10-0340 (RR)P.O. BOX 1504
78-495 CALLE TAMPICO .
LA QUINTA, CALIFORNIA 92253
Application Number:
10- 000034-0
Property Address:
53065 AVENIDA OBREGON
APN:
774-044=015-3 -000000-
Application description: RE -ROOF
Property Zoning:
COVE RESIDENTIAL
Application valuation:
7072
Applicant:
Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner: .
SEYMOUR JOHN F
77655 IROQUOIS DR
INDIAN WELLS, CA 92210
Contractor:
CASTRO ROOFING INC
P'0 BOX 122
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/20/10
LQPERMIT
.CA 92276 FlAli��t(,►�QI/ rA
(760)34.3-0042,D5,
LC: No =:' 8.2.8478
_ LICENSED CONTRACTOR'S DECLARATION
WORKER'SCOMPENSATION DECLARATION
• I hereby affirm under penalty of perjury that .Iam licensed under, provisions of Chapter -9 (commencing with
-'I hereby affirm under penalty of perjury one of the following declaxrations 3.
Section 7000) of Division3'of the Business and Professionals Code, and my. Lice iwis in•fu11.force and effect.-
_ I'have-and will maintain a cer: ficate'of•consent to self -insure for workers' compensation, as provided
..
• License Cl s: `C3'9 License No::' 828478 --
`for by Section 3700:6f the Latior'Code, for thi. performance of. the work for* which this permit.is= '
-
_
• ate: �U Contractor:
:.
issued..' .'
I have and will maintain;workers"compensation insurance, as required by Section 3700 oftlie Labor
_'
Code;for-the performance'of [hework`-for which this.permiYis issued. My workers'.compensation
OWNER-BUILDERDECLARATION�
insurance carrier and policy number are>.
hereb affirm under penalty of,perjury that I am exempt from the Contractor's State License Law -for the' -
Carrier •STATE FUND -Policy Number 63 914709 '
-,-following reason (Sec.>703L5;,Business and;Professions.Code: Any city, or county that requires a permit 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;pFrepairany structures.prior to itsissuance, also requires the applicant for the
_
.person in any manner so'as tobecome subject the workers' c mpensation laws of California,
permit to file a signed statement that he or'she, is licensed pursuant to. the provisions of the Contractor's State
and agree that, if I should be e_ su ect,tothe workers'co ensation r isions of Section
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 basisfor the alleged exemption:. Any violation of Section -7031 .5 by
f the Labor Code, I al' _ hh comply with th'oJs6 rovisions .'
- 'i�ilrP � e
. any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
ate:pplicant:-
�'O
(_ 1 I; as owner of the properly', or my employees with wages as their sole compensation, will do the work, and
- '• < .-
the structure isnot intended oroff_ered for sale (Sec. X7044, Business and Professions Code: The
WAR .SECUREWORKERS'=COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State'License Law'does'not apply.to an owner of*property-who builds or improves thereon,
SUBJECT AN EMPLOYER TO`CRIMINAL PENALTIES AND:_CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself._ through his or her own employees,:provided that the -
DOLLARS (5100;000),IkADDITIONoTO THE COST,OF COMPENSATION, DAMAGES AS PROVIDED FOR.IN
.. improvements.are not intended,or:offered for.sale:'.If', however,'the.building,or improvementissold within.
SECTION. 3706 OF THE LABOR CODE, INTEREST, AND.ATTORNEY'S FEES.
one year of completion, the owner-builde'r`will have the burden of pioving'thathe or she did not.ouild or -
-
- 'improve for the purpose of sale.).- -
APPLICANT ACKNOWLEDGEMENT -
(_) 1, as owner of the property; am exclusively contracting with licensed contractors to.constr6ct.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 orimproyes thereon, and who contracts for the projects with a contractor(sl 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.l. -
whose benefit work is performed under or pursuant to any permit issued as a result of. this application,
I _ ) 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 Ouinta, 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. _
I 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 infor is correct. I agree to comply with all
work for which this permit is issued (Sec. 3097, Civ. C.)•
rdinances and state laws relating to building c ruction, an eby authorize representatives
enter upon the above-mentioned property inspectio poses
Lender's Name:
J;;o
nature (Applicant or Agent):
Lender's Address:
LQPERMIT
LQPERMIT
Application Number 10-00000340
Permit RE -ROOF
Additional desc .
Permit Fee . . 30.00 Plan Check Fee
.00
Issue Date Valuation . . .
. 0
Expiration Date 10/17/10
Qty Unit Charge Per
Extension.
BASE FEE
30.00
S ecial Notes =.
and. Comments; -
-FOAM.-OVER EXISTING. BUILT-UP :SYSTEM, .2007
-- -- -----. .. ---- - -- - -.--- - -- - - --
-- --- -- --- - --- -- - -
----- - - - - --
Other:"Fees •'BLDG` STDS, ADMIN (SB1473)
- 1.00
Fee summary, Charged Paid. Credited:
Due .
Permit Fee Total 30;.00 00 00:
3'0.00
'6F eck •Total : 00 .. : 00: O:Oi
00 ..
Other Fee- Total' •1:00 ..... ."00 `.. 00
1.. 00
Grand Tota.l;- . 31`.00 00; .00
31,.:0.0
LQPERMIT
Prescriptive Certificate of Compliance: Residential Reroof CF -1 R-ALT-ReRoof
Project Address: Climate Zone Permit #
Alk,46C /� - l0-03,40
ROOFING PRODUCTS (COOL ROOFS) §151(t)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 (lessor 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 5Abtft2.
Alternatives to §152(b)l HI and §152(b)HII, Steep -slope roof (pitch > 2:12)
❑ Insulation with a thermal resistance of at least 0.85 heft?-°F/Btu or at least a 314 inch air -space is added to the roof deck over an attic; or
O Existing ducts in the attic are insulated and sealed according to §151(f)10; or
O 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
O 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.
Exception to §152(b)l Hili, Low -slope roof ( pitch 5 2:12)
O Building has no ducts in the attic.
Other Exceptions
O Roofing area is covered by building integrated; photovoltaic panels and solar thermal panels are exempt from the Cool Roof criteria.
O Roof constructions that have thermal mass over the roof membrane with at least 25 Ibfft2 are exempt from the Cool Roof criteria.
NOTE: If any one of the alternatives or exception is checked the
products in §118(1) are not applicable. Do not fill table below.
Roof Slope
CRRC Product ID Number' 5 2:12 > 2:12
Solar
Product Weight
< 5lb/ft2. i 5lb/ft2
MDA=
mal Emittance requirements for roofing
Aged Solar Thermal
Reflectance 3,4 Emittance SRI
4 0.5 0. q'1
❑4
Note: If no CRRC-1 label is available, this compliance method cannot be used, use the Performance
Approach to show compliance,
Th9 CRRC Product ID Number can be obtained from the Cool Roof Rating Council's Rated Product Directory at www. coolrvofs.Onr/oroducts/Sean� DhD
Indicate the type of product is being used for the roof top, i.e. single -ply roof, asphalt roc% metal roof, etc.
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(p,*„ — 0.2) to obtain a calculated aged value. Where p is the Initial Solar Reflectance.
Check box if the Aged Reflectance is a calculated value using the equation above.
Calculate the SRI value by using the SRI- Worksheet at htto:/hvww.e 1 ce oov/title24/and enter the resulting value in the SRI Column above and attach
acopy of the SRI- Worksheet to the CF -1R.
o apply Liquid Field Applied Coatings, the coating must be applied across the entire rooff surface and meet the dry mil thickness or coverage
;commended by the coatings manufacturer and meet minimum performance requirements listed in §118@4. Select the applicable coating:
I❑ Aluminum -Pigmented Asphalt Roof Coating ❑ Cement -Based Roof Coating 19 Other o,
NOTE When a Cool Roof is required, the installing contractor shall complete and submit the CF -6R -ENV -01 for final inspection.
Declaration Statement
• I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is accurate and complete.
• I certify that the energy features and performance spec cations identified on this Certificate -e nce conform to the requirements of Title 24, Parts
1 and 6 of the California Code of Regulations.�"
Name r
Company:
:ss:
Date:
/I
License: //—
e k
- -r_1?r?
Phone: . ,e!7 11 A _ -
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.
Bin #
City of La.Quinta
Btuldfng BrSafery, Mision
Box 1'504, 78'495 Calle Tampico
Ga.Qulnta, CA 92253'_-'(760)777-70;12 y
Building Permit Applicddor4 and Tracking Sheet .
Permit #DP:O.
Project Address:5_3—o(05— %4Ye t1
Owner's Name: ?J
A. P. Number:
Address:
Legal Description:
Contractor:
D
Address: bJ
n �r
City, ST, Zip: (,�(D : `
City, ST;.Zi6 flu
r::;:•: ;,,: •, :,:> }
:Telephone: G O O`�o •'•:".rYr:l;•�:;33,•^,::s%rs8� .;<;.ac'S
Project Description;
o�uc
Telephone: ^1
' :%> ,:: y:. ). ;.:.:,
State Lic. # : -28 y 7 City Lic. #.
Arch., Engr., Designer:
Address:
City., ST, Zip:
A
Telephone:
^ q �, �•� . ;'
�Ms.rg � ro x ..,4,_
Con stiction Type: ' Occupancy,:
State Lic: #:i'ta}",.,�s�
Project type (circle one): New Add'n t) Repair Demo
Name of Contact Person:.S
': Ft O�T
Sq. (��
#Stories:
# Units:
Telephone # of Contact Person:Estimated
Value of Project: 70 7-2,
APPLICANT:
DO NOT WRITE ZELMTHIS LINE ,
#
Submittal
Plan Sets
Req'd .
'Recd
'['RACKING
Plan Check submitted
PERMIT FEES
Item Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called•Contacf Person
Plan Check Balance.
Title 24 Caics.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
-Plumbing
Grant Deed
Plans picked up
S.M.L.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''' Review, ready for corrections/issuc
Developer Impact Fee
Planning Approval
Called Contact'Person
A.I.P.P.
Pub.. Wks. Apps
Date of permit issue
1
School Fees
_,::,
i
i
Total Permit Fees