RR (10-0467)52661 Avenida Martinez
10-0467
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
10-00000467
Property Address:
52661 AVENIDA MARTINEZ
APN:
773-301-019-6 -0000.00-
Application description:
RE -ROOF
Property Zoning:
COVE RESIDENTIAL
Application valuation:
2300
Tuvl 4 4 Q"
Applicant: Architect or Engineer:
p1 A-
------------------
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 Busine s and Professionals Code, my d License is in full force and effect.
LicenseClas: C39 Licens : 774482
at — 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 e 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 _ 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:
CONSTRUCTIONLENDING 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
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/02/10
Owner:
SHOOK STEVEN A
52661 AVENIDA MART,
LA QUINTA, CA 9225 D n
U :!
Contractor: JUS°d O ti 201
WILLIAMS ROOFING -
P.O. BOX 3§1841 CITY GF dA jgt,,ryrA
ANZA, . CA 92539 F i`df' .1^te 1X17:
(760)399-9394
LiC. No.: 774482
----------7------------------------------------
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.
YlI 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 1890178
_ 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 shout become subject to the workers' compensation provisions of Section
3700 of the Labor Cod sh forthwith comply those provisions.
scant:
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, 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 ate laws relating to buil ing construction, and hereby authorize representatives
of iss county to enter upon above-mentioned prope for' pection purposes.
Dat/0 S' ature (Applicant or Agent):
Application Number . . . . 10-00000467
Permit . .
. RE -ROOF
Additional desc .
Permit Fee .
. 30.00
P1an.Check Fee
.00
Issue Date
Valuation . . .
. 0
Expiration Date
11/29/10
Qty Unit Charge Per
Extension .
BASE FEE
30.00
----------------------------------------------------------------------------
Special Notes and
Comments
RE -ROOF WITH COOL
ROOF PRODUCT COMP
SHINGLES. 2007 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
P
rescriptive Certificate of Compliance: Residential Reroof CF-1R-ALT-ReRoof
Addie s: Climat Zone Permit #
ROOFING PRODUCTS (COOL ROOFS) §151(1)12
When the area of exterior roof surface to be replaced exceeds 50% of the existing roof area, or 1,000fe, 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 (less or 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/Ib/ft2.
Alternatives to §152(b)l Hi and §152(b)Hii, Steep -slope roof (pitch > 2:12)
❑ Insulation with a thermal resistance of at least 0.85 hr•ft2•°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(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
O 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 5 2:12)
❑ Building has no duds 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:
NOTE: If any one of the alternatives or exception is checked the Aged Solar Reflectance and Thermal Emittance requirements for roofing
products in §118(i) are not applicable. Do not rill table below.
Roof Slope Product Weight Product Aged Solar Thermal
CRRC Product ID Number 5 2:12 > 2:12 < 51b/ft2 2 5lb/ft2 T e2 Reflectance 3,4 Emittance SRI
�U ^t� 134a—❑ ❑ 4
❑ ❑ ❑ ❑ ❑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.coolroots.orq/products/search.php
2. Indicate the type of product is being used for the roof top, i.e. single -ply roof, asphalt roof, metal roof, etc.
?. 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(pjjw — 0.2) to obtain a calculated aged 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 hltn://www.energv.ca.aov/title24/and enter the resulting value in the SRI Column above and attach
acopy of the SRI- Worksheet to the CF -1R.
To apply Liquid Field Applied Coatings, the coating must be applied across the entire roof surface and meet the dry mil thickness or cover
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 Roof is 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.
Na eA
� Signature:
Company:
!/� v/ ate:
ZAJ Iff
A :ss: License:
Ci y/StatelZip Phone:
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.
Atten: Steven Shook
52-661 Avenida Martinez
La Quinta, Ca. 92253
Ph: 760-564-6328
Salesperson: Steven Williams
Date: May 10, 2010
Contract# 1604
BuildingType: Single family residence.
Job Address: 52-661 Avenida Martinez, La Quinta, Ca. 92253
Schedule of Extras; If Applicable;
WILLIAMS ROOFING SHALL FURNISH LABOR, MATERIALS AND WILL PERFORM IN A WORKMANSHIP
LIKE MANNER IN STRICT' ACCORDANCE WITH THEPLAN AND SPECIFICATIONS AS FOLLOWS:
Note During the Re -roofing process if any asbestos is discovered, the removal and disppEd cost will be borne by owner.
*Dry rot will be replaced for an additional charge based on $81.00 per hour labor and 1x6 or 1x8 material @
$2.50 per foot. *Damaged rafter ends will be replaced for an additional charge based on $109.00 each and
fascia board @ $12.00 per foot. *Damaged CDX plywood will be replaced for an additional charge based on
$2.00 per square foot, labor included.
Homeowner to have existing roof torn off down to sheeting. Plywood and fascia to be
replaced if needed, at homeowners expense, Roof deck. to be clean and free of any debris.
* Prep roof deck to accept new materials.
* Install one layer 151b. felt underlament.
* Install new edge metals as needed.
* Install 30 Year white Malarkey shingles, Mechanically fastened as per manufactures
Specifications. (This shingle has a Class A fire rating, 30 year limited warranty.) Dove
White title compliant CRRC approved roof system.
* Install Hip and ridge caps.
c)uz 0 oSrso - 00/Y
**For a complete re roof on above said address. **
Williams Roofing will leave the job site neat and clean of all our materials.
CONTRACT PRICE: $ 4,700.00
Payment to be made as follows:
$ 2,700.00 due upon commencement /Material purchase.
$ 2,000.00 due upon completion.
**Five year workmanship warranty** Page 1 of 2
IN
Williams Roofing P.O. Box 391841, Anza, Ca. 92539
760-399-9394 Palm Desert 9S1-763-0769 Anza License # 774482
Atten: Steven Shook
52-661 Avenida Martinez
La Quinta, Ca. 92253
Ph: 760-564-6328
Salesperson: Steven Williams
Date: May 10, 2010
Contract# 1604
BuildingType: Single family residence.
Job Address: 52-661 Avenida Martinez, La Quinta, Ca. 92253
Schedule of Extras; If Applicable;
WILLIAMS ROOFING SHALL FURNISH LABOR, MATERIALS AND WILL PERFORM IN A WORKMANSHIP
LIKE MANNER IN STRICT' ACCORDANCE WITH THEPLAN AND SPECIFICATIONS AS FOLLOWS:
Note During the Re -roofing process if any asbestos is discovered, the removal and disppEd cost will be borne by owner.
*Dry rot will be replaced for an additional charge based on $81.00 per hour labor and 1x6 or 1x8 material @
$2.50 per foot. *Damaged rafter ends will be replaced for an additional charge based on $109.00 each and
fascia board @ $12.00 per foot. *Damaged CDX plywood will be replaced for an additional charge based on
$2.00 per square foot, labor included.
Homeowner to have existing roof torn off down to sheeting. Plywood and fascia to be
replaced if needed, at homeowners expense, Roof deck. to be clean and free of any debris.
* Prep roof deck to accept new materials.
* Install one layer 151b. felt underlament.
* Install new edge metals as needed.
* Install 30 Year white Malarkey shingles, Mechanically fastened as per manufactures
Specifications. (This shingle has a Class A fire rating, 30 year limited warranty.) Dove
White title compliant CRRC approved roof system.
* Install Hip and ridge caps.
c)uz 0 oSrso - 00/Y
**For a complete re roof on above said address. **
Williams Roofing will leave the job site neat and clean of all our materials.
CONTRACT PRICE: $ 4,700.00
Payment to be made as follows:
$ 2,700.00 due upon commencement /Material purchase.
$ 2,000.00 due upon completion.
**Five year workmanship warranty** Page 1 of 2
IN
Bin #
City of La Quinta
Budding a Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quints, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #-
`,
V
Project Address: a - Q ut `
Owner's Name: t ev •ee o a
A. P. Number.
Address:
Legal Description:
s
Contractor: 14.
City, ST, Zip:
Telephone: c
Project Description:
Address: b'd.4,35
City, ST, Zip: .
Telephone:
D /j, • /
State Lie. #: 7 City Lie. #;
Arch., Engr., Designer:
.
Address:
City., ST, Zip:
Telephone:
State Lie. #:
Name of Contact Person:
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter epair Demo
Sq. FL:
# Stories:
# Units:
Telephone # of Contact person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS UNE
N
Submittal
Req'd
Reed
TRACWNG
PERMIT FEES
Pian Seta
Plan Check submitted
Item
Amount
Structural Calan.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cala.
Called Contact Person
Plan Check Balance
Title 24 Cala.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" Review, ready for correctionstissue
Electrical
Subcoutactor List
Called Contact Person
plumbing
Grant Deed
Plans picked up
SALL
H.O.A. Approval
Plans resubmitted
finding -
FN HOUSE:-
''' Review, ready for correctionstissne
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Feu
Total Permit Fees