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13-1175 (RR)P.O. BOX 1504 VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 9/18/13 Application Number: 13-00001175 Owner: Property Address: 51565 AVENIDA RUBIO GREGG AERRELL APN: 773-121-010-1 -000000- 51-565 AVENIDA RUBIO Application description: RE -ROOF LA QUINTA, CA 92253 Property Zoning: COVE RESIDENTIAL Application valuation: 9000 Contractor: Applicant: Architect or Engineer: SOUTHWEST ROOFING B ' P.O. BOX 126 ry r 1- 92202 �V 1v IVt.J (760)760) 5788 735 -;f7 a n t Lic. No.:: 787029 ell 'Y OF TA QUINTA - '---------------------------------------_-------------------------------------------------- ------ LICENSED CONTRACTOR'S 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 Busi and Profe ionals Code, and y License is in full force and effect. Licens;Cl ,ss: C39 Li�errse No.: 787029 Date: 1�:�/6� Contractor—A/Jl� ��. V 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).: (_) 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.). (_) 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.). (_) I am exempt under Sec. , BAP.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: \ f. Lender's Address LQPERMIT 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. 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 9041840 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 ecome subject to the wort compensati n provisions of Section Date3700 of the Labor Co shall forth [h comply h th a provisi Applicant: WARNING: FAILURE TO SECU 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 laws relating to buildi construction, and hereby a ize representatives of this cou�ter upon the above-mentioned Propert or inspection urposes. Date: �� Signature (Applicant or A,entl' Application Number . . . . . 13-00001175 Permit . . . . . RE -ROOF Additional desc . . Permit Fee . . . . 60.06 Plan Check Fee .00 Issue Date Valuation . . 0 -Expiration Date 3/17/14 Qty Unit Charge Per Extension 1.00 48.6200 LS MISC RE -ROOF, 1ST 2000 SF 48.62 1.00 11.4400 EA MISC RE -ROOF, ADDL 1000 SF 11.44 ---------------------------------------------------------------------------- Special Notes and Comments REROOF WITH LIGHT -WEIGHT EAGLE TILE SANTA CRUZ COLOR [CRRC: 0918-00581 2010 CALIFORNIA ENERGY CODE. Other Fees . . . . . . . . BLDG ------------------------- STDS ADMIN (SB1473) 1.00 PLAN CHECK, RE -ROOF 97.24 Fee summary Charged Paid Credited ----------------- Due -------------------- Permit Fee Total 60.06 -------------------- .00 .00 60.06 Plan Check Total .00 .00 .00 .00 Other Fee Total 98.24 .00 -.00 98.24 Grand Total 158.30 .00 .00 158.30 LQPERMIT Din # City of La Quinta Building 8r Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: Sl — �(a Sla VENT v Owner's Name: - �- roc A. P. Number: Address: Legal Description: Contractor: �JW 1— City, ST, Zip: Telephone: Address: �, rZ Project Description:�� City, ST, Zip: ` l� Z Z.© Z— C; c— O'7- LI (+ t/ t l T TelephoneCO t) 57 ,—, >:<;#:> ::<::<:<.::;>: c:' :::'c< > <<'>. LIf C d Z S A.�� �- '� V Z_ State Lic. # : Z q Arch., Engr., Designer: City Lic. #•: L Address: City., ST, Zip: Telephone: P State Lic. #: Name of Contact Person: :::f;:;,.::..:..;, .:...::::::..:::.::•:;•:.:;«;: >::>rir<;::;z:::>.s:»::> Construction Type: opt Occupancy: Project a circle one): New Addn Alter Repair. type ' J ) P Sq. Ft.: Z�w # Stories: # Units: Dem o Telephone # of Contact Person: Estimated Value of Project: 9 "eqQ0 , g--0 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan god Review, ready for corrections/issue 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 corrections/issue Developer Impact Fee Planning Approval Called Contact Person • A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees STATE OF CALIFORNIA ' RESIDENTIAL ALTERKOONS CEC- CF -IR -ALT Revised 03/10 CALIFORNIA ENERGY COMMISSION Prescriptive Certificate of Compliance: Residential CF -IR -ALT Residential Alterations Page 4 of 7 Project Name: o. r .' Climate Zone # ! # of Stories t= s(o s •ti4v e �v �` eu b i a ROOFING PRODUCTS (COOL ROOFS) §1510912 When the area of exterior roof surface to be replaced exceeds more than 50% of the existing roof area, or more than 1,000 fry, whichever is less, the new roofing area must meet the roofing product "Cool Roof' requirements of §152(b)IM, 152(b)IHii, or 152(b)1Hiii. Check applicable alternative or exception below if the roof alteration is exempt from the roofing product "Cool Roof 'requirements. Note: If any one of the alternatives or exception below is checked, the Aged Solar Reflectance and Thermal Emittance requirements for roofing products in ,¢118(1) are not applicable. Do not fill table below. O Cool Roofs Not Required in Climate Zones 1-12, 14, and 16 with a Low Sloped. Less or 2:12 pitch. ❑Cool Roofs Not Required in Climate Zones 1 through 9 and 16 with a Steep -Sloped Roofs (pitch greater than 2:12) and product unit weight less than 5lb/ft Alternatives to §152(b)1Hi 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 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 fly of free ventilation area of attic ventilation for every 150 fie 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 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)1Hiii, Low -slope roof (pitch <_ 2:12) ❑ Building has no ducts in the attic. Other Exceptions ❑ Roofing area covered by building integrated; photovoltaic panels and solar thermal panels are exempt from the below Cool Roof criteria. ❑ Roof constructions that have thermal mass over the roof membrane with at least 25 Ib/fig is exempt from the below Cool Roof criteria. Note: If no CRRC-1 label is available, this compliance method cannot be used, use the Performance Approach to show compliance, otherwise, Check the applicable box below if Exem t from the Roofing Products "Cool Roof' Requirement: Roof Slope Product Weight Product Aged Solar Thermal CRRC Product ID Number] < 2:12 > 2:12 < 5lb/ft2 > 5lb/fi? Type 2 Reflectance3'4 Emittance SRI 0 13 -ods ❑ ElQI(6 ❑4 ❑ ❑ ❑ ❑ D4 ❑ ❑ ❑ ❑ ❑4 ❑ ❑ ❑ D Da ❑ ❑ ❑ D 0 1. The CRRC Product ID Number can be obtained from the Cool Roof Rating Council's Rated Product Directory at www.coolroofs.ori /prod:rcts/search.Dho 2. Indicate the type ofproduct is being used for the rooftop, 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(pi„itiat — 0.2) to obtain a calculated aged value. Where pis 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:/hviviv.energv.ca.gov/title24/and enter the resulting value in the SRI Column above and attach atopy 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(1)4. Select the applicable coating: ❑ Aluminum -Pigmented Asphalt Roof Coating ❑ Cement -Based Roof Coating I0, Other ReQI tralion Number: Rerishation Date/Time: HF.R$S Providor 2008 Residential Compliance Forms March 2010