BRER2020-003978-495 CALLE TAMPICO D " " IfiV
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype:
RE -ROOF/
Application Number:
BRER2020-0039
Property Address:
52490 AVENIDA VELASCO
APN:
773265011
Application Description:
KLEIN / REROOF ENTIRE DWELLING WITH FOAM
Property Zoning:
Application Valuation:
$11,500.00
Applicant:
CHRIS DUFFY - VISION ROOF SERVICES INC D
41905 BOARDWALK SUITE L CCp �o�o
]D
PALM DESERT, CA 92211 FEB D
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 7000) of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class:: CC39 License No.: Ili
Date:. .7 !/ LI2 °& `iO Contractor:
OWNER -BUILDER 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
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
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/12/2020
Owner:
JESSICA KLEIN
52490 AVENIDA VELASCO
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 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 the 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: AMERICAN ZURICH INSURANCE COMPANY Policy Number:
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.
Date: �'`� Applicant: L /
WARNING: FAILURETO 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.'
Date: S %L I'"' Signature (Applicant or Agent): a,(-,
Date: 2/12/2020
Application Number:
BRER2020-0039
Property Address:
52490 AVENIDA VELASCO
APN:
773265011
Application Description:
KLEIN / REROOF ENTIRE DWELLING WITH FOAM
Property Zoning:
Application Valuation:
$11,500.00
Applicant:
CHRIS DUFFY - VISION ROOF
SERVICES INC
41905 BOARDWALK SUITE L
PALM DESERT, CA 92211
Owner:
JESSICA KLEIN
52490 AVENIDA VELASCO
LA QUINTA, CA 92253
Contractor:
VISION ROOF SERVICES INC
41905 BOARDWALK SUITE L
PALM DESERT, CA 92211
(844)348-7663
Llc. No.: 651509
Detail: REMOVAL OF EXISITING TAR AND GRAVEL TO BE REPLACED WITH NEW FOAM ROOF ON FLAT AREAS WITH GENERAL COATINGS MANUFACTURING
CORP. ULTRA FLEX 1000 W / GRANUELS [CRRC: 0684-0003] SRI VALUE OF 92. PER 2019 CALIFORNIA ENERGY CODE.
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
CITY
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,OOOSF
101-0000-42404
0
$12.88
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: $177.10
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
— GEN1 f,rt(*SJ*, F —
PERMIT # ✓�� �2a�.i� `V`�
PLAN LOCATION:
Project Address: 1!rz
G Z'
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #:
FL, 4c0 G e v
Applicant Name: �l a,J
Ck(a e e cG^ [
Address: �.� irr C�,vi
OG 9 1/ — c7a G
City, ST, Zip
Telephone:
Email:
Valuation of Project $
Contractor Name: �f /
New SFD Construction:
Address:
�
Conditioned Space SF
City, 5t, Zip wl� �v f CZ� i L 2 /
Garage SF
Telephone: (� 6 U G G Y S
Patio/Porch SF
Email: C 1AFire
Sprinklers SF
State Lic: � r/ City Bus Lic:
Arch/Eng Name:
Construction Type: Occupancy:
Address:
Grading:
City, St, Zip
Telephone:
Bedrooms:
Stories:
# Units:
Email:
State Lic: City Bus Lic:
Property Owner's Name: ��s S,, /l q? I
New Commercial / Tenant Improvements:
Address: s 2 f/�a rl� (0
Total Building 3�>D - SF
City, ST, Zip
Construction Type: Occupancy:
Telephone:
Email:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
OF CALIFORNIA
3criptive Residential Alterations That Do Not Require HERS Field Verification
-CF1 R-ALT-05-E [Rev:sed 0920
CERTIFICATE OF COMPLIANCE
CALIFORNIA ENERGY COMMESSION
Prescriptive Residential Alterations That Do Not Require HERS Field Verification Page 1 of 3
Project Name: Z `ra'l. Date Prepared: `
S)_ 12 X K CL. — V 1 ca/J c� L/ 2 7c 2,
I his compliance document is only applicable to
with a HERS Provider Data Registry.
not require HERS verification for compliance. When HERS verification is requ+rt:d, a CF1R-ALT-
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:
02 Date Prepared
03
Project Location: / V+zJQJ-
04 Building Front Orientation (deg or cardinal):
✓ ` act c
05
CA City:
` .f
{ram ! Ll L �^
06
Number of Altered Dwelling Units:
07
Zip Code:
2 —r 3
08
Fuel Type:
09
Climate Zone:
S
10
Total Conditioned Floor Area (ft):
�O
11
Building Type:
12
Slab Area (ft)
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 2020
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
CEC-CF1 R-ALT-05-E (Revistd 01120) _
CERTIFICATE OF COMPLIANCE
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
Project h1a me: S
L �`-/ v � s-�-G-�4 U
CALIFORNIA ENERGY COMMISSION
LU
CF1R-ALT-05-E
Page 2 of 3
C. Roof Replacement (Prescriptive Alteration, Section 150.2(b)1H)
01 02 03 04 05 06 07 08 09 10 11 12 13
Proposed
Minimum Required
R-value
Method of
CRRC Product
Product
Deck
Initial Solar Aged Solar Thermal SRI
Aged Solar
Thermal SRI
Compliance Roof Pitch Exception
ID Number
Type
Insulation
Reflectance Reflectance Emittance (Optional)
Reflectance
Emittance (Optional)
l ✓� 1=� e
bo
,7Y
-�.3
9 2—
1
Add Row Delete Row
se '5-) .0IL C'xcAT&q--
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.
jilding Energy Efficiency Standards - 2019 Residential Compliance January 2020
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
�1R
:F r-4E1R-ALT-05-E (Revised 01120 CALIFORNIA ENERGY COMMISSiONOW
CERTIFICATE OF COMPLIANCE CF1R-ALT-05-E
Prescriptive Residential Alterations That Do Not Require HERS Field Verification Page 3 of 3
prcJect Harm:
Date Prepared:
f! [ems t LJ� i v i&
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:
Signature Date:
'L A?ijj L
Address:
CEA/ HERS Certification i entification (if applicable):
Cityl5ta[e/2ip:
Fhane:
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
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
lName: Responsible Designer Signature: C1
f ILA G f � Z � 2 / ?>o :-o
Address:
License:
City/State/Zip: Phone:
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 20�20
0684-0003
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INITIAL 3YEAR , INITIAL 3YEAR INITIAL 3YEAR
o684-0003 General Coatings Ultra -Flex t000 w/ Granules White Coating Bright 0.74 0.56 0.93 0-95 92 68
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COOL ROOF RATING COUNCIL 2435 N. Lombard St. TEL (866) 465-2523 EMAIL: Info@cooiroofs.org
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