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BRER2017-0057BUILDING PERMIT DESIGN & DEVELOPMENT DEPARTMENT 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 PHONE (760) 777-7125 WWW.LAQUINTACA.GOV APPLIED DATE: 05/31/2017 ISSUED DATE: 06/01/2017 Permit Type: Permit Number: Property Address: APN: Legal Description Property Zoning: Valuation: Re-Roof 51825 AVENIDA MARTINEZ BRER2017-0057 773175016 $7,000.00 Owner:HELEN GLACY P O BOX 997, LA QUINTA, CA 92253 Applicant:DOVE ROOFING AND CONSTRUCTION 6402 SUNBURST, JOSHUA TREE, CA 92252 Contractor:DOVE ROOFING AND CONSTRUCTION 6402 SUNBURST, JOSHUA TREE, CA 92252 Declaration / Acknowledgement PRIOR TO THE ISSUANCE OF THIS PERMIT FOR CONSTRUCTION, ALTERATION, IMPROVEMENT, DEMOLITION, OR REPAIR THE OWNER, APPLICANT AND/OR CONTRACTOR UNDER PENALTY OF PERJURY HAVE AFFIRMED WHEN APPLICABLE, THROUGH THE SUBMITTAL OF FORMS OR BY OTHER ELECTRONIC MEANS, THE FOLLOWING: LICENSED CONTRACTOR OR OWNER-BUILDER DECLARATION (1 or 2) 1) They are licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and the referenced License is in full force and effect, or; 2) That they are exempt from the Contractors’ State License Law for the reason(s) indicated by either (2)(a) and/or (2)(b), or (2)(c) where he or she is exempt from licensure by a valid exemption. [Section 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 Contractors’ State License Law (Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code] 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).) a) As owner of the property, or my employees with wages as their sole compensation, will do all of or portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors’ State License Law does not apply to an owner of property who, through employees’ or personal effort, builds or improves the property, 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 it was not built or improved for the purpose of sale.). b) As owner of the property, will be exclusively contracting with licensed c) Are exempt from licensure under the Contractors’ State License Law. As an Owner-Builder, they acknowledge that, except for their personal residence in which they must have resided in for at least one year prior to completion of the improvements covered by this permit, they cannot legally sell a structure built as an owner-builder if it has not been constructed in its entirety by licensed contractors. It is understood that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application was submitted at the following Web site: http://www.leginfo.ca.gov/calaw.html. DECLARATION REGARDING CONSTRUCTION LENDING AGENCY (If applicable) A construction lender will be used for completion of the improvements covered by this permit and the name and information of which is on file for public inspection during the regular business hours of the public entity. Failure of the applicant to indicate the construction lender on the application does not relieve that person of the requirement to give the construction lender preliminary notice from that duty. WORKERS’ COMPENSATION DECLARATION (1, 2 or 3) 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. 1) Has and will maintain a certificate of consent to self-insure for workers’ compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 2) Has 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. 3) Certifies that, in the performance of the work for which this permit is issued, shall not employ any person in any manner so as to become subject to the workers’ compensation laws of California, and agree that, if should become subject to the workers’ compensation provisions of Section 3700 of the Labor Code, shall forthwith comply with those provisions. NOTICE TO APPLICANT (1, 2 and 3) 1) Each person upon whose behalf this application was made, each person at whose request and for whose benefit work is being 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 360 days from date of issuance of such permit, or if cessation of work for 180 days will subject permit to cancellation. On or after January 1, 2019, every permit issued shall become invalid unless the work on the site authorized by such permit is commenced within 12 months after its issuance, or if the work authorized on the site by such permit is suspended or abandoned for a period of 12 months after the time the work is commenced. 3) Certified that they read the application and state that the information provided is correct. 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. IMPORTANT: An Application for Permit was made to the Building Official, subject to the conditions and restrictions set forth at the time of application, which is now hereby an Issued Permit. If any part of the information being supplied on this permit is inaccurate or untrue, please contact the City of La Quinta at (760) 777-7125 immediately for correction. Printed: 4/13/26 12:07 pm Page 1 of 3 Permit Type: Permit Number: Property Address: Re-Roof BRER2017-0057 51825 AVENIDA MARTINEZ BUILDING PERMIT GLACY RESIDENCE / REROOF CRRC 0890-0009 *** REROOF - REMOVE EXISTING SHINGLES AND APPLY NEW [CRRC 0890-0009] PER 2016 CALIFORNIA ENERGY CODE #|||# GLACY RESIDENCE / REROOF CRRC 0890-0009 *** remove rxisting install new shingles Use of Permit Construction Details 2300Re-Roof Area Square Footage Valuation Details Type Group Sq Ft Value Financial Information Fee AmountFee Amount PaidInvoice No. PERMIT-BRER2017-005 7 $51.68 RE-ROOF - FIRST 2,000 SF $51.68 $5.00 TECHNOLOGY ENHANCEMENT FEE $5.00 $103.36 RE-ROOF - FIRST 2,000 SF PC $103.36 $12.16 RE-ROOF - EA ADDITIONAL 1,000 SF $12.16 $1.00 BSAS SB1473 FEE $1.00 $3.12 Credit Card Fee $3.12 $176.32 $176.32 Total for Invoice PERMIT-BRER2017-0057 Grand Total for Permit $176.32 $176.32 Workflow / Inspections Workflow Step / Action Name Action Type Start Date End Date Inspections v.1 05/31/2017 0:00 FINAL** v.1 Inspection PRE-ROOF v.1 Inspection MECHANICAL FINAL** v.1 Inspection Construction or work for which a permit is required shall be subject to inspection by the building official and such construction or work shall remain visible and able to be accessed for inspection purposes until approved. Approval as a result of an inspection shall not be construed to be an approval of a violation of the provisions of the applicable code and other ordinances of the jurisdiction. Inspections presuming to give authority to violate or cancel the provisions of the applicable code and other ordinances of the jurisdiction shall not be valid. It shall be the duty of the owner or the owner's authorized agent to cause the work to remain visible and able to be accessed for inspection purposes. Neither the building official nor the jurisdiction shall be liable for expense entailed in the removal or replacement of any material required to allow inspection. It shall be the duty of the holder of the building permit or their duly authorized agent to notify the building official when work is ready for inspection. It shall be the duty of the permit holder to provide access to and means for inspections of such work that are required by this code. Inspections Printed: 4/13/26 12:07 pm Page 2 of 3 Permit Type: Permit Number: Property Address: Re-Roof BRER2017-0057 51825 AVENIDA MARTINEZ BUILDING PERMIT A building or structure shall not be used or occupied in whole or in part, and a change of occupancy of a building or structure or portion thereof shall not be made, until the building official has issued a certificate of occupancy therefor as provided herein. Issuance of a certificate of occupancy shall not be construed as an approval of a violation of the provisions of the applicable code and other ordinances of the jurisdiction. Certificates presuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid. Certificate of Occupancy A person shall not make connections from a utility, a source of energy, fuel, or power, or a water system or sewer system to any building or system that is regulated by the applicable code and other ordinances of the jurisdiction for which a permit is required, until approved by the building official. Service Utilities Printed: 4/13/26 12:07 pm Page 3 of 3 STATE OF CALIFORNIA ENVELOPE – INSULATION; ROOFING; FENESTRATION CEC-CF-6R-ENV-01 (Revised 08/09) CALIFORNIA ENERGY COMMISSION INSTALLATION CERTIFICATE CF-6R-ENV-01 Envelope – Insulation; Roofing; Fenestration (Page 1 of 4) Site Address: Enforcement Agency: Permit Number: 2008 Residential Compliance Forms August 2009 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 with check boxes require to be checked to ensure the mandatory measures have been met. Description of Insulation 1. RAISED FLOOR Material:__________________________________Brand Name:_______________________________ Thickness (inches):_________________________Thermal Resistance (R-Value):_________________ §150(d): Minimum R-13 insulation in raised wood-frame floor or equivalent U-factor. 