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08-0144 (RR)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 08-00000144 Property Address: '53776 AVENIDA MONTEZUMA . APN: 774-141-002-22 -000000- Application description: RE -ROOF Property Zoning: COVE RESIDENTIAL Application valuation: 9800 T -&t4-40" Applicant: Architect or Engineer: p I A- BUILDING & SAFETY DEPARTMENT BUILDING PERMIT ---------------------------7---------------------- LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am license under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and F F ss' nals Code, and my License is in full force and effect. License a s: C3 lyn License No.: 765842 i ate: ntractor: 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 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 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.). (_) 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 contractor(s) licensed pursuant to the Contractors' State License Law.). ( ) I am exempt under Sec. , B.AP.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: LQPERA11T VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/15/08 Owner: CULVERWELL JOANNE 1929 S. ASHLAND PARK PLACE RDG LA QUINTA, CA 92253 (760)360-3048 Contractor: ! D a ABOVE IT ALL ROOFING, INC 3943 IRVINE BLVD, 4297 f IRVINE, CA 92602 A �� (714) 731-3911 JAS 15 Li04 Lic. No.: 765842 CITY OF LA QUINTA ----------------------------------------------- -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 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 STATE FUND 4, Policy Number 1886639-08 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 rktirs compensation laws of California, and agree that, if I should become s^ t to t rkers' compensation provisions of Section 0 .of the La r Code, I s II or wi pty with those provisions. to plican[: 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 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, Indemnity 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 1 have read this application and state that the above information is correct. I agree to comply with all city anWcouo sand stat aws relating to building construction d hereby authorize representatives f thisoned property for in i nure (Applicant or Agent): Application Number. . . . 08-00000144 Permit . . . •RE -ROOF Additional desc . Permit Fee . . . . 30.00 Plan Check Fee .00 Issue Date . . . . Valuation . . 0 Expiration Date 7/13/08 Qty Unit Charge Per Extension BASE FEE 30.00 ---------------------------------------------------------------------------- Special Notes and Comments RE -ROOF WITH CLASS A MATERIALS Fee summary ----------------- Charged ---------- Paid Credited Due Permit Fee Total ---------- 30.00 ---------- .00 ---------- .00 30.00 Plan Check Total .00 .00 .00 .00 Grand Total 30.00 .00 .00 30.00 LQPERN11T Bin # City of La Quinta Building & Safety Division f P:O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253.- (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: 53-77C, VC-yv, t),+ Owner's Name: do A, 0, LV A. P. Number: Address:` 1107 z17 Legal Description: City, ST, Zip: 4t.-� Contractor: �� 7] Telephone: (0o-— 30CIy. Address: 3 firC/II� (� Project Description: City, ST, Zip: —: (J I Ve CA • 9.2-602 Q d Telephone: %/'131 ^ 3ci I - r b Cc ���"� zl�'I`alwlU State Lic. # : t7 City Lic. #: Arch., Engr., Designer: S- I ' 6 od— cI S A ✓11 Zt E^ • _C Address: City, ST, Zip: %0-3Y3 0OVF Telephone: State Lic. #: C' 1 3 101 Name of Contact Person: rl,6kaj AIul✓h ;v2Te— Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: %,0 _.3 V3 . is ` Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading, plan 2"d Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees LEGACY REPORT +es�bsMn TM ER -4660 Reissued June 9, 2003 ICC Evaluation Service, Inc. final omker SWd waianar ne Road, wnitlie. caG4nnia 9=1 a (562) 699-0543 Re9b90 nal 0111M i 0 MOrddair Road, State A. Birmingham, Alabama 35213 / (205) 599 800 W1NW.ICC-@S.org RaglonalOt<ice t 4051 Wed FW3 uwRoad, Country pub Fill pfirnis 60478 f (708)799-2305 Legacy report on the' 1997 Uniform Building CodeTM DIVISION: 07 THERMAL AND MOISTURE PROTECTOR Section: 07320—Roof Tile EAGLE AND EAGLELITE INTERLOCKING CONCRETE ROOFING TILES EAGLE ROOFING PRODUCTS 3546 NORTH RIVERSIDE AVENUE RIALTO, CALIFORNIA 92377 1.0 SUBJECT Eagle and EagleliteDA Interlocking Concrete Roofing Tiles 2.0 DESCRIPTION 2.1 General: 2.1.1 Eagle Tiles: Eagle conventional -weight interlocking concrete roofing tiles are produced in high-profile (Capistrano), low -profile (Malibu), and flat -profile styles with either smooth surfaces (Bel Air Standard, Bel Air Estate or Bel Air Double Eagle) or textured surfaces (Ponderosa Standard, Ponderosa Estate, Ponderosa Double Eagle or Ponderosa Golden Eagle). Ridge and rake trim units are produced to match each product The tiles are composed of Type II portland cement, washed sand, and proprietary additives. Mineral coloring oxides