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11-0073 (RR)414 P.O. BOX 1504 Qa4m VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 1/20/11 Application Number: '-0.0000.0--73 Owner: 11 Property Address: 53040 AVENIDA OBREGON BROSJO G TOBIAS APN: 774-045-002-2 -000000- 53040 AVENIDA OBREGON n Application description: RE-ROOF LA QUINTA, CA 92253 Property Zoning: COVE, RESIDENTIAL n.. Application valuation, 5000 o Contractor: _ . r 7n t Applicant: Architect or Engineer SUNBROOK CONSTRUCTION- INC jny P O.BOX' 5669. �rt�tC LA,'QUINTA, CA 92248. Z-6.0f' (760):899-'9059'`' Lic. No.: 87813.5 > . LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION' DECLARATION' - I hereby affirm-under penalty`of perjury that I am licensed under provisions. of Chapter 9 (commencing with (hereby affirm under penalty of perjury one of the following declaiations. - Section 7666),of"Division 3 of the Business and. Professionals Code, and my License is in full force and effect. - I,h'a and will maintain a certificate of consent to"self-insure for workers' compensation, as provided , Licpsb Class., c - se No.: 878135' for bQ. Section.3700 of the Labor Code, for the' perforinanee,of.the work for which this permit is'. issued.' Date:' v v " ('l, Cy tractor: _ ` - I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor _ 'Code for the performance of the work for whicF this permit is issued.' My workers',compensation _ - R- 'DER DECLARATION - insurance carrier and policynumber are: - - . I hereby affirm under pe of perjury that`f-am exempt'from'the Contractor's State License Law for the Carrier AMERICAN- INTL C 'Policy Number 3376736 - following reason (Sec..7031 .5, Business and Professions Code: Any city or-county that requires a permit to I certify that; in the performance of the work f which this permit is issued, I shall not employ any construct, alter, impiove,' demolish, or repair any structure,. prior to its issuance, also requires the applicant for the person in any manner so as to. becom ect to the workers' compensation laws of California, permitAofile a signed statement that he or she is licensed. pursuant to :the provisions of the Contractor's State and agree that, if I should becom b' workers' compensation provisions of Section License Law (Chapter_9 (commencing. with Section 7000) of Division 3 of. the Business and Professions Code) or 3700 of the Labor Code, I s6 w mpl ith t ase wvisions: m that he or she is exempt therefroand 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).: ate: - .O .� plicanv - - (_ 1 I, as owner.of the property,: of 'my employees with wages as their sole compensation, will do the work, and the structure isnot intended or offered forsale(Sec. 7044,•Business and Professions Code: The WARNING: FA RE TO SECURE RKER QOM SATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not applyto.an owner of property who builds or imp thereon, ,•.SUBJECT AN EMPLOYER'TO.CRIMINAL' LTIES AND CIVIL FINES UP TO. ONE HUNDRED THOUSAND and who does the•work himself or herself through his or her own employees, providedthat,the DOLLARS ($100,000). IN ADDITION:TO.THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered 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 I _) I, as owner of the property; am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made.to the Director of Building and Safety for a permit subject to the 7044, Business'and. Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application.`.- 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-al whose request and for pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application,- (_ 1 I am exempt under Sec. ,-B.&P.C. for this reason 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. Date: Owner: 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 CONSTRUCTION LENDING AGENCY permit to cancellation. .1 hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above information is correct. I agree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.). *city and county ordinances and state laws relating to building construction, an ereby authorize representatives of this ounty to enter upo he above-mentioned property for inspect - r ses Lender's Name: I Ii' ate: ignature (Applicant or Agent): - Lender's Address: – LQPERMIT Application Number . . . . . 11-00000073 Permit . . . RE -ROOF Additional desc . Permit Fee . . . . 30.00 Plan Check Fee .00 .Issue Date . . . . Valuation . . . . 0 Expiration Date 7/19/11 Qty Unit Charge Per Extension BASE FEE 30.00 ----------- ---------------------------------------------------------------- Special Notes and Comments ' ..RE -ROOF WITH "GAF-GLAS" MINERAL SURFACED CALP SHEET - WHITE.• 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 Plan Check Total .00 .00 .00 .00 Other Fee Total 1.00 .00 00 1.00 Grand Total 31.00 .00 .00 31.00 LQPERMIT 0 0 m i Quality ;You Can:Trust,Since 1886:.. From North Amer ca' Largest; o in n fac rer m GAF MATERIALS CORPORATION GAFGLASO MINERAL SURFACED CAP SHEEP Description GAFGLASO Mineral Surfaced Cap Sheet is an asphalt -coated glass fiber mat cap sheet surfaced with mineral granules. Uses GAFGLAS Mineral Surfaced Cap Sheet is used as the surfacing ply in the application of hot applied built-up roofs and as a top ply in base flashing con- struction. Meets ASTM D3909 FM Approved Miami -Dade County Product Control Approval State of Florida Product Approval UUULc Listed - Advantages • Durability—glass base resists the effects of moisture on the roof system. • Granule surface provides an ultra -violet protective surface. • Code approvals—UL Class A, B, or C membrane constructions are available. • Aesthetically attractive; requires no additional surface coatings. • System guarantees are available for up to 20 years. ©2009 GAF Materials Corporation 01/10 35 www.gaf.com • 1 -800 -ROOF -411 i Roll Size 1 square (107 gross sq.ft.) (9.9m') Roll Length', 32.6'•(9.9m) Roll Width . 39.375" (1.0m) Approx., Roll Weight; 68 lbs (30.8kg) ©2009 GAF Materials Corporation 01/10 35 www.gaf.com • 1 -800 -ROOF -411 Cool Roof Rating Council Page 1 of 1 W Rated °Products Directory: °Search'Results [-newsearch view ] ; (last updated 20 Dec 2010 17.3.3 CST) R, Showing Search Results for: ¢ 3: Company: GAF Materials.Corp . �x+ Model: Mineral Surfaced .Cap Sheet White select' from products where compan y_name='GAF Materials Corp',and model .'Mineral Surfaced Cap Sheet .White' order by company_name asc previous l 1 I next (showing records 1 71 of 1) , 25 Records per.Page x CRRC Prod: ID. Manufacturer., Information (sorted:+) :Brand . :; Model Color Category :Solar ProductSloae imt Reflect ,,, ! Therm >imtr�.[!=nit Emit : SRI 7 . Application. :T.vpen , 0iff-Whiti 0 30' 0676-0061 GAF Materials' GAFGLAS Mineral ii8dified5 pendinfg` 6.'69 pending 31- pending Low Corp Surfaced Bitumen f Beth McSorley Cap` (973-872-4421) Sheet White -..�. About the CRRC j Product•Rating Program Rated Products Directory I CRRC Members 1;CRRC News Become a:Member 1, How bo:l I Contaef'Qs.. CoohRoof Links j Home http://www.coolroofs-.org%products/results;php?k6yphrase" &select type=All&market type 1/20/2011 Prescri tive'Certificate of Com fiance:. Residential Reroof CF -1 R-ALT-ReRoof Project Address: Climate Zone Permit # S 3 0L 0 15 rt ac R2 ROOFING PRODUCTS (COOL ROOFS) §151(1)12 When the area of exterior roof surface to be replaced exceeds 50% of the existing roof area, or 1,000 fe, whichever is less, the new roofing area must meet the roofing product "Cool Roof" requirements of §152(b)1Hi, 152(b)1Hii, or 152(b)1Hiii. Check applicable alternative or exception below if the roof alteration is exempt from the roofing product "Cool. Roof' requirements:: .❑ Cool roofs not required in,Climates Zones 1-12, 14, and 16 with a low sloped roof pitch (less or 2:12 pitch). ❑ Cool roofs not required in.Climates Zones 1-9, and 16 with a steep -sloped roofs (greater pitch than 2:.12) and product weight less than 5/Ib/ft2. Alternatives to §152(b)1Hi and §152(b)Hii, Steep -slope roof (pitch > 2:12) ❑ Insulation with a thermal resistance of at least 0.85 hr-ft2-°F/Btu or at.least a 3/4 inch. air=space is added to the. roof -deck over an. attic; or ER Existing ducts in the attic are insujated and sealed according to §151(f)10; or ❑ In climate zones 10, 12 and 13, with 1 ft2 of free ventilation area of attic ventilation for every 150 ft2 of attic floor area, and where at least 30 percent of the free ventilation area is within 2 feet vertical distance of the roof ridge; or ❑ Building has at least R-30 ceiling insulation; or ❑ Building has radiant barrier in. the attic meeting the requirements of §151(f)2; or ❑ Building has no ducts in the attic; or ❑ ..In climate zones 10, 11, 13 and 14,.R-.3 or greater roof deck insulation above vented attic... Exceptiorko.