2. SLAB FLOOR/PERIMETER Material:__________________________________ Brand Name:_______________________________ Thickness (inches):_________________________ Thermal Resistance (R-Value):_________________ Perimeter Insulation Depth (inches): ____________ §150(l): Water absorption rate for the insulation material alone without facings is no greater than 0.3%; water vapor permeance rate is no greater than 2.0 perm/inch and shall be protected from physical damage and UV light deterioration. 3. EXTERIOR WALL a. Insulation Type (e.x. Batt, Loose Fill, Spray Foam) ________________ a. Thermal Resistance (R-Value): ________________ b. . Insulation Type (e.x. Batt, Loose Fill, Spray Foam) ________________ b. Thermal Resistance (R-Value): ________________ Brand: ___________________________________ Spray/Loose fill) Installed Actual Thickness (inches):_____________ Spray/Loose fill) Contractor’s min installed weight/ft² _____lb Manufacturer’s installed weight per square foot to achieve Thermal Resistance (R-Value) §150(c): Minimum R-13 insulation in wood-frame wall or equivalent U-factor. Exterior Foam Sheathing (rigid Insulation) Material:________________________________ Brand Name:_______________________________ Thickness (inches) :_______________________ Thermal Resistance (R-Value) :________________ 4. FOUNDATION WALL Material:________________________________ Brand Name:______________________________ Thickness (inches):_______________________ Thermal Resistance (R-Value):________________ 5. CEILING Batt or Blanket Type: _______________________ Brand Name: _____________________________ Loose Fill Type: ___________________________ Thermal Resistance (R-Value): _______________ Spray Foam Type: _________________________ Brand Name: _____________________________ Installed Actual Thickness (inches):____________ Contractor’s min installed weight/ft² _______lb Manufacturer’s installed weight per square foot to achieve Thermal Resistance (R-Value): §150(a): Minimum R-19 insulation in wood-frame ceiling or equivalent U-factor. 6. ATTIC ROOF INSULATION AND/OR ATTIC RADIANT BARRIER Material: _________________________________ Brand Name: ______________________________ Material: _________________________________ Brand Name: ______________________________ Thickness (inches): ________________________ Thermal Resistance (R-Value): ________________ §118(a): Insulation installed meets Standards for Insulating Material. STATE OF CALIFORNIA ENVELOPE – INSULATION; ROOFING; FENESTRATION CEC-CF-6R-ENV-01 (Revised 08/09) CALIFORNIA ENERGY COMMISSION INSTALLATION CERTIFICATE CF-6R-ENV-01 Envelope – Insulation; Roofing; Fenestration (Page 2 of 4) Site Address: Enforcement Agency: Permit Number: 2008 Residential Compliance Forms August 2009 §150(g): Mandatory Vapor barrier installed in Climate Zones 14 or 16. ROOFING PRODUCTS (COOL ROOFS) §151(f)12 Check applicable box below if the newly installed roof is exempted from the roofing product “Cool Roof” requirements. Note: If any one of the boxes are checked below, the Aged Solar Reflectance and Thermal Emittance requirements for roofing products in §118(i) are not applicable. Do not fill table below. Cool Roofs Not Required in Climate Zones 1-12, 14, and 16 with a Low Sloped. Less or 2:12 pitch. Cool Roofs Not Required in Climate Zones 1- 9 and 16 with a Steep-Sloped Roofs (pitch > than 2:12) and product unit weighting less than5lb/ft2. Other Exceptions Roofing area covered by building integrated photovoltaic panels and solar thermal panels are exempt from the above Cool Roof criteria. Roof constructions that have thermal mass over the roof membrane with at least 25 lb/ft2 is exempt from the above Cool Roof criteria. CRRC Product ID Number1 Roof Slope ≤ 2:12 > 2:12 Product Weight < 5lb/ft2 ≥ 5lb/ft2 Product Type2 Aged Solar Reflectance3,4 Thermal Emittance 4 4 1. CRRC-1 label information is available is on the package of the roofing product being installed and attach the CRRC label to this form. 2. Indicate the type of product is being used for the roof top, i.e. single-ply roof, asphalt roof, metal roof, etc. 3. If the Aged Reflectance is not available in the Cool Roof Rating Council’s Rated Product Directory then use the Initial Reflectance value from the same directory and use the equation (0.2+0.7(ρinitial – 0.2) to obtain a calculated aged value. Where ρ is the Initial Solar Reflectance. 4. Check box if the Aged Reflectance is a calculated value using the equation above. To apply Liquid Field Applied Coatings, the coating must be applied across the entire roof surface and meet the dry mil thickness or coverage recommended by the coatings manufacturer and meet minimum performance requirements listed in §118(i)4. Select the applicable coating: Aluminum-Pigmented Asphalt Roof Coating Cement-Based Roof Coating Other ______________________ FENESTRATION/GLAZING Item Manufacturer/Brand Name (GROUP LIKE RODUCTS) Product U- factor1 Product SHGC1 # of Panes NFRC Certified1, 2 Total Quantity of Like Product (Optional) Area ft2 Add. Exterior Shading Dev. or Overhang Comments/ Location/ Special Features 1 2 3 4 5 6 7. 8. 1. Use values from a fenestration product’s NFRC Certified Label. For fenestration products without an NFRC label, use the default values from Section 116, Table 116-A and 116-B of the 2008 Energy Efficiency Standards. 2. NFRC Label Certificates shall not be removed until the building inspector has verified the efficiency. Enter Yes or No. §116(a)1: Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. §116(a)2 and 3: Actual fenestration products installed are equivalent to or have a lower U-factor and/or a lower SHGC than that specified on the Certificate of Compliance (Form CF-1R). STATE OF CALIFORNIA ENVELOPE – INSULATION; ROOFING; FENESTRATION CEC-CF-6R-ENV-01 (Revised 08/09) CALIFORNIA ENERGY COMMISSION INSTALLATION CERTIFICATE CF-6R-ENV-01 Envelope – Insulation; Roofing; Fenestration (Page 3 of 4) Site Address: Enforcement Agency: Permit Number: 2008 Residential Compliance Forms August 2009 §116(a)4: Fenestration products (except field-fabricated windows) have a label listing the certified U-Factor, certified Solar Heat Gain Coefficient (SHGC), and infiltration that meets the requirements of §10-111(a) §117: Exterior doors and windows weather-stripped; all joints and penetrations caulked and sealed. DECLARATION STATEMENT • I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. • I am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction, or an authorized representative of the person responsible for construction (responsible person). • I certify that the installed features, materials, components, or manufactured devices identified on this certificate (the installation) conforms to all applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the enforcement agency. • I reviewed a copy of the Certificate of Compliance (CF-1R) form approved by the enforcement agency that identifies the specific requirements for the installation. I certify that the requirements detailed on the CF-1R that apply to the installation have been met. • I will ensure that a completed, signed copy of this Installation Certificate shall be posted, or 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 signed copy of this Installation Certificate is required to be included with the documentation the builder provides to the building owner at occupancy. STATE OF CALIFORNIA ENVELOPE – INSULATION; ROOFING; FENESTRATION CEC-CF-6R-ENV-01 (Revised 08/09) CALIFORNIA ENERGY COMMISSION INSTALLATION CERTIFICATE CF-6R-ENV-01 Envelope – Insulation; Roofing; Fenestration (Page 4 of 4) Site Address: Enforcement Agency: Permit Number: 2008 Residential Compliance Forms August 2009 Company Name: (Installing Subcontractor or General Contractor or Builder/Owner) Responsible Person's Name: Responsible Person's Signature: CSLB License: Date Signed: Position With Company (Title):