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RR (05-0602)A o� �� BUILDING & SAFETY DEPARTMENT P. 0.1504 (760).777-7012 FE� 16'49 C LLE TAMPICO FAX (760) 777-7011 UINT A CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 G��oANC DEp'( F BUILDING PERMIT Application Number . . . . 05-00000602 Date 2/16/05 Property Address . . . . . . 52095 AVENIDA MENDOZA APN: 773-232-016-5 -000000- Application description . . . RE -ROOF Property Zoning . . . . . . . COVE RESIDENTIAL Application valuation 8000 Owner Contractor ------------------------ EVERSON GARY/ADRIANA q. _------------------------ HENSLEY CONSTRUCTION, MARVIN 52095 AVENIDA MENDOZA 83170 EMERALD AVENUE LA QUINTA CA 92253 INDIO CA 92201 (760) 22178258 (760) 902-2600 WCC: EXEMPT WC: EXEMPT 10/31/05 CSLB: 555470 01/31/07 CCC: B -C39 ---------------------------------------------------------------------------- Permit RE -ROOF Additional desc Permit Fee . . . . 30.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 8/16/05 Qty Unit Charge Per Extension BASE FEE ----------------------------------------------------------------------------- 30.00 Special Notes and Comments RE-ROOF/REMOVE EXISTING ROOFING(HOT MOP/NEW EAGLELITE LITEWEIGHT TILE PER E MANUFACTURER SPEC. CLASS "A"'MATERIALS• ONLY. THE A/C UNIT MUST BE SCREENED FROM VIEW PRIOR TO PERMIT FINAL. Fee summary Charged Permit Fee Total 30.00 Plan Check Total .00 Grand Total 30.00 Paid Credited Due .00 .00, 30.00 .00 .00 .00 .00 .00 30.00 P.O. BOx 1504 • VOICE (760) 777-7012. 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 4INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: Applicant: Applicant's Mailing Address: Date: 2 -/d V= V= Architect or Engineer: 'Architect or Engineer's Address: Lic. No.: BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I her y 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 de, and s Lic nse is in full force and effect. License Class Z 9 fxcense No. - ontractor OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' 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).): U 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 or 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.). U 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.). L) I am exempt under Sec. , BA P.C. for this reason Date Owner WORKERS' 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 Policy Number 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 Code, I shall forthwith comply with those provisions. WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, ((ND 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. 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 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 construct'on, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. Date i nature A licant or Agent): State Lic. 9555470 WOUL SU IrrED TO r IIEET 02 Y. STATE AND ZIP COOS b r We hereby submit specifications A 7-r / HENSLEY CONSTRUCTION CO. 83170 EMERALD AVENUE INDIO., CALIFORNIA 92201 (760) 342-4506 V.M. (760) 776-0373 ' eY 7 �A• -sfe 1 m LocAnoN r IL_ /-/. G, No. of Joe NP VI' VOBP hereby to furnish material and labor — complete in accordance with above specificafions, for the sum of: dollars (S. ). 7Pto be mafJe as I I ows: 'ApKaateriat is gwranteed to be as specified. Ale-Ork to be completed w a•wantnanlike manner aceordmg to standard practices. Any alteration or day.ation from above specifica• Authorized dons ihvWving Mia Bests will be eaecutad only upon written order►, and will become an Signature. eats charge over and above the estimaw. All ea-eefnents contingent upon strikes. accidents or delays beyond our conbol. Owner to carry bre, tornado and ether necessary inwrance. Note: This proposal may be 01a workers an fully covered by Workmen's Compensation Insuranct withdrawn by us if not ✓ ccepted within days, AWPUMf Ad j1 rV;1VJ5aL — The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorised ter do the work as specified. Payment will be made as outlined above. Date of Acceptance: Signature Signature INN sm --�----.-...------ - -ER-4660 LEGACY REPORT Reissued June 1, 2003 �42=3k%O Ta ICC Evaluation Service, Inc. Business/Regional Office ■ 5360 Workman Mill Road, Whittier, California 90601 ■ (562) 699-0543 Regional Office • 900 Montclair Road, Suite A, Birmingham, Alabama 35213 ■ (205) 599-9800 www.icc-es.org Regional Office ■ 4051 West Flossmoor Road, Country Club Hills, Illinois 60478 ■ (708) 799-2305 Legacy report on the 1997 Uniform Building Code TM DIVISION: 07—THERMAL AND MOISTURE PROTECTOR Section: 07320—Roof Tile EAGLE AND EAGLELITE INTERLOCKING CONCRETE ROOFING TILES EAGLE ROOFING PRODUCTS 3546 NORTH RIVERSIDE AVENUE RIALTO, CALIFORNIA 92377 1.0 SUBJECT Eagle and EagleliteTm Interlocking Concrete Roofing Tiles. 2.0 DESCRIPTION 2.1 General: 2.1.1 Eagle Tiles: Eagle conventional -weight interlocking concrete roofing tiles are produced in high-profile (Capistrano), low -profile (Malibu), and flat -profile styles With either smooth surfaces (Bel Air Standard, Bel Air Estate or Bel Air Double Eagle) or textured surfaces (Ponderosa Standard, Ponderosa Estate, Ponderosa Double Eagle or Ponderosa Golden Eagle). Ridge and rake trim units are produced to match each product. The tiles are composed of Type 11 portland cement, washed sand, and proprietary additives. Mineral coloring oxides are added to or are mixed with portland cement and water for surface application following extrusion. Units are cured under controlled temperature and humidity conditions. Tiles are 17 inches (432 mm) long, 123/, inches (315 mm) Wide, and nominally '/2 inch (12.7 mm) thick. They are manufactured in either flat or profile style with 3/4 -inch -wide (19 mm) interlocking sidelaps designed to resist surface water penetration and maintain proper alignment. All tiles have protruding head lugs on the underside, which provide for mechanical attachment over wooden battens, or provide a stable foundation for nail attachment to solid decking. Two nail holes are provided in each tile for use where half tiles are needed at roof edges, chimneys, skylights, etc. Approximate installed dry weights with 3 -inch (76 mm) head laps are 9.5 psf (46 kg /M2) for Capistrano tiles, 9.5 psf (46 kg /M2) for Malibu tiles and 10.0 psf (49 kg/m2) for Ponderosa and Bel Air tiles. 2.1.2 Eaglelite Tiles: Eaglelite tiles are produced in the same size, manner and shapes as the conventional -weight Eagle tiles described in Section 2.1.1, except for substitution of lightweight aggregates and additives for sand. Approximate installed dry weights with 3 -inch (76 mm) head laps are 5.7 psf (28 kg /M2) for Capistrano tiles, 5.5 psf (27 kg/m2) for Malibu tiles and 7.0 psf (34 kg/m2) for Ponderosa and Bel Air tiles. 2.2 Installation: 2.2.1 New Construction: Installation shall be in accordance with the Concrete and Clay Roof Tile Installation Manual for Moderate Climate Regions. See evaluation report ER -6034P. 2.2.2 Reroofing: Eagle tiles, as described in Section 2.1.1, provide a Class A roof when installed over existing asphalt shingle roofs. Care should be taken to ensure both horizontal and vertical alignment on the roof. Foreign matter must be cleaned from all interlocking areas. Cracked or broken tiles must be removed from the roof. Damaged or rusted flashing should be replaced. Existing framirig must be adequate for the additional load. Structural data verifying adequacy should be submitted to the building official. The existing roof must be inspected in accordance with Appendix Chapter 15, Section 1515, of the 1997 Uniform Building CodeTA° (UBC). When reroofing wood shake roofs, existing shakes must be removed and solid decking and tile must be installed, as with new construction. When installed over existing spaced sheathing boards, underlayment complying with the UBC or an underlayment recognized specifically forthis type of use in an ICC -ES evaluation report, installed with or without battens, may be used. One layer of No. 30 felt or approved equal underlayment must be installed on the roof priorto application of tile. In lieu of this underlayment's being provided, the building official may determine that the existing roof covering provides the required underlayment protection. Details not covered underthis section are identical to those described in Section 2.2.1. 2.3 Roof Classification: When installed over solid sheathing in accordance with this report, Eagle and Eaglelite roofing tiles are Class A roof coverings in accordance with Section 1504.1 of the UBC. When installed overspaced or solid sheathing in accordance with this report, the tiles are noncombustible roof coverings in accordance with Section 1504.2 of the UBC. The tiles are Class A roof coverings when installed over existing asphalt shingles in accordance with Section 2.2.2 of this report. 2.4 Identification: The name EAGLE and the evaluation report number (ER - 4660) are imprinted on each tile. A tag on each shipping pallet indicates the producing plant location, product identification and the installed weight. Each Eaglelite tile is identified by the product name "Eaglelite" on a tag and a light- colored strip across the headlap area. ICC -ES legacy reports are not to be construed as representing aesthetics or any other attributes not specifically addressed, nor are they to be construed as an endorsement of the subject of the report or a recom mendation for its use. There is no warranty by ICC Evaluation Service, Inc., express or implied, as toi any finding or other matter in this report, or as to any product covered by the report. 'AM" Copyright C 2003 Page 1 of 2 Page 2 of 2 ER -4660 3.0 EVIDENCE SUBMITTED 4.1 Tiles are manufactured, identified and installed in Results of tests in accordance with the ICC -ES Interim _ `accordance with this report and the manufacturer's Criteria for Clay and Concrete Roof Tiles (AC180), dated instructions. January 2002, and a quality control manual. 4.2 Tiles are manufactured at Eagle Roofing Products 4.0 FINDINGS facilities located in Rialto, California, and Phoenix, Arizona. That the Eagle Concrete Roofing Tiles described in this report comply with the 1997 Uniform Building CodeTM This report is subject to re-examination in two years. subject to the following conditions: 12 ANCHOR LUGS WEATHER BARS CONTINUOUS ANCHORLUG , HEAD' END WEATHER BARS MALIBUa CAPISTRANO Tft TY. FIELD AND TRIM SPECIFICATIONS