13-1548 (RR)P.O. BOX 1504 VOICE (760) 777-7012
TW(f 4 XP a.
78-495 CALLE TAMPICO FAX -(760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS - (760) 777-7153
BUILDING PERMIT
Date: 1�/02/13
Application Number: 13-00001548
Owner:
Property Address: 55000 RIVIERA
PGA WEST HOA.
APN: 775-153-077-
54320 SOUTHERN HILLS,
Application description: RE -ROOF
LA QUINTA, CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL
(760) 77 1 - 1234
Application valuation: 2200
Contractor:
(�OJNTA
��INAMCE OF -PT'
Applicant:
Architect or Engineer:
BRS ROOFING INC
765 S_LUGO AVENUE
SAN BERNARDINO, CA 92408
(909)884-8505
Lic. No.: 907600
------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
Li��ClAs: J C3 9 LicenseNo.: 907600
Date: Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
following reason (Sec. 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 Contractor's State
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 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).:
1, as owner of the property, or my employees with wages as their sole compen sation, will do the work, and
the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
and who does the work himself or herself through his or her own employees, provided that the
improvqTents are not intended or offered for sale. If, however, the building or improvement is sold within
one year of,.�bmpletion, the owner -builder will have the burden of proving that he or she did not build or
improve for.A�,jpurpose of sale.).
1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
property who builds or improves thereon, and who contracts for the projects with a contra6tor(s) licensed
p ursuant to the Contractors' State License Law.).
I—) I, am exempt under Sec. BAP.C. for this reason
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:
LQPERMIT
- - - - - - - - - - - - - - - — — — — — — — — — — — — — — - - - - - - - - - - - - - - - - - —
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
--<i sued.
have and will maintain workers' compensatio . n insurance, as required by Section 3700 of the Labor
Code, for the performance of the work for which this permit is issued. My workers compensation
insurance carrier and policy number are:
Carrier STATE FUND — Policy Number 639-0509596
I certify that, in the performance of the work for which this permit is issued, I shall not employ any
.person in any manner so as to become subject to the workers' compensation laws of California,
and agree that, if I should become subject t9 the workers' compensation prov isions �f Section
3700 of the Labo_rQn I shall forthwith comply with those provisions.
a _.13`!b
e: — W 'Applic
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.
APPLICANT ACKNOWLEDGEMENT I
IMPORTANT Application is hereby made to the Director of Building -and Safety for a permit subject to the
conditions and restrictions set forth on this application.
I . Each person upon whose behalf this application is made, each person at whose request and for
whose benefit work is 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 comment; ad
within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that the above information is correct. I agree to comply with all
city and county ordinances and state laws relating to building construction, and hereby authorize representatives
of th_is c!utty 1) enter upon the above-mentionedl,,pro_ y for inspection purposes.
late7M ?4 13 Si665ture (Applicant or Agem):
Application Number 13-06001548
Permit . . . . . . . RE -ROOF
Additional desc . .
Permit Fee . . . . 48.62 Plan Check
Fee
.00
Issue Date . . . . Valuation
. . .
. 0
Expiration Date 5/31/14
Qty Unit Charge Per
Extension
1.00 48.6200 LS MISC RE -ROOF, 1ST 2000
SF
48.62
------------------------------------------------------------------------------
Notes and Comments
.Special
REROOF WITH -FOAM - [CRRC:.0770-00021
2010 CALIFORNIA ENERGY CODE.
-------------------------------------------------------------
Other Fees . . . . . . . . . I PLAN CHECK, RE -ROOF
7 --------------
97.24
Fee summary charged Paid Credited
---------- ----------- ----------
----------
Due
-----------------
Permit Fee Total 48.62 .00
.00
.48.62
Plan Check Total .00 .00
.00
00
Other Fee Total 97.24 .00
.00
97.24
Grand'Total 145.86 .00
.00
145.86
LQPERMIT
Bin #
City of La Quinta
Building &r Safety'Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking S.heet
Permit #
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Arch., Engr., Designer:
Address:
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Telephone:
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Construction Type: Occup ancy
State Lic. #:
Project'type (circle one): New Add'n Alter Repair Demo
-Sq. Ft: 7.000 # �Sto�e�. Units:
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APPLICANT: DO NOT WRITE BELOW THIS LINE
#
'Submittal
Rcq'd
Rcc1d
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural CaIcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance.
Title 24 Cales.
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 Dced
Plans picked up
S.M.1.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
Re.view, 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
I Prescriptive Certificate of Compliance: Residential Reroof CF -1 R-ALT-Re_R_o_o_f__1
IClimate Zone I Permit #
ROOFING PRODUCTS (COOL ROOFS) §151(012
When the area of exterior roof surface to be replaced exceeds 5001. of the existing roof area, or 1,000 W, whichever is less, the new
roofing area must meet the roofing product "Coot Roof" requirements of §152(b)lHi, 152(b)lHii, or 152(b)lHiii.
Check applicable altern"ve or exception below if the roof alteration is exempt from the roofing product "Cool Roof" require—ments:,
• 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 5/lbte.
Alternatives to §152(b)l Hi and §1 52(b)Hii, Steep -slope roof (pitch > 2:12)
• Insulation with a then -nal resistance of at least 0.85 hr-ft2_ IF/Btu or at least a 3/4 inchair-space is added to the roof deck over an attic; or
• Existing ducts in the attic are insulated and sealed -according to §151 (010; or
• In climate zones 10, 12 and 13, with 1 ft2 of free ventilation area of attic ventilation for every 150 fe of attic floor area, and
where at least 30 percent oi 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 §1 51,(Q2; or
• Building has no ducts in the attic; or
0 * In climate zones 10, 11, 13 and 14, R-3 or greater roof deck insulation above vented attic.
Exception to §1 52(b)l Hiii, Low -slope roof (pitch:5 2:12)
0 Building has no ducts 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 lbtft2 are exempt from the Cool Roof criteria.
NOTE: If any one of the alternatives or exceDtion is checked the Aced Solar Refiertanre ;9nrY Thprrnal Fmittanrp rP_mjirt-_mP.nt_,z Mr rnnfinn
products in § I 18(i) are not applicable. Do not fill table below
NOTE. When a uoot Hooi is required, the installing contractor shall complete and submit the CF -6R -ENV -01 for final inspection.
Declaration Statement
Roof Slope
Product Weight
Product
Aged Solar
Thermal
Compan
CRRC Product ID Numberl
5 21:� > 2:12
< 5lb/ft2 >_ 5[btft2
Type 2
Reflectance 3,4
Emittance
SRI 5
.
E]4
71
elf
E]
E]
I
041
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.Oralproductslse-arch.p
2. Indicate the type of product is being used for the roof top, i. e. single7ply roof asphaft 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(pww — 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.
S. Calculate the SRI value by using the SRI- Worksheet at htioYAvww.epMv.ra.covltitle241 and enter the resuffing value in the SRI Column above and attach
. acopy of the SRI- Worksheet to the CF -1R.
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 m anufacturer and meet minimum performance requirements listed in §1 18(i)4. Select the applicable coating:
0 Aluminum -Pigmented Asphalt Roof Coating Cement -Based Roof Coating Other
NOTE. When a uoot Hooi 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 specifications identified on IN C of Compliance conform to the requirements of Tale 24, Parts
. I and 6 of the California Code of Regulations.
Name:
SignatOre:
Compan
Date:
Address-
- 76, �, t -a -&o
License-
?07 (60
City/state,�4p:
Ph
t,or assistance or questions regarding the 8nerg-y Standards, contact the -Energy Polline at: 1-800-772-3160.