10-0154 (RR)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINtA, CALIFORNIA 92253
Application Number:.
10-00000154
Property Address:
54120 AVENIDA CARRANZA
APN:
774-211-006-19 -000000-
Application description:
RE -ROOF
Property Zoning:
COVE RESIDENTIAL
Application valuation:
8825
T4ht 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
LA QUINTA REVEVELOPMENT
78495 CALLE TAMPICO
LA QUINTA, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153 .
AGENCY
D
Date: 3/03/10
k
Contractor: ti/�
Applicant: Architect or Engineer: ROOF TILE SPECIALTY C. C`
P.O. BOX 11257 T;y�, P
PALM DESERT, CA 92255 f=
Vii'
I(760)200-0811
( P Lic. No.: 810537
-------------------------------------------------------------------------------------------------
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 Bus! ss and Professionals C icense is in full force and effect._ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
Lic as C3 9 nse No.: 81 7 for by Section 3700 of the Labor Code, for the performance of the work for, which this permit is
t , issued,
Date. V ontractor: 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 238-0009889-09
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 1 uld 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 700 of the Labor C s a ith comply with those prov' '
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) : ar Atfnlicanr:
(_) 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, 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.).
( ) 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
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 state I re a to building construction, a 6�'dt74Tlorize representatives
of thi �jnt ry,�nter upon the above- ntioned p erty for inspe urposes.
�IVI�I S' ature (Applicant or Agent):
Application Number . . . . . 10-00000154
Permit
RE -ROOF
Additional desc .
.
Permit Fee . . .
. 30.00
Plan Check Fee
.00
Issue Date . . .
.
Valuation . . .
. 0
Expiration Date
8/30/10
Qty Unit Charge
Per
Extension
BASE FEE
30.00
----------------------------------------------------------------------------
Special Notes and
Comments
RE -ROOF .WITH LIGHT
WEIGHT CONCRETE TILE,
PER APPROVED CONTRACT. 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
Prescriptive Certificate of Compliance: Residential Reroof CF -1 R-ALT-ReRoof
Project Address: Climate Zone Permit #
;w AA 9 A tj ZA5'
i= -
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 1,000 fe, 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 (lessor 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 5Ab/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-f?-'F/Btu 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(f)10; or
❑ In climate zones 10, 12 and 13, with 1 f:2 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(02; 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)1 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 lb/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(1) are not applicable. Do not rill table below.
NOTE: When a Cool Roof is required, the installing contractor shall complete and submit the CF -6R -ENV -01 for final inspection.
Declaration Statement
Roof Slope
Product Weight
Product
Aged Solar
Thermal
Company:
v �,`Goegam\
CRRC Product ID Numberr
s 2:12 > 2:12
< 51btft2 z 51b/ft2
Type 2
Reflectance3,4
Emittance
SRI
❑
❑
❑
❑
❑°
❑
❑
❑
❑
❑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.coolroofs.ory/nroducts/search.nhn
2. Indicate the type of product is being used for the roof top, i.e. single -ply roof, asphalt roof, metal roof, etc.
3. 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(pinxa — 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 http:flwww.enerov.ca.goMitle24/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 coverage
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.
• I 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.
Name: T_ _ rn¢�
Signally-
ignat .Company:
Company:
v �,`Goegam\
Date:
P.ssq ����
License: S `,
City/Stap:\ (24Y C �
P nte: (, DfN
I
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.
Cool Roof Rating Council
Page 1 of 1
Dry t_f3�( Produtsx is
Rated Products Directory: Search Results new search) [print friendly
view)'
(last updated 2 Mar 2010 16:22 CST)u�,
Showing Search Results for:
Company: MonierLifetile
Product Type: Tile or Slate, Shingles, Shakes, Tile or Slate
Brand: California Mission Blend
select' from products where company_name='MonierLifetile' and (type like'Tile or Slate%' or type like'Shingles, Shakes, Tile or
Slate%') and brand='California Mission Blend' order by company_name asc
previous 1 1 1 next
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previous 1 1 1 next
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_.,._._..,_ ... ..... _....... ........... ................................ ............. .I..............
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About the CRRC I Product Rating Program I Rated Products Directory I CRRC Members ( CRRC (dews
Become a Member I How Do I I Contact Us I Cool Roof Links I Home
http://www.coolroofs.orglproductslresults.php?keyphrase=&select type=select&type%5B9... 3/3/2010
Manufacturer
Solar Reflect.
Therm Emit.
CRRC
Product
Slope
InformationColor
Tvpe
Prod. ID
(sorted +)
Brand
Model
Category
❑�❑�
lid
�
imt
�
Application
Orange,
Steep
0942-0008
MonierLifetile
California
Barcelona -1 BCCS6464,
Tile or
0.19
pending
0.91
pending
Mission
Kayla Swanson
Barcelona-1HBCS6464,
Tan,
Slate
( 949-585-
Blend
Shake -1 SRCF6464,
Multicolor
I
8214)
Slate -1 LSCS6464,Tejas
Espana-2ESCS6464,
Villa -1 VICS6464,
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Become a Member I How Do I I Contact Us I Cool Roof Links I Home
http://www.coolroofs.orglproductslresults.php?keyphrase=&select type=select&type%5B9... 3/3/2010
CITY OF LA QUINTA
10
BUILDING & SAFETY DEPARTMENT
(760) 777-7012
�e INSPECTION REQUEST LINE
(760) 777-7153
Ow 'er`ri
CO tr1G
ver itivurrp9gr -I
OPST ON JOb IN CONSPICUOUS PLACE
INS T SIGN ALL APPLICABLE SPACES
JOB -A TRri. -120 AVENIDA CARRANZA
RE -ROOF WITH LIGHT WEIGHT CONCRETE
TILE, PER APPROVED CONTRACT. 2007 CODES.
TYPE OF INSPECTION DATE INSP.
TEMPORARY POWER
SETBACKS
U/G PLUMBING / WASTE
U/G ELECTRICAL/ GROUNDING
FOOTINGS / STEEL
CONCRETE SLAB
DO NqT POUR)CONCRETE U TIL ABOVE.SIGNED
ROOF NAIL / RE-RO 4 S
OKAY TO WR
FRAMING COMBINATION
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH MECHANICAL
INSULATION
COVER NO WORK UNTIL ABOVE SIGNED
INTERIOR GYP. BD. DRYWALL
EXTERIOR LATH
GAS TEST
SEPTIC ABANDONMENT
SEWER CONNECTION
SEPTIC / GREASE INTERCEPTOR
MASONRY INSPECTIONS
FOOTINGS / STEEL
BOND BEAM
POOL / SPA / WATER FEATURE INSPECTIONS'
PRE-GUNITE / SETBACKS
U/G PLUMBING
U/G GAS
U/G ELECTRICAL
PRE -PLASTER ALARMS / BARRIERS
DECK BONDING
FINAL INSPECTIONS
TEMP. USE OF PERMANENT POWER
ELECTRICAL
PLUMBING
MECHANICAL
PUBLIC WORKS DEPARTMENT
COMMUNITY DEVELOPMENT DEPT.
FINAL / JOB COMPLETED
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON -UTILITIES OR OCCUPY BUIL 7ANG
_01
ANAP
PUMP/NG, Inc. Lic #C42 855 851
•760 328-7887 - 1-800-334-7255
FAX 760 328-6607
P.O. Box 2318 - Cathedral City, CA 92235
CUSTOMER'S ORDER NO.
DATE ORDERED
-
ORDER TAKEN BY
DATE -PROMISED
❑ P.M.
BILLTO
PHONE
ADDFI �( (//JV!
� , j ^At)o
M
CITY
HELPER
JOB NAM A D LOCATION
❑ DAY WORK
DESCRIPTION OF WORK
❑ CONTRACT
❑ EXTRA
Camera/Power Snake._`,
QUANT
DESCRIPTION OF MATERIAL USED
PRICE
AMOUNT
Gallons �G
Pumping Fee per 1000 gal.
Camera/Power Snake._`,
Out of Area Fee
Locating / Opening Fe er h
$.75/HR
Size System:
Fuel Charge
$25
0 0
A SERVICE CHARGE OF $20 WILL BE DUE ON ALL RETURNED CHECKS.
18% PER YEAR WILL BE CHARGED ON PAST DUE
ACCOUNTS OVER 30 DAYS.
TOTAL
MATERIALS
TOTAL
LABOR
WAIVER: Not responsible for secondary damage, such as water
damage, chipped c on street or drivewa es.
SIGNATOR LETED
TAX
TOTAL
Bin # City of La Quinta ,
BmUng a Safety DlvWon
Permit #P.O. Box 1504, 78-495 Calle Tampico
,� La Qulnta, CA 92253 - (760) 777-7012
1d Building Permit Application and Tracking Sheet,
Project Address: lo?40 JaVe . Owner's Name: �.
A. P. Number: 174 -911 -0 O (p - ( 000000
Address:
Legal Description:
City, ST, Zip:
Contractor:
Address:
Telephone: �.
Project Description:
City, ST, Zip:
Telephone:
r'
City Lia M
State Lic. # :
Arch., Engr., Designer:
Address:
City, ST, Zip.
Telephone:
State Lie. #:
Name of Contac Person:
Construction Type: ►cY:
Project type (circle one): Now Add'n Alta Repair Demo
Sq. FL:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Plan Sets
Req'd
Rec'd
TRACKING PERMIT FEES
Pian Cheek submitted Item Amount
Structural Cafes.Reviewed,
ready for corrections Plan Check Deposit
Truss Cala.
Called Contact PersonPlan Cheek Balance.
T9tie 24 Cala.
Pians picked up Construction
Flood plain plan
Plans resubmitted Mechanical
Grading plan
2'! Review, ready for correctionsAssue Electrical
Subeontsetor I.iat
Called Contact Person Plumbing
Grant Deed
Plans picked up S.M.L
H.O.A. Approval
Plans resubmitted Grading
IN HOUSE:
Review, ready for corrections/issue eloper Impact Fee
Planning Approval
Called Contact Person rA.I.P.P.
Pub. Wits. Appr
Date of permit Issue
School Feu
F1
Total Permit Fees