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RR (11-1341)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 134 Property Address: 51895 AVENIDA MENDOZA APN: 773-181-027-7 -000000- Application description: RE -ROOF Property Zoning: COVE RESIDENTIAL Application valuation: 6000 T4hf 4 . 4Q" Applicant: Architect or gineer: / �, 4AL LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT I hereby affirm under penalty of perjury tha I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busines and Professionals Code, and my License is in full force and effect. LiceriseClass: C39 LicenseNo.: 859337 Contractor:, 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).: (_ 11, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended dr 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 _ 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: ALEXANDER MONICA 51895 AVENIDA MENDOZA LA QUINTA, CA 92253 (760)272-5600 Contractor: ABOVE AND BEYOND 40875 CARTER LANE BERMUDA DUNES, CA (760)702-5984 Lic. No.: 859337 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 .SYS�S)rfL! r rr r 91 Z� C:P�YQ 5.Ar.uj.NYe Date: 12/19/11 ----------------------------------------------- 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 0006219-2011 _ 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 becor4e subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall &rthwith comply with those provisions. 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 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 I have read this application and state that thJaisnformation is correct. I agree to comply with all city and county ordinances and state laws relating to builtruction, and hereby authorize representatives of this county to enter upon the above-mentioned paction purposes. „�... Date:. Z 4011 t .1—Signature-(Applicant-or Agent -• . fl:. LQPERMIT ' Application Number . . . . 11-00001341 Permit . . . RE -ROOF Additional desc . Permit Fee . . . . 30.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 6/16/12 Qty Unit Charge Per Extension BASE FEE 30.00 ---------------------------------------------------------------------------- Special Notes and Comments SPRAY URETHANE FOAM OVER.EXISTING TAR ROOF COAT/287 SOLAFLEX 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 Peesc.ri ,gave Certificate of Cowl Bance: Res6�a?ri Projerat Aasdress:`` i n k n Zone I Permit # ROOFING. PRODUCTS (COOL ROOFS) 4151012 ; When the:area of exterior roof surface to be replaced exceeds 2%of the existng roof area,. or 1,000 , whichever is less, the new roofing,area.must meet the roofing product "Cool Root" r uirements of1S § 2(b)1H1, 152(b)1Hii, or 152(b)1Hiii. Check applicable alternative or exception below ff the roof alteration is exempt from the roofing produd'Cool Root requirements:: O 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 2 required in Climates Zones 1-9, and 16. with a steeP-slOPed roof (pitch > )roofs (greater than 2:12) and product weigh less than 5/lb/fl Alternatives to §152(b)l HI and §152(b)Hff, Steep.Glope ❑ Insulation with a thermal resistanoe of at least 0.85 heft-OF/Btu or at least a 314 inch air -space is added to the roof deck over an attic; or ❑ Existing duds in the attic are insulated.and seated aeooffmg 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(f)2; or ❑ Building has no duds 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)1Hill, Low -slope roof (pitch S 2:12) O 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 Coo! Roof criteria. ❑ Roof constructions that have thermal mass over the roof membrane with at least 25 IbiN2 Tthe are empt from Cool Roof criteria. [01 if any one of the altematiwes or exoepfton is checked the Aged roducts in § 118(i) are not applicable. Do not fill table below. Solar Relledence and The►rrhal Emittartce requirements for roofing CRRC Product ID Number 5 Roof Slope HF-. Product Weight < 5[bWZ 5lbffiz Product Type s Aged Solar Reflectanoe''a Thermal Emittanoe SRIS ❑ T.tk . Pi ❑a C). $ � 1:3113Da __... Note: If no CRRC-1 label is available, this compliance method cannot be used, use the Performance Approach to show comp/lance, 1. The CRRC Product ID Number can be obtained from are CCW 2. Indicate the W" of product is being used for the roof Root Ratrng Coundl s Rated Product Directory at moo—mots.onybroduct k rah _ I. If the Aged Reflectance is not available in the Cool Roof Rating Council Rated Product metal roof, etc. directory and use the equation (0.2+0.70 _ 0 , 2) to obtain a calculated aged then use the Initis! Reflectance value from the same 1. Check box If the Aged Ref9aged value. Where p is the Initial Solar ReRectance. cance Is a celkxddated value using the equation above. i. Calculate the SR! value by using the SRI_ Worksheet at http enerov ca w^/OZ soapy of the SRI- Worksheet to the CF -IR. 41 and enter the resulting value in the SRI Column above and attach fo, apply Uquid Field Applied Coatings, the coating must be applied acrossthe entire roof surface and meet the dry mil thickness or eovera eeommended by the coatings manufacturer and meet minimum performance requirements listed in 118 . Select the eq § (i� applicable coating: 7 Aluminum -Pigmented Asphalt Roof Coating ❑ Cement -Based Roof Coating ❑ Other PTE: When a Cool Roof is required, the installing contractor shall complete and submit the CF4R__ENV-01 for final inspection. Declaration Statement • I certify under penalty of perjury, under the laws of the State of California, the information proi ded on this form is accurate and complete. • i certify that the energy features and performance specifications identified on this Certificate 1 an 6 of the California Code of Rulations, Compliance conform to the requirements of Title 24, Part Name: � k p. :ss: Ivo `` -� She v►s 1 Z lq i1 1'i0 1� C, �,� License: City/StatefZip: a"t720 3 Phone: For assistance or questions regarding the Energy Standards, contact _the Energy Hotline at: 1400-772-3300. city of La. Quin ta Building 8.t Safety Division P.O. Box 1504, 78-495 Calle Tampico i La Quinta, .CA 92253 - (760) 777-7012 ' Building Permit Application and Tracking Sheet Permit #1 lVV Project Address: Fj 1 ,q Owner's Name: V : (n) cv i�arcXC� A. P. Number: . Address: Sec r -o Legal Description: .City; ST, Zip: Q 2 7 J1 � �'3 . 4.� Contractor. � '.a''�;'":'M :o ,Telephone: "lZ-1 Z - � (a 0 .•>s�b i'w<�'.�'��.�:`.�iv:��+"�� Address: �� 1� Project Description: City, ST, Zip: `� ►v�.>cX� v rQ5 �� 2Z0'3 S�A 114 N PO N 1� Telephone: -1 0_2- J!5z?3 t^ v$ t kF> ; „;: •">� Y; O V 'E<, 6 P-IJO S o�J �a1 State Lie. City Lie: C 10 Oct `Z 2 Arch., Engr., Designer: Address: City, ST, Zip: Telephone: £. p� „- < ,�: * �`�'' tis � �� £ • .. ' � Construction Type: ' Occupancy: U Project type (circle one): New Add'n Alter Re ai Demo State Lie. Name of Contact Person: ,\ ^ %, —A $y pG; 2 00 (D # Stories: i # Units: Telephone # of Contact Person: "l(QO •-102- 6clgL,\ Estimated Value of Project: �(9 000 . ' APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cales. Reviewed, ready for corrections Plan Cheek Deposit Truss Cales. Called Contact Person Plan Check Balance 'title 24 Caics. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2'! Review, ready for correctionstissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''� Review, ready for corrections/mat Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees