BRER2019-0217i 4 ei�Q&
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype:
RE -ROOF/
Application Number:
BRER2019-0217
Property Address:
52950 AVENIDA CARRANZA
APN:
773322011
Application Description:
JONANSON / 2,300SF FOAM REROOF
Property Zoning:
Application Valuation:
$12,668.00
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
10NO IV
Applicant: Q Contractor:
VISION ROOF SERVICES INCD 4 VISION ROOF SERVICES INC
41905 BOARDWALK SUITE L 0 41905 BOARDWALK SUITE L
PALM DESERT, CA 92211 DEC 2 U 2019 PALM DESERT, CA 92211
CITY OF LAQUINTA (844)348-7663
DESIGN & DEVELOPMENT DEPARTMENT LIc. No.: 651509
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed and rovisions of Chapter 9
{commencing with Section 70001 of Division 3 of the Busine an Professions Code, and
my License is in full € rce and effect.
License Class: Li nse No.:
Date: Contractor:
OWNER-BUILDERDE R ON
I hereby affirm under penalty of perjury that I ex pt from the Contractor's State
License Law for the following reason (Sec. 70 usiness 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 N
Lender's Add
Date: 12/20/2019
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'
comps on, as provided for by Section 37DO of the Labor Code, for the performance
of tVon700
for which this permit is issued.
have and will maintain workers' compensation insurance, as required by
Secof 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 ZQB&H INSURANCE COMPANY Policy Number:
WC009578001
_ I certify that in the performance of the work for whir is permit is issued, I
shall not employ any person in any manner so as to becomes ct to the workers'
compensation laws of California, and agree that, if I should me subject to the
workers' compensation provisions of Section 3700 of the r Code, I forthwith
complywith ose77pp�rovisions.
Date: Applicant:
WARNING: FAILURE TO SECURE WORKERS' ATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRI AL 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 subjectto
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 law lacing to building
construction, and ere an
re
presentatives of this city to er upon the above-
menti?d ro irtty]for! spection purposes. _
Date: ! nature (Applicant orAgent�
Date: 12�e0/2019
Application Number: BRER2019-0217
Property Address: 52950 AVENIDA CARRANZA
APN: 773322011
Application Description: JONANSON / 2,300SF FOAM REROOF
Property Zoning:
Application Valuation: $12,668.00
Applicant:
VISION ROOF SERVICES INC
41905 BOARDWALK SUITE L
PALM DESERT, CA 92211
Owner:
JONO IV
Contractor:
VISION ROOF SERVICES INC
41905 BOARDWALK SUITE L
PALM DESERT, CA 92211
(844)348-7663
Llc. No.: 651509
Detail: 2300SF REROOF - REROOF ENTIRE DWELLING WITH FOAM [CRRC:0684-0000]2016 CALIFORNIA ENERGY CODE.
A FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY AMOUNT
BSAS SB1473 FEE
101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
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 - 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
CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
CEC-CFI R-ALT-05-E (Revised 07/17)
CERTIFICATE OF COMPLIANCE
vrescriptive Kesiaential Alterations That Do Not Require HERS Field Verification
.—
ENERGY
CF 1 R-ALT-05-E
Page 1 of 3
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 CF1R-ALT-05 and CF2R- ALT-05 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 a
HERS Rater. If space conditioning systems are altered and are not exempt from HERS verification, then a CFIR-ALT-02 must be completed and registered with a HERS Provider Data Reg+srry.
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 S ra
� Y
Polyurethane Foam (ocSPF) 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.
LTemporary labels shall not be removed before verification by the building inspector.
A. General
Information
01
Project Name:
L� f
02
Date Prepared:
� �
03
Project Location:
r�
04
Building Front Orientation (deg or cardinal):
05
CA City:
06
Number of Altered Dwelling Units:
07
Zip Code:
��
08
Fuel Type:
09
Climate Zone:
10
Total Conditioned Floor Area (ftz):
11
Building Type:
all that apply):
12
Slab Area (ft2)
13
Project Scope (Select
J col�/rl�
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
CEC-CFIR-ALT-a5-E(Revised 07117
CERTIFICATE OF COMPLIANCE
Prescriptive Residential Alterations That D ♦ t Require HERS Field Verification
CrAble
ENERGY COIWMISSION
CF1R-ALT-05-E
Page 2 of 3
Roof Replacement (Prescriptive Alteration,
i-:C
Section 150.2(b)1H)
11 12 13
Minimum Required
01 02 03
04
05
06
07 08 09 10
Proposed
Method of
Compliance
Aged
Roof Pitch
Exception
NSA
CRRC Product
ID Number
ff 'r
Product
Type
R-value
Deck
Insulation
Initial Solar Aged Solar
Reflectance Reflectance
Thermal
Emittance
SRI
(Optional)
Aged Solar
I Reflectance
Thermal
Emittance
SRI
(Optional)
<_ 2:12
Reflectance
Additw 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.
CA Building Energy Efficiency Standards - 2016 Residential Compliance
July 2017
STATE OF CALIFORNIA
Prescriptive Residential Alterations
CEC-CFIR-ALT-05-E Rewsw07117)
CERTIFICATE OF COMPLIANCE
That Do Not Require HERS Field Verification
Prescriptive Residential Alterations That Do Require HERS Field
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 Certify that this Certificate of Compliance documentation is accurate and complete.
L i✓
RESPONSIBLE PERSON'S DECLARATION STATEMENT
CALIFORNIA ENERGY COMMISSION
CF 1 R-ALT-05-E
Page 3 of 3
DOre Pre➢arep:
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 available with the building permit(s) issued for the but , 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 cu ntation the builder provides to the building
owner at occupancy.
Designer
r—
Phone:
Designer Signature:
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
a& Q"Kra
(A-S:KI'
PERMIT#GEMfd".
LOCATION:
Project Address:
Sa9� �! -
+PLAN
Gect Description: Pool, Remodel, Add't, Elect, Plumb, iH "h
+1�t j
APN #:
Applicant Name:
Address:
City, ST. Zipi
"l'dlephont
rEznaiI yl
Valuation of Project S
Contractor Nam � � -
New SFD Construction:
Address:
Conditioned Space SF
City, St, Zi
Garage SF
Telephone:760 [ �`
Patio/Porch SF
Email:
Fire Sprinklers SF
State Lic: C: City Bus Lic: 6 E Is--!
Arch/Eng Name: Construction Type: Occupancy:
Address: Grading:
City, St, Zip
Telephone: Bedrooms: Stories: # Units:
Email:
State Lic: City Bus Lic:
-�faNQ 25A.K.." /-/, (.,
Property Owner's Name: � �
New Commercial / Tenant Improvements:
Addre.5s:. �� �.
Total Building SF
City, ST. Zig
Construction Type: Occupancy:
Telephone:
L�3All;�
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
OFFICE UST ONLY
#
Submittal
Req'd
Rec'd `
Plan Sets
Structural Calcs
1
Truss Calcs
Title 24 Calcs
a
Soils Report
Grading Plan (PM10)
Landscape Plan
Subcontractor List
Grant Deed
HOA Approval
School Fees
Burrtec Debris Plan
Planning approval
Public Works approval
Fire approval
City Business License