10-0031 (RR)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA,CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 1000000'0'31_ Owner:
Property Address: 51566 AVENIDA RAMIREZ
CABRERA ERNARDA
APN: 773-131-025-23 -000000-
51566 AVENIDA RAMI_.
Application description: RE -ROOF
LA QUINTA, CA 922
Property Zoning: COVE RESIDENTIAL
Application valuation: 5491
_.
Contractor:
Applicant:. Architect or En eer;
CASTRO ROOFING INC
P O BOX 122
THOUSAND PALMS, CA
(760)343-0042
Lic. No.: 828478
.. 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 Business and Professionals Code, and my License is in full force and effect.
Licens to Class: /��1C 3 9 Licens'e'No.: 828478
Datei
: �IZ:V Cont; ' ^V_, bVSwen
W"'
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 Profes$ions 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
permitto 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 ($5001.:
(_ 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
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 arenotintended or offered foCsale. 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.thepurpose of sale.).
(_ 1 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.).
(_ 1 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
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/12/10
-: T uF t _cr-T. o _f
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
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 STATE FUND Policy Number 63914709
'1 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, /
Codde,,fI shall forthwith comply with those provisions..
Date: 1 -1 -f o—Aoolicant: CIL( C- 1 -iNS: l a -
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 laws relating to building construction, and hereby authorize representatives
of this county to enter upon the above-mentioned property for inspection purposes.
Dater -I 1-2''!� Signature (Applicant-or-Agent):—.r 4 2y L" Cg -S2 A
' -II - M
Application Number . . . . . 10-00000031
Permit RE -ROOF
Additional desc . .
Permit Fee . . . . 30.00
Plan Check Fee
.00
Issue Date
Valuation . .
. 0
Expiration Date 7/11/10
Qty Unit Charge Per
Extension
BASE FEE
.30.00
----------------------------------------------------------------------------
Special Notes and Comments
REMOVE ROOF & REPLACE WITH NEW THREE
PLY
BUILT - UP. APPROVED G.B.
----------------------------------------------------------------------------
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
4
Prescriptive, Certificate of:Com liance: 'Residential. CF -IR -ALT
Residential Alterations
Pa2e 1 of 5
Project Name: Climate Zone'# # of Stories
General Information
Site Address: J�,'I G rb
Enforcement Agency: �- A.. J t� Date: 1-1 't_ j L
Building Type J21 Single Family ❑ Multi Family
Circle the. Front Orientation: N, E, S'0 or degrees
Conditioned Floor Area (CFA):
Project Type: O'Alterations 0 Envelope ❑ Fenestration 0 Roof 11HVAC
Values From JA4
Re lacement or Chane Out ❑ Duct Replacement ❑ Water Heater
NOTE: This form is not to be used for Newly Constructed Buildings or Additions
Insulation Values For Opaque Surfaces (for Furring use the Mass and Furring Strips Construction table below)
Assembly Alteration
❑ Opening of framed cavity alone -Alterations that involve the opening of the framed cavity of a wall, ceiling, or floor must install the
mandatory minimum insulation value per §150 for.the altered assembly. Fill in Columns A –C and enter mandatory insulation value in Column H.
❑ Replacement of entire assembly– Replacement of an entire wall, ceiling, or floor assembly requires the installation of Component
Package- D insulation values in Table 151-C. Fill in Columns A –J.
Opaque Surface DetailS For the furred, portioned of Mass
Walls see Furring Strips Construction; Table below.
A B C -D'
E
F G H I_ J
Proposed ee ote
Standard.
Values From JA4
Table
Walls From Reference
in Furring Space from Reference
Framing Thickness,
Framed Continuous
JA4
Proposed
Tag/
Assembly Name
Material Spacing,
U-
JA4 Table Cavity Insulation
Assembly
Assembly
IDS
or Type
and Size or Other;
factor°
Numbers . R value6. R -Value
Cell Values
U-factor9
AssemblyF"
I'm
w
D
F c v ° >
0.3 S ,g �.
Final
Mass
Name or
JA4 Table —'�
A „ „�
';, y £� c t v A v
Assembly
Thickness
Type'
Number' Q>
x c ' Q>
U-factorblF
Comment
Note: For f trred assemblies, accounting for Continuous Insulation R -value, see Page JA4-3 and Equation 4-1. For calculating furred ivalls use the Mass and
Furring Construction table below.
1. For Tag/ID indicate the identification name that matches the building plans.
2. Indicate the Assembly Name or type: Roof/Ceiling, Walls, Floors, Slabs, Crawl Space, Doors and etc ... Indicate the Frame type and Size: For
Wood, Metal, Metal Buildings, Mass, enter 2x4, 2x6, or etc... see JA4 for other possible frame type assemblies.
3. Enter the thickness for mass in inches or Spacing between framing members enter; 16 "or 24 "OC; or Other for all other assembly description
such as Concrete Sandwich Panel, Spandrel Panel, Logs, Straw Bale Panel and etc....
4. Based on the Climate Zone; enter the Standard U factor from Table /51-B, C or D for each different assembly Name or type.
5. Enter the Table number that closely resembles the proposed assembly. .
6. Enter the R -value that is being installed in the wall cavity or between the framing; otherwise, enter "0 ".
7. Enter the Continuous Insulation•R-value for the proposed assembly; otherwise, enter "0".
8. Enter the row and column of the U factor value based on Column F Table Number and enter the Assembly U factor in Column J
9. The Proposed Assembly U factor, Column J, must be equal to or less than the Standard U factor in Column E to comply.
Furring Strips Construction Table for Mass Walls`Onl
A B C 7--D—7E–
F I G H I J I K
L
M
Proposed Propertiesof Masonry and Concrete
Added Interior or Exterior Insulation
Walls From Reference
in Furring Space from Reference
Joint A ppendii Table 4.3.5; 4.3.6, 4.3.7
Joint Appendix Table 4.3.13
m
O
N
Om r
m�j Jr N
AssemblyF"
I'm
w
D
F c v ° >
0.3 S ,g �.
Final
Mass
Name or
JA4 Table —'�
A „ „�
';, y £� c t v A v
Assembly
Thickness
Type'
Number' Q>
x c ' Q>
U-factorblF
Comment
Registration Number:
2008 Residential Compliance Forms
Registration Date/Time:
HERS Provider:
August 2009
Prescriptive Certificate -of Compliance Residential CF -IR -ALT
Residential Alterations Page 3 of 5
Project Name: pp , Climate Zone # # of Stories
�hlvlil.Qi4 Ck("j�i%{tet
ROOFING PRODUCTS (COOL ROOFS)§lsl(n12
When the area of exterior roof surface. to be replaced exceeds.niore than 50% of the existing roof area, or more than 1,000f?, whichever is
less, the new roofing area must meet the roofing product "Cool Roof'requirements of§152(b)1Hi, 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(i). are not applicable. Do not fill table below.
❑ 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 51b/ft
Alternatives to §152(b)IHi and §152(b)Hii, Steep -slope roof (0itch > 2:12)
❑ Insulation with a thermal resistance of at least 0.85 hrft2-°FBtu 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 if. 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(f)2; 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)
R1 Building has no ducts in the attic. i
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 Ieast25 Ib/ft2 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 RoofRequirement:
Roof Slope -
Product Weight
Product
Aged Solar
Thermal
CRRC Product ID Number
< 2:12 > 2:12
< 51bift2 > 5lb/ft?
Type 2
Reflectance3'4
Emittance
SRI
0
0
0
.13.
04
13
13
13
13
04:
U
a
a
v
o4
13
13
El
[1
4*
13
o
a
❑
0
1341:
I. The CRRC Product ID Number can be obtained from the Cool Roof Rating Council's Rated Product Directory at-wwiv.coolroofs.org/products/search.�
2. Indicate the type of product is being used for the roof top, i.e. single ply roof, asphalt roof, metal roof, etc.
1. Ifthe 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(p,,,W 1— 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 htto://lvtivtiv.;iierii�.ca.govltitte241 and enter the resulting value in the SRI Column above and attach atopy of
the SRI- Worksheet to the CF -I R.
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:
0 Aluminum -Pigmented Asphalt Roof Coating,
ID Cement -Based Roof Coating
13 Other
Registration Number: Registration Date/Time:
2008 Residential Compliance Forms
HERS Provider:
August 2009
Prescriptive Certificate of Compliance: Residential CF -IR -ALT
Residential Alterations Page 5 of 5
Project Name: l? Climate Zone # S h of Stories
HERS VERIFICATION SUMMARY The enforcement agency should pay special attention to the HERS Measures specified in this
checklist below. A completed and signed CF -4R Form for all the measures specified shall be submitted to the building inspector before final
inspection.
Duct Sealing & Testing HERS verification is required for this measure.
❑ YES ❑ NO YES: In Climate Zones 2 and 9-16, if more than 40 linear feet of.new or replacement ducts are installed in unconditioned
space, the ducts are to be sealed per §152(b)1Dii and the newly installed ducts are to be insulated per §151(f)10.
❑ EXCEPTION: Existing duct systems that are extended,, which are constructed, insulated or sealed with asbestos.
