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RR (11-0284)53796 Avenida Madero 11-0284 P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T,it!t 4 4 Q" Application Number: 11-00000284 Property Address: 53796 AVENIDA MADERO APN: 774-143-003-22 -000000- Application description: RE -ROOF Property Zoning: COVE RESIDENTIAL Application valuation: 11900 Applicant: Architect or Engineer: /U BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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: C39 License No.: 92 008 Date: 3-2a 'I /Contractor: OWNER -BUILDER OkLARATION 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 countythat 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, 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.). 1 _ 1 I am exempt under Sec. B.&P.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: LQPERMIT Owner: a HUNTER TODD t I' 53796 avenida madero LA QUINTA, CA 92253 (760)899-8262 t B Contractor: QUALITY ROOFING SPECIALISTS 65800 14TH STREET DESERT HOT SPRINGS, CA 92240 (760)409-4476 Lic. No.: 925008 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 t"IAR 2 2 2011 C11-1 Y fps' q.A QUINTA P? /:(e^_ 1: arta T. 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 Policy Number 1891633-2010 _ 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 subject to the workers' compensation provisions of Section 3700 of the Labor Codde,II shall forthwith comply with those provisions. Date: Ql' Applicant: w WARNING: FAILURE TO SECURE WORKERS'e alENSATION C!AGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND ON CIVIL FI UP TO E 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 hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purpose . ;l Date: a Signature (Applicant or Agent): /11 Application Number . . . . . 11-00000284 Permit . . RE -ROOF Additional desc . Permit Fee . . . . 30.00 Plan Check Fee .00 Issue Date . . . . Valuation . . .0 Expiration Date 9/18/11 Qty Unit Charge Per Extension BASE FEE 30.00 -------------------------------= Special Notes and --------------- Comments ----------------------------- TILE RE -ROOF REPLACE UNDERLAYMENT REPLACE WITH SAME TILE. 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 Procr•rimfiv- - - -�•••""Qw'jr wm Mance: Residential Reroof Project Address.: CF-IR-ALT-ReRoof S? 7 9 C /Q, Climate Zone Penult 5 ROOFING PRODUCTS (COOL ROOFS) §151(n12 ..nen me area or eacferfor roof surface to be replaced exceeds 50% of the exleft roof area, or 1,000 , whichever is less, roofing area must meet the roofing product "Cool Roof„ the newrequlrerrients f 1 Check applicable alternative or ex olow § 52(b)1HI, 152(b)1 HII, or 152(b)1HIII. I beIf the roof alteration is exempt from the roofing product 'Cod Roof requirements:: L4 Cool roofs to requirW in C mates Zones 1-12,14, and 16 with a low sloped roof C]Cod roofs Qg required in Cl mates Zones 1-9, and 16 wftlr a steep-sioped roofs ( pitch ( « an pitch). Alternatives to §152(b)1 Hi and §t 52(b)Hli, S grosser pitch than 2:12) and product wight eless than 51lt�. O ktskrlardon with a ihemral roof (Pf�h > 2:1?,) woe of at bast 0.65 hr•ft�_•FIBtu or at least a 314 inch airspace is added to the roof deck arer an attic; or O Existi ducts in the attic are insulated and sealed accondirV O In timate zones 10, 12 and 13, with 1 1t2 d free b §151(t)10 or where at least 30 vection area of attic ventilation for every 150 ft2 of attic floor area, and percent d the free insulventation; l ; or area is with n 2 feet vertical distance of the roof ridge; or ❑ Building has at least R-30 cerlirrg irrs<rladon; a O ildi Bung has radiant barrier in the attic p the d §151(1)2; or Bk>iidirrg has no ducts in the attic: or O In dirnate zones 10, 