BRER2019-020778-495 CALLE TAMPICO C"z? 0 D QU&M VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Permit Type/Subtype: RE -ROOF/ Owner:
Application Number: BRER2019-0207 SAWITZ, BARRY
Property Address: 51085 AVENIDA MARTINEZ 51080 EISENHOWER
APN: 773071017 LA QUINTA, CA 92253
Application Description: SAWITZ / RE -ROOF FLAT AREAS W/ FOAM
Property Zoning:
Application Valuation:
Applicant: Contractor:
VISION ROOF SERVICES INC P
VISION ROOF SERVICES INC
41905 BOARDWALK SUITE L 41905 BOARDWALK SUITE L
PALM DESERT, CA 92211 NOV 18 2019 PALM DESERT, CA 92211
(760)409-8669
CITY OF LA QUINTA Llc. No.: 651509
DESIGN & DEVELOPMENT DEPARTMENT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provi ' s of hapte
9 (commencing with Section 70001 of Division 3 of the Business and ofessl s Code,
and my License is in ful force and effect.
License Class:2:�Z
eNo.: 65150�9iCbntfactar • r
OWNER -BUILDER DECI.ARATI
I hereby affirm under penalty of perjury that I am exe t fr the Contractor's State
License Law for the following reason (Sec. 7031.5, Bus a and Professions Code: Any
city or county that requires a permit to construct, alter, mprove, 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:
Date: 11/12/2019
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'
compensation, as rovided for by Section 3700 of the Labor Code, for the performance
a t he wOZW which this permit is Issued.
I IFsve and wlll maintain warkers' compensation insurance, as required by
Sect ❑ 00 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:
WCfZfjy578001
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' compensa n provisions of Section 3700 of the Lab de, I shall forthwith
comply with Sh,9W rnv'rslons.
WARNING: FAILURE TO SECURE WORKERS' COM ION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMIVVENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,0 . 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 he by authorize representatives of thi
above mentiord roperty for inspection purposes.
!Date: _ � s�girafiJ�.�ppl€�3n't:nrAg�:
Lender's AddreSs: S
Date: 11/12/2019
Application Number: BRER2019-0207
Property Address: 51085 AVENIDA MARTINEZ
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
Detail: REROOF WITH FOAM AT FLAT AREAS [CRRC: 0684-0002) 2016 CALIFORNIA ENERGY CODE.
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
LI_c. No.: 651509
DESCRIPTION
FINANCIAL
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
Qa!4,tra PERMIT # EVJ5V-2�) - 1 02-D
,/� PLAN LOCATION:
kAP
ct Address:' (D%5 ,�}`r� M6(Y,�� fly' iect Description: Pool, Remodel, Add't, Elect, Plumb, Mech
: bU t`t `�
sT.E: ,i�-cam T"
Vo
�mai 1,
Contractor Name:
Address:
City, St, Zip
Telephone:
Email:
State Li
� /0 City Bus Lic:
Arch/Eng Name:
Address:
City, St, Zip
Telephone:
Email:
State Lie:
City Bus Lie:
Property Owner's Name:
Address:
City, ST, Zip
Telephone:
Entail:
:5�1 tvI f,--
aluation of Project $- lb � � J a 0 (1)
New SFD Construction:
Conditioned Space Sr
Garage SF
Patio/Porch SF
Fire Sprinklers SF
Construction Type: Occupancy:
Grading:
Bedrooms: J Stories: I # Units:
New Commercial / Tenant Improvements:
Total Building SF
Construction Type: Occupancy:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
FIA
STATE OF CALIFORNIA
R�eaer--'-ptive Residential Alterations That Do Not Require HERS Field Verification
C EC-CF1 R-ALT-05-E Revised 07117 _
CERTIFICATE OF COMPLIANCE -
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
awl.�s xoma•
This compliance document �s only applicable to simple alterations that do not require
with a HERS Provider Data Registry.
IA ENERGY COMMISSION
121`111-ALT-05-E
Page 1 of 3
compliance. When HERS verification is required, a CF1R-ALT- 01 shall first be registered
Alterations to Space Conditioning Systems that ore exempt from HERS verification requirements may use the CF1R ALT-05 and CF2R- ALT D5 Compliance Documents. Possible exemptions from duct
leakage testing include: less than 40ft 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 ore altered and are not exempt from HERS verification, then a CF1R-ALT-02 must be completed and registered with o 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 (ccSPF) with a density of OA to less than 1.5 pounds per cubic foot having on 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
03
Project Name:
Project Location:
/ )y�
r '
�C•�
A
04
Date pared:
Building Front Orientation (deg or cardinal):
J
%
05
CA City:
06
Number of Altered Dwelling Units:
07
Zip Code:
J
08
Fuel Type:
09
Climate Zone:
10
Total Conditioned Floor Area (ft)
11
Building Type
2t-7-/
l
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
CrC CF 1 R-ALT-05-E (Revisee 07/17)—
CERTIFICATE OF COMPLIANCE __
Prescriptive Residential Alterations That Do Not Require HERS Field Verification_
P-i— Name
ERGY COMMISSION
MR-ALT-05-E
Page 2 of 3
July 2017
CA Cuilding- 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 — — - - — - -
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
6ocumenrationAuOor NameYt z j—
1%)19
complete.
Documentation Author Signature:
Sig ature Date:
CALI
EN
CF 1R-ALT-05-E
Page 3 of 3
LEA/ HERS Creation Ideyfficatron (iFapplica6lr]:
PhonC,l-
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 w}II 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 lesigner Na me: - Responsible Designer Signature: .,
'1l?a,5
/A
Date*gned
License:
.�U
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