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RR (11-0683)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/23/11 Application Number:,, 11-00000683 Owner: 0 Property Address: 52680 AVENIDA MENDOZA JOY OSANTO t �: APN: 773-303-009-15 -000000- 52680 AVENIDA MENDOZA Application description:. RE -ROOF LA QUINTA, CA 92253 ;d f+Ir Property Zoning: COVE RESIDENTIAL J � 2`1 Z®,� Application valuation: 8200 Contractor:.Q1pjN'rA Applicant: Architect or Engineer: ECHEVERRIA ROOF COMPANY f' 6450 BALBOA AVENUE, #B YUCCA VALLEY, CA 92284 (760)985-5647 Lic. No.: 922551 ------------------------------------------------------------------------------------------------ LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION - I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect._ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided Li se Class: C3 9 License No.: 922551 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. . 7� tractor: �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 OWNER -BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier STATE FUND Policy Number 1960093-2010 following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor C�qde,4 shall forthwith comply with those provisions. that hep li she o exempt therefrom and the basis for the alleged exemption: Any violation d Section 7031.5 by �� /��. C� 6• ` ' any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (S500).: Date: �"J �. plican 1 _ 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 WARNING: FAIL E TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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.). APPLICANT ACKNOWLEDGEMENT (_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1. Each person upon whose behalf this application is made, each person at whose request and for pursuant to the Contractors' State License Law.). - whose benefit work is performed under or pursuant to any permit issued as a result of this application, (_ 1 I am exempt under Sec. , B.&P.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City 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 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. 1 certify that I have read this application and state that the above information is correct. I agree to comply with all .ty a d county ordinances and state laws relating to building construction, and hereby authorize representatives of �s county to enter upon the above-mentioned propert ,qr inspection purposes. �( Date: �Jl/ gnature (Applicant or Agentlt Application Number . . . . . 11-00000683 Permit . . . RE -ROOF Additional desc . Permit Fee . . . . 30.00 Plan Check Fee .00 Issue Date Valuation . . . . 0 Expiration Date 12/20/11 Qty Unit Charge Per Extension BASE FEE 30.00 ---------------------------------------------------------------------------- Special Notes and Comments REMOVE EXISTING ROCK ROOF & INSTALL 40 LB UNDERLAYMENT AND EAGLE -S LIGHT WEIGHT TILE. R-30 INSTALLATION TO BE ADDED. 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 LQPERMIT Prescriptive Certificate of Com liance: Residential We -roof CF -1 R-ALT-ReRoof Project ect Address: r ��Q Climate Zone Perm t# . %! (O DG 3 ROOFING PRODUCTS (COOL ROOFS) §151M12 When the area of exterior roof surface to be replaced exceeds 50_ of the existing roof area, or 1,000 ff, whichever Is less, the new roofing area must meet the roofing product "Cool Roof' requirements of §152(b)1H1, 152MM11, or152(b)1H111. Check applicable altemative or exceptlon below if the roof alteration is exempt from the roofing product "Cool Roof requirements:: ❑ Cool roofs= required in Climates Zones 1-12,14, and 16 with a low stoped roof pitch (less or 2:12 pitch). ❑ Cool roofs 09 required in Climates Zones 1-9, and 16 with a steep -sloped roofs (greater pitch than 2:12) and product weightless than 5JIblfe. Alternatives to §152(b)1H1 and §152(b)HII, Steep -slope roof (pitch > 2:12) ❑ Insulation with a thermal resistance of at least 0.85 heft-'F/Btu or at least a 314 inch air -space is added to the roof deck over an attic; or ❑ Existing ducts in the attic are insulated and seated according 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)s within 2 feet vertical distance of the roof ridge; or Building has at least R-30 celing insulation; or U e 19 ❑ Building has radiant barrier in the attic meeting the requirements of §151 ;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)1Hill, Low -slope roof ( pitch S 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 IbM are exempt from the Cool Roof criteria. . VOTE: If any one of the alternatives or exception is checked the Aged Solar Reflectance and Thermal Emittence requirements for roofing products in § 1180) are not applicable. Do not fill table below. CRRC Roof Slope S 2:12 > 2:1 ❑ ❑ ❑ ❑ Note: If no CRRC-1 label is available, this compliance method cannot be used, use the Performance Approach to show compliance, The CRRC Product 10 Number can be obtained horn the Cool Roof Rating Councils Rated Product Directory at Indicate the type of product is being used for the roof www. coolivois. on2&Md9QW=rrh. On top, l.e. single -ply roof,If the Aged Reflectance Is not available in the Cool Roof Rating Council's Rated Product Dirsdory then use the Initial Reflectance value from the same asphalt roof metal ma, etc. directory and use the equation (0.2+0. � fpm, — 0.2) to obtain a cahwlated aged value. Where PIS the Initial Solar Reflectance. Check box if the Aged Reflectance is a calculated value using the equation above. Calculate the SRI value by using the SRI- Worksheat at httn;/AMr enemy M nM4ft2w1 acopy of the SRI- Worksheet to the CF -JR. and enter the resulting value in the SRI Column above and attach Product Weight 5lb/fe 2 51b/ft Product TypW Aged Solar ReftedancW" Thermal Emittance SRI5 ❑ d. ❑ t34 ❑ ❑:]:: ❑4 'o apply Liquid Field Applied Coatings, the coating must be applied across the entire roof surface and meet the dry ml thickness or coverag scommended by the coatings manufacturer and meet minimum performance requirements listed in §118(1)4. Select the applicable coating: Aluminum -Pigmented Asphalt Roof Coating 13 Cement -Based Roof Coating 13 Other TOTE When a Cool Roof Is required, the installing contractor shall complete and submit the CF6R-ENV-01 for final inspection. Declaration Statement • 1 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 1 and 6 of the California Code of Regulations. Certificate of Compliance conform to the requirements of Title 24, Parts lame: Company A C t'16/ For assistance r questions regarding the M 69 -d3- i/ License: e,5o 7':54C) S l A", Phone: Standards, contact the Energy Hotline at: 1-800-772-3300. Bin # City of La Quinta Building & Safety Division , P.O. Box 1504, 78-495 Calle Tampico La Quinfa, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit #�% Project Address: (� Owner's Name: U A. P. Number: Address: Legal Description: City, ST, Zip: Contractor: I co Address: L b ' City. ST, Zip: 6 C/'9 Telephone: ��? •<�;,� %�'.• �;�::,� State Lic. # :! �d City Lic. #: j J-A ~ c� Arch., Engr., Designer. Telephone: Project Description:-r" Ex lSk1V-k . d Dr Address: cA City, ST, Zip: Telephone: State Lic. #::..~` .. � 4,: �•: Name of Contact Person: Construction Type: itCe� Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: # Units: % Telephone # of Contact Person: Estimated Value of Project: a(:),a APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACMNG PERMIT FEES Plan Sets Pian Check submitted Item Amount Structural Cales. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Cales. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, ready for correctionsliissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- Review, ready for correctionstissue Developer Impact Fee Planning Approval Called Contact Person A,I,P,P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees