12-0940 (RR)T4ht 4.4 Q
P.O. BOX 1504E & VOICE (760) 777-7012
x 78-495 CALLE TAMPICO FAX (760) 777-7011,
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
1
Date: 8/20/12
Application Number:. 12-00000940 Owner:
Property Address: 52110 •AVENIDA MONTEZUMA • MEEKS DAVID
APN: r 7737201-024-20 -0000007 52110 AVENIDA MONTEZUMA
Application description: RE -ROOF r LA .QUINTA, CA .92253
Property Zoning: - COVE RESIDENTIAL . ,
D �.
Application valuation: 7200
AUG 20 2012
' Contractor.'
Applicant:��j Architect or Engineer: ONE WEST CONSTRUCTION ,
355'50 BYRON TRAIL.
BEAUMONT, CA 92223 CITY OF LA QUINTA..
(760) 861-4660 FINANCEDEPT. F
r Lic.•No.: 941575
LICENSED CONTRACTOR'S. DECLARATION ' WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that.) am licensed under provisions of Chapter 9 (commencing with - I,hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. I have -and will maintain a certificate of consent to self -insure for workers' compensation, as provided '
License Class: B _ License No.: 941575 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is -
--1 ' �"`«. + • issued. - ..
Date:-Yr2b^ /'�- Contractor. _ 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
+ OWNER -BUILDER DECLARATION insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier EVEREST NATL - Policy Number 760008925121 - -
following reason (Sec. 7031.5, 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, ,or repair any structure, prior to its issuance, also requires the applicant.for the person in any manner so as to become subject to the workers' compensation 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 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 Code, I shall forthwith comply with those provisions. . 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).: • ` Datt� e:-�r'O /T Applicant:
(_) 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 WARNING: FAILURE TO SECURE WORKER COMPS SATION 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 ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered4or 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 of proving that he or she did not build or -
improve for the purpose of sale.).. APPLICANT ACKNOWLEDGEMENT
(_ ) 1, as owner of the property, am exclusively contracting with licensed contractors to construct 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 or improves thereon, and who contracts for the projects with a contractor(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.). - _ whose benefit work is performed under or pursuant to any permit issued as a result of this application, <
(_ 1 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 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 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 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 and county ordinances and state laws relating to building construction; and hereby.authorize representatives
of this county to enter upon the above-mentioned property for inspection purposes. .
Lender's Name:
,Date -4110117 Signature (Applicant.'or7Agent): -
Lender's Address: - .' r:� • ""•"`�1+ J'
LQPERMIT
Application Number . . . .12-00000940
Permit . . RE -ROOF
Additional desc .
Permit Fee 30.00 Plan Check"Fee
.00
Issue Date Valuation
0
Expiration Date 2/16/13
Qty Unit Charge Per
Extension
BASE FEE.
30.00
---------------------------------
Special Notes and Comments
--------------
INSTALL RADIANT BARRIER PLYWOOD UNDER
ROOF TILE REMOVE MONIER TILE INSTALL
RADIANT PLYWOOD REINSTALL SAME ROOF TILE
OVER NEW FELT 2010 CODES.
---------------------------
Other- Fees . . . . . . . BLDG, STDS. ADMIN (SB14,,73)
-----------
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
....•...�..a�C yr %,QmPlrance' Residentlal Reroof
....• ••%•Lfv%, I O tWUL ROOFS) §161012
I..,- -
R-ALT-ReRoof
--...... --.� �. ••• wcu Or ►Dor surface to be related exceeds 60% of the eftdng root ansa, or 1,000 ff, whichever 1s less, the new
rooffag area must meet Use rwfingproduct "Cool Root" rem.,* of 1
Check applicat>te attmrnau" or SY(b)IH4 162M)iMI, or 152(b)1H111.
exception below M the roof atteratioti is exelno from the rooting product 'Cod Roor rfqudrements::
O Cool roofs Dot reqs in %nates Zones 1-12, 14, and 16 with a low sloped root pitch (1m or 2:12 pitch). .
O Cod roofs W- required in Cbrates Zones 1-9, and 16 with a steep -sloped roofs (Weater pitch than 2:12) and product wei9M less than 5AO,*
Alfarnatt"s to §154"I'll and 6162(b)H"- Steep,61012e roof 6*0h > 2:12)
O Insulation with a thermal resistance of at least 0.85 hr-e-T8W or at least a 314 Inch air
O E)dsttn8 ducts in the attic art hu*atm and seated -space is added to the roof deck over an attic; or
O In drrnate zones 10, 12 and 13, with1 fit of bee ^ U� $151('f)10;'or
where at {east 30 area of attic ventilation for every 150 ft2 of attic floor area, and
Pent d the fife vma8fion area is within 2 feet vertical distanoe of the roof ridge; or
O &Ading has at least R30 W&9 irk; or
O Building has radiant barrier in ft attic meeting the FeClukernents of § 151(1)2; or
O Building has no ducts in the elk or
O in Climate zones 10, 11, 13 and 14.-R3 or greater roof deck kmdation above vented attic
Exception to §i52(b)iHllt, Lowabpe roof (~:S 2:12)
O Building has no ducts in ft a5 -
Oliver Exceptions
O {roofing area Is Covered by bolding 0OW01talc panels and scar thermal
O Root that have
titierrrtai mails over the rod Pe�eic are from lire Cool Roof lit.
' M any one of Use membrOne wish aid least 25113M are wwr pt from the Cool Roof ortterla.
rodurcts In § 1180 are and Cnrlttarioe reQrrinemerits fbr roiling
Roof
Product VV*ft
S 2:1 S>> 2:12 < tilb/lta ProductAged
Rte' EtMtRanoi
° °° ° 134
° ❑ ° ° 1�
SRI
Note: N no CRRC-1 label is eva&bb, Uris conVWWroe nwUW cannot be used, use the P�artbmranoe
The CRRC p+odu�t to hirmber Den be Approach to siww oon►puarroe.
Ir�dicaJla Me bTe a prodFict is ob°R lion ere cool Rod cbinclra Rexed Pmdud Mectory at
aerog used for eie roe tqa te. siripliEt.py rod, asrplia(t roe, meter root, era
Use I10 W avallaW in the (bol Reof �0 Comft Rated Product Q*c&wy even use Um Nraial ReAedanoe value tom ere same
dmc box n the Aged ReJ"o no� !s a "w. — 0 2) b loilate
obtah a cad aped value. Where P b Me biltfal Siler RWbcfanoe.
Calbufate lie -WvWw by using ere W atabove.
aocipy of Me S&L Wb kd" to rhe MIR- and enter Me nmuFthg v86re in ere SM Cokann above and afted
o apply Uquid Field Applied
�, 9 +st be applied across the entire roof sterane and meet the dry ml titiclmess or cove
roormlended the Coatings rnarwjfackjrar and meet mtnin m performance r8qUIvernents wed In §118(1)4. Select the applicable coat
ng
�
� Akxrrin
Pigmented Asphatt Roof Coating ❑ Cement -gam Roof Coating ❑ pttw
2N. When a Cool Roor Is requimd, the /nslsWng contractor shall oorriplete and submll Use CF -6R -ENV -W for final inspection.
Declaration Statement
• I cw* under PM84 of Perry, under the laws of the State of CaWomia, the infonniitlon
• provided W* that the ervsryy leatur�es and. ded on bits Conn is accurate and complete.
1 and 6 of the Cam Code of moons Wer>dfied on this Certiflcete of Compti2uioe oonfonn to the requWwwft of Title 24, P,
Name:
Company:
City l :
VOL
^ ►
For assistance or auestiri
Date:
� qr Ze -/'Z
Lioense:
`*1 .. ti. �. 260 Str. L1660—
regarding the Energy Standards, contact the Energy Hotline at: 1-800.772-3300.
Permit #
JC Project Address: ' Z l
A. P. Number:
Legal Description:
1' Contractor:&,,e 01-�—
40 tAddress:'/A}•, ST, Zip:
-4 Telephone -71-0%t– 'Itt o
State Lic. #
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:�\
Telephone # of Contact Person:
# I Submittal Req'd
.Plan Sets
Structural Calcs.
Truss Cafes.
Title 24 Cales.
Flood plain plan
Grading plan
Subcontactor List
Grant Deed
H.O.A. Approval
IN HOUSE: -
Planning Approval
Pub. Wks. Appr
School Fees
City of La Quinta
Building 8i Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
� C wner's Name: f),, D
, ST, Zip:
® Project Description:
s
City Lic. #:
Total Permit Fees
C st
Construction
rU Ctl on Type:
an
Occupancy:
P cy#:
1
Project �arcleone
11 11
g-711
d'n Alter Demo
Sq. Ft.:
#
Stories:
URepair
Estimated aProject:
ofV
APPLICANT: DO NOT WRITE BELOW THIS LINE
9Reviewed,
TRACKING
PERMIT FEES
Plan Check submitted
TPIan
Amount
ready for corrections
k Deposit
Called Contact Person
k Balance
Plans picked up
Construction
Plans resubmitted
Mechanical
2°" Review, ready for corrections/issue
Electrical
Called Contact Person
Plumbing
Plans picked up
SAI.1.
'Plans resubmitted
Grading
Jrd Review, ready for corrections/issue
Developer Impact Fee
Called Contact Person
A 1 P P
Date of permit issue
Total Permit Fees