BRER2019-020978-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
Applicant:
VISION ROOF SERVICES INC
41905 BOARDWALK SUITE L
PALM DESERT, CA 92211
`�Y' ^F 4 Q.inrw
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
RE -ROOF/
BRER2019-0209
51060 EISENHOWER DR
773071017
SAWITZ / RE -ROOF FLAT AREAS W/ FOAM
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
SAWITZ, BARRY
51080 EISENHOWER
LA QUINTA, CA 92253
P DuCMV
actor:
N ROOF SERVICES INC
NOV 18 20195 BOARDWALK SUITE L
DESERT, CA 92211
CITY OF LA QUINTA (760)409-8669
DESIGN & DEVELOPMENT DEPARTMWo.: 651509
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: License No.: 651509
Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt f e Contractor's State
License Law for the following reason (Sec. 7031.5, Busine d 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
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 provided for by Section 3700 of the Labor Code, for the performance
of ith this permit is issued.
�I �ave and will maintain workers' compensation insurance, as required by
Seeflon 3M—of the Labor Cade, 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:
Wr4095780a1
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 worker
compensation laws of ifornia, and agree that, if I should become subject to
workers' campensat' n provisions of Section 3700 of the Labor Code, I s rth h
comply with,thgs revisions. ]
WARrIG: FAILURE TO SECURE WORKERS' COMPENS ON COYWAGE IS UNLAWFUL,
ANDS HALL SUBJECT AN EMPLOYER TO CRIMINAL PE LTIE D CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN AMMON 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 relatingpbuilding
construction, and hereby authorize representatives of this city to enter U09th
above -mentioned pr perty for inspection purposes. y
Date: 11/12/2019
Application Number:
BRER2019-0209
Property Address:
51060 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
LIc._No.:_E51509
---------------------------------s------ - ----m3----------------------------------------
Detail: REROOF WITH FOAM AT FLAT AREAS (CRRC: 0684-0002) 2016 CALIFORNIA ENERGY CODE.
DESCRIPTION
FINANCIAL INFORMATION
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 2,0005F 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
PERMIT #
PLAN LOCATION:
Project Address: 51 V wo h� Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN#:
sT, Zip:w T.�
Telephone:��
Eraiht
Contractor Name:
Address:
City, St, Zip
Telephone:
Email:
State LiKlr 0 City Bus Lie:
Arch/Eng Name:
Address:
City, St, Zip
Telephone:
Email:
State Lie:
City Bus Lie:
Property Owner's Name:��,. JIJ, Gti,7 7
Address.
City, ST, Zip
Telephone:
Email:
l�
aluation of Project
New SFD Construction:
Conditioned Space
Garage
Patio/Porch
Fire Sprinklers
Construction Type:
Grading:
Bedrooms: + Stories:
0
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
EA
STATE OFF CALIFORNIA
• Ri�escriptive Residential Alterations That Do Not Require HERS Field Verification
CEC-CFIR-ALT-05-E (Reviaed 07117)
CERTIFICATE OF COMPLIANCE
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
Project Name:
Thiscompliance document is only applicable to simple alterations that do not require HERS verification far compliance. When HERS
with a HERS Provider Data Registry.
CALIFORNIA ENERGY COMMISSION
CF 1 R-ALT-05-E
Page 1 of 3
is required, a CF11?-ALT- 01 sh A all first
Alterations to Space Conditioning Systems that are exempt from HERS verification requirements may use the CFIR & T-05 and CF2R• ALT 05 Complionce Documents. Possible exemptions from duct
leakage testing include: less than 40 ft of ducts were odded or replaced, • or the existing ducfsystem 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 CFIRALT-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 2.5 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 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 ore
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:
/ `
/
, + T_
CJ
/
03
Project Location:
% ic17'y
J
EPrepared:E
n (deg or cardinal
J
05
CA City:
_
J
06
Number of Altered Dwelling Units:
07
Zip Code:
08
Fuel Type:
09
Climate Zone:
10
Total Conditioned Floor Area (ftz):
11
Building Type:
)L/
y // )
�tJ G /
12
Slab Area (ftz)
13
Project Scope (Select
all that apply):
J
❑ B. Insulation 0 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
CIEC-Cf 1 R-ALT-05-E Revised 07/17
CERTIFICATE OF COMPLIANCE
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
PfuiKt Name
C. Roof Replacement (Prescriptive Alteration, Section
01
02
03
04
Method of
Compliance
Roo;Pitch
Excep ion
CRRC Produi
ID Number
Add Row
Delete Row
NOTES:
s Roof area covered by building integrated photovoltaic p
Liquid field applied coatings must comply with installati
150.2(b)1H)
Date
CF1R-ALT-05-E
Page 2 of 3
05
06
07 08
09
10
11 12
13
Proposed
Minimum Required
t
Product
R-value
Deck
Initial Solar Aged Solar
Thermal
SRI
Aged Solar Thermal
SRI
Type
Insulation
Reflectance Reflectance
Emittance
(Optional)
Reflectance Emittance
(Optional)
anels and solar thermal panels are exempt from the above Cool Roof requirements.
>n criteria from Section 110.8(i)4.
July 2017
CA ";gilding Energy Efficiency Standards - 2016 Residential Compliance
STATE OF tALIFOR,;�IA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
C_EC-CFIR-ALT-05-E lRevised 07/17)
CERTIFICATE OF COMPLIANCE
rrescrlpuve Keslaential Alterations That Do Not Require HERS Field Verification
MMISSION
CF113-ALT-05-E
Page 3 of 3
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Compliance docu entation is accurate and complete.
DOtumenSation Author Name DoCUmentation Author Signature:
f
Company_ Z
a[ure Date;
Address: I HERSCe rration Ide rcat n IiF gpp[itaGlej;
Gty1S[a 1 p; � f Phone:,f,/ ,
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 ava€labie 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 Desgner Signature:
f
Date goad:
I
Address-
_ Litense7
Phone:
r
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