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0303-002 (RR)LICENSED CONTRACTOR DECLARATION 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 6.3siness and Professionals Code, and my License is in full force and effect. 1 0 License # Lic. Class Exp. Date Q 47' � C39 "M 01/31n( • ate — Signature of Contractor- OWNER-BUILDER ontractor OWNER -BUILDER DECLARAT I hereby affirm under penalty of perjury that I am exempt from the Contractor's License Law for the following reason: ( ) I, as owner of the property, or my employees with wages as tli'eir sole compensation, will do the work, and the structure is not intended or offered for sale (Sec: 7044, Business & Professionals Code). ( ) I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Sec. 7044, Business & Professionals Code). ( ) I am exempt under Section , B&P.C. for this reason Date Signature of Owner 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 pertormance of the work for which this permit is issued. (. I have and will maintain workers' compensation insurance, as required by Secfion 3700 of the Labor Code, for the, performance of the work for which this permit is issued. My workers' compensation insurance carrier & policy no. are: Carrier .STATE FUM) Policy No. 094028-.01 (This section need not be completed if the permit valuation is for $100.00 or less). ( ) 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 OlSection 3700 of the Labor Code, I sh II fo�?h ith comply with t � e provisio:I Date: �'�++ Applicant } I, r Warning: Failure to secure Workers' Comp nsation coverage is unlawful and shall subject an employer to criminal penalties and civil fines up to $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. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on his 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 applicaton agrees to, & shall, indemnify & hold harmless the City of La Quinta, its officers, agents and employees. 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 State laws relating to the building construction, and hereby autqJDrize representatives of this City to enter upon � S the above-mentioned property or insspectio p poses . `Signature (Owner/Agent) �'N Date OR BUILDING PERMIT PERMIT# DATE VALUATION LOT '> ., . TRACT JOB SITE APN . ADDRESS ,* •147 1,A130 D rRI OWNER CONTRACTOR/DESIGNER/ENGINEER i3 ]R.HOM ,1'MOlwf;'. LA. R001440 7 8-147 LAGO:1 1ZM J U-314 :t DIXY RD. J.AQT. VfA. CA 92253°C�':' M' RA1,•C"�'(.`"4{,, —CA 92,234 C/60)324-3482 =41V 5230' USE OF PERMIT s lwr(wL - MROOF FOAMIA'aND WUH'I'W"MONT T H.,F PIM IC80 RS0513 CLAM A MATERIALS ONLY M, 00F 17,0 ts:QQ LS :A UI.'7:MAIM) CC3Ur OF CONFIRUCTIO, DT RI;I 001? IN't 101400.418.000 MAR 0 3 2003 CITY OF LA QUINTA FINANCE DEPT. M38-1 G1I. C01J=TJf~"FdQA .11i�".J PLAN T f I3 ?c: $30,00 p,F= PRz4WD nm 3:0.00 ,I'MAL VX:I`',?V1 IX:fi RNS' ICU:,, NOW RECEIPT DATE ' % ' BY �' �`, , -IDAtE FINALED INSPECTOR INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings Ducts Slab Grade Return Air Steel Combustion Air Roof Deck Exhaust Fans O.K to Wrap F.A.U. Framing Compressor Insulation Vents Fireplace P.L. Grills Fireplace T.O. Fans & Controls Party Wall Insulation Condensate Lines Party Wall Firewall Exterior Lath Drywall - Int. Lath Final Final BLOCKINALL APPROVALS POOLS -SPAS steel Set,Backs Electric Bond Footings Main Drain Bond Beam Approval to Cover Equipment Location Underground Electric Underground Plbg. Test Final I I Gas Piping PLUMBING APPROVALS Gas Test Electric Final Waste Lines Heater Final Water Piping Plumbing Final Plumbing Top Out Equipment Enclosure Shower Pans O.K. for Finish Plaster Sewer Lateral Pool Cover Sewer Connection Encapsulation Gas Piping Gas Test Appliances Final Final Utility Notice (Gas) ` ELECTRICAL APPROVALS Temp. Power Pole Wderground Conduit Rough Wiring Low Voltage Wiring Fixtures Main Service Sub Panels Exterior Receptacles G. F.I. Smoke Detectors Temp. Use of Power Final ` Utility Notice (Perm) COMMENTS: Speci icatbons A11 areas under construction to be marked off with safety cones and construction tape. 'gours of Operation: 7:00 a.m. to 4:00 p.m., five (5) days a week. P S Job staffed with a diligent crew of journeymen roofers. 6. All debris to be handled in trash chutes to durnpsters below. 7. Obtain all necessary permits and inspections to be in accordance with the City. ROOF SYSTEM: U.S. CLAY "S" TILE SPECIFICATION 1. Resheet with ``/z" cdx plywood, nailed as per U.B.C. nailing schedule. 2. Underlayment: Provide and install vapor barrier 440 organic felt underlayment A.S.T.M. #D2626-86 applied in a double application method consisting of two layers of 940 base sheet underlayment applied in a shingle type fashion. �ive tile proper rise 2" furring strep �0n mai ll of sufficeaves to e 3. Battens and tile fastening: Install 1" x nt length to penetrate 3/4"taper.into tiles to be fastened with 11 d gauge corrosion resistant box solid sheeting. All tiles to have (2) fasteners per tile and be in strict accordance with factory mutual 1-60 requirements for wind uplift. 4. Roof penetrations and flashing: All roof projections, vents, dormers, chimneys and roof to wall transitions to be properly flashed in a double flash method consisting of one (1) primary 26 Ga. flashing integrated into base sheet underlayment and set in bed of mastic cement. Secondary 26 Ga. flashing to be integrated into . tiles and sealed with plastic cement. All flashings treated with zinc chromate paint to match roof color. 5. Eave Tiles: All eaves to have a starter the installed prior to field tile installation. 6. Ridge and Barge Boards: After underlayment is completed a 2" x 4" ridgeboard will be installed along all hips and ridges. All rakes to have one (1) 2" x 4" installed face down with one (1) 2" x 2" installed on top of 2" x 4 to properly anchor and secure all rake trim tiles and meet all requirements for factory mutuals I- 60 requirements for rake tile wind uplift. 7. Field Tile application: Provide and install U.S. Tile. U.S. Tiles to be installed in strict accordance with U.S. Tile roof tile specifications meeting all governmental and federal codes. All tiles to be double fastened and exposures to be 14" as per manufacturer's specifications. Tile to be manufactured by U.S. Tile roof tiles I.C.B.O. report 3523. Installation to conform to U.B.C. 32-12 and U.S. Tile roof tiles. Style of tile and color to be chosen by customer.driven 8. Ridge and rake tiles: All ridge and rake tiles to be doublenailed with lid vth a bullnose of corrosion emenresl to finish ant nails rd e end.to ridge or hip framing members. All ridge ends to be detailed All hip and ridge tiles to be made watertight by bedding in Portland cement mortar. 9. Install complete cement weather block at all hip & ridges and detail all ridge ends with bullnose of cement. 10. Paint all flashings with one coat of high quality exterior paint. FOAM ROOF SYSTEM: $. Tear off existing roof system ower swee er, air C. All loose gravel, dust and residue shall be -remove d using power vacuum equipment, p P blowing, or other suitable means. D. The roof shall be inspected or tested to determine if moisture is resent within the roof assembly. If damp insulation is found, the insulation might be able to be vented through the polyurethane foam or with insulation relief vents. Saturated insulation must be removed and replaced with compatible materials. E. The existing roof shall be inspected for adhesion between felts, insulation, and deck. Areas of poor adhesion should be fastened. Blisters, buckles, wrinkles, and fishmouths shall be cut and /or fastened. F. All soft mastic or asphaltic materials that could impede polyurethane adhesion must be removed or refasten all loose base flashing, counter -flashing, and gravel the rate of requot ss less than gallon per 100 square G. All surfaces shall be primed with Evercoat Acrylic prim feet prior to foam application. F -S' REPORT Reissued ER -3523 Reissued January 1, 2003 ICBO Evaluation Service, Inc. - 5360 Workman Mill Road, Whittier, California 90601 • www.icboes.org Filing Category: ROOF COVERING AND ROOF DECK CONSTRUCTION -Roof Covering ONE-PIECE "S," TAPERED TWO-PIECE MISSION, FLAT SHINGLE, ROMANO- PANS, CLAYLITE® AND CLAYMAX® CLAY ROOFING TILES UNITED STATES TILE COMPANY 909 WEST RAILROAD STREET CORONA, CALIFORNIA 92882-1906 1.0 SUBJECT One-piece "S," Tapered Two-piece Mission, Flat Shingle, RomanoTm Pans, Claylite® and ClayMa)& Clay Roofing Tiles. 2.0 DESCRIPTION 2.1 General: The roofing tiles are a vitrified clay product, manufactured by United States Tile Company for use as a roof covering under the 1997 Uniform Building CodeTN7 (UBC). The tiles are machine -formed, fired to various degrees and have a selection of burned -on colors. The various colors are obtained by controlled firing of the kilns. Tile profiles are illustrated in Figure 1. The tiles may be installed on roof surfaces having slopes up to a maximum of 21:12 (175%). A solid sheathing conforming to the requirements of the UBC is required for all slopes. 2.2 Materials: 2.2.1 One-piece "S" -shaped Tile: The finished tiles are 18 inches (457 mm) long, 13 inches (330 mm) wide and 7/2 inch (12.7 mm) thick, with two nail holes in the pan side and one nail hole in the cover side. The installed weight of the tiles is approximately 8 pounds per square foot (39.1 kg/m2), and the tiles are designed for installation with an 11 -inch (279 mm) center -to -center spacing and a minimum 3 -inch (76 mm) head lap. 2.2.2 Tapered Two-piece Mission Tile: The finished tiles are 18 inches (457 mm) long, curved to approximately one third of a circle, and have a chord width of 87/2 inches (216 mm) at the butt end and 7 inches (178 mm) at.the smaller end. The tiles have an average thickness of 7/2 inch (12.7 mm) and an installed weight of approximately 9.6 pounds per square foot (46.9 kg/m2). They are designed for installation with 11 -inch (279 mm) center -to -center spacing and a minimum 3 -inch (76 mm) head lap. 2.2.3 Flat Shingle Tile: The finished tiles are 18 inches (457 mm) long, 93/, inches (248 mm) wide and 9/16 inch (14.3 mm) thick. There are three ribs on the underside of the tiles that are 7/2 inch (12.7 mm) wide, and one rib at the lock that is 1 inch (25.4 mm) wide. Ribs are approximately 3 inches (76 mm) apart and run the full 18 -inch (457 mm) length of the tile. Each tile has two nail holes in the top. Installed weight of the tiles is approximately 97/2 pounds per square foot (46.4 kg/m2). They are designed for installation with 9-incfi (229 mm) center -to -center spacing and a minimum 3 -inch (76 mm) head lap. 2.2.4 Romano Pans: The finished tiles are 18 inches (457 mm) long, 11 inches (279 mm) wide and 9/16 inch (14 mm) thick, with two nail holes near the top of the pan. The completed installed weight of the tiles is approximately 9.9 pounds per square foot (48.3 kg/m2). They are designed for installation with two-piece Mission cover tiles with a 13 - inch (330 mm) center -to -center spacing and a minimum 3 - inch (76 mm) headlap. 2.2.5 Claylite Tile: The tiles are the same shape and size as one-piece "S" -shaped tiles. The finished tiles are 18 inches (457 mm) long, 13 inches (330 mm) wide and 3/6 inch (9.5 mm) thick, with two nail holes in the pan side and one nail hole in the cover side. The installed weight of the tiles is approximately 5.9 pounds per square foot (28.8 kg/m2). They are designed for installation with an 11 -inch (279 mm) center -to -center spacing and a minimum 3 -inch (76 mm) headlap. 2.2.6 ClayMax Tile: The finished tiles are 18 inches (457 mm) long, 13 inches (330 mm) wide and 73/32 inch (10.3 mm) thick, with two nail holes in the top. The installed weight of the tiles is approximately 5.8 pounds per square foot (28.3 kg/m2). They are designed for installation with an 11 -inch (279 mm) center -to -center spacing and a minimum 3 -inch (76 mm) head lap, 2.3 Installation: 2.3.1 General: Tiles shall be installed in accordance with the Concrete and Clay Roof Tile Installation Manual for Moderate Climate Regions (ER -6034P), except as noted in this report. 2.3.2 Flat Shingle Tile: Rake the or a full bed of mortar is provided under the exposed portion of each tile as a rake closure at the gable end. At hips and ridges, a Mission -type or a "V" type hip -and -ridge tile is set and nailed in cement mortar or roofers' cement. 