11, 13 and 14, R-3 or greater roof deck insulation above vented attic Exception to §152(b)1Mil, Low slope roof (pill 2:12) O Buil WV has no ducts m the attic Otter Exceptions O Roofing area is covered by btiildrrp K*Vmled; Pirolovokaic O Roof constnxtions flint have thenrrel mass over the roof lisrribrar avid riolar themral prrrels are exempt from the Cod Roof attersa. oviiiNOTE: I( any one of iris aiYemafiv9s ore ► at bast 25 bIR2 are awript irom the Cod Rod snarls. products in § 118(1) ane not applicable. Do die Aged Scar Relledanoe and Thermal Emtltance requirements lbr roofing CRRC Product 10 Number'Rod s 2:12 Note: If no CRRC-1 label is available, this cppppa The CRRC - 10 Number can be be used, use the Pertbnnenoe Approach to show compliance. /naicate Ohs obbk*d flan ars Cod AiDaRa ft CouncN s Raled Plbdrd Dkoclory at Hare ty" Of Mdud a f>� used for ale M& OV. 10. airrpl..* rW +rafr ►oa Arae roa, .rc. Aped R@ftctanoe is not avaii in are Cos Rbof Ratip Courral7r Rated directory and use ale aqr� (0.2+0.7(q,w, — 0.2) !o obtain a cOWW'ad Pmd ud Dt"dory then use the Nrlbal Rr l dance valrrs own the same Check boor M the �I ped Rwledanoo is a calp/eted vete � � �� vie N�ree�e p is the verbal Soler ReAectel CAWWO are SRf value by ushw are sm- Wta►fb." at soapy of the SRI- Ww*&%at to the CF -1p, and enter ave msultirp value in the SRI Coiwrm above and attad o apply Liquid Field Applied roonw rendedthe ooalr►g must be aPPled across the entire roof surface and meet the by the coatings manufacturer and meet minimum dry rrd thickness or cove Pe ►anoe nquireerrts listed in § 116(i)4. Select the applicable coating ed A Aluminum-Pigment61 h mRoof Coating ❑ Cement -Based Roof 9 El CoaUr Other When a Cool Roo/ is required, the installing contractor shall c Declaration Statam..nf orn117we and submll the CF -M -ENV -01 for final inspection. • I cw* under Penalty of perjury, under the Isaws of the Stale of Calill ft- inkri nation • 1 Certify that the energy features .and performarme Provided on this corm is accurate and oompbb. 1 and 6 of the CaMornia Code of aPecttications identified on this Certificate of Comphanee oonforrn to the requiremeft d TAB 24, P Name: _' Amnpal / _ c c j i H r�Sc ` Date: p. Cs: I u 4 T S� e Z. — l A C�, G O License: Phone: For assistance or questions( " ° 9' V rggaroling the Energy Standards, contact the Energy Hotline at: 1-800-772-3300. Bin # City of La Quinta Building 8T Safety Division Permit # ] P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit APPlication and Tracking Sheet Project Address: S Owner's Name: N , A. P. Number: Address: S -7 e v G Legal Description: City, ST, Zip: c42 - Contractor: 6 / C S G ` ` Telephone: 7 - a Address: S tj r 6 Z `f S Project Description: City, ST, Zip: C 2 Z C ,.. Cuc4r Telephone:7L C? v % Ca'. ,«,.. `ti ..:,<:: r; ;:'•z:>H<>.:> r1 State Lic. # City Lic. #.: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: y34 : ;: <>:: •`sc... "wr,;',>•;''." C/6,- d > ` ` ° ` 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: c # . Submittal Pian Sets Structural Calcs. Truss Cates. 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 Total Permit Fees Estimated Value of Project:// U r --- APPLICANT: DO NOT WRITE BELOW THIS LINE Recd TRACKING PERMIT FEES Pian Check submitted Item Amount Reviewed, ready for corrections Plan Check Deposit Called Contact Person Plan Check Balance Plans picked up Construction Plans resubmitted Mechanical 2" Review, ready for corrections/issue Electrical Called Contact Person Plumbing Plans picked up S.M.I. Plans resubmitted Grading ''+ Review, ready for corrections/issue Developer Impact Fee Called Contact Person A.I.P.P. Date of permit issue Total Permit Fees