❑ YES ❑ NO YES: In Climate Zones 2 and 9-16, if the existing space -conditioning system (HVAC equipment and ducting) is replaced, the
ducts are to be sealed per § 152(b)1 Di.
❑ YES ❑ NO YES: In Climate Zones 2 and 9-16, if the existing HVAC equipment is replaced (including the replacement of the air handler,
outdoor condensing unit of a split system, cooling or heating coil, or the furnace heat exchanger) the ducts are to be
sealedper § 152(b) I E.
❑ EXCEPTION: Duct systems that are documented to have been previously sealed confirmed through HERS
verification in accordance with procedures in the Reference Residential Appendix RA3.
❑ EXCEPTION:. Duct systems with less than 40 linear feet in unconditioned space.
❑ EXCEPTION: . Existing ducts stems constructed, insulated or sealed with asbestos.
Refrigerant Charge -Split System HERS verification is required for this measure.
❑ YES ❑ NO YES: In Climate Zones 2 and 8-15, when the existing HVAC equipment is replaced (including the replacement of the air
handler, outdoor condensing unit of a split.syste,rnm A/C or heat pump, cooling or heating coil, or the furnace heat
exchanger) a refrigerant charge measurement shall be verified per § 152(b)I F.
Central Fan Integrated (CFI) Ventilation System and'Fan Watt Draw
The ventilation requirements of § 150 0 •do not apply to existing residential homes.
Ducted Split Systems - Air Conditioners and Heat Pumps: Airflow HERS verification is required for this measure.
❑ YES (7 NO YES: In Climate Zones 10 through 15, when the existing space -conditioning system (HVAC equipment and ducting) is
re laced, the airflow and fanwatt draw shall be verified r' 152(b)1Ci to meet the requirements of §151(f)7B.
Documentation Author's Declaration Statement
• [certify that this Certificate of Compliance documentation is accurate and complete.
Name: i
[Signature: 1
Company:
b 6
Date:
Address:
I,e Im % V `'�
If Applicable ❑ CEA or ❑ CEPE
(Certification #):
City/State/Zip:
Ili z PAL-mS C `1227(0
Phone:
2
Responsible Building Designer's Declaration Statement
• I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the building design identified on
this Certificate of Compliance.
• 1 certify that the energy features and performance specifications for the building design identified on this Certificate of Compliance conform
to the requirements of Title 24, Parts 1 and 6 of the California Code of Regulations.
• The building design features identified on this Certificate of Compliance are consistent with the information provided to document this
building design on the other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the enforcement
agency for approval with this building permit application.
Name: y � \\, 1 J
Signature:.
—
Company: z n
2aokt.-I, lni
Date:
Address: � 1 � � � � � � � �
License: � n
State/Zip:
L
Phone:
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.
Registration Number: Registration Date/Time: HERS Provider:
2008 Residential Compliance Forms
August 2009
Bin #
Qty of La Quinta
Building 8r Safety Division
P..O..Box 1504, 78-495 Caife:Tamptco
La Quinta, CA. 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
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Project Address: r - 5 %(� �J3+lt j Ii 1\ M V'f: L
Owner's Name: C-; Verk
A. P. Number:
Address: j l-j1�L ��at1:r � rr►l/Z Z.
Legal Description:
City; ST, Zip: Ln ��9 n�h ( �i LIS 3
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Contractor:r, �n0 0J,,i A
. �i>'f!'+v`n':h fy!S('nJ�!j:\v j`f�tJ�•,v>
Telephone: ... ....
Address: ,-1 �1, �`
Project Description: yy [I/) ,1 ,
City, ST, Zip:
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Tele hone•1 �) '
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�.,;,b, ; fed✓i:. Y,\4.%�;,yr ,r_>.�:4?y
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State Lia # City, Lie. #.:
Arch., Engr., Designer.
Address:
City., ST, Zip:
Telephone:
�. "'� ;; f• «ee s;
= try n r'---------------
;' Construction Type: , Occupancy:
State Lie. #:
Protect type (circle one): New Add'n Repair Demo
Name of Contact Person: �� l (�
S1 q. Ft: �l
#Stories: (
# Units:
Telephone # of Contact Person: IUD H C - �40 6
Estimated Value of Project: S Ll q
APPLICANT: DO, NgT,WRITE BELOW THIS.. LINE
#
Submittal
Req'd
Rec'd
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
2'" Review, ready for correctionsfissue
Electrical
Subcoutactor List.
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.0 -A. Approval
Pians resubmitted
Grading
IN HOUSE:-
''d Review, ready for correctionsfissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees