BRER2019-020678-495 CALLE TAMPICO C� 0 4
i1N�iI/
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype: RE -ROOF/
Application Number: BRER2019-0206
Property Address: 51080 EISENHOWER DR
Appl SAWIT / R r � 0
Application Description: SAWITZ / RE -ROOF FLAT ARERSDFA
Property Zoning:
Application Valuation: 111 4 o .,.....
Applicant:
VISION ROOF SERVICES INC CITY OF LA QUINTA
41905 BOARDWALK SUITE L DESIGN & DEVELOPMENT DEPARTMENT
PALM DESERT, CA 92211
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under proyL-sWs of Chapter
9 {commencing with Section 7000) of Division 3 of the Business a Profe sions Code,
and my License is in ful orce and effect.
License Class: C3 Lignse No.: 651509
ate: l
% OWNER -BUILDER D LARATIO
I hereby affirm under penalty of perjury that am exe From the Contractor's State
License Law for the following reason (Sec. 7 1.5, mess and Professions Code: Any
city or county that requires a permit to const , 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 Na
Lender's
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/12/2019
Owner:
SAWITZ, BARRY
51080 EISENHOWER
LA QUINTA, CA 92253
Contractor:
VISION ROOF SERVICES INC
41905 BOARDWALK SUITE L
PALM DESERT, CA 92211
(760)409-8669
Llc. No.: 651509
WORKER'S COMPENSATION DECLARATION
I hereby affirm u der penalty of perjury one of the following declarations:
Cnaton,
and will maintain a certificate of consent to self -insure for workers'
coms provided forby Section 3700 of the Labor Code, for the performance
of,hich this permit is issued.
1 have and will maintain workers' compensation insurance, as required by
Section 3706 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: AMERICAN ZURICH INSURANCE COMPANY Policy Number:
WC009578001
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 a orkers'
compensation laws of California, and agree that, if I should becom ubjec o the
workers' compen71,
'n provisions of Section 3700 of the Labor de, I s I forthwith
comply with�hQsvisions.
Date: f ?I[tant:
WARN IN : FAILURE TO SECURE WORKERS' COMPENSAT C ERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIE ND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDI N TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTI 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 ilding
construction, and hereby authorize representatives of this city to enter upo h
above-mentlgn9d/roperty for inspection purposes. �
Signature (Applicant or Agent): _
Date: 11/12/2019
Application Number: BRER2019-0206
Property Address: 51080 EISENHOWER DR
APN: 773071017
Application Description: SAWITZ / RE -ROOF FLAT AREAS W/ FOAM
Property Zoning:
Application Valuation:
Applicant:
VISION ROOF SERVICES INC
41905 BOARDWALK SUITE L
PALM DESERT, CA 92211
Owner:
SAWITZ, BARRY
51080 EISENHOWER
LA QUINTA, CA 92253
Contractor:
VISION ROOF SERVICES INC
41905 BOARDWALK SUITE L
PALM DESERT, CA 92211
(760)409-8669
Llc. No.: 651509
------------------------------------------�-,-,--7, -. -----------------------------------------
Detail: REROOF WITH FOAM AT FLAT AREAS [CRRC: 0684-OO61 k!i6'&'l'ORNI"A ENERGY CODE.
N
DESCRIPTION
FINANCIAL INFORMATION
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 - EA ADDITIONAL 1,000SF
101-0000-42404
0
$12.88
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RE -ROOF - FIRST 2,000SF
101-0000-42404
0
$54.74
DESCRIPTION
ACCOUNT
CITY
AMOUNT
RE -ROOF - FIRST 2,000SF PC
101-0000-42600
0
$109.48
Total Paid for RE -ROOF 2019:
$177.10
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE:
$5.00
Project Address:
APN #:
PERMIT# &eQ12D Jq —()
PLAN LOCATION:
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
-0— d ��' J r y Or
"Address:
'CePepfiune; ��� ��
'aluation of Project $
Contractor Name:
Address:
City, St, Zip
Telephone:
Email:
I/ 5 / ar 40oil
State Li��-16-0 � City Bus Lic:
Arch/Eng Name:
Address:
City, St, Zip
Telephone:
Email:
State Lic:
City Bus Lic:
Property Owner's Name: (✓1� �. �f Sa wd'--
Address: %
City, ST, Zip
Telephone:
Email:
New SFD Construction:
Conditioned Space
Garage
Patio/Porch
Fire Sprinklers
Construction Type:
Grading:
Bedrooms: I Stories
SF
SF
SF
SF
Occupancy:
# Units:
New Commercial / Tenant Improvements:
Total Building SF
Construction Type: Occupancy:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
F,14
STATE OF CALIFORNIA
P�escriptiv'e Residential Alterations That Do Not Require HERS Field Verification
CEC-CF1 R-ALT-05-E (Revised 07117)
CERTIFICATE OF COMPLIANCE — — - — -
Prescriptive Residential Alterations That Do Not Require HERS Field verification
This compliance document is only applicable to simple alterations that do not require HERS verification for compliance. When
with a HERS Provider Data Registry.
MMISSION
CFIR-ALT-05-E
Page 1 of 3
verification is required, a MR-ALT- OT shall fast be registered
Alterations to Space Conditioning Sys rems that are exempt from HERS verification requirements may use the CFIR-ALT-05 and CF2R• ALT-05 Compliance Documents. Passible 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 wos previously tested and passed by a
HERS Rater. If space conditioning systems are altered and are nor exempt from HERS verification, then o CFIR-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 (oc5PF) with a density of 0.4 to less than 1.5 pounds per cubit 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:1,
J�1�17
02
Date Prepared:
03
Project Location:
04
Building Front Orientation (deg or cardinal):
05
CA City:
J z
06
Number of Altered Dwelling Units:
07
Zip Code:-12
08
Fuel Type:
09
Climate Zone:
10
Total Conditioned Floor Area (ft'):
11
Building Type:
i
1 � /
12
Slab Area (ft')
13 Project Scope (Select all that apply):
❑ B. Insulation ❑ D. & E. Fenestration/Glazing - ADD ❑ G. Space Conditioning System (Heating, Cooling, Duct system) ❑ Lighting
❑✓ 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 CALIFORNIA ENERGY GOMMTSSION
CEC•CFIR-ALT-o5-E ReViseao7/17 - - CF1R-ALT-05-E
CERTIFICATE OF COMPLIANCE
Prescriptive Residential Alterations That Do Not Require HERS Field Verification Page 2 of 3
Dilu CfQpar2d
Project N.-
C. Roof Replacement (Prescriptive Alteration, Section 150.2(1
01
02
03
04
Method of
Compliance
Roof Pitch
Excep ion
CRRC Product
ID Number
Add Row
Delete Row
NOTES:
• Roof area covered by building integrated photovoltaic panels an
• Liquid field applied coatings must comply with installation triter
))1H)
05
Product
Type
06
07
08
09
Proposed
R-value
Deck
Initial Solar
Aged Solar
Thermal
Insulation
I Reflectance
Reflectance
Emittance
Fly
r
J solar thermal panels are exempt from the above Cool Roof requirements,
a from Section 110.8(i)4.
10 11 12 13
Minimum Required
SRI Aged Solar Thermal SRI
tional) Reflectance , Emittance (Optioi
July 2017
CA -Z�uilclingEngrgy Efficiency Standards - 2016 Residential Compliance