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11-1124 (RR)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/13/11 Application Number: 11-00001124 Owner: Property Address: 53300 AVENIDA RAMIREZ•, EARLY DONALD J APN: 774-082-003-22 -000000-. 53300 AVENIDA RAMIREZ Application description: RE -ROOF LA QUINTA, CA 92253 Property Zoning: COVE RESIDENTIAL Application valuation' bUuu �� p Contractor: Applicant: Architect or Engineer: Owner OCT 13 2011 -- - - - -- - - - - - - Curr 4F -CA UINTA----------- M."mcE nipr ----------------------'--------------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (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 License Class: License No.: for by Section 3700 of the Lab - Code, for the performance of the work for which this permit is issued. Date: Contractor: .. _ 1 have and will maintain work ' compensation insurance, as required by Section 3700 of the Labor Code, for the performanc of the work for which this permit is issued. My workers' compensation OWNER -BUILDER DECLARATION insurance'carrier and p icy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier Policy Number following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to certify that, in the ' formance of the work for which.this permit is issued, l 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 m n�r so as to become subject 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 agree t , if ' ould bec me 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 the a 1 s al forthwith comply with those provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by l` an applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: \ scant: (,) 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 • WA NIN FAI URE TO SECURE WO CERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or impr%ves thereon, - SUBJECT E PLOYER 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( 100,000). IN ADDITION TO E 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.). APPLICANT ACKNOWLEDGEMENT (_) I, as owner of the property, am excl sively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety f r a permit subject to the 7044, Business and Professions ode: 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 hereon, and who contracts for the projects with a contractor(s) licensed 1. Each.person upon whose behalf this application is made, eac arson at whose request and for pursuant to the Contractors' State icense aw.). whose benefit work is performed under or pursuant to a permit issued as.a result of this application, (_) i\exKnpt under Sec. , B. .G� or this reason the owner, and the applicant, each agrees to, and she efend, indemnify and hold harmless the City ( of La Quints, its officers, agents and employees for ny act or omission related to the work being performed under or following issuance of this p it. /te: caner: 2. Any permit issufrom ed as a resuI of this applicati becomes null and void if work is not commenced within 180 days date o issuance of uch permit, or cessation of work for 180 days will subject Ntruction TION LENDING AGENCY permit to cancellation. 1 hereby affirm under penalty of perjury that there lending agency for the performance of the I certif that I have read this appication dtate at the above information is correct. I agree to comply with all work for which this permitis issued (Sec. 3097, C... cit an count ordinances and state la s re; g to buil ' g constructiori, and hereby authorize representatives Olt c unty o Enter upo the above- an d rope spection purposes. - Lender's Name: Dat nature (Applic ge t Lender's Address: LQPERMIT Application Number . . 11-00001124 Permit . . . RE-ROOF Additional desc Permit Fee . . . . 30.00 Plan Check Fee .:00 Issue Date . . . . Valuation 0 Expiration Date 4/10/12 ...Qty Unit Charge Per Extension BASE FEE 30.00 Special Notes and Comments - - RE-ROOF WITH LIGHT WEIGHT EAGLE ROOFING (5.5 LBS/SF). R-30 INSULATION TO BE INSTALLED. 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 - - , Of Compliance: GF -IR -ALT Climate Zona I permit tt ROOFING PRODUCTS (COOL ROOFS) §151(012 When the 0-r ea of exterior roof surface to be replaced exceeds SD% of the existing roof area, or 1,000 roofing area must meet the roofing product "Coco/ Roof" requirements of §152(b)iHi, 152(4)1 Nii, or 152(4} Hidhever is less, the new Check applicable altemauve or exception below if the roof alteration is exempt from the roofing product "Coot Roof" requirements;: ❑ Cool roofs not required in Climates Zones 1-12,14, and 16 with a low sloped roof pitch (lessor 2:12 pitch), . ❑ Cool roofs not required in Climates Zones 1-9, and 16 with a steep -sloped roofs (greater pitch than 2;12) and product weight less than 511 Alternatives to §152(b)1Hi and §152(b)Hii, Staep-Glope roof (pitch a 2;12) ll Q Insulation with a thermal resistance of at least 0.85 hr-ff "F/Btu or at least a 314 inch air -space is added to the roof deck over an attic; or D Existing ducts 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 ❑ . Budding has radiant barrier in the attic meeting the requirements of §151(1)2; or O 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 Hiii, Low -slope roof ( pitch S 2:12) ❑ Building has rio ducts in the attic, Other Exceptions D Roofing area is covered by building integrated; photovoltaic panels and solar thermal ❑ Roof constructions that have thermal mass Over the roof membrane with at least 25 Ib/i acre a empt s are from�he Cool Roofm the Cool ocriteria�� r0 TE.- !f anyone of the alternatives or exception is checked the Aged Solar ReflectancrnoAnri roducts in §118(i) are not applicable. Do not fill table below. e aHyl Themta/ Errlittance requirements for Roof Slope Product Weight 2:12 >2:12 �5lbi 251/f L, t 13 13 0 4-- [34 roduz Aged Solar � �e Reflectance"" lir/ 9,4-- Thermal SO Note: If no CRRC-t label is available, this compliance method cannot be used, use the ✓'erforma Lj ce Approach to show compliance, The CRRC Product ID Number Can be obtained firm the Cool13oo1Rating Coune/1's Rated Product Directory dt ,COOlrt�ofsshow ,o p ance, !. Indicate the type of product 1S being used for the roof t searoh.oho If the Aged Reflectance Is not availabl@ in the Cao! Roof Rating Council's Rated Produof asphalt ct Dire torrRillital y then use the lnlua! Reflectance value from the same directory and use the equation (0.2+0, 7(P _ 0,2) to obtaln a calculated aged value. Where p is the Initial ectance Solar Refl. Check box if the Aged Reflectance is a calculated value using the equation above, Calculate the SRI value by using the SRI- Worksheet at htln:dwww enerr,v ca aev /tRle24/aridenter the resulting value in the SRI Column above and attach a copy 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 CO verag Mommended by the coatings manufacturer and meet minimum performance requirements listed in §118(1)4. Select the applicable coatinn• Aluminum -Pigmented Asphalt Roof Coating ❑Cement -Based Roof Coating , !OTE. When 8 Cop! Roo/ is required, the Installing contractor shall complete and submit the Declaration Statement • 1 certify under penalty of perjury, under the laws of the State of California, the Information provided 0 1 Certify that the energy features and performance specifications Identified on this Certificate r 1 and 6 of the California Code of Regulations. of Name; `T For assistanc0 or 7 ' Z ❑ Other CXR -ENV -Of for rnal inspection. OR this form is accurate and complete. ipliance conform to the requirements of Title 24, Parts r D te: � �Z License: regarding the Energy Standards, contact the Energy Hotline TO/T0 39tid 1d30 90-19 tilNIllD tib TTOLLLL09L 1-800-772-3300. t,A:bT TTM7irninT rr grlp-rolc'tl-,-�ai� 23 o n . �(j� Ogno Capistrano �5 Avoiloble: Noti6nwide 123/3' W Y 17"L ownload Technical Specification's 60.. ... Tit e-5 per 100 sq ft. Approximate instojill C, %VfWagnt with 3" headlop field the per 100 sq it: 88.5 Standord %Neighi OW IbS Eagl elite .570 lbs I Iv W11 Boosted 12 3/6' W x 17' L (Field tile) Capistrano 6 1/2' W x 13 1/2* L (Cap I i'e) Frith r 100 sq H. Approximate installed weipht Tiles e I khX headlop field tile'per'l OC) Sq ft. Standard Jdard �4je, 0 88.5 (Field Tile) ght Apol'ballons 10%Applicatiort X13 Ins 20% Application 1035 Ins 30% Application 1079 lbs &Ilable: Nailonwicle Malibu 1,1A IN x 17-L • Tiles per 100 sq ft, 'Approximote Installed weight with 3" heo,,ilop field the ,per ll)Os'qft. 88 Standard '.-sleight Eagielite 5501t Available: Nationwide it Bel Air 12 3j& W x 17-L Tiles per 100 sq ft. Approximate installed weight -V with 3"heodicip field the per 100 sq ft. 1XV.- - -A V 88.5 Stondard Weight 970166 coglelite .700 lbs Avok,ble; NclionMde Estate 12 3/3. W, x 17'L Tiles per 100 sq ft. Approximote installed weial-ii with 3" headlap field the per 100 sq ft*. 88-5 standard Weight 970 lbs Eaglelile 700 lbs Avoiloblo: Paciruc No:th%,-'.,ost. Noitlicin CA, Cc -)kat CA, G;6,vt Plains. Southwost & To,<cs Ponderosa .12318' VV x 17% Tiles Per 100 sq ft. Approximate VI t instolled weight with 3" headlop field the per 100 sq ft. Standard V%eeighi 970 lbs Eoglelife 70010s Avodoble: NofiorreAde Cool Roof Rating Council Don Early From: Annette Sindar [annettes@eagleroofing.com] Sent: Friday, October 07, 2011 2:29 PM To: familypoolsconst@verizon.net Subject: Emailing: Cool Roof Rating Council Rated Products Directory: Search Results ( new search ) (last updated 30 Sep 2011 15:57 CDT) Showing Search Results for: Company: EAGLE Roofing Products Product Type: Tile or Slate, Shingles, Shakes, Tile or Slate Brand: Slate Range, Charcoal Range, Lehigh Blend select' from products where company_name='EAGLE Roofing Products' and (type like'Tile or Slate%' or type like'Shingles, Shakes, Tile or Slate%') and_brand='Slate Range, Charcoal Range, Lehigh _____ Blend' order by company_name asc ^ CRRC Prod. ID Manufacturer Information Brand Model Color Category Product Solar Reflect. init 3 yr Therm Emit. lid SRI init Slope Applical (sorted +) Type 0918-0046 