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BRER2019-021378-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Permit Type/Subtype: Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: RE -ROOF/ BRER2019-0213 78134 CALLE NORTE 770011035 COX / POLY REROOF T4ht 4 4v Q" DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Applicant: ROOF ASSET MANAGEMENT INC D D 72056 NORTHSHORE STREET STE B THOUSAND PALMS, CA 92276 PNOV 2 7 2019 DD CITY OF LA QUINTA 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 70001 of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: C39 License No.: 677708 •.III, 11 Z�2 it 9 Cyr: OWNER-BUI ER DECLARATION I 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 Addre- VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/27/2019 Owner: Cox Donald P / Tomlinson Kenneth F Contractor: ROOF ASSET MANAGEMENT INC 72056 NORTHSHORE STREET STE B THOUSAND PALMS, CA 92276 (760)813-9999 Llc. No.: 677708 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 th work for which this permit is issued. ,, I have and will maintain workers' compensation insurance, as required by Section 3700 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: STATE COMPENSATIQNFUND Policy Number: 9155203 _ I 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' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Aegnt:��L� WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 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 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 hereby authorize representatives of this city to enter upon the above - mentioned property for inspection purposes. '1J17�/ i Signatua(Applicant or Agent): L— Date: 11/27/2019 Application Number: BRER2019-0213 Property Address: 78134 CALLE NORTE APN: 770011035 Application Description: COX / POLY REROOF Property Zoning: Application Valuation: Applicant: ROOF ASSET MANAGEMENT INC 72056 NORTHSHORE STREET STE B THOUSAND PALMS, CA 92276 Owner: Cox Donald P / Tomlinson Kenneth F Contractor: ROOF ASSET MANAGEMENT INC 72056 NORTHSHORE STREET STE B THOUSAND PALMS, CA 92276 (760)813-9999 Llc. No.: 677708 Detail: REMOVE GRAVEL ROOF AND REROOF WITH POLYURETHANE FOAM ELASTOMERIC COATING AND ROOFING GRANULES (CRRC 0626-0010) ON FLAT AREAS ONLY. REPLACE PLYWOOD AS NECCESSARY. PER 2016 CALIFORNIA BUILDING CODES FINANCIAL DESCRIPTION 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 - 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: $164.22 DESCRIPTION ACCOUNT CITY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 CUQa CALIFORNIA Project Address: 7$13,,f r1alle NAr-tc APN #: Applicant Name: Address: 7i, 0 S 6 //,o r-4 54r51. City, ST, Zip: TA0VS4.,r/ P4 ��. f� Ch 94-2 6- Telephone: ?60 Email: 11 Valuation of Project $ PERMIT # .. PLAN LOCATION: /310 7 13 / (p 1 Aor74 Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech RC -roof 0 r 4k r" 0 i 1I! ),600 Ft-L0 E--/ _i ftSn Q" for 7�)3� oo to S00.0 4 Property Owner's Name:EJ Itorl. Pi4 New Commercial / Tenant Improvements: Address: C '/L y-� Total Building SF City, ST, Zip A70�, <A Yea 3 Construction Type: Occupancy: Telephone; Email: Gf . CALLE TAMPICO LA QUINTA, CA 92253 (760)777-7125 WWW.LA UINTACA.GOV STATE OF CALIFORNIA I r6scriptive Residential Alterations That Do Not Require HERS Field Verification Cr=C•CFIR-ALT-05-E {Revised 07/17 CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE Prescriptive Residential Alterations That Do Not Require HERS Field Verification CF1R-ALT-05-E PrPage 1 of 3 yxl Name Marc prcpar� This compliance document is only applicable to simple alterations that do not require HERS verification for compliance. When HERS verification is required, a CF1R-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 CFIR-ALT-05 and CF2R- ALT O5 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, HERS Rater. if space conditioning systems are altered and are not exempt from HERS verification, then a CF1R-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 (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 instollation of the items on this certificate, each person shall prepare and sign o 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: 72r/3 at / 1W y 05 CA City: l 07 Zip Code: 09 Climate Zone: 11 Building Type: 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 Fuel Type: 10 Total Conditioned Floor Area (ft): 12 1 Slab Area (ft) ❑ 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 CEC-CFIR-ALT-05-E Revised07117 CERTIFICATE OF COMPLIANCE Prescriptive Residential Alterations That Do Not Require HERS Field Verification Project Name Roof Replacement (Prescriptive Alteration, Section 150.2(b)1H) 01 02 03 04 05 Method of CRRC Product Product Compliance Roof Pitch Exception ID Number Type FORNIA C F 1 R-A LT-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 (Optional . �y 7 � U- lob , Add Row } Delete RowJ NOTES: i • 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 c,A-Roiiding Energy Efficiency Standards - 2016 Residential Compliance STATE OF CALIFORNIA Prescriptive Residential Alterations That Do Not Require HERS Field Verification CEC-CFIR-ALT-05-E Rdyised 07I17j CALIFORNIA ENERGY COMMISSION CERTIFICATE OF COMPLIANCE Prescriptive Residential Alterations That Do Not Require HERS Field Verification MR-ALT-05-E Prow, N,me Page 3 of 3 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate :of Compliance documentation is accurate and complete. Documentation Author Mime: ocumentatiAu thor Signature: T lq r i�r � �� D Company; Signature Date: l ►/�7 9 Address' //LEAS HER5 certitication identification (it applicable): Phone: 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. S. I 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 understarid 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. r Date signed- ��✓ �"� I V�i /� ..0 ��/f �� ' � License: Phone: `I�'o -85)3 For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300. CA Building Energy Efficiency Standards - 201 -Residential Compliance July 2017