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13-1229 (RR)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/26/13 Application Number: 13-00001229 Owner: Property Address: 52287 AVEN.IDA RAMIREZ COACHELLA VALLEY HOUSING COALI APN: 773-261-013-2 -000000- 45-701 MONROE STREET Application description: RE -ROOF INDIO, CA 92201 Property Zoning: COVE RESIDENTIAL (760) 347-3157 Application valuation: 8050 Contractor: Lr-*r� Applicant: Architect or Engineer: SOUTHWEST ROOFING D P.O. BOX 126 INDIO, CA 92202 SEP 2 � 2013 (760)578-3735 Lic. No.: 787029 CITY OF LA QUINTA FINANCE DEPT. ------------------------------------------------------------------------------------------------- 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 affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business and Professionals Co , 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 License Class: C39 Lic s No.: 87029 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Date: rJ Contract 'V/I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor /j Code, for the performance of the work for which this permit is issued. My workers' compensation OWNER -BUILDER 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 9041840 following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for which this r it is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become sub'ect to the rker '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 agree that, if I should become subje to the wers' c mpensation provisions of Section , s License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Cod hall forth ' comply or h th a prov'sions. 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).: Date: Applicant 1 _ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and61-1 the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The WARNING. FAILURE TO SEC E WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO RIMINAL 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 ($100,000). IN ADDITION TO THE COST OF 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 for the purpose 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.). ( ) I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY 1 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: �7 LQPERMIT A, APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permitsubject 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 ab ve mformatio s correct. agr a to com y with all city and county ordinances and state laws relating to the constructio , nd hereby utho iz matives of this county to enter upon the above-mentioned prop for inspecti urposes. Date:%Signature (Applicant or Agen � _� Application Number . . . . . 13-00001229 Permit . . . RE -ROOF Additional desc . . Permit Fee . . . . 30.00 Issue Date . . . . Expiration Date 3/25/14 Plan Check Fee . : .00 Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 30.00 ---------------------------------------------------------------------------- Specidl NuLes wd CuuuueiiLs REROOF WITH WHITE ELASTOMERIC WHITE TOP [CRRC: 0790-00011 2010 CALIFORNIA ENERGY CODE. 7 ----------------------------------------------------------------------- Other Fees . . . . . . . . PLAN CHECK, RE -ROOF 97.24 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 97.24 .00 .00 97.24 Grand Total 127.24 .00 .00 127.24 1�1 LQPERMIT r, Bin # City Of La Quin to 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:SZ —�� h\Ul✓ ` �L "Z Owner's Nam A.. P. Number: Address: Lt - ?Z)VVt 0,v Ir O C S T Legal Description: City, ST, Zip:. -z',',- �J Contractor: f/�J� W � .�}{{///^��//// telephone(:? C) 3LJ 1 Address:' O , k (Z Project Description V—: City, ST, Zip: C — I.. �tC'O0F W 1 (F� �`tv�� • Telepho e: � � � -3 �<':Y;>..:;.;:;:;�:<.;.:;x•;•>:�:::;::;,:.;::::.. '- E-" nJ State Lic. #: 7 0 7 0 City Lic. c Arch., Engr., Designer: .—r( W X11-�-• Address: City., ST, Zip: Telephone: �i::F::.%}^ lilr is �iC::li}'`�<iY•4r::: Construction Tye Occupancy: State Lic. # Project type (circle one). New Add'n AJter Repair r Demo Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project:. 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 Cales. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan tad Review, ready for corrections/issue Electrical SubcontactorList 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 alied_ContactY-erson A.I.P.P Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees . TO IN s# , Prescriptive Certificate of Compliance: Residential CF -M -ALT Residential Alterations age 3 of Project Name: Climate Zone # # of Stories 1 /,0 C cz V L ROOFING PRODUCTS (COOL ROOFS) §151(/)12 When the area of exterior roof surface to be replaced exceeds more than 50% of the existing roof area, or more then 1,000 ftp, whichever is less, the new roofing area must meet the roofing roduct "Cool Roof" ruirements of §152(b)]Hi, 152(b)IHii, or 152(b)IHiii. Check applicable alternative or exception below if the roof alteration is exempt from the roofing product "Cool Roof'requirements. requirements. Note: If any one of the alternatives or exception below is checked, the Aged Solar Reflectance and Thermal Emittance requiremeres for roofing products in ¢118(1) are not applicable. Do not ll table below. 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 hrft •°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 fi? of free ventilation area of attic ventilation for every 150 If of attic floor arey 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(t)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) ❑ 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 lb/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 Exempt from the Roofing Products "Cool Roof' Requirern : Roof Slope ProductWeight Product Aged Solar 'Thermal CRRC Product ID Number < 2:12 > 2:12 < 51b/fl> 51b/f T 2' Reflectance " Emmitance SRI b o 00a ❑ ❑ eo*�wS o4 i e g� 10$ ❑ ❑ ❑ ❑ ❑4 ❑ ❑ ❑ ❑ ❑4 ❑ ❑ ❑ ❑ ❑4 ❑ ❑ ❑ ❑ ❑4 1. The CRRC Product ID Number can be obtainedfrom the Cool Roof Rating Council's Rated Product Directory at irm, ductr.'search oho 2. Indicate the type of product is being used for the roof top, 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(pt 1i,,1— 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. The SRI value needs to be calculated from a spredsheet at h1r9.-hivww.enerev.ca.eovIdtle241 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(i)4. Select the applicable coating: ❑ Aluminum -Pigmented Asphalt Roof Coating 10 Cement -Based Roof Coating Other Registration Number: Registration Date/Time: 2008 Residential Compliance Forms HERS Prov"der: ivlay LUUY S`