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12-1069 (RR)IIIIIII VIII III VIII IIII 51 P.O: BOX 1504 IE _ 78-495 CALLE TAM'PICO ` LA QUINTA, CALIFORNIA 92253 ' f .. BUILDING & SAFETY DEPARTMENT BUILDING PERMIT . - Application Number: 12 =00001069 - Property Address: 49803 ADELITO DR APN: 646-240-014-, - - Application description: RE -ROOF Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 14477 Applicant: Architect or Engineers: VOICE (760)}77S7 FAX (760) 777- INSPECTIONS (160) 777-7153 Owner: a , BIGLER DONALD 49803'ADELITO DRIVE s LA QUINTA, CA 92253 (209)992-0562 _ 1 Contractor: D U FOAMBOND CORPORATIO 255 N. EL CIELO ST 40--6�p-� PALM.SPRINGS,_CA.92 2 ��� (866)404-5440 Lic. No.: 868171 Cl OFLAQUINTA FINA NCS pEP.T --------------------------- ---------------------- 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. License Class: Q 9 License No.: 868171 Date: Contractor:+ 0 -BUILDER DECLARATION ' I hereby affirm under penalty of perjury m 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 t 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 _ 1 I, 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 work 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 I, 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 contractors) licensed pursuant to the Contractors' State License Law.). - ' • • - ' 1 _ ) I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY r 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.)• I a .Lender's Name: Lender's Address: , • LQPERMIT iJ i Date: 9/18/12 ----------------------------------------------- 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 w� issued. I have and will maintain 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 CA INS Policy Policy Number 468463140101 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 subjec rkers' compensation provisions of Section •� _ 700 of the Labor Code, I shall 0ith ith those provisions. _ Date:[ 1111ZL .Applicant: t �• WARNING: FAILURE TO SECUR WORKERS' COMPENSAIAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRI AL PEN 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 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 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 and county ordinances and state laws relating to building construction, and herebya6thorize representatives of this cou9tttvv ttooenter upon the above-mentioned property for ' tion pur Date: -��'T/'Signature (Applicant or AgenU: � . a , Application Number . . . . . 12-00001069 Permit RE -ROOF Additional desc . . Permit Fee . . . . 30.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 3/17/13 Qty Unit Charge Per Extension BASE FEE 30.00 ---------------------------------------------------------------------------- Special Notes and Comments RE -ROOF REMOVE EXISTING TILE INSTALL NEW UNDERLEYMENT & NEW TILE. FLAT AREAS GRAVEL SWEEP INSTALL NEW POLYURETHANE FOAM ROOF SYSTEM OVER EXISTING. 2010 CODES APPROVED PER A.J. ---------------------------------------------------------------------------- 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 Prescriptive Certificate of Comnlhr,..e. ''Y° 3 .1c / /J k9f - C 9 ROOFING PRODUCTS (COOL ROOFS) §161M12 When the area of exterior foot surface to be replaced exceeds roofing area must meet due roofing Product " SO% of the existing roof area, or 1,000 , whichever is less, thq new Coo! Roof uirements of 1 Check applicable alternative or exce 52(b)1 Hi, 152(b)1 Hii, or 152(b) 1 HILI. Ptlon below if the roof alteration is ex a -- O Cool roofs re luifed in des �F^ the roorin9 product 'Cool Roof requirements:: Zones 1-12, 14, and th with a low sloped roof pitch (1� or 2:12 pitch). O Cod roofs � recluir,ed in [� Zones 1-g, and 16 with a steep-slotxed roofs Alternatives to §152(b)i HI and §152(b)FUt, Stee WrOater P� than 2:12) and product weight less than 5AbI ❑ knsufation with a thermal P�5 hr. roof (Pitch > 2.14 resistance of at least 0.85 M fe'F/Btiu or et least a 314 inch air -space is added to the rod deck over an attic; or O Exisl ducts in the attic are insulated and sealed O In dimate'zones 10, 12 and 13, with 11122 of treeaccording to §151(f)10; a whereat least 30 Ventilation area of attic ventiation for every 150 R2 of attic floor area, and percent of the free vermin area is within 2 feet vertical distance O Building has at least R-30 ce&V mon; or or the roof ridge: or ❑ Building has radars barrier in the attic ❑ ung of § 151(1)2; or Buld� has no duds in the attic; or ❑ In carate zones 10, 11, 13 and 14, R-3 or greater roof deck insulation above vented attic. Exception to §152(b)1Hill. Low•elope roof (Pitch 2:12) ❑ Building has no ducts in ft attic Other Exceptions C3 Rodding area is covered by buffing integre � panels and tx 01 thermal tenon that have ihemnei over the roof membrane with leant 25 panek are exempt exempt from the Cod Roof crileria. ff any of the aRe+rnativ�es or exception exempt from the Cod Rod aiieria. voduds in § 1180 are not applicable. Do not AN table below. wed Scar Rblletxerae and Thermal ErfxittarFoe req4mments for rectin9 CRRC Product t0 Number s 2:o1d2 Slope .12 < StbiRx Weight SblRx Product Aged Solar Themial 14 -oo166 ❑ ❑ ❑ 13 11 ❑` /3 SRI 0./20-000 7 ❑ ❑ Note: afro t,RRG 1 label !s avelfable, Nris ❑ ❑ a a R ❑` 6 _ l0 I. The (5W Rothia Io i�frrrber can be cannot be used, use tris P+erlbnnanoe ,q b show. 2. Inaicale Nie 4 Pe d prodtid is 6elrp used Cod Boot Ratirp Cowratrs Rabsd Roclfa o 0octory at I. h Nue Aped nee is riot svaiebb in the Cod Roof i e. ole�h rod, �rsll rod, nr I roof, otic. directory and use Nie aq+uallon (0.2+0.7 RaN"p Courrcrll< Robed Rodud O�dory Nren use Nue kWW ReAiedance value fiom the same 1. Check box M Nie aped ReeAedanoe is a (kU - 0.2) b obtain a e ulabed ped value. Where P is Nre ftW Solar Reflectance. i Caloulata the SRI value by util the rlb+ksheeWed td usip tio+r above. &copy d Nb SRI- ItilorlcSftW toNix CF -1R and enter Na ►eaufti�p value in the SRI Collum above and attach fo appy Liquid Field Applied voorxnended by the ma • the applied 6Cros the entire roof surface and meet the dry ml dtidkness or cover 7 Aluimnum-P' re Iii in §118(i}4. Select the moble ��: ngmented AsphaR Roof Coating ❑ Cement -Based Roof Coating ❑ Other YQI€' K l m a Cool Roof is reQuired Declaration Statement , the Mstallinfl contractorcontractor-mu omWwe and sul It the CF -6R -ENV -01 for final inspection. I ceI under Penally of perjury, under the laws o! the Stab of Galifomia, the • I certify that the energy features and periormar�ce information Provided on this form is accurate and oompieb. 1 and 6 of the Cali(omia Coded ulatjons sPeclfi�tiont identified on this CerWWe of Compliamee OOnl to the requtf of TRb 24, Pa Name: Ail, el T- CC Z ' Signe Copany: Date:le %. rLiense: City/State/Zip: 9/ / t T� lZ rt^ / . l'6f %'-t Z e Z F'nk)ne: For assistance or questions o F -T q/- 0 6 >76 r�egarrling the Energy Standards contact the Ene rgy Hotline at: 1-800-772.3300, [,Btn ff City Of La Quinta Permit Building 8r Safety Division ermit # P.O. Box 1504, 78-495 Calle Tampico A,L- I n. La Quinta, CA 92253 - (760) 777-7012 - I lov" I �­llllllllllllllllllll� Building Permit APPlication ind TrJckinz Sheet J( Project Address- 1�� �- Wrier's Name: A. P. Number: ddress:a 11. 0A Legal Description: Contractor- City, ST, Zip: ZA / CA elephone: 0 0 7- P 12- 6,.5- r IW Address:ZS f /e/jo Project Description: City, ST, Zip- f,0 114k^ CO V A- z_ .7- Telephone: Ct z State Lic.#: rift, I e. Arch., Engr., Designer: e e_ /.I e - T C Address: e City, ST, Zip: Telephone: Construction Type: Occupancy: State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: Stories: # Units: Telephone # of Contact Person: Af? ga ji, �eyl- P�- _ 0-9 71( Estimated Vl=alueof Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING Plan Sets PERMIT FEES Structural Calcs. Plan Check submitted Item Amount Reviewed, ready for corrections 9 Truss Caics. - Plan Check Deposit Title 24 CaIcs. Called Contact Person Plan Check Balance Flood plain plan Plans picked up Construction Grading plan Plans resubmitted Mechanical 2"' Review, ready for corrections/issue Electrical Subcontaclor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- "4 Review• ready for correctionslissue Developer impact Fee Planning Approval Called Contact Person A. 1. P. P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees