RR (12-0985)54490 Avenida Madero
12-0985
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
12-00000985
Property Address:
54490 AVENIDA MADERO
APN:
774-232-026-14 -000000-
Application description:
RE -ROOF
Property Zoning:
COVE RESIDENTIAL
Application valuation:
8000
Ti,ht 4 4 Q"
Applicant: Architect or Engineer:
IA
------------------
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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.
Lice Class: C39 LicenseNo.: 887380
ate: 2; 11 / 2 ontractor. _-e- Q
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 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
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.).
(_ 1 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 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:
COIA LARRY
26247 RAINBOW GLEN DR
SANTA CLARITA, CA 91321
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/27/12
Contractor:
BECERRA BROTHERS ROOFING a
69712 PALM SPRINGS AVENU D
MOUNTAIN CENTER, CA 9256
(760)349-9705 A7Er
Lic. No.: 887380 AUG 27 2012
CITY OF L- QUIWTA
-----------------------------------
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 0024132
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 La or Code, I shall forthwith comply with those provisions.
ate: "cant: i NL ?'
WARNING: FAIRE 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, 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 unty to enter upon a above-mentioned property for inspection purposes.
77`(Z. Si ature
te: 1 (Applicant or Agent)L.
Application Number . . . . . 12-00000985
Permit . . .
Additional desc . .
Permit Fee . . . .
Issue Date . . . .
Expiration Date . .
RE -ROOF
30.00 Plan Check Fee . . .00
Valuation . . . . 0
2/23/13
Qty Unit Charge Per
Extension
BASE FEE
30.00
----------------------------------------------------------------------------
Special Notes and
Comments
RE -ROOF WITH 30 YEAR SHINGLES & LOW -E
THERMA SHEET COOL
ROOF UNDERLAYMENT.
2010 CODES.
---------------------------------------------------------------7------------
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
Certificate of
Li - L
nook-nw r-1%vuU%;1 U (COOL ROOFS) 9151(t)12
When the area of exterior roof surface to be replaced exceeds
rooiirrg area must meet the roofing product "Cool Roor requi
4
R-ALT-ReRoof
Of the exisdag roof area, or 1,000 ff, whichever is TZ, the new
nts of §152(b)1Hi, 152(b)1Hil or 192(b)1Hiil
aitemauve or exception below if the roof alteration is exempt from the
roofing product 'Coot R n;quhements::
O Cool roofs W required in Climates Zones 1-12,14, and 16 with a tow sloped roof pitch (fess or 2:12 pitch).
O Cool roofs not required in amates Zones 1-9, and 16 with a steep -stoped roofs (greater pitch than 2:12) and product weight less than 5/1b/ft .
Alternatives to §152(b)1Hi and §152(b)Hti, Steep•elope roof (pftoh > 2:12)
Insulation with a thermal resistance of at least 0.85 hr4e•'p/Btu or at feast a 3/4 Inch air-spaoe is added to the roof deck over an attic; or
O Existing ducts in the attic are insulated ark seated according to §15, M10,
O In dimate zones 10, 12 and 13, with 1 it2 of free ventitatton area of attic ventgation for every 150 if2 of attic floor area, and
where at least 30 percent ofthe free vermmaation area is within 2 feet vertical distance of the Hoof ridge; or
O Building has at least R-30 ceiling insulation; or
❑ Building has radiant banter in the attic meeting the requirements of §151(1)2; or
O Building has no duds in the atttG or
O in climate zones 10,11,13 and 14,.R-3 or greater roof deck Insulation above vented aRUc
Exception to §152(b)1 Hili, Low -slope roof (pltch S 2:12)
O Building has no ducts in the attic.
Other Exceptions
O Roofing area is covered by building Int photovoftale paras and solar thermal panels are
l7 Roof a that have thermal mass over the roof exempt from fire Coot Roof criteria.
membrane vu[dm at lean 25 (btN2 re exempt from .0% Cod Roof aitdaia.
• !f arty one a
of the aftemanves or exception is checkeded olar g roe and Thermal Emitiarrog requirements f6r rooting
Products in §118(0 are not applicable. Do not 0 table below.
CRRC Product 19 Number' Roof Slope
S 2:12 > 2:
Q
A
Note: l/no CRRC-1 label is available, this comppanee method cannot be used, use the perfomlar
1: The CRRC P,udud !D Number can approach to show comp/lance,
2. Indicate die type of product u frortr dre Roof (burrc0's Rated Avduct DDedoty at
being used for fire roof top. fie.
I. sfigte ply roof, a #MR roof, metal roof, etc.
If Me Aged Refieotanoe is Trot available !n ft Roof roof,
VSs Rated
1:
directory
box dre Wuaftn (0.2+0 7(w,w — 0.2) to obtain a cWcuiated aged y g is ft,in" eSolaraReiiedance. l Reflectance value bozo the same
aged Refledance is a Cdordated value using ft equation above.
i Calculate the SRi value by using ft SPo- Worksheet at t[[SP / sav,v enetm, ce oovrttr ei
acopy of the SRI- Worksheet to the Cf -1R and enter.the resulting value In the SRI Column above and attach
ro apply Liquid Field Applied Coatings, the Ming must be ap
'eeommended by the coatings manufacturer and meet minim plied across the entire roof surface. and meet the dry mil thickness or coven
muperformance requirements listed in §118(1)4. Select the applicable coating:
''11 Aluminum -Pigmented Asphalt Roof Coating p Cement -Based Roof Coating
(3 Other
When a Cool Roo/ is required, the installing contractor Shap complete and submit the CX#R- sn
-EN for final ine&an
• 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.performanee specifications identified on this Certificate of Compliance conform to the requirements of Title 24, Par
1 and 6 of ft Califomia Code of Regulation,%.
Company_
A as: 1 (2
City/State0p.. !n
For assistance or qua
Spwuj s
bf
Signature:
Phone:
7s regarding the Energy Standards, contact the Energy__Hotline at. 1-800.772-3300.
Product Weight
< Z
64W
Product
ed Solar
Aged
Thermal
S
SRI
0111 13
W
13
pa
Note: l/no CRRC-1 label is available, this comppanee method cannot be used, use the perfomlar
1: The CRRC P,udud !D Number can approach to show comp/lance,
2. Indicate die type of product u frortr dre Roof (burrc0's Rated Avduct DDedoty at
being used for fire roof top. fie.
I. sfigte ply roof, a #MR roof, metal roof, etc.
If Me Aged Refieotanoe is Trot available !n ft Roof roof,
VSs Rated
1:
directory
box dre Wuaftn (0.2+0 7(w,w — 0.2) to obtain a cWcuiated aged y g is ft,in" eSolaraReiiedance. l Reflectance value bozo the same
aged Refledance is a Cdordated value using ft equation above.
i Calculate the SRi value by using ft SPo- Worksheet at t[[SP / sav,v enetm, ce oovrttr ei
acopy of the SRI- Worksheet to the Cf -1R and enter.the resulting value In the SRI Column above and attach
ro apply Liquid Field Applied Coatings, the Ming must be ap
'eeommended by the coatings manufacturer and meet minim plied across the entire roof surface. and meet the dry mil thickness or coven
muperformance requirements listed in §118(1)4. Select the applicable coating:
''11 Aluminum -Pigmented Asphalt Roof Coating p Cement -Based Roof Coating
(3 Other
When a Cool Roo/ is required, the installing contractor Shap complete and submit the CX#R- sn
-EN for final ine&an
• 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.performanee specifications identified on this Certificate of Compliance conform to the requirements of Title 24, Par
1 and 6 of ft Califomia Code of Regulation,%.
Company_
A as: 1 (2
City/State0p.. !n
For assistance or qua
Spwuj s
bf
Signature:
Phone:
7s regarding the Energy Standards, contact the Energy__Hotline at. 1-800.772-3300.
Permit #
l
JC Project Address: Su G.` t
A. P. Number:
Legal Description:
Contractor:
Ad Y`
City of La
Quetta .
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
? t , ncr'/"
s Name: % + '
rN
dress:V( / 12 S '
it
Cit)'. ST, Zip: t -
t✓L S l
Telephone: —7(0
State Lic. # : 73 Q
City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
T
. ST, Zip: / tJX T
phone. 6 1-3 )_ 7 6
ect Description: <
i
elephone:
Construction Type:
State Lic. #: Occupancy:
Project type (circle one): Ne- Add'
Name of Contact Person: dZ nAlter Repair Demo
Sq. Ft.: # Stories:
Telephone # of Contact Person: ✓14 DD I) #Units: S
Total Permit Fees
3 Estimated Value of Project:
d U O
APPLICANT:
DO NOT WRITE BELOW
THIS LINE
#
Submittal
Req'd
Recd
TRACKING
Plan Sets
FEES
Plan Check submitted
Structural Calcs.
Amount
Reviewed, ready for corrections
Truss Calcs.
rPlAnCheck
Called Contact Person
Title 24 Calcs.
Plans picked upFlood
plain plan
Plans resubmitted
Grading plan
Mechanical
2" Review, ready for corrections/issue
SEactor List
Electrical
Called Contact Person
Geed
Plumbing
Plans picked up
If.O.A. ApprovalS.M.I.
Plans resubmitted
IN HOLISE:-
Grading
Review, ready for correctionsfissue
Planning Approval
Developer Impact Fee
Called Contact Person
Pub. Wks. Appr
A. 1. P. P.
Date of permit issue
School Fees
Total Permit Fees