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BRER2020-000978-495 CALLE TAMPICO C 0 Dill LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Permit Type/Subtype: RE -ROOF/ Application Number: BRER2020-0009 Property Address: 54085 AVENIDA MENDOZA APN: 774222023 Application Description: BIENEK / REROOF ENTIRE DWELLING Property Zoning: Application Valuation: $7,000.00 Applicant: DAVID EUGENE BIENEK D 54085 AVENIODA MENDOZA LA QUINTA, CA 92253 JAN 2 8 2020 CITY OF LAQUINTA 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 7000) of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: C39 License No.: 651509 Aate��ontraetor• - OWNER -BUILDER DEC ARATION 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 Address: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/28/2020 Owner: DAVID EUGENE BIENEK 54085 AVENIODA MENDOZA LA QUINTA, CA 92253 Contractor: VISION ROOF SERVICES INC 41905 BOARDWALK SUITE L PALM DESERT, CA 92211 (844)348-7663 Llc. No.: 651509 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one ofthe 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 ofIbLIvork For Which this permit is iSSLed . SIM 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: AMEBICAU Z RI 1-1 IN5QRANCE CQMPANYPolicy Number: WC009578003 _ 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 Forth „ comply with those provisions. �. - Dater/rZ 9-2-c7 ?-0 WARNING: FAILURE TO SECURE WORKERS' MPE COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO6AIh6W PE ALTIES 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 theabovg mentioned property for inspection purposes. Date:' zl-ZoG') Sig nature (Applicant or:e Date: 1/28/2020 Application Number: BRER2020-0009 Property Address: 54085 AVENIDA MENDOZA APN: 774222023 Application Description: BIENEK / REROOF ENTIRE DWELLING Property Zoning: Application Valuation: $7,000.00 Applicant: DAVID EUGENE BIENEK 54085 AVENIODA MENDOZA LA QUINTA, CA 92253 Owner: DAVID EUGENE BIENEK 54085 AVENIODA MENDOZA LA QUINTA, CA 92253 Contractor: VISION ROOF SERVICES INC 41905 BOARDWALK SUITE L PALM DESERT, CA 92211 (844)348-7663 Llc. No.: 651509 Detail: REROOF ENTIRE DWELLING WITH NEW PAPER AND OWENS CORNING TRUE DEFINITION DURATION IN 'NIGHT SKY' ASPHALT SHINGLES [CRRC:0890-0026] 2019 CALIFORNIA ENERGY CODE. FINANCIAL INFORMATION DESCRIPTION ACCOUNT CITY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 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 $25.76 DESCRIPTION ACCOUNT CITY 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: $189.98 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 • 1 ERMIT # W PLAN LOCATION: Project Address: S�IpBS AVEN110A HeWoZA Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech APN #: Applicant Name: Address: s� City, ST, Zip: Telephone: Email: _ _ - Contractor Name: Address: �/ 9 Z 4 z- City, St, Zip .41,Y) wd^ Telephone: We _b0© _ 6� 9,,,? Email: State Lic:GS1-5'e City Bus Lic: Arch/Eng Name: Address: City, St, Zip Telephone: Email: State Lic: City Bus Lic: Property Owner's Name: w Address: �' f p'7 City, ST, Zip Telephone: - _ Email; Valuation of Projects p New SFD Construction: Conditioned Space Garage Patio/Porch Fire Sprinklers Construction Type: Grading: Bedrooms: I Stories: New Commercial / Tenant p Total Building ���� nstructianType: 78495 CALLE TAMP CC LA QUINTA, CA 92253 760-777-7000 SF SF SF SF Occupancy: # Units: 3-1; �C) SF Occupancy: J STATE OF CALIFORNIA Prescriptive Residential Alterations That Do Not Require HERS Field Verification CEC-CF1 R-ALT-05-E (Revised 01120) CALIFORNIA ENERGY COMMISSION® CERTIFICATE OF COMPLIANCE CF1R-ALT-05-E Prescriptive Residential Alterations That Do Not Require HERS Field Verification Page 1 of 3 Project Name: i Date Prepared - 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 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 greater 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 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. General Information 01 Project Name: 0& �L 31 ,7 02 Date Prepared: z 03 Project Location: 9� Front Orientation (deg or cardinal): 6 D vl sit. �05 umber of Altered Dwelling Units: CA City: k04Building 07 Zip Code: C1 �Z S�uel Type: 09 Climate Zone: I 10 Total Conditioned Floor Area (ftz): 11 Building Type: a rt 41 12 Slab Area (ftz) 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 - 2019 Residential Compliance January 201120 STATE OF CALIFORNIA Prescriptive Residential Alterations That Do Not Require HERS Field Verification G1 c '7 CEC-CF1 R-ALT-05-E [Revised 01120) CALIFORNIA ENERGY COMMISSION�� CERTIFICATE OF COMPLIANCE CF1R-ALT-05-E Prescriptive Residential Alterations That Do Not Require HERS Field Verification Page 2 of 3 Project Name: I Date Prepare& ] - Z tr - Z C? as ^ C. Roof Replacement (Prescriptive Alteration, Section 150.2(b)1H) oo area covere y ui 01 02 03 04 05 06 07 08 09 10 11 12 13 Proposed Minimum Required Method of Compliance Roof Pitch Exception CRRC Product ID Number Product Type R-value Deck Insulation Initial Solar Reflectance Aged Solar Reflectance Thermal Emittance SRI (Optional) Aged Solar Reflectance Thermal Emittance SRI (Optional) 0$9o-ao%b ��Ii��i� 0-le o-pro ((0 Add Row Delete Row NOTES: HA; • R f d b b 'Id' t t d h t It ' 1 d I th I I t f th b C I R f t m egra e p o ovo aic pane s an so ar erma pane s are exemp rom e a ove o0 oo requiremen s. • Liquid field applied coatings must comply with installation criteria from Section 110.8(i)4. ICA Building Energy Efficiency Standards - 2019 Residential Compliance January 20,20 STATE OF CALIFORNIA Prescriptive Residential Alterations That Do Not Require HERS Field Verification n CEC-CF1 R-ALT-05-E (Revised 01120) CALIFORNIA ENERGY COMMISSION® CERTIFICATE OF COMPLIANCE CF1R-ALT-05-E Prescriptive Residential Alterations That Do Not Require HERS Field Verification Page 3 of 3 Project Name: Date Prepared: DOCUMENTATION AUTHOR'S DECLARATION STATEMENT 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: Company: ' Z00 iGG J o G Signature gate: �� v Address: / / OL CEA/ HERS Certification Identification (it applicable): City/state/zap: fescr�'� G�' 9�2� I Phone: /60 - 66,0- lf� 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 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: Company: Date Signed: 1-/1 S �0 ��� S�v�C / -- Z Q— C_o 7- Address: SI License: s s10 9 �City/State/Zip: Du_lM 9l-2L-I Phone: C�? - 61 �3 For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300. 'CA Building Energy Efficiency Standards - 2019 Residential Compliance January 2020 TruDefinition` Duration' COOL Shingles Amber, Forest Brown, Mojave, COOL ROOF• • Product Owens••, ty ID Length Reflectance Emittance TruDefinition' Duration' COOL Amber 0890-0009 Limited Lifetime*/t: 0.210 0.92AA Reflectance Index (SRI) 21 tt TruDefinition' Duration' COOL Forest Brown 0890-0018A Limited Lifetime*/tt 0,170 0.91 AA 17tt TruDefinition'° Duration' COOL Mojave 0890-0017A Limited Lifetime*/*t 0.190 0.92AA 19tt TruDefinition' Duration" COOL Mountainside 0890-0016A Limited Lifetime*/tt 0.190 TruDefinition' Duration' COOL Night Sky 0890-0026 Limited Lifetime*/#t 0.180 C 0.90AA 16tt TruDefinition Duration' COOL Oyster Shell 0890-0012 Limited Lifetime*/ft 0.220 0,92AA TruDefinition` Duration' COOL Sand Castle 0890-0020 Limited Lifetime*/tt 0.180 0.92AA 17tt TruDefinition" Duration' COOL Shasta White 0890-0008 Limited Lifetime*/#t 0.28 0.91 29 TruDefinition' Duration` COOL Sierra Gray 0890-0013 Limited Lifetime*/tt 0.200 0.92AA 20tt TruDefinition' Duration' COOL Summerwood 0890-0015A I Limited Lifetime*/tt 0.190 0.91 AA 18tt 0 Aged solar reflectance calculated based on equation provided in California Energy Code (Title 24. Part 6). ^ ^ Indicates initial thermal emittance. tt SRI calculation based on calculated aged solar reflectance and initial thermal emittance. SRI is calculated using California Energy Commission SRI calculator worksheet and it is calculated in accordance with ASTM E1980,