct system) ❑ Lighting ❑✓ C. Roof Replacement ❑ D. & F. Fenestration/Glazing - REPLACE 0 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 CEC-CFIR-ALT-05-E (Revlsed 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 1 02 03 04 05 Method of I CRRC Product Product Compliance Roof Pitch Exception ID Number Type IA s MISSION FIR-ALT-05-E Page 2 of 3 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 (Optioi all , �d ��d .1.d -. ?S 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. July 2017 ential Compliance CA Building Energy Efficiency Standards - 2016 Resid STATE OF CALIFORNIA Prescriptive Residential Alterations That Do Not Require HERS Field Verification CEC-CF1 R-ALT-05-E (Revised 07/17 CERTIFICATE OF COMPLIANCE -- - - Prescriptive Residential Alterations That Do Not Require HERS Field Verification ENERGY COMMISSiON� C F 1 R-ALT-05-E Page -3of 3 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. I certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Namei 3 O ���� =Documentatio uth gnature: Company_ Signature Date: Address: 1 � / -) —7 CEA1 HERSCertiiication Identiilcatlon {if applicai�leji 'ity/statelrip: Phone: -2-0 '� I ?�3 11 2— 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 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. teSponsible Designer Name: Responsible Des�ner Signature - partly D 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