BRER2019-0210� VOICE (760) 777-7125
78-495 CALLE TAMPICO T4ty/ DLA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 11/12/2019
Permit Type/Subtype: RE -ROOF/ Owner:
Application Number: BRER2019-0210 SAWITZ, BARRY
Property Address: 51025 AVENIDA MARTINEZ 51080 EISENHOWER
APN: 773071017 LA QUINTA, CA 92253
Application Description: SAWITZ / RE -ROOF FLAT AREAS W/ FOAM
Property Zoning:
Application Valuation:
Applicant: D ntfactor:
VISION ROOF SERVICES INC NOV 18 2019 SION ROOF SERVICES INC
41905 BOARDWALK SUITE L 1905 BOARDWALK SUITE L
PALM DESERT, CA 92211 PALM DESERT, CA 92211
cm OF LA QUINTA )409 8669
DESIGN IDEVELQPMS"' QEPRRS�Lic. No.: 651509
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions
9 (commencing with Section 70001 of Division 3 of the Business and Profe
and my License is in F I force and effect.
License Class: U0 Z License No.�651509
Ze 'J= Zg!��
OWNER -BUILDER DECLA ❑N
I hereby affirm under penalty of perjury that I am a rpm the Contractor's State
License Law for the following reason (Sec. 7031.5, B mess 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 Nam
Lender's
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'
compe%satton. as provided for by Section 3700 of the Labor Code, for the performance
of �ior which this permit is issued.
ve and will maintain workers' compensation insurance, as required by
f 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: AMERI AN ZURICH INSURANCE COMPANY Policy Number:
I certify that in the performance of the work for which this permit i
shall not employ any person in any manner so as to become subject to the
compensation laws of California, and agree that, if I should become sub' t to
workers' compensation rovlslons of Section 3700 of the Labor Cnd shall fc
comply with Ihosepr isions.
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COV IS UNLAWFUL,
AND SHALL SUBJECTAN EMPLOYER TO CRIMINAL PENALTIES MIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDI O THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTI 05 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
I agree to comply with all city and county ordinances and state laws relating t
construction, and hereby authorize representatives of this city to enter uporfthi
above -mentioned perty for inspection purposes.
7
Date: . / �.• .
at4r ( 'pl ant of=►I�err,Y}it
Date: 11/12/2019
Application Number: BRER2019-0210
Property Address: 51025 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.
�q�-;l3 r%73�11V.#iV7�/ ib Vfr,�lG��:
M - \
'k W 1
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
FINANCIAL INFORMATION
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 - EA ADDITIONAL 1,000SF
101-0000-42404
0
$12.88
DESCRIPTION
ACCOUNT
CITY
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
CITY AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0 $5.00
Tn*.l D.W f— TCPNIUAI AGV CIUYAAI!'CMCIUT CCC. tC nn
TOTALS; $192.10
PERMIT # ,6Z V— 2-,D, I C1 ^ DZ.i D
PLAN LOCATION:
Project Address: ,5l V'367� ��q��1� Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #: ✓1, �, � iJ ci � �Y oI, ]r O j'>
Applicant Name]{ f �D1✓
Address: (// /O_~I%���1��"- L
City, ST, Zip:
Telephone:
Email;
Contractor Contractor Name: % 01)% C )
Address:
City, St, Zip
Telephone:
Email:
State LKPfo City Bus Lie:
Arch/Eng Name:
Address:
City, St, Zip
Telephone:
Email:
State Lie:
City Bus Lie:
Property Owner's Name:�p, �.
Address:
City, ST, Zip
Telephone:
Email:
40 0-1r7i
aluation of Project S b� 6- J 0 0
New SFD Construction:
Conditioned Space SF
Garage SF
Patio/Porch SF
Fire Sprinklers SF
Construction Type: Occupancy:
Grading:
Bedrooms: I Stories: f # Units:
New Commercial / Tenant Improvements:
Total Building SF
Construction Type: Occupancy:
78495 CALLE TAMPICO
LA QU I NTA, CA 92253
760-777-7000
F,A
STATF OFCALIFrjIRNiA
�"r Prptive Residential Alterations That Do Not Require HERS Field Verification
CEC-CFI(Revised I7
CERTIFICAFICA TEE OF COMPLIANCE
CALIFORNIA ENERGY COMMISSIONLIANCE — - - — —
vrescriptive Residential Alterations
Do Not Require HERS Field Verification
CF 1 R-ALT-05-E
Page 1 of 3
note rreparea
This compliance document is only applicable to simple alterations that do not require HERS verification for compliance. When HERS verification is required, a CFZR-ALT- 01 shall first be registered
with a HERS Provider Data Registry.
Alterations to Space Conditioning Systems that are exempt from HERS verification requirements may use the CF1R-ALT-05 and CFZR- ALT-05 Compliance Documents. Possible exemptions from duct
leakage testing include: less than 40 ft of ducts were added or replaced,, or the existing ducf System was insulated with asbestos; .or the existing duct system was previously tested and passed by a
HERS Rater. If space conditioning systems ore altered and ore not exempt from+ HERS verification, then a CFZR-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-volue other than 5.8 per inch, or Open Cell Spray
Polyurethone Foam (ccSPF) 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 CF1R-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. t3enerai intormation
01 , Project Name:
03
i Project Location:
�/
•'ii
05
CA City:
07
Zip Code:
'
09
Climate Zone:
11
Building Type.
f }
13 Project Scope (Select all that apply):
— - - a
U /0 ,¢1,9 Tir)C' 7
02 1 Date Prepared:
04 I Building Front Orientation (deg or cardinal):
06 ; Number of Altered Dwelling Units:
08 1 Fuel Type:
10 I Total Conditioned Floor Area (ft):
12 I Slab Area (ft)
�I
❑ 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 COMMISSION
GEC -CFI R-ALT-Os-E (Revised 07/17) _—_ — - - - - CF1R-ALT-05-E
CERTIFICATE OF COMPLIANCE _
- Page 2 of 3
Prescriptive Residential Alterations That Do Not Require HE Field Verifieation —
Oi[c Prepared:
Project Name
C. Roof Replacement (Prescriptive Alteration, Section 150.2(b)1H)
01 02 03 04 05
Method of
Roof Pitch
CRRC Product Product
ID Number Type
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
(Optionai)
Reflectance
Emittance
(Optio
Aa,1/
Add Raw 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.
July2017
Ci�ciy;^e Energy Efficiency Standards 2016 Residential Compliance
STAT€ OF OAL60RNIA
Prescriptive 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
Project Nams-
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. I certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name' }
ENERGY COMMISSION
CF1R-ALT-05-E
Page 3 of 3
Sig ature Date: }
Mdress' CEV HERS Ce cation Ide ca n (if applicable]:
ctylsta ip: A-2� / Phone,�7��
RESPONSIBLE PERSON'S DECLARATION STATEMENT
k certify the following under penalty of perjury, under the taws 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.
Responsible Designer Name: Responsible Designer signature:
Ax�Ca����� f� fate fined:
4ddress;
License: �r
ty/statefLip: j U
phVne:��i/
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