13-1403 (RR) Separate out old re-roof52240 Avenida Madero
13-1403
P.O. BOX. 1504
78-495 CALLE TAM PICO
LA QUINTA, CALIFORNIA 92253.
Application Number:.
13,OAOQ. TO3
I hereby affirm under penalty of perjury that I'am licensed under provisions of Chapter 9 (commencing with
Property Address:
522'4-0 AVENIDA
MADERO .
APN:
773-242-003-3
-000000-
Application description:
RE -ROOF,
'
Property Zoning`..
COVE RESIDENTIAL
Application valuation:
6500
I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
Applicant:
Architect or Engineer:
_
Code, for the performance of the work for which this permit is issued. My workers' compensation
OWNS 1 DECLARATION
4
BUILDING & SAFETY -DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/04/13
Owner:
FREDDIE MAC
50.00 PLANO PKWY
CARROLLTON, TX 75010
Contractor: D
PGR LEGACY ROOFING INC
10057 ORANGE,STREET IV
0 4 2013
ALTA LOMA, CA 91737 N `/ L
(909)944-3190
Lic. No.: 907503 CITY OFLAQUINTA
NIB f_ 4_ -
LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I'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 Clas : 9 License No.: 907503 -
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
'
issued.
EDte: Corr.
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
OWNS 1 DECLARATION
insurance carrier and policy number are: '
I hereby affirm under penalty of perjury that I am exe t fro the Contractor's State License Law for the
Carrier STATE FUND Policy Number 9030417-2012
following reason ISec. 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
700 of the Labor Code, I shall forth ith nplywi hose provisions.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by-"'F`- • R
any applicant for a permit subjects the.applicant to a civil penalty of not more than five hundred dollars ($500).:.
Date.- ,Applicant:
(_) 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and
C
-----------f ` ---i---
the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The
WARNING: FAILURE TO SECURE WOR S' COMPEN4ATI&ZOVERAGE 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 offered for 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 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 _ 1 I am exempt under Sec. , S.&P.C. for this reason
the owner, and the applicant, each agrees to, and shall defend, indemnity and hold harmless the City
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
of La Ouinta, 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) 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 this county [ enter upon the above=mentioned property fo spectionpurp ces.
Jf
Date: . Signat- ure (Applicant or Ag
LQPEPN11T
Application Number 13-00001403
Permit . . . RE -ROOF
Additional desc .
Permit Fee . . . . 48.62 Plan Check Fee
0.0
Issue Date . . . . Valuation
0
° Expiration Date 5/03/14
.Qty Unit Charge Per. -
Extension.
1.00 48.6200 LS MISC RE -ROOF, 1ST 2000 SF
48.6.2
----------------------------
Special. Notes and Comments
RE -ROOF REMOVE EXISTING ROOF ROCK /
GRAVEL AND INSTALL GAF•TIMBERLINE ARTIC
3,0 YR #0676-0030 20.10 CODES.
--------------------- -------------------------------------------------------
-------------------------------------------------------------------
Oth
Other Fees . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
PLAN CHECK, RE -ROOF
97.24
Fee summary ;Charged Paid Credited
Due ,
Permit Fee Total 48.62 .00 .00
48.62
Plan Check Total .00 .00 .0.0
.00.
Other Fee Total 98.24 .00 .00
98.24
Grand Total 146.86 _ .00 .00
146.86
LQPEPN11T
Bin #
Crty of La Quinta '
Building & SafetyDivision
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
l
Project Address: E
Owner's Name: 211 /J! I AC
A. P. Number:
Address: qA AQ
Legal Description:
-'r,-020
City, ST, Zip: N 7 s'
Contractor /L
...;<;;>::::.::.:::.:: •>:> :> <•::. •.
Telephone i 3 S Q V
Address: leas-)
Project Description:
City, ST, Zip:
Telephone?rq.4V*jfVV
2O(h a.m g t~jpf L
State Lic. # : T4271-19'?
Arch., Engr., Designer:
Q ' /•vim
Address:
City., ST, Zip:
Telephone:
..r.Y:ni^:'.•i;;;;:i:i;ii"!ii :^Y vj;:j'ii;: ;,.':}
.(:j::jt If fii3YM:viYSti' v:"S% : v : : i:':?-::
<::: •••.;: ;;: r::> ..:>;::•>
ConstructionType• Occupancy:
State Lic. #:
project type (circle one): New Add'n Alter Repair euro
Name of Contact Person:
Sq. Ft.: DQ. O
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project: S o d
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item r
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Floodplain plan
Plans resubmitted
Mechanical
Grading plan
2qd 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:
'nd Review, 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
Prescriptive Certificate of Compliance: Residential Reroof CF -1 R-ALT-ReRoof
Project Address: Climate Zone Permit #
ROOFING PRODUCTS (COOL ROOFS) §151(012
When the area of exterior roof surface to be replaced exceeds 50% of the existing roof area, or 1,000 fe, whichever is less, the new
roofing area must meet the roofing product "Cool Roof" requirements of§152(b)1Hi, 152(b)1Hii, or 152(b)1Hiii.
Check applicable alternative or exception below if the roof alteration is exempt from the roofing product "Cool Roof" requirements:,
❑ 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 weightless than 5/lbaf.
Alternatives to §152(b)1Hi and §152(b)Hii, Steep -slope roof (pitch> 2:12)
❑ Insulation with a thermal resistance of at least 0.85 hrft2•°FBtu or at least a 3/4 inch air -space is added to the roof deck over an attic; or
❑ Existing ducts in the attic are insulated and sealed according to §151(f)10; or
❑ In climate zones 10, 12 and 13, with 1 ft2 of free ventilation area of attic ventilation.for every 150 ft2 of attic floor area, and
. where at least 30 percent of 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 §151(02; or
❑ Building has no ducts in the attic; or
❑ In climate zones 10, 11, 13 and 14, R-3 or greater roof deck insulation above vented. attic.
Exception to §152(b)1 Hiii, Low -slope roof ( pitch 5 2:12)
❑ 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 lb/ft2 are exempt from the Cool Roof criteria.
NOTE: If any one of the alternatives or exception is checked the Aged Solar Reflectance and Thermal Emittance requirements for roofing
procucrs in 9 r r vy) are nor appucable. Uo not till table below.
NOTE. When a Cool Roofis 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
ity/State/Zip: Phone:
CRRC Product ID Number'
s. 2:12 > 2:12
< 51b/ft2 s 51b/ft2
Type 2
Reflectance14
Emittance
SRI5
a ? 030
❑
❑
S
❑
❑
❑
❑
❑4
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.oro/nroducts/search.vhn
2. Indicate the type of product is being used for the roof top, i.e. singlemply 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(0.2077( o oti n a ca icu a 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 by using the SRI- Worksheet at httoYAvww.eneray.ca.govltitle2V and enter the resulting value in the SRI Column above and attach
acopy of the SRI- Worksheet to the CF -1 R.
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 §118(i)4. Select the applicable coating:
❑ Aluminum -Pigmented Asphalt Roof Coating ❑ Cement -Based Roof Coating ❑ Other
NOTE. When a Cool Roofis 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.
• 1 certify that the energy features and performance specifications identified on this Certificate of Compliance conform to the requirements of Title 24, Parts
1 and 6 of the California Code of Regulations.
Name:
Signature:
Company: Date:
Address: License:
ity/State/Zip: Phone:
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.
. : I 1' -
4-iL
Building
Address
Owner
P.O. BOX 1504
78-105 CALLE ESTADO
52-240 MM
LA QUINTA, CALIFORNIA 92253.
c/o LOBTAhT RMT% '
Mailing
Address 52-240 AVENIDA XCER0.
City Zip Tel.
-.LA-.QUXNTA- 92253,
Contractor
Address
HCO 11 BOR 985-2777 DME D. RM
29 PAMS ..Iziol 922 . 77 .... Tel.: 362-4610
BUILDING: TYPE CONST. OCC'. GRP....
A.P. Number 773-242--003
Legal.Description
Project Description W—ROOF
State Lic.
& Classif. .Lic.
C39-367464
City
#
Sq. Ft.-
Size
No. No. DW.
Stories Units
-Arch:, Engr:, -
Designer.
New 0 Add 0
Alter El. -Repair 0 Demolition 0
Address
Tel.
City
Zip
State
Lic. #
LICENSED CONTRACTOR'S DEC.LARATtQN
I hereby affirm that I am licensed under Provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Business and Professions Code, and my license is in full force and -
effect. .
Sl..—ATURE DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractors License Law for the. following .
reason: (Sec. 7931.5,Business and Professions Code: Any city or. county which requires, A
permit to construct, alter, imp -rove, demolish, or repair an . y structure, prior to its issuance also
requires: the applicant for, such permit to file a signed statement that he is licensed pursuant to
.the provisions of the Contractor's License Law, Chapter 9 (commencing with'Section 7000) of
Division'3 of the Business and Professions Code, *or' that . he is exempt therefrom, and the basis
for the alleged exemption. Any violation of Section 7031.5 byany applicant for a permit
subjects the'applicant to a civil penalty of not more than five hundred dollars (S500).
...0 1 as owner of the, property, or my employees with wages.asJ1heir sole compensation; will,
do ihe work, and the structure is not intended or offered for sale. Sec. 044,. Buisness"and
Professions Code: The Contractor's License Law does not apply to an owner of property 'who,
Estimated'Valuation
29' 5 0 0,
PERMIT AMOUNT
Plan Chk. Dep.'