EAGLE Slate Bel Air Grey Tile or 0.13 pending 0.94 pending 12 pending Steep Roofing Range, 4697, Slate Products Charcoal Capistrano Annette Range, 3697, Sindar Lehigh Golden (800-400- Blend Eagle 3245) 1699, Malibu 2697, It -wt Bel Air 297, It -wt Capistrano 597, It -wt Golden Eagle 199; It -wt Malibu 497, Estate SHE 8704, Estate It/wt LHE 8704, Double Bel Air 4097, Ponderosa 5699, lt/wt Ponderosa 399, It/wt Double ' Ponderosa 999, Double Ponderosa L1ULIUL1UdL 5099 1 10/12/2011 v P.O.. BOX 1504 LA QUINTA, CALIFORNIA 92247-1504 78-495 CALLE TAMPICO LA QUINT -A, CALIFORNIA 92253 BUILDINC & SAFETY DEPARTMENT PROPERTY OWNER" S PACKAGE (760) 777-7012 FAX (760) 777-7011 Disclosures & Forms'for Owner -Builders Applying for Construction Permits ORTANT! NOTICE TQ f'R(?P RTY OWIVI g Dear Property Owner. An. application .for a buildnm�_Y otr ea�ti4�F f listing yourself as the budder of the .Property improvements specified at r0 (P10 Viae are .providing you wrth an Owner -Builder Ackmowledgment and Informatien Verification Fc rm to make you aware of your VespenSiblAtties and possible risk you may incur by having this permit.issued in your name as .the Owner -Builder. We will not Issue a building. permit until you: have read, initialed your understands of eaeh'provisien, signed, and returned this form to us at our official address indicated. An agent of the owner cannot • execute this -notice unless you, the property owner, obtain the prior approval of the permitting authority. :-tet I✓l GAWNT AND'VER�CAT10N'0F.UqFQHM,1WN Read anei initial each statement -below -to signify you undw;st run or verify this iWormaffon. i. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner -Builder" ding permit that erroneously implies that the property owner is providing his or her own labor and material petsonall�+. I, as an Owner -Builder, may be held liable and subject to serious. financial risk for any injuries sustained by an unlicensed person and his or her employees while working on my property. My homeowner's insurance may, not provide coverage for those inlun • I am willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers opproperty. 2. I understand building permits are not required to be signed by property owners un,ess they are responsible for the iuction and are not hiring a licensed Contractor to assume this responsibility. 3. 1 understand as. an "Owner -Builder" I am .the responsib" le party of record on the permt. I understand that I miy protect 4f from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her inure instead of my 4. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on rets and contracts. ' 5. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value of y construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer*' r state and federal law'. 6. I understand if I am considered an "employer" under state and federal taw, I mus, register with the state and federal rnment, withhold payroll taxes, provide workers' compensation disability insurance; and contribute to unemployment )ensatioh for each "employee." I also understand my failure to abide by these laws tray subject me to serious financial `-7. I understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential =tors: cannot .legally build them with the .intentto offer them for sale, unless c11 work is performed by licensed and the number of structures does not exceed four within any calendar year, or all of the work is performed under contract with a licensed general building Contractor. I understand as.an Owner-Builder if I sell the property for which this permit is issued, I may be held liable for any; i tial or personal. 4unes sustained. by any'subsequeat owner(s) that result from any latent construction defects in the \1 anship or materials. 9. I understand I• may obtain more information_ regarding my obligations as an "employer' from the Internal Revenue ice, the United States Small Business Administration, the California Department of Benefit Payments. and the California On of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (MR) at 1- 321-CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors. 10. I am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the le allyy� and firt$nciall4 respo ble . for proposed construction activity at the following address: .%li'hYA TAA curl nn .d ,...-u1 - .------- - . . _ _ .- - - _ _ . 11. I agree that, as the party legally and futattcially responsible for this proposed construction activity, I will abide by all ruble laws and requirements that govern Owner -Builders as well as employers. 12. 1, agree to notify the issuer of this form immediately of any additions; deletions, or changes to any of the information I la e provided on this form. Licensed contractors are regulated by laws designed to protect the public. If you contract with so ne who does not have a license,. Bre Contractors' State License Board may be unable to assitt you with any financial loss _ you may sustain as a result of a complaint,Yout only remedy against unlicensed Contractors may be in`civil court- It is also important for you to understand that if an unlicensed.Contractor or employee of that individual or firm is injured while worteing on your Property,' you may be held liable for damages. If you obtain a permit as Owner -Builder and wish to hire ContFaEtars, you will be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers' compensation insurance coverage. Before a building permit can be issued, this form must be completed and signed by the property owner and returned to the agency responsible for is the,permlt. N A copy, of thre property owner's MvWshkertsri ftxr+n not rr� or other verification acceptable to h a is required to be presented when the pererit is anued to verify the property owner's signature. 1 Signature of property owner Date: 40 Note: The following Authorization Form is required to be completed by the property owner only when designating an agent of the property owner to apply for a construction permit for the Owner -Builder. AUTRORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF Excluding.the Notice to Property Owner, the execution of which I understand is my personal responsibility, 11100by authorize the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an Owner -Builder Permit for my project. Scope of Construction Project (or Description of Work): Project Location or Address: Name of Authorized Agent: Address of Authorized Agent: Tel No I declare under penalty of perjurythat I am the property owner for the address listed above and I personally filled out the above information and certify its accuracy. Note: A copy of the owner's driver's license, form notarization, or other verification acceptable to the agency is required to be presented when the permit is issued to verify the property owner's signature Property Owner's Signature: Date: 8. I understand at. an Owner -Builder if I sell the property for which this permit is issued, I'may be held liable for any. i cial or personal. (guns sustained by any subsequent owner(i) that result from any latent. construction defects' in the anship or materials: 9. I understand I' may obtain more information_ regarding my obligations as an -"employer?' from the Internal Revenue . rvice, the United States Small Business Administration, the California•Departmeni of Benefit?ayments, and the California I- s on of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CS LB) at i- -321-CSLB (2752) or www.cslb.ca.gov_ for more information about licensed contractors. 10. I am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the l all financiall respo ble ..for proposed construction activity aR the following address:' 3IRA � a ..-- - 11. I agree that, as the party legally and f iiaucially responsible for this proposed construc-:ion activity, I will abide by all P 1' • It laws and requirements that govern Owner -Builders as well as employers. l2. 1• agree to notify the issuer of this form immediately of any additions; deletions, or ebt to any of the inf I a e provided on this form. Licensed contractors are regulated by laws designed to protect :he public. If you contract with so ne who does not have a license, the Contractors' State License Board may be unable to.assm you with any financialloss you may sustain as a result of a complaint.,your only remedy against unlicensed Contractors may be in 'Civil It aing important for you to understand that tf an urslic d.Conhw-tor of employee of that individud or firm is injured while on your property; you may be held • liable for damagps. if you obtain a permit as Owner -Builder and wish to hire Contractors, you will be responsible for verdyimg v or not those Coutr$ctors are properly licensed and the status of their woticers' compensation insurance coverage. Before a building permit can' be issued, this form must f' completed and signed by the ?roperty owner and returned to the agency responsible for is &e.permit. N • A copy of tice property Owner's Y 'is f nota ° or other verification acceptable m a rs; uir . , be presenteit when the perms is axsrre m v e prop" owner's signature. Signature of property owner ` Date Note:- The following Authorization Form is required to be completed by the property owner only when designating an agent of the property owner to apply for a construction permit for the Owner -Builder. AUFRORIZATION OF AGENTTO ACT ON PROPERTY ONMER'S BEHALF, rb11r I hereby authorize Excluding.the Notice to Property Owner, the execiition of which I understand is my personal respons ty, the following person(s) to act as my agents) to apply for, sign, and, file the documents necessary to obtain anOwner-Buitder Permit for my project. Scope of Construction Project (or Description of Work): -Project Location Bin # City of La Quinta Building 8T Safety Division Permit # P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 1v \\Y I Building Permit Application and Tracking Sheet Project Address:Q / s me: weer Na Recd TRACKING