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12-0520 (RR)P.O. BOX 1504' 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: 1-2-0.0:0.0:0.520 535.85, AVENIDA OBREGON 774 -114 -014=4 -000000 - RE -ROOF COVE -RESIDENTIAL 5700; T,iht .4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: ATTEBERRY JOY D P O BOX 278 LA QUINTA, CA 92253. • - Contractors' VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/09/12 Applicant: Architect or Engineer: M •L C CONSTRUCTION/FOAM- xw 77825 DELAWARE _PLACE:` PALM DESERT, CA -.92211- ®� q (760) 8.36•-0535 .-' 09 ?0 LiC:' No 881552 --- ------ - - - - -- --- - - - -- -------- - - - - -- l - --T -- LICENSED CONTRACTOR'S DECLARATION" - WORKER'S:COMPENSATION-DECLARATION` a -1-herebyaffirm under penalty: of perjury that I,arim licensed`underprovisions,of Chapter 9 (commencing.with 1 -hereby affirm 'under.perialty of perjury one of�the following declarations: Section 7000)'bf Division 3 of the Business and;Professionals Code, and my License is in-mfulf force and effect:. _ 'I have and.will maintain'a certificate of consent to self -insure for workers' compensation, as provided License Class: 13---C3 9 Ljcense.No 881552 for by Section 3700 of;the.Labor Code, for the performance of the work'for which this permit is issued. ate' ontraaor. e - have and will maintain workers' compensation insurance, as required, Section 3700 of .the Labor. .. _ - •, --FF Code,forthe performance of the work for which this permit is issued: My'workers' compensation OWNER -BUILDER DECLARATION ` insurance carriei-and policy number are:- Vl, hereby affirm, under penalty of perjury that'I amexempt.from the Contractor'sState ticense Law for the _ Carrier STATE ,FUND `-' Policy Number 1948136.-2012 - - g y ty y at'requves a:permit to _'l;certify that, inahe_performance of the work for which this permit is issued, I shall notemployany following reason(Sec. 7031.5, Business and Professions Code: An ci or, th -construct,-alter,. improver demolish, or repair any structure, prior to its issuance, also requires the'applicint for the • person in any manner so;aeio become'subjectto -the .workers' -compensation laws of California, permit to`file a signed statement;that he or sheds licensed pursuant to the'provisionsof;the Contractor's State - and agree that, if,l'should become subject to:the 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 C e all=forthwith comply with those provisions. c �`. ; -� that�he or she is exempt theiefiom and the -basis for the alleged exemption: 'Any wolationof Section 7031.5by .,.J 7 Y any applicant fora permit subjects.the applicant to a civil`penaltyof not more than five hundred dollars ($500)•: - ate. plicant: (_) I, as owner of the property, or my employees with we as,their sole compensation will do the work, and 10the structure is not intended orroffered;for sale (Sec. 7044,: Business and Professions Code: The WARNING: FAILURE TO SECURE WORKERS -COMPENSATION COVERAGE IS -UNLAWFUL, AND SHALL Cont'racto`rs' State License; Law does hot apply to an'owner ofproperiy:who builds or improves thereon, SUBJECT .AN.EMPLOYER'TO CRIMINAL PENALTIES AND CIVIL FINES UPJO ONE HUNDRED THOUSAND., and whodoes 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 PROW DED 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 off -proving that he or she did 'hot build or - - -F -- - improve for the purpose ;of sale.). APPLICANT ACKNOWLEDGEMENT ' (_ 1:1, as owne-f t ohe property,. am exclusively. contracting with licensed contractors to construct the project (Sec. IMPORTANT: Application -is hereby'made to the Director -of Building and Safety fora permit subject to the • ' 7044;. Business. and Professions Code: The Contractors'`State License taw does not apply to an owner of conditions and restrictionsset forth'on this application. -✓ _ - property who builds or improves thereon, and,who contracts for the projects with a coniractor(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.l. whose benefit work is performed under;or. pursuant to any permit issued as a resultof this application, - (_) I am exempt under Sec. BIP.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 resultof 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 Information is correct. I agree to comply with all -:work for which this permit is issued (Sec. 3097, Civ. C'.). city;E .ty ordinances and state laws relating to building construction, and hereby authorize representatives -- of to enter upon he -above-mentioned pr for inspection purposes. Lender's Name: ate: ��SI ature (Applicant or Agent) . Lend'er's Address: � - LQPERMIT Application Number . . . . . .12-00000520 Permit RE -ROOF Additional desc . Permit Fee 30:00 Plan Check Fee .00 Issue Date . . . . Valuation 0 Expiration`Date 11/05/12 Qty.. Unit=Charge Per Extension BASE FEE 30.00 _ ----------------------------------------------------------------------------- ` Special Notes,and Comments: zr. TEAR EXISTING GRAVEL'ROOF &.REPLACE WITH. LIFETIMECOMP` SHINGLES„ BY GAFELK. R' 30';INSUI,ATION`TO.Bt=`VERIFi�ED AT INSPECTION. 2010 CODES .:. ------------------ --- ------- Other Fees. ,, ----------- - - - - -- - BLDG .STDs ADMIN'. (SB1473.) 1 00 C Fee :summary: Charged: Paid• Credited - Due ------------------ -- ---- -----=-------------- ---------- (; CF -1 R-ALT=ReRoof 53 Climate.Zone',I It tqUe. )% �Z3 # t ROOFING PRODUCTS (COOLAOOFS) §161(f)12 � When the area ofexterior roof surface to be replaced exceeds 504 of the existingro roofingf area, or 1,000 ,whichever is less, the new Check applicable alternative area must meet the roofing product "Co"ol Roof". re,quiroements of §152(b)1H1; 152(b)1HN, or 152(b)1Hill. 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 rWo required in Climates Zones 1-9, and 16 with a steep -sloped roofs (greater pitch than 2:12) and product weightless than 5Ab/i?. Alternatives to §152(b)l Hi and §152(b)HII, Steep -slope roof (pitch > 2:12) .85 heft •°F/Btu or at least a 3/4 inch air -space is added to the roof deck over an attic; or ❑ Insulation with a thermal resistance of at Ieast,0 ❑ Existing ducts in the attic are insulated and sealed according to §151(f)10; or In climate zones 10, 12 and 13; with 1 f12 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 duds 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)1 HILI, Low -slope roof ( pitch S 2:12) O 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 theimal mass over the roof membrane:with at least 251bW are exempt from the Cool Roof aiteria. ' NOTE: If any one of the alternatives or exception- is checked the Aged Solar Reflectance and Thermal Emittance requirements for roofing products in §118(1) are not applicable. Do not till table below. Roof Slope F CRRC Product ID Number' S 2:12 > 2:12 < ❑ 13 ❑ ❑ Note: I1 no CRRC-1 label Is available, this compliance method cannot be used, use the Performance Approach to show compliance, The CRRC Product !D Number can be obtained film the Cool RoofRating. COuncil s Rated Produd Directoryat www coofmofs 2MkM as/cR+Aroh rho Indicate the type of product is being used for the roof top, f. e. singt"ly roof, asphalt root 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;,a„ _ 0,2) to obtain a calculated aged value. Where p is the Initial Solar Reflectance. Check box H the Aged Reflectance Is s calculated value using the equation above. Calculate the SRI value husing b eet usfthe CF -1 R. atopy of the SRI_ Workshthe SRI_ Woiksheet at httn N" enerov ii 90-WNe24/ and enter.the resulting value in the SRI Column above and attach o apply Liquid Field -Applied Coatings, the coating must be -applied across the entire roof surface and meet the dry mil thickness or coverag ,commended by the coatings manufacturer and meet minimum performance requirements listed in §1180)4. Select the applicable coating: rodud Weight 5lb/fe . 2 5lb/fe Product Type2 Aged Solar Reflecdance3'4 Thermal Emittance SRIS ❑ E3. Q4 E313 ❑4 Aluminum -Pigmented Asphalt Roof Coating ❑ Cement -Based Roof Coating ❑ Other 'TE: When a Cool Roof is required, the Installing contractor shall complete and submit the CF6R-ENV-01 for final inspection. • I certify under penalty of perjury, under the laws of the State of California, the inform atlon provided on this form is accurate and complete. • I certify that the energy features and performance specifications identified on this Ce 1 and 6 of the Califomia Code of Rulations. rtificate of.Compliance conform to the requirements of Title 24, Parts Name: '" I A „ L �� � ,� Signature;,�%7 Company: -To Ga G1 P. :ss: ,7-2 2 < Qe( Dater GIJCU (2. \F IfC, License: r� City/State/Zip: IV `i 41[°h P�5'er-t �i 2 .r Phone: 77,�o -9� For assistance or questions regarding the Energy Standards,.contact, the Energy Hotline at: 1-800-772-3300. 9 Bln.# City Of °La. QUintd Bullding d, Skety', DN 6n P.O. Box"1504, 78-495 •Ca1fe Tampico 4.QL rota, .CA 92253 (760)1777-70'12: Building Permit Appiicagon'and Tracking Sheet Permit # Project Address: 35.135 AVe D�( Otmer's Name:. � �fite loei�` A, P. Number. Address: 535$5 Legal Description:. Contactor: L C . Q��.. M Ci ST iip; ty. e p L� CSU t �,-t: Telephone:. ' x4z f49s:° Address:??. ?. g25 c4 W Q re l e -e Project Description: - City, ST, Zip:R �,vM i�/�' S'e I. �Z z'l Ctiv Q.� �a Telephon,e: •7�r : State Lie Arch., Engr.,.Desig'ner. .� C f-�.^n C-i-lov 412. C� 6 Address: City., ST, Zip: Telephone: State Lic. #: Construction Type:..:, Occupancy: tY* (circle one):, New AMA. Alter Repair Demo.: Scl Ft ; z r s : # stories: r # Ut t i Name of Contact Person: WG d N' o ( T:5 , . Telephone #: of Contact Person:760..57-.7p8'�, or ',)Oz49,e Estimated. Value of Project , 5% 0 APPLICANT; DO NOt WRITE BELpW 1 HIS UNE ' # Submittal Req'd_ Recd TRACICIPIG PERMITFEF.S Pian Sete Plan Cleeek sabmitted Item- Amount Structural Calc& Reviewed, ready for` correcaogs ' Plan' Check Deposit. . Ttass Cates: Called Contact Person?' Plan Check Balance. T3t[e 24 Coles.Plane picked uP , Construction Flood plata plan Plans resubmitted,.. Meeharitcal Grading plan ' 2'%tview, ready,for correctionsC�ssve Electrical Subcontactor List 'Called Contact Person ;,Plumbing'" Great Deed. Plans picked'uP $.M.1: H-0.4- Approval Plans resubmitted Grading IN HOUSE*; '^',Review; ready: for correctlansAssue Developerampact Fee Planning Approval Called Contact Person Pub Wks. Appr Date of permit issue School Fees ' TotaPPermitFees .