Plan Chk. Bal.
Cbrist..'.. ?A 5 (1
Mech.
builds or improves thereon and who does such work himself or through his own employees,
provided that such 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 did not build or improve for the purpose of sale.)
Electrical'
Plumbing
0 1, as owner of the property, am exclusively contracting with licensed contractors to con-
struct the project. (Sec. 704.4, Business and Professions Code: The Contractor's License Law
S.M.I.
does not apply to an owner of property who builds or improves thereon, and who contracts for
such projects with a-contractor(s) licensed pursuant to the Contractor's License Law.)
.0 1 am -exempt under Sec..B. & P.C. for this reason-
easonDriveway
Grading
DrivewayEric.
Date Owner
Infrastructure
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to selfiihs6re,.or a' certificate of
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. Company
0 Copy is filed with the city. , 0 Certified copy is hereby•furn !shed.
TOTAL
39.00
CERTIFICATE OF EXEMPTION FROM
% WORKERS' COMPENSATION INSURANCE
REMARKS
(This section need not be completed if the permit is for one hundred dollars (S 100) valuation
or less:)
I certify that in the performance of thp work for which this permit is issued,.I'shall not
employ -any person -in any manner sous to become -subject to the Workers' Compensation
Laws of California.
14;
Date — — — LLowher
NOTICE TO APPLICANT., If, after making this Certificate of Exemption you should become
,"subject' to the Workers' Compensation Provisions of the -Labor 'Code; you must forthwith'
Comply with such provisions or this permit shall be deemed revoked.
ZONE: BY:
-Minimum Setback Distances:
Front Setback
etback-trom Center Line
Rear Setback from Rear Prop. Line
CONSTRUCTION LENDING AGENCY
I hereby affirm 'that there is a construction lending agency for the performance of the
work for which this permit is issued: (,Sec. 3097, Civil Code.)
—Side.Street
—Side
Setback from Center Line
Setback from Property Line
Lender's Name
FINAL,DATE
Issued Y -
Validated by:
INSPECTOR
ate 8/21/87 Permit
Date
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration it work thereunder is suspended for 180 days.
I certify that I have read this application and state that the above information is correct.
Vagree to comply With all City And county ordinances and' -state laws relating to building'
construction, and hereby authorize representatives -of this city -to -enter the above-.
mentioned property . for inspection purposes.
Signature of applicant Date— .
Mailing Address
Validation:
City, State, Zip
HARD COPY
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
IST FL. SQ. FT. ® $
2ND FL. SQ. FT.
POR. SO. FT. ®
GAR. SQ. FT, p
CARP. SQ. FT.
WALL SQ. FT. ®
SO. FT. ®
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
FLOOR DRAIN
MECHANICAL FEES
HEATING (ROUGH)
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
DUCT WORK
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
LAUNDRY TRAY
AIR HANDLING UNIT CFM
HEATING (FINAL)
KITCHEN SINK
ABSORPTION SYSTEM. B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET
COMPRESSOR HP
POLE, TEM/PERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. ® c
BATH TUB
BOND BEAM
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 1+/a c
SEWAGE DISPOSAL
LUMBER GR.
SQ.FT.GAR ® 3/4c
HOUSE SEWER
FRAMING
FINAL INSP.
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
GROUND PLUMBING
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
SEWER OR SEPTIC TANK
ROUGH WIRING
DUCT WORK
ROCK STORAGE
FOUND. REINF.
GAS (ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APP./EQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
_$
LUMBER GR.
FINAL INSP.
FRAMING
FINAL INSP.
ROOFING J/_
-7
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING
MESH
INSULATION/SOUND
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
s OWNER PHON • DATE
Lobland Realty
ADDRESS
52240 AV Madero La9uinta, Ca
OUANTITV DETAILS OF -REPAIRS AND/OR REPLACEMENTS• , r'
Removed old roofing
Installed new metal'flashin
Reroofed with one layer 25 lb `
fiberglass, basesheet and two 2 -
la ers..1 lb felt Hot•M ed
Applied 400 lb per sq small rock
(Color Optional)..,
Materials•and Labor: $268e.6 3_
ZSOD:
Five year guaranteb `
SUB TOTAL
CENTRON
`
MODERN ROOFING
•• HCO 1 BOX 985
'
"29 PALMS, CA 92277
LIC. NO. C39 -W7484
(619) 362-4688
`
SUBTOTAL
_
NAME OF FIRM
DATE
,By
OWNER'S AUTHORIZATION +
'
,
ESTIMATE PREPARED BV- of
TOTAL
$ v t