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11-0510 (RR)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 11"-00"0'0O 510 Property Address: 51745;;AVENIDA RAMIREZ APN: 773-165-014-2 -000000- Application description: RE -ROOF Property Zoning:. COVE RESIDENTIAL Application valuation: 6500 T44t 4 4 Q". BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: SANCHEZ MAciana 51245 AVENIDA VALLEJO LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/17/11 Contractor: r Applicant: Architect or Engineer: JESSE THE ROOFER (�,/ M. 84.503 CORTE CINDARELI;A' °a 1j 7 2011 J COACHELLA, CA 92236 .(760 ) 832-1670.. CITy, OF � QUTAITA r 1 Lic., No. 9278304,EP7, LICENSED CONTRACTOR'S DECLARATION - WORKER'S COMPENSATION DECLARATION 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 Business and Professionals Code, and my License is in full force and effect._ I have and will maintain a certificate of consent to self -insure for.workers' compensation, as provided Lic Class: C39 - License No.c 27830 for by, Section 3700 of the Labor Code, .for the performance,of,the work for which this permit is issued. Date:. �—ontractor: I have and will maintain workers'. compensation insurance, as required by Section 3700 of the Labor. Code„for theperformance of,the work for which this permit is issued. • My workers' compensation OWNERBUILDER 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 . -238-00.11655 following reason (Sec. 7031.5, Business and-ProfessionsCode: -Any city or county that requires a permit to _ I certify that, in the performance, ofwthe-work for which this -permit is issued,J_shall not employ any construct, alter, improve, demolish, or repair any structure, prior to'its issuance, also requires the applicant for -the'. persomm any :manner so as to become subjeci 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 agieeahat;>if I should become subject to thw e orkers' compensation provisions of Section License Law (Chapter 9 (commencing with Secti6n:7000) of Division 3 of the Business and. Profession's Code) or 3700 of iAe: Labor Code,.l "shall forthwith comply with'those.provisions. - - that he or she. is exempt therefrom and the basis for the all exemption., Any violation of Section 7031 .5by �J�(/� any applicant for a permit subjects`the applicant to a civil penalty of not more than -five hundred dollars -(5500).: ate: /� — �/ e7�,,�'c'(ic/ant: b�=!� - .. 6 .9 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 Coder The WARNING: FAILURE T,0'SECURE WORKERS' COMPENSATION COVERAGE ISUNLAWFUL,AND.SHALL Contractors' State License Law does not apply to�an�ownevof property who builds or improves thereon, SUBJECT AN EMPLOYER TO.CRIMINAL PENALTIES 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 IS 100,000). .IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are notintended or offered for sale. If, however, the building orimprovement 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 for the purpose.of sale.). - APPLICANT ACKNOWLEDGEMENT , 1 _ 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 fora permit subject to the . 7044, Business and Professions Code: The Contractors' State LicenseLawdoes 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 contractors) 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 benefit'work is performed under or pursuant to any permit issued as a'result of this application, (_ 1 I am exemptunderSec. , 8.&P.C. for this reason 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 forany'act or omission related to'the work being performed undef or following issuance of this permit. Date: Owner: 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 CONSTRUCTION LENDING AGENCY .permit to cancellation. ' I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the 1 certify that 1 have read this application and state that the above information is correct. I agree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.). city and county ordinances and state laws'relating to building construction, and hereby authorize representatives oft •s"county to enter upon the above-mentioned property for inspection purposes.. Lender's Name: � - /, Off./,, n- r0000000000 Date: S ` -T (% Sign re (Applicant or Agent)' tjf + �-C Lender's Address: LQPERMIT LQPERMIT Application Number . . . . 11-00000510 Permit . . . RE -ROOF Additional desc . Permit Fee . . . . 30.00 Plan Check Fee .00 Issue Date . . Valuation' 0 Expiration Date 11/13/11 Qty Unit Charge Per Extension BASE FEE 30.00 ---------------------------------------------------------------------------- ' Special Notes and Comments RE -ROOF WITH SHASTA WHITE 30 YEAR SHINGLES.. 2010 CODES. --------- Other Fees. BLDG•STDS.vADMIN,(SB1473) 1.00 Fee' summary. Charged Paid Credited Due Permit -..Fee Total 30.0.0 .•0.0. ..00 30.00. Plan,. Check .,Total . . 00 .00 00 . . 00 Other Fee.Total 1:'00. .00 .00 1.00 Gran6 Total 31.00 .00 .00 31.0.0 C. LQPERMIT Prescri tive Certificate of Com liance:' Residential Reroof. CF-IR-ALT-ReRoof ProJect'Address: Climate Zone Permit S ` ROOFING PRODUCTS (COOL ROOFS) §151(1)12 When the area of exterior roof surface to be replaced exceeds 50% of the ex/sdng roof area, or 1,000 fe, whichever !s less, the new roofing area must most the roofing product "Cool Roof" requirements of §152(b)1Hi, 152(6)1 Hil, or 152(b)1Hiii. Check applicable attemative or exception below if the roof alteration is exempt from the roofing product 'Coot Roof requirements:, O Cool roofs not required in Climates Zones 1-12, 14, and. 1'6 -with a low sloped roof pitch (lessor 2:12 pitch). O Cool roofs r�jo required in CCarrates 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)1Hi and §152(b)HII, Steep -slope roof (pitch >. 2:12) O Insulation with a thermal Msistance Of at least 0.85 hr-fe•°FA3tu or at least a 3/4 inch air-spaoe is added to the roof deck over an attic; or ❑ Existing duds in the attic are insulated and sealed according to §151(f)10; or ❑ In, timate 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 ❑ Building has at least R-30 ceding 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 dimate zones 10, 11, 13 and 14, R-3 or greater roof deck insulation above vented attic. Exception to §152(b)1Hill, Low-eiope roof (pitch S 2:12) ❑ Building has no ducts in the attic Other Exceptions O Roofing area is covered by tKM% integrated; photovoltaic panels and solar thermal panels are exempt from. the Cool Roof criteria. ❑ Roof constructions that have thermal.trtass over the roof membrane with at leas 25 tbM are exempt from the Cod Roof criteria. NOTE, If any one of the a/temadves or exception is checked the Aged Solar Reflectance and Thermal Emittancae requirements for roofing products in §118(i) are not applicable. Do not fill table below. CRRC Product ID Number. Roof Slope Product Weight 5 2:12 > 2:12 < 5lbW i 51bl Product Aged SolarThermal T Z Reffectancee'4 _1M'g 9 4 ulihiTe-❑ ea•. Emittance S 2 SRI 0 O ©0 o 13❑ ❑ 13 13 13 3 a" yea n4 Note: If no CRRC-1 label is available, this compliance metfrod cannot be used use the peAomance Approach to show compliance, 1. The CRRC Product /D Number can be obtained from the. Cod Rool Rating Coundl's Refect ProductDirectory at 2. Indicate the type of product is being used Ibi the roof torp, i.e. sing" roof, asphaN roof metal roof, etc. 1. If the aged Reflectance is not available in the Cool Roof Rating Counoiris Rated Product dbecbry and use the equation (0.2+0.7 Di►ecbry then use the Initial Reflectance value lion the same (plow t 0.2).to obtaki s calctdefed aged value. Where p is the Initial Solar Reflectance. 4. Check box if the Aged Reflectance Is a calgdeted value using the equation above. Cab -5. acopyate the SRI value h unto the SRI- Worksheet at htbJAvww.eM ca oov�le ' and enter the resu&V value in the SRI Column above -and attach aoopy of the SRI- Worksheet b the CF -1 R. . ro apply Liquid Field Applied Coatings, the.coating must be . recommended by the coati apples aa� the entire roof surface and meet the dry mil thickness or coverf coatings manufacturer and meet minimum perforrmnoe,.requiremer is listed in §118(1}4. Select the applicable coating: -�umnum-Pigmented Asphalt Roof Coating ❑ Cement -Based Roof Coating ❑ Other NOTE When a Cool Roof is required, the rnstaprng contractor shall complete and submit the CI~6R-ENV4 Declaration Statement inspection. • 1 certify under penalty of perjury, under the taws of the State of California; the information ' • I certify that the energy features and performance - Provided on this form is accurate and complete. I. and 6 of the Califomia Code of R ulations. specifications identified on this Certificate of Compliance conform to the requirements of Title 24, Par Name: _ Q Company: "4ope Z 5 1102 Ko D1^ Date: " P ss: 5 — /7 — License: (?z7 $.3 0 . City/State[Zip: Phone: TG o 132 70 For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300. Bin # P Citylbf La-'Qginta '-'Building. &r Safety Division P.O Boz 1'504',78-405 Calle Tampico . La Quints,, CA 92,253 - (760) 777-7012 . Building:P,ermit Applicatlon'and Tracking Sheet Permit # Project Address: S/S' e _ � Owner's Name: f L A. P. Number: ; Address:. ' V;V Legal Description: City, ST, Zip: . Contractor: � yq /y���J f t !' �/ :� 2 Tete}�hone: o � ( . 3 j •t �,y rk y'.h,t3. :nf••n...r: c�., �V /V I', ri }ivrp x fi i:4ri?y}'ij4 f. Address: L o -- eOr r l.c. -,/,� Q Project Description:. C)eo O �' City, ST, Zip: CO 14C_444e :i4 ' `C/!51' < t r- y�o . -;r- o Telephone: / % t0 O 32^ �lp %' �• • : ::: }M . vti{ice•:}:<f � i;'•zi?E >::' :}}:>.:.}: rf State Lic. #.: q Z% 1.36 -City Lic. ckew, Arch., Engr.;-Designer: t0 Address: _l1 City., ST, Zip: 5 Telephone: State Lic: #:.i. .. µdot;}'4{i+}}ii{vl.}•}}}}}}}}:j :.i,. :•:::: ... 4>:x Construction Type' Occupancy: •<. ,project .type (circle.one): New Add'n Alter Repair Demo Name of Contact Person: �. -Sq. Ft:: #Stories: #Units: Telephone # of Contact Person: Estimated Value of Project: .500 APPLICANT: DO NOT WRITE,BELOW THIS LINE. # Submittal Req'd Rec'd. TRACKING '. PERMIT FEES Plan Sets X tPlan Check submitted Item Amount Structural Calcs. 'Reviewed, ready�for.corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Cates. Plans picked'up Construction. Flood plain plan Plans resubmitted Mechanical Grading plan 2°" Review, ready for correctionsRssue 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 correctionsrssue Developer Impact Fee Planning Approval Called- Contact Person. A.LP.P. Pub. Wks. Appr Date of pernittissue School Fees Total Permit Fees ,ue yA6