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RR (12-1277)52250 Avenida Madero 12-1277 P:O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: 12-00001277 52250 AVENIDA MADERO 773-242-004-4 -000000- RE-ROOF COVE RESIDENTIAL 5000 T4tyl " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Architect or Engineer: Owner: A & A HOMES 70600 COUNTRY CLUB RANCHO MIRAGE, CA 922 Contractor: DANTOR MARTINEZ CONS 81057 AVENIDA ROMERO INDIO, CA 92201 (760)702-6209 Lic. No.: 926128 VOICE (760) 77 012 1 FAX (760) 777-70 INSPECTIONS (760) 777-7153 Date: 10/26/12 w U OCT 2 v 2012 11 OF DEPT. - 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 Class: B License N .: 926128 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 026 . ate: ntractor: _ 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 UILDER DECLARA ION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contracto 's State License Law for the Carrier EXEMPT Policy Number EXEMPT following reason (Sec. 7031.5, Business and Professions Code: Any city or ounty that requires a permit to I certify that, in the performance of the work for which this permit is issued, 1 shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its nce, 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 C e, I shall fort ith comp 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): (_ 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 WARNING: FAILURE TO SECURE WORKS S' COM ENSATION COVERAG 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 U 0 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 (_) I, 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 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.I. Lender's Name: Lender's Address: I" LQPERMIT 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 her by authorize r resentatives of this county to enter upon the ove-mentioned property inspection purposes. Pate'- 0 : -26-1 ZS' ture (Applicant or Agent): LQPERMIT Application Number 12-00001277 Permit RE -ROOF Additional desc . Permit Fee . . . . 30.00 'Plan Check Fee .00 Issue Date . . . Valuation . . . 0 Expiration Date 4/24/13 Qty- Unit Charge- Per Extension BASE FEE 30.00 -------------------------------------------------------------------------- Special Notes, and Comments RE -ROOF WITH GAF ARCTIC WHITE - CRRC = APPROVED PRODUCT. 2010 CODES 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 Compliance: Residential Reroof CF -1 R-ALT-ReRoof Project Address: Climate Zone Permit # 2 v kir0 7 I ROOFING PRODUCTS (COOL ROOFS) §151(t)12 wnen the area of exterior roof surface to be replaced exceeds 50% of the existing roof area, or 1,000 , whichever is less, the new roofing area must meet the roofing product "Cool Roof requirements of§152(b)1Hi, 152(b)1Hil, or 152(b)iHiii. or exception below if the roof alteration is exempt from the roofing 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 weight less than 5/Ibift2. 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 hr-ft2* °F/Btu 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(010; 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)l Hili, Low -slope roof ( pitch <_ 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 Ib(ft2 are exempt from the Cool Roof criteria. VOTE: If any one of the alternatives or exception is checked the Aged Solar Reflectance and Thermal Fminant-P reni,inomerttc fnr rnnf;nn Niuuucw ikl y r to(t) are nor appitcame. Uo not till table below. CRRC Product ID Number' Roof Slope <- 2:12 > 2:12 Product Weight < 5lb/fe >- 516/ft2 Product Aged Solar Type2 Reflectance3.4 Thermal Emittance SRI 0676-0030 ❑ ❑ ❑ 13e. s ❑4 ,meq 78. ❑ ❑ ❑ ❑ ❑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 ory/vroducts/search ohp 2. Indicate the type of product is being used for the roof top, i.e. single-ly 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(pad - 0.2) to obtain a calculated aged value. Where p is the Initial Solar Reflectance. 4. Check box if the Aged Reflectance is a caAculated value using the equation above. 5. Calculate the SRI value by using the SRI- Worksheet at h14my/www.energy.ca.00v/title241 and enter the resulting value in the SRI Column above and attach acopy of the SRI- Woftheef 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 NATF• When n Cnnl nn. f ;c . ;.e a #h- - - -- - --- -- -Y •• •• ••• • ••y wiIII acwt sndn rvmpere ana suomir me E;i t4h-ENV-ul 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. • I 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. Signature: \J Compan Mate: Ct k " /D 2 / 2 Address: License: O 7-7 V s G '2_.6 1 2- City/State/Zip: Phone: -z60 d 76Z-6 20 For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-,800-772-3300. Bin.# cis/ Of Lel Qurnta Building 8L Safety Division P.O. Box 1504,78-495 Ca11e Tampico 14.Quinta, CA 92253 -:(760) 777-7012 Building Permit Application and Tracking Sheet Permit # l. Project Address: 52 2 Std ( Owner's Name:._ A P. Number.Address: O to G6 lt.ti r Legal Description:pre yO6 ' .. ,,; t S City, ST, Zip. C'o r . Contractor. q Zg oL_ K S Telephone: ; . zC,.„E ssxy Address:Pj I O 1 vwt —Ar-0 _bCCity, Project Description: ST, Zip: y Telephone -7(-6)-[ © 2 6 2G a( a \z y State Lic. # : Q24, 1-2-8 City Lic. #la Arch., Engr., Designer: Address: City., ST, Zip: Telephone: Y State Lic. #: Name of Contact Person: Construction Type:. Occupancy. ' Project type (circle one): New Add'n Alter Repair Demo Sq. FL: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: i D00 APPLICANT: DO NOT WRITE BELOW THIS UNE N Submittal Req'd Rec'd TRACKING PERMITFEES Pfau Sets Plan Check submitted Item Amount Structural Coles. Reviewed, ready for corrections Plan Check Deposit. . Truss Cafes. Called Contact Person Plan Check Balance Title 24 Coles. Pians picked up Construction Flood plain plan Pians resubmitted.. Mechanical Grading plan 2a° Review, ready for correctionsfissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.L H.O.A. Approval Plans resubmitted Grading IN ROUSE:- 7i° Review, ready for correetionsfissue Developer Impact Fee Planning Approval Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees