11-0258 (RR)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning.'
Application valuation:
211}0'0.000258
5197-5—AVENIDA OBREGON
773-163-023-11 -000000-
RE-ROOF
COVE RESIDENTIAL
6000
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
Z'AREH
51975 AVENIDA OBREGON
LA QUINTA, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS. (760) 777-7153
Date: 3/16/11
-Inn% L LY r e
t.r. Contractor:
Applicant: Architect or Engineers
DESERT VALLEY CONSTR & ROOFING
„6TWLOrACfUIN7A
594 W..7TH STREET -.,_..E
73G_PT•
SAN JACINTO, CA 925.83
(951) 654-.1980
Lic. Nott 447139
LICENSED CONTRACTORS DECLARATION
WORKER'S c6mPENSATION DECLARATION-
.
I herebyaffirm under. penalty of perjury that I am licensed under provisions of -Chapter 9 (commencing -with
I hereby affirm under penalty of.perjury one of the following -declarations:
Section 7000) of,Division 3 of the B sinessand Professionals e, and -my License is in full force and effect. -
_ I have and will maintain a'certificate of consent to self -insure for workers' compensation, as provided
License Class: C39 ': L' a No.c - 7 9 "
for b Section 3700 of the Labor Code, -for the performance of the work for which this'permit is "
Y
-
•• '
Date �ntractor. -
issued. .. ..
��.halve and will maintain workers' compensation insurance, as required by Section 3700 of the. Labor
.DECLARATION
Code, for the performance of the work for which this:perrtiit is:issued. My workers' compensation
_
OWNER -BUILDER - - _
. ' insurance.carrier and policy number are: -
hereby affirm underpenalty ofperjury that I'am'exempt from the Contractor's State1icense Law for the
Carrier PREF CONTR.-INS. 'Policy:Number 414261.
following reason ,(Sec.,7031.5, Business and Professions Code:. Any city or county, that requires a peimit to,
_ I certify that, in the performance of the:work for which this permit is.issued, I shall not employ any
. construct, alter; improve;: demolish, or. repair any structure; prior to•it5 issuance, also `require'sthe applicant for, the
per sonin any manner so. as to become sutijiicf to the workers'. compensation laws of California,
peimit to file'a signed statement,thathe or'she.is licensed pursuant to the provisions of the Contractor's State
and agree that, if I Oould`become subject to the worker ' compensatio ov' dons of.section
ry1/I�'�
License Law.(Chabter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
3700 of the Labor ode rn shall forthwi/c`o�lyy}with se provisio
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
.
�'�lN"
any applicant fora permit subjects the applicant to civil penalty of not -more than fivehundred dollars ($500).:
te: 6 icant: �f f���
1 - 1 1, as owner of the property, or my employees with wages as thed_ sole compensation,. will do the work, and
_
'-the structure is not intended or;offeredfor sale (Sec. 7044, Business and Piofessions Code: The •
WARNING: FAILU E TO SECURE. WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND.SHALL '
awdoes not apply to an owner of property, who builds or improves thereon,'
Contractors' State License Law -does I
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIESANDCIVIL FINES UP.TO ONE HUNDRED THOUSAND
. and who does the work himself or herself through.his or her own`employees, provided that the
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN '
- improvements are not intended oroffered for sale. If, however, the building or improvement is sold within
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.' • '
. 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.)
APPLICANT -ACKNOWLEDGEMENT
(_ 1 1, as owner'of the property, am exclusively contracting with -licensed contractors to construct tfie project (Sec.
Application is hereby made to'the Director of Building and;Safety fora permitsubject to the.
7044, Business'and Professions Cade: The Contractors' State'License Law not apply to an owner of
_IMPORTANT
conditions and restrictions set forth on thisapblication.
. ,does
property who builds or improves thereon, -and who contracts for the projects with a contractor(s) licensed
'1. Each,person upon whose behalf this application is made, each person'at whose request and for -
. - pursuant to the Contractors' State License Law.)..
-whose benefit work -is performed underor pursuant to any permit issued as a, result of this application,
(_) I am exempt under.Sec. , BAP.C'. for this reason
the owner, and the applicant,=each agiees 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
fd u nd r r f ll win 1s ante of this - ermit '
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:
LQPEPMIT
per orme u e o 0 o gsu p
2. Any permit issued as a result of this application becomes null and void if work is not commenced
within 180 daySL from date of issuance of such permit, or cessation of work for 180 days will subject
permit to cancellation.
I certify that 1 have read this application and state that Jhe above information is correct. I agree to comply with all
city and county ordinances and state laws relating to j! iildi 16 construction, and hereby pujVorize representatives
of this cou/p/S/y�+to enter upon the above-mentioned prd ert or inspecti urp es
t5ate: / / fj�ature (Applicant or Agin.h
Application.Number. 11-00000258
Permit RE-ROOF
Additional desc .
Permit Fee 30.00 Plan Check Fee
.00
Issue.Ddte - Valuation
0
Expiration Date 9/12/11
Qty Unit Charge Per
Extension
BASE FEE
.30..00
------------------
Special.Notes and Comments..
RE-ROOF WITH CRRC APPROVED SHINGLES.
2010 CODES.
------------------ --------------- -.-------------------------------------
Other Fees. BLDG STDS ADMIN.(SB1473)
1.00
Fee summary Charged. Paid`' .'.'Credited.
Due
Permit Fee Total 30.00; .00. .00
30.00
Pl�aii ' .thk Total `. 00` .00 .'.00
. 00
Other..Fee~ Total .1.00 ' .00 .00
Grand .Total . 31..00 .00 :'00
3f.'00
o
'a
•
LQPERMIT _
.. .
'rescriptive Certificate of Compliance: Residential Reroof
roject Address.
si effA,_
CF -IR -ALT
Perm_
ROOFING PRODUCTS (COOL ROOFS) §151M12 It
Won the area of exterior roof surface to be replaced exceeds 50% of the exlsdng roof area, or 1,000 fe, whichever is less, the new
roofing area must meet the roofing product "Cool Root'• requirements of §152(b)1H1, 152(b)1 HI1, or 152(b)1 H111.
Check applicable alternative or exception below if the roof alteration is exempt from the roofing product -Cod Roof requirements:,
❑ Cool roofs Og required in Comes Zones 1-12,14, and 16 with a low sloped roof pitch (lessor 2:12 pitch).
❑ Cool roofs W required in Climates zones 1-9, and 16 with a steep -sloped roofs (greater pitch than 2:12) and product weight less than 5AbJft
Alternatives to §152(b)l Hi and §152(b)HII, Steepalope roof (pitch > 2:12)
>Strt
❑ Iration with a thermal resistance of at list 0.85 hr•fe_*F/Btu or at least a 314 inch air -space is added lo the roof deck over an attic; or
❑ Existing duds in the attic are insulated and sealed aoomdahg to §151(f)1o; or
11 in climate zones 10, 12 and 13, with 1 ft2 of free ventilation area of aft ventilation for every 150 ft2 of attic floor ares, and
where at least 30 Percent of the free ventilation area is within 2 feet vertical d�stanoe of the roof ridge; or
❑ Building has at least R-30 ceding dation; or
❑ Building has radiant barrier in the attic meeting the requirements of §151(f12; or
❑ Building has no duds in the aft; or
❑ In climate zones 10, 11, 13 and 14,.R-3 or greater roof deck insulation above vented attic.
Exception to §152(b)l Hill, Low-6101Pe roof ( pitch 5 2:12)
❑ Building has no duds in the attic.
00w Exceptions
❑ Rooting area Is covered by building integrated• Photovoltaic panels and solar thermal panels are exempt from the Cod Roof criteria.
❑ Roof constructions that have thermal mass over the roof membrane with at least 25 IbW are exempt from the Cod Rod criteria.
NOTE: H any one of the a/temagres or excapdon is checked the Aged Solar Reflectance and Thermal Emlttance
products in § 1180) are not applicable. Do not fill table below. requirements for roofing
Roof Slope
tC Product ID Number' s 2:12 > 2:12
0 -0 013 ❑ r�
�OF
Product Weight
< e i 564f
5tb/
Product
T s
Aged Solar
ReAedanoea 4
Thermal
Emittanoe
SRIS
135
c34o�aB
o ?Ll
-27
❑
13❑4
Note: N no CRRC-1 label is available, this compliance mebrod cannot be used, use the Perforrrmanc�e Approach to show
The CRRC product ID Number can be �.
Indicate the lope product is ° from the Cod Roof RaGip C', a; s Retail Product Medory at
tJekV used for the roof top, i.e. Sinpfe-ply roof, asphalt roof, metal roof, atc.
d the Aped d use the
is not avadab0 in the Cod Roof Re ft Cour"'s Rated product ai,�,,y then use the Reflectance value flvrn the same
directory end use the equaayorr (0.2+0.7(q,w, - 0.2) to obtain a wed age value. Where p is the hrf W Solar Reflectance.
Check box IF the Aged Rellectance is a calculated value Mft the equation above.
Calculate the SRI value by using the SM_ %brkaj, t athftAWW WIMro WMW924(and enter the ramdtirg value in the SRI Column above and attach
soapy of the SM- WDrlksheet to the CF -1 R
Liqu
o apply 'commended
Field Applied manufactoatings,urer
the coating must be applied across the entire roof surface and meet the dry mil thickness or coven
3corrxrmended by the coatings manufacturer and meet minimum perfwmanoe requiremermts fisted in 118 I . Select the
_ § @4 applicable coatinq:
Aluminum -Pigmented Asphalt Roof Coating
When a Cool Roof is
Declaration Statement
❑ Cement -Based Roof Coating ❑ Other
installing contractor shall complete and submit the CF-t3R-ENV-01 for final
• 1 cert that ft energy ofperjury, features under the tamand ran of the State of California. the information provided on this form is accurate and complete.
1 V 8 of the Califonia Code of Reg t1Oe Ons identified on this Certificate of
Compliance conform to the requirements of TAIe 24, Par
A :ss: S
For assistance or
11
3 Y/ii
yy713
IJV
regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.
Bin fl
City of i4a .Quints
Building &r Safety Division
P.Q. Box 1304, 78-495 Calle Tampico
La •Quinta, CA.92253 - (760) 777-7012
Building PermitApplication and7rackin' Sheet
Permit # ��
w
Project Address: 7Q
Owner's Name. 7
A. P. Number:
Address:51 9'?57 0A_� V
Legal Description:
City, ST, Zip: L
Contractor:s'
Address: Sl
�;:°` �. �••..
Telephone: qSi^ 75? 9 as
Project Description:
City, ST, Zip:
Telephone: Sr, 6,
_ .?: <>:::}.;...::.>: •;;;}};:::<.?>':>:>:.
State Lic. # :
City Lic. #;
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
��tis �•�� c � c�.;>�
:,.:
<'. t3.;}:. ,.•<}:
ConstructionType: Occupancy:
State Lic. #:"•'..:,:;3,f4'ks;?Y..
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.:
q G a
#Stories:
# Units:
Telephone # of Contact Person: s�- �f� ySs7
11
Estimated Value of Project: 6 Q a C; °°
APPLICANT: DO NOT WRITE BELOW. THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Contact Person
Plan Check Balance
Title 24 Calcs.
FPhaknsicked up t
Construction
Flood plain plan
nsesubmitted
Mechanical
Grading plan
-------------
2°'. Review, ready for correctionstissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees