12-0195 (RR)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:r12-,000
005
Property Address:
00 AVENIDA '>REZ
APN:
773-131-006-19 -000000-
Application description:
RE -ROOF
Property Zoning:
COVE RESIDENTIAL
Application valuation:
6755,
T4-19� 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
JOANNA MILLER
51600 AVENIDA RAMIREZ
BERMUDA DUNES, CA 92203
VOICE (760) 777-7012
FAX (760) 777-7011.
INSPECTIONS (760) 777-7153
Date: 3/05/12
Applicant:.- Architect or Engineer:
Contractor: U I(�
PALM DESERT CONTRACTOR, . 1 C
P.O. BOX. 2795 "_ !j. �.� i 201 1
PALM.DESERT, CA 922611
vo
(760) 346-2420
• ani-
Lic.: No.: 477507
—
. 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 affirmunderpenalty 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._
1'have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
Li erase Class: C3 9 - 7
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is -
Date: ^ 'S'- � 2—c( actor: -
�[ issued.
� ` I have and will maintain workers' insurance; -as required by Section 3700 the Labor
. _
.. -
compensation of
Code,.for the.performance of the work forwhich.this permit is issued. My workerscompensation
' OWNER -BUILDER DECLARATION.. -
insurance carrier and policy number are: �-
I her affirm under penaltyof perjury that l,am exempt from the. Contractor's State License Law for the
Carrier STATE FUND ... Policy -Number 1964101-2011
following reason (Sec. 7031 .5, Business and Professions Code: Any city or. countythat 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 forthe
person' in;any manner so as to become subject to'the workers' compensation laws of California,
permit to file a•signeo 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. t Labor Code, I shall forthwith c piy-vi' ose provisions. -
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 theapplicant to a civil penalty,of. not more than five hundred dollars (5500).:
ate: Applicant: -
(_ 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: FAILURE TO SECURE WORKERS'. COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' Siate'License Law does not apply to an owner of property who builds or improves thereon,
: SUBJE&-AN EMPLOYER TO CRIMINACPENALTIES 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 ITO.THE COST 01F�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. fora he' purpose of sale.). .. -
- APPLICANT ACKNOWLEDGEMENT
(_ 1 1, 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 benefitwork. is performed under or pursuant to any permit issued as a result of this application,
(_) 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
o La umta, its o kers, agents and employees or 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 1, have read this application and state that the above information is correct. I agiee to comply with all
city and county ordinances and state laws relating to building construction, and.hereby authorize representatives
of itais county to enter upon the above-mentioned property for inspection purpos
Date:%tr—I Signature (Applicant or Agent): i
Application Number . . . . . 12-00000195
Permit RE -ROOF
Additional desc .
Permit Fee . . . . 30.00
Plan Check Fee
.00
Issue Date . . . .
Valuation . . .
. 0
Expiration Date 9/01/12
Qty Unit Charge Per
Extension
BASE
FEE
30.00
----------------------------------------------------------------------------
Special Notes and Comments
RE -ROOF WITH 30 YEAR SIERRA GREY
SHINGLE. R-30 INSULATION TO BE VERIFIED
AT INSPECTION. 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
PALM DESERT -CONTRACTORS/RO.O ING
P.O.. Dox 2795IPalm Desert
-Calif6mla, 92261 Lie## 477507
760-346-2420 Fax 760345-3924
DATE: 2-11-12 PROPOSAL
PROPOSAL submitted to; WORK to be performed at;
Joanna Willer 760-289-6996 51600 Ave,. Ramirez.L Q .
Palm Desert Contractors/Roofing hereby proposes to furnish, -material and
perform the labor necessary for the completion .of;.
Total removal of existing roof and ,re -roof as follows;
PITCH: -Install one layer of 15 Ib base sheet, Install -Owens Conning 30 year
warranty dimensional shingles, Sierra Grey, Install standard metal, paint all
roof jaxs.
FLAT: Install 28 Ib base sheet, Install American,Modified tar commercial
roofing membrane, white. Install standard metal, paint all roof jaxs.
Extras; Permit, vents 0 $75.00 ea., plywood @$45.00 per sheet, extra
painting, .cuatom shiet:neetal work, extra layers of roofing to be removed
$25.00 per layer. Install appx 16' of 4x8, one 4x4 and one 2x6 joist for $250.00.
5 Year contractor warranty.
The work will be performed.in accordance with the drawings and
specification submitted for the above work and completed Ina workman like
manner for the sum of; $6750.00
With payments as follows: $__L0_ 0 —down, Balance upon completion
Respectfully submitted
ACCEPTANCE OF PROPOSAL
The above price, specification and conditions are satisfactory. and are hereby
accepted. Palm Desert Contractors/R®®fing I&Authorized to do the work! as
specified. Payments will be made as outlined.
Date I Signature
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Prescri, tive. Certificate of'Colrn 1IariCe:'Resident6'e1'Re
Project Address . <.., :.•n
ROOFING PRODUCTS'(COOL ROOFS) if
51(f)12
When the area of exterior roof surface to be replaced exp
roofing area must meet the rooflng product "Cool Roof ..
Check applicable alternative or exception below if the roof i.
t®of' CF -1 R-ALT=ReR60f
Climate Zone Permit 11
of the exlsting roof area, or 1,000 ff, whichever is less, the new
ants of §1$2(b)1Hi, 152(b)1Hii, or 152(b)1Hiii.
•..•�..,,,.N exempt from the roofing product "Cool Boor requirements::
❑ Cool roofs not required in Climates Zones 1-12,14, and 16 with a low sloped roof pitch (less or 2:12 pitch).
❑ Cool roofs r o required in Climates Zones 1-9, and 16 with a steep -sloped roofs (greater pitch than 2:12) and product weightless than 5Ab/fe.
Alternatives to §162(b)iHi and §152(b)Hii, Steep-Glope roof (pitch > 2:12)
❑ Insulation with a thermal resistance of at least 0.85 hr•f?-TBtu 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 sealed according to §151(t)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 is within 2 feet vertical distance of the roof ridge; or
El -'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 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 Hill, Low -slope roof (plich 5 2:12)
❑ Building has no ducts 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 Wast'25 Ib1ft2 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.
Roof Slope Product Weight Product Aged Solar Thermal
CRRC Product ID Number s 2:12 > 2:12 < 51blie t 5lb/fe Type2 Reflectance3'4 Emittance SRIS
❑ p ❑ ❑ V
1:1 13❑ 103 - - n4 - ---- ----
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 iO Number can be obtained from Re Cool Roof Rating Councils Rated Product Di►edory at mvww. 000lroofs.oro/nroducts/search ohn
2. Indicate the type of product is being used for the roof top, I.9. S10916ply roof, asphalt roof, metal mot, etc.
t. if the Agedd use Mee q 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� — 0, 2) to obtain a calculated aged value. Where p is the lnitial Solar Reflectance.
f. Check box If the Aged Reflectance is a calculated value using the equation above.
i. Calculate the SRi value by using the SRI- Worksheet at httmlw ene
aoopy of the SRI- Worksheet to the CF -1 R. my oovit/t1e24/ and enter the resulting value in the SRI Column above and attach
ro apply Liquid Field Applied Coatings, the coating must be applied.across the entire roof surface and meet the dry mil thickness or coverag
ecommended by the coatings manufacturer and meet minimum performance requirements listed in 118 i Select the
e4 § ('}4. applicable coating:
7 Aluminum -Pigmented Asphalt Roof Coating ❑ Cement -Based Roof Coating ❑ Other
ILQ,TE: When a Cool Roof is required, the installing contractor shall complete and submit the CF -6R -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.
• I certify that the energy features and performance specification identified on this Certificate of Compliance conform to the requirements of Title 24, Parts
1 and 6 of the California Code of Regulations.
Name: % — _
Company:
A :ss:
!—
City/State/Zip:
P• �
4 --2 2 C_ k
Phone:
3--s—/-X_
v -7-7r
Go -3`f6-2- Y au -
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772.3300.
Bin Citi Of
Baifd48C Safety
Permit # P:0. Box..1504;-:78-49S.Caffe Tampico
•
La.QufiW,.CA 92253 (760) 777-7012
Budding"Permit.Appiicad6n and Tracking Sheet
Project Address: -f G 0 0 �, e i ► '-� Owner's Name::..
A. P. Number.
Address: S
Legal Description:
Contractor Pe,JQ, �j�
Ca; ^ y:� lr,�
City, STs Zip:
Telephoner '76 ul284 - 69 P(,
Address: Q o,. z 7 cf 3�
Project Description:
City, ST, Zip:: ?,J5, 9
Telephone: few- �y -2- �t 2
State Lia # : 'f {tity LF 61
Arch., Eagr., Designer.
Address:
City., ST, Zip:
Telephone:
State Lia #:
Name of Contact Person:
Construction Type:. Oeaipancy:
Project type•(circle one): 'New Add'n Alter Repair Demo
Sq. Ft.: 1-5 #°Stories• i J # Units:
Telephone* of Contact Person:
Estiftuled:Value of Project: l0 7 S- d —
APPLICANT: DO NOT WRITEVELOW THIS. UNE
#
Submittal.
Pian Sets
Req'd
Recd
TRACICZrIG PERMIP.FEFS
Plan Cheek submitted Item Amount
Structural Coles.
Reviewed, ready for corrections Plan Check Deposit
Truss Calks.
Called Contact Person Plan Cheek Balance
Title 24 Calci.'
-Plans pieked np Construction
Hood plain plan
PlaniresubiItted.. Mechanical
Grading plan
V Review, ready for corrections/issue Electrltal
SubcontattorIJA
•Called Contact Person ` Plumbing
Grant Deed
Plans picked up S bLL
ELOA. Approval
Plans resubmitted Grading
IN MUM-
''d Revtew;'ready,for correetiondissae Developer Impact Fee
Planning Approval
Called Contact Person A.LP.P.
Pub. Wks- Appr
Date of permit issue
School Fees
Total Permit Fees