are added to or are mixed with portland cement and water for surface application following extrusion. Units are cured under controlled temperature and humidity conditions. Tiles are 17 inches (432 mm) long, 12% inches (315 mm) wide, and nominally'/2 inch (12.7 mm) thick. They are manufactured in either :flat or profile style with 3/, -inch -wide (19 mm) interlocking sidelaps designed to resist surface water penetration and maintain proper alignment All tiles have protruding head lugs on the underside, which provide for mechanical attachment over wooden battens, or provide a stable foundation for nail attachment to solid decking. Two nail holes are provided in each the for use where half tiles are needed at roof edges, chimneys, skylights, etc. Approximate installed dry weights with 34nch (76 mm) head laps are 9.5 psf (46 kg/mz) for Capistrano tiles, 9.5 psf (46 kg/m2) for Malibu tiles and 10.0 psf(49 kg/m2) for Ponderosa and Bel Air tiles. 2.1.2 Eaglelite Tiles: Eaglelite tiles are produced in the same size, manner and shapes as the conventional -weight Eagle tiles described in Section 2.1.1, except for substitution of lightweightaggregates and additives for sand. Approximate installed dry weights with 3 -inch (76 mm) head laps are 5.7 psf (28 kg/m?) for Capistrano tiles, 5.5 psf (27 kg/m2) for Malibu tiles and 7.0 psf (34 kg/rre) for Ponderosa and Bel Air tiles. 2.2 Installation: 2.2:1 Now Construction: Installation shall be in accordance with the Concrete and Clay Roof Tile Installation Manual for Moderate Climate Regions. See evaluation report ER -6034P. 22.2 Reroofing: Eagle tiles, as described in Section 2.1.1, provide a Class A roof when Installed over existing asphalt shingle roofs. Care should be taken to ensureboth horizontal and vertical alignment on the roof. Foreign matter must be cleaned from all interlocking areas. Cracked or broken tiles must be removed from the roof. Damaged or rusted flashing should be .replaced. Existing framing must be adequate for the additional load. Structural data verifying adequacy should be submitted to the building official. The existing roof must be inspected in accordance with Appendix Chapter 15, Section 1515, of the 1997 Uniform Building CodeTM' (UBC). When reroofing wood shake roofs, existing shakes must be removed and solid decking and tile must be installed, as with new construction. When installed over existing spaced sheathing boards, underlayment complying with the UBC or an undedayment recognized specifically forthis type of use in an ]CC -ES evaluation report, installed with or without battens, may be used. One layer of No. 30 felt or approved equal underlayment must be installed onthe roof priorto application of tile. In lieu of this undertayment's being provided, the building official may determine that the existing roof Covering provides the required undertayment protection. Details not covered underthis section are identical to those described in Section -2.2.1. 2.3 Roof Classification: When installed over solid sheathing in accordance with this report, Eagle and- Eaglelite =reefing tiles are Class A roof coverings in accordance'with Section 1504.1 of the UBC. When installed overspaced or solid sheathing in accordance with this report, -the tiles are noncombustible roof coverings in accordance with Section 1504.2 of the UBC. The tiles are Class A roof coverings when installed over existing asphalt shingles in accordance with Section 2.2.2 of this report 2.4 Identification: t The name EAGLE and the evaluation report number (ER - 4660) are imprinted on each tile. A tag on each shipping pallet indicates the producing plant location, product identification and the installed weight. Each Eaglelite file is identified by the product name'Eaglelite' on a tag and a light- colored ightcolored strip across the headlap area. !CC -ES legacy reporn aro not to be construed at representing aesthetlas or any other atvlbutes nut tpee(fleally addressed, nor aro they v be construed os an endarsement of the subject ajthe report or a recontmandation jor to are. Thera Ano rarraory by fCC Evaluation Service. Inc.. express or /mpliek as to I any finding or other matter in Mss report, or as to any product covered by the nport. Copyright 0 2003 Pagel of 2 Page 2 of 2 ER -4660 3.0 EVIDENCE SUBMITTED 4.1 Tiles are manufactured, identified and installed in Results of tests in accordance with the ICC -ES Interim accordance with this report and the manufacturer's I Criteria for Clay and Concrete Roof Tiles (AC180), dated instructions. January 2002, and a quality control manual. 4.2 Tiles are manufactured at Eagle Roofing Products 4.0 FINDINGS facilities located in Rialto, California, and Phoenix, Arizona. That the Eagle Concrete Roofing Tiles described in this report comply with the 1997 Uniform Building Code**', This report is subject to re-examination in two years. subject to the -following conditions: R"@ T" Tr FIELD AND TRIM SPECIFICATIONS S