§152(b)1Hiii, Low-slope.roof (pitch <_ 2:12) ❑ . Building has no duds in the attic. Other Exceptions ❑ Roofing area is covered by building integrated; photovoltaic panels and solar thermal panels are exempt from the Cool Roof criteria. ❑ Roof constructions that have thermal mass over the roof membrane with at least 25 Ib/ft2 are exempt from the Cool Roof criteria. NOTE: If any one of the alternatives or exception is checked the Aped Solar Reflectance and Tharmal FmiHanro ions iiromcnic F^r. f;n_ proaucts in 9 t t try) are not applicable. Do not fill table below Roof Slope Product Weight CRRC Product ID Number' <_ 2:12 .> 2:12 E 51b/ft� a: 51btft2. Product Aged Solar T e2 Reflectance 34' Thermal Emittance SRI DCo7C'0 �- Dom ❑ ' o a4� `— Company: roo �� G "� &AF AVA/9 i'_5 El - p ❑ ❑4 F ss: License: City/State/Zip: • Note: If no CRRC-1 label is available, this compliance method cannot be used, use the Performance Approach to show compliance, 1. The CRRC Product ID Number can be obtained from the Cool Roof Rating Council's Rated Product Directory at www.coolroofs.org/Aroducts/search:nhp 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(pi„maa – 0.2) to obtain a calculated aged value. Where p is the Initial Solar Reflectance. 4. Check box if the Aged Reflectance is a calculated value using the equation above. 5. Calculate the SRI value by using the SRI- Worksheet at http://www.enemK.ca.gov/title24/and enter the resulting value in the SRI Column above and attach acopy of the SRI- Worksheet to the CF -1 R. 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(1)4. Select the applicable coating: ❑ Aluminum -Pigmented Asphalt Roof Coating ❑ Cement -Based Roof Coating :❑ Other NOTE When a rnnl Rnnf is ron,,i—d ih- - - -- - -- --I- -. •— �« --��y �vfftfawvl 011an curnplere ana suomlt the CF -6R -ENV -01 for final inspection. M Declaration Statement • I certify under penalty of perjury, under the laws of the State of Califomia; the information provided on this form is accurate and complete. • I certify that the energy features and performance specifications identified on this Certificate,of 1 Wd 6 of the California Code of Regulations. Compliance conform to the requirements of Title 24, Parts Nam Signature: `— Company: roo �� G "� date; D �G F ss: License: City/State/Zip: • Phone: ✓. -- V `.1�� --For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300. ' Bin # _ � • Quinta Building 8i:' Safety Division Permit # P.O. Box 1504, 78-495 Calle Tampico `La Qliinta, CA'92253.7:(760), 777 70:12 Building Permit Applicatonrand Tracking Sheet Protect Address. 5 3 &9a p t,. AV k Z2 ,� Owner's Name: A. P. Number: Address:: a' CIL- 'Legal, Description: ' City, ST, Zip:. 3 Contractor: 1. o � e 1M Te le h one: P 9ly !� Address: S�l6G� Project Desc iption: �Ci.ty, ST; Zip: Telephone: -.0 8 5 t 1. S State Lit. # :. Arch.,.Engr., Designer: City Lic. #; V7 - Address:. City, ST, Zip: , nTelephone:Cori 'f X b O ccu an c Y tfT:u: Po State Lic: #: tcYtPi . proJe te(circle one): New Add'n Alter r. Repair..aiDemo Name of Contact Person: fa Sq; F.� #Stories: #Units: Telephone # of Contact Person: R, — % j�j :. Estimated Value of Project: d o APPLICANT: DO NOT WRITt::BELOW THl$;LINE # Submittal Req'd , Rec'.d . TRACICING PERMIT FEES Plan.Sets Plan Check submitted Item Amount Structural Cafes. Reviewed, ready for corrections Plan Check Deposit ` Truss Cafes. Called. Contact Person Plan Check Balance Title 24 Cafes. Plans picked up. Construction Flood plain plan Plans resubmitted Mechanical Gradingplan 2°" Review, ready forxor�ectio s/issue O Electrical Subcontactor List Called Contact Person ~„ Plumbing Grant Deed Planspicked up S,lyl,l, 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 {