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13-1550 (RR)P.O. BOX 1504 78-495.CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 13-00001550 Property Address: 55020 RIVIERA APN: 775 -153 -07 -5 - Application description: RE -ROOF Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 2200 Applicant: Architect or Engineer: 4 VOICE (760) 777-7012 FAX (760) 777-7011 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 fcommencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. Lic�eClpss: C3 9 .9::::: LicenseNo.: 907600 Date::::;�g Contractor: ' I_ 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 compensation, 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 woik himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within 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.). 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 contractor(s) licensed pursuant to the Contractors' State License Law.). 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 Owner: PGA WEST.HOA 54320 SOUTHERN HILLS LA QUINTA, CA 92253 (760)771-1234 Contractor: BRS ROOFING -INC 765 S. LUGO AVENUE SAN BERNARDINO, CA 9240 (909)884-8505 Lic. No.: 907600 Date: 12/02/13 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 pe�mit is issued. ---I have and will me intain workers' compensation 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' comp6sation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor C," I shall forthwith comply with those provisions. Date: Applicant6 ItAk-.� WARNING: FAILURE TO SECURE JORKERS' 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 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. 1 . Each person upbn 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 becoriies 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 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 aAndcoty rdi as and state laws relating to building construction, and hereby authorize representatives of this cou y enter upo mentioned prop got'l9v inspection purposes. Date: Signature (Applicant or Agent): Application Number . . . . . 13-00001550 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 ---------------------------------------------------------------------------- Special Notes and Comments REROOF WITH FOAM - (CRRC: 0770-0002] 2010 CALIFORNIA ENERGY CODE. Fee summary Charged ----------------- --------- ---------- Paid Credited ----- ---- ---------- Due Permit Fee Total 48.62 7 .00 .00 48.62 Plan Check Total .00 .00 .00 .00 Grand Total 48.62 .00 .00 48.62 0 LQPERMIT Bin City of La Quinta -Building &r Safety'Division Permit # P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking S.heet WwMers ame&A WMT 00A A. P. Number Legal Description: ty, nzi V, Von t�r ac t o r: S?4 Repohonv. 'A ddress:_7 4c La &v koe i ty, S T, Zip: 15* -P Sel2*4 A t-0 oe-N 01 CC 'if lephone-101- epos, ........... A _M&!D 4D Submittal City Lic. #.- RccId TRACKING Arch., Engr., Designer. VW b Address: Plan Check submitted b, 0 Item City., ST, Zip: bV tote Telephone: Reviewed, ready for corrections .. . ....... . Construction T . ype: Occupancy: Truss C21CS. Called Contact Person State Lic. #: Plan Check Balance Xy A JAI "i %ypelc rc e onitj: ew n YOter Reptur Demo ri: e6* $AG LV. -Sq.-Ft: 7,000 'Units: n: 101-0*el -V U—caft-p7ro-MMI APPLICANT-. DO NOT WRITF FtF1 nW '171411, 1 IMP N Submittal Req'd RccId TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amou Amount] Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss C21CS. Called Contact Person Plan Check Balance Title 24 Calcs. Plans pickc*d up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, r eady for correctionsfissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- Reyiew, ready for correctionsfissue Developer impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees Prescriptive Certificate of Compliance: Residential Reroof CF -1 R-ALT-Relloof Project Address: 0 Climate Zone 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 ft, 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) MY. Check applicable alternative or exception below if the roof alteralion is exempt from the roofing product "Cool Roof" requirements._� Products in § 1 18N are not applicable. Do not fill table below. J401E. Whena Coot Rootis required, the instaffli contractor shaff complete and submit the CF -6R -ENV -01 for final inspection. Declaration Statement Roof Slope Product Weight Product Aged Solar Thermal Compan I — 73�s 9_tr0Pk1r_V CRRC Product ID Numberi 2:1� > 2:12 < 51b/ft2 >_ 5lb/ft2 Type 2 Ref lectance 3,4 Emittance SRI 5 40 0 11 Note: If no CRRC� I 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.coofroofs. onz4grodfucts1search.pho 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(pj.,w – 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 byusing the SRI- Worksheet at htfoYAv ener ww Qy.ca.c7ovAit/6241 and enter the resulting value in the SRI Column above and attach acopy of the SRI- Worksheet to the CF -117. 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 §11 8(i)4. Select the applicable coating: 11 Aluminum -Pigmented Asphalt Roof Coating 11 Cement -Based Roof Coating 11 Other J401E. Whena Coot Rootis required, the instaffli contractor shaff 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. 0 1 certify that the energy features and performance specifications identified on thi of Compliance conform to the requirements of Title 24, Parts . I and 6 of the California Code of Regufations. Name. ffj?j�qg tA c 1 Signatdre: 14 t — --- --,— — Compan I — 73�s 9_tr0Pk1r_V Date: 1Z.1 Z� I's FAd, ress- w76, License* Cit: City/StateL-4p: Ph For assistance or questions regardin� the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.