2.3.3 Claylite Tiles: Claylite tiles shall be fastened to the sheathing with two nails per tile. As an alternative, a single nail, using the fastener hole located in the pan side 1% inch (44.3 mm) from the head end of the tile, may be used when the following conditions are met: 1. The roof slopes do not exceed 7:12 (58.3% slope). 2. Solid sheathing shall be not less than '/,,-inch (11.1 mm) oriented strand board or "/32 -inch (11.9 mm) wood structural panels. i,REPURlS" are not to be construed as representing aesthetics or any other attributes not speer ,tally addressed, nor are they to be construed as an endorsement of the subject of the report or a recommendation fir its use. There t no warranty by JCBO Evaluation Service, Inc., express or implied, as to any finding or other matter in this report, or as to any product covered by the report. Copyright (9 2003 Page 1 of 3 0- Page 2 of 3 ER -3523 3. The structure is located in an area designated by the building official as being subject to a maximum basic wind speed of 80 miles per hour (129 km/h), Exposure C, with the roof height up to 40 feet (12 192 mm) above grade. 2.3.4 ClayMax Tiles: ClayMax tiles shall be fastened to the sheathing with two nails per tile. As an alternative, a single nail,using the fastener hole located in the center,. 1'/, inch (44.3 mm) from the head end of the tile, may be used when the following conditions are met: 1.. The roof slope does not exceed 7:12 horizontal (58.3% slope). 2. Solid sheathing is not less than '/,s inch (11.1 mm) oriented strand board or "/32 -inch (11.9 mm), four -ply, three -layer wood structural panels. 3. The structure is located in an area designated by the building official as being subject to a maximum basic wind speed of 80 miles per hour (129 km/h), Exposure C, with the roof height up to 40 feet (12 192 mm) above grade. Installation details pertinent to the ClayMax tiles are as follows: 1. Hips and ridges are provided with continuous nominal 2 -by -3 nailers to support ClayMax trim tiles. 2. Continuous nailers along the gable rakes are not required. 2.3.5 Tile Repair:. The damaged tile is removed by breaking it completely out of the field and cleaning away all debris. Existing fasteners must. be removed and the nail hole sealed with an approved sealant. Any damage to existing underlayment must be repaired priorto installation of the replacement tile. The replacement tile is inserted into the open space, maintaining head and side laps. The tile is secured with approved plastic cement or adhesive, a No. 11 gage corrosion -resistant nail or an existing wire tie fastener. 2.4 Roofing Classification: When installed over new construction as described in this report, the clay roof tiles are Class A roof coverings in accordance with Section 1504.1 of the UBC, and are noncombustible roof coverings in accordance with Section 1504.2 of the UBC. 2.5 Identification: The letters "U.S.T." are embossed on the bottom of each tile near the nail hole on the cover side. Additionally, the tiles are identified by means of a tag attached to each shipping pallet bearing the evaluation report number (ICBO ES ER -3523) and the installed weight. 3.0 EVIDENCE SUBMITTED Reports of tests conducted in accordance 'with the ICBO ES Acceptance Criteria for Clay and Concrete Roof Tiles (AC180), dated January 2002, installation instructions, and a quality control manual. 4.0 FINDINGS That the One-piece "S," Tapered Two-piece Mission, Flat Shingle, Romano Pans, Claylite and ClayMax clay roofing tiles described in this report comply with the 1997 Uniform Building Code'"', subjectto the following conditions: 4.1 The tiles are manufactured and installed in accordance with this report and the manufacturer's instructions. 4.2 The tiles are manufactured at the United States Tile Company plant in Corona, California. This report is subject to re-examination in two years. r Page 3 of 3 HEAD END TOP \ / °� PAN 81/2" 3.. BUTT 18"�' .81/2" END :. 7„ MISSION TWO-PIECE ROOF TILE HEAD END134 , Q y � . 18 13" \ / BUTT / END ONE-PIECE "S" AND. CLAYLITE@ ROOF TILE HEAD END \,\ INTERLOCKING CHANNEL 18t 9 / .. 93/4 \ BUTT END FLAT SHINGLE ROOF TILE FIGURE 1—TILE PROFILES •\ 13/4" 'a 18 ". 13" CLAYMAX® ROOF TILE ROMANO@ PAN ER -3523 3/4" Iy