10-0917 (RR)P 7
P.O. BOX -.1504:
78-495 CLLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: \10-00000917
Property Address: 52300 AVENIDA RAMIREZ
APN: 773 -262 -003 -20 -000000 -
Application description: RE -ROOF
Property Zoning: COVE RESIDENTIAL
Application valuation: 8740
Applicant:
6>�
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
FISCHER KIM
52300 AVENIDA RA
LA QUINTA, CA 92
(760)449-4489
.VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
D
Z
SEP 15 2010
w�- ._ _
CITY OF LA QUINTA
Contractor:
Architect or Engineer: SOTELO ROOFING
30721 DESERT PALM DRIVE
THOUSAND PALMS, CA 92276
jj (760)902-8645
i
Lic. No.: 923179
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.
License Cla s: /39 L,censeNo.: 923179
eC
Dater l� 5 ,r✓ ---Contractor:_
endProfessions
NER-BUILDER DECLARATION '
I hereby affirm under penalty of perjur txempt from the Contractor's State License Law for the
following reason (Sec. 7031 .5, Busi es Code: Any city or county that requires a permit to
construct, alter, improve, demolish, o reructure, 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).:
(_ 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 are not intended or offered for sale. If, however, the building or improvement is sold within
one year of completiori, the owner -builder will have the burden of proving that he or she did not build or
improve for the purpose of sale.).
(_ 1 1, 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 _ 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
9/15/10
v
----------------------------------------------—
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.
_'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 1911701-2010
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 become subject to the workers' compensation provisions of Section
3700 of the Labor Code, I shall f ith mply with those provisions.
'-Date:_. �i Applicants
WARNING: FAILURE TO SECURE ' COMPENSATION S COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRI I ENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 1$100,0001. IN ADDI 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 setforth 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 couny, to enter upon the above-mentioned property for ins tion urposes.
`Date: / Signature (Applicant or Agent):
Application Number
. . . . . 10-00000917.
Permit . . . .
. RE -!ROOF
Additional desc .
Permit.Fee
30.00 Plan Check
Fee
.00
Issue Date . . .
. Valuation
0
Expiration Date
3/14/11
Qty Unit Charge
Per
Extension
BASE FEE
30.00
Special Notes and
Comments
RE -ROOF 40 YEAR SHINGLES
COOL ROOF 2007
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
1.0.0 .00
.00
1.00
Grand Total
31.00 .00
.00
31.00_
-tutitrcate or compliance: Residential Reroof
Ruurrrry f-KV000 I tS (COOL ROOFS) §151012.
When the area of exterior roof surface to be replaced exceeds
roofing area must meet the roofing product "Cool Roof" requl
Check applicable alternative or exception below if the roof alterati
-111-ALT
Cllmate.Zone
of the existing roof area, or f.000 fe, whichever Is less, the new
Us of§152(b)1Hi, 152(b)1HIi, or152(b)1H111.
is exempt from
roofing product 'Cool Roof 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 not required in Climates Zones 1-9, and 16 with a steep:sloped roofs mater ch than 212 and
Alternatives to §152(b)1 HI and 152 b Hli Steep -slope. (g ) Product weightless than 5At>/
§ () � P pe. roof (pitch > 2:12)
❑ Insulation with a thermal resistance of at least 0.85 hrf?-°F/Btu or at least a 314 inch air -space 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 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
❑ Building has at least R-30'ceiling insulation; or
❑ Building has radiant barmier in the attic meeting the requirements of §151(02; 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)l Hili, Low -slope roof ( pitch 5 2:12)
❑ Building has no duds 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 least 251bJfl2 are exempt:from the Cool Roof criteria.
NOTE. If any one of the anematives or exception is checked the Aged Solar Reflectance and Thermal C-anittance requirements for roofingproducts in §118(1) are not applicable. Do not fill table below.
CRRC Product ID N
Roof ndir-
M�Mln
s 2:12
00
hdud Weight
Me Z 51btf?
Product
T 2
Aged Solar
Refiectance3'a_
Thermal
E_mittance
SRI
I
Eo
(34
Note: If no CRRC-1 label is available, this compliance method cannot be used use the Performance Akoproach to show comppance,
Rhe CRRC Produd m nr#..., -- " «M:__ _ -- -
- - ---� .� •R.,.y uwu nor rrre roar hop, Le. Slagle ply roof, asphalt roof, metal t00% etC.
If the Aged Reflectance is not
directory and available in the Cool Roof Rating CounclPs Rated Product Directory then use Me Initial Reflectance value from the .same
use the equation (0.2+07(p&wLv _ 0-2) to obtain a calculated aged value. Where pis the Initial Solar Reflectance.
Check box if the Aged Reflectance is a calculated value using the equation above.
Calculate the SRI value by using the SRI- Worksheet at h ww enerov „
�*ovib7le24/ and enter the resulting v9lue in the SRI Column above and attach
atopy of the SRI- Worksheet to the CF -1R. �
o apply Liquid Field Applied Coatings, the coating must be applied across the entire roof surface and meet the dry mil thickness or covers
:commended 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 ❑ Gfher
OTE: When a Cool Roof is required:.the installing contractor shall complete and submit the CF -6R -ENV -01 for rrnal inspection.
Declaration Statement
I certify under penalty of perjury, under the laws ofthe State of California, the information provided on this forret is accurate and complete.
I certify that the energy features and performance specifications identified on this Certificate of Compliance conform to the requirements of Tdie 24, Part
1 and 6 of the California Code of Regulations.
Name:
P
M
;i
17
Z- 7(sd) -�
For assistance or qu stions regarding the Energy Standards, contact the Energy Hotline at. 1-800-772-3300.
Bin #
City of La Quinta
Building 8t Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Qulnta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
\�
Project Address: �S-5Ov l J �A P-$0/&
Owner's Name: N1
A. P. Number:
Address: L&iZ AWAILM te4fiWl9:FZ
Legal Description:
City, ST, Zip: 1A U l N TA Z Z5 3
Contractor•
Telephoner (p0
Address: D-762,� PAL ` ,
Project Description:
City, ST, zip: -(NU U N 11rLM C
Telephone0 (D 0 ) 67,-u q �
City Lia #;!!!H
��/ ers
L, ant
State Lic. # : 2 `�'1. 7
Arch., Engr., Designer.
Address:
City, ST, Zip:
4V
Telephone: Construction Type: Occupancy:
State Lie. #: Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: Sq. Ft.: 2 y # Stories: # Units:
Telephone #'of Contact Person:
l
Estimated Value of Project:Q v
APPLICANT: DO NOT WRITE BELOW THIS LINE
It
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cales.
Called Contact Person
Plan Check Balance
Title 24 Calm
Plans picked up
Coustrueth.n
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" Review, ready for corrections/issue
Electrical .
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.l.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
7n° Review, ready for corrections/issue
Developes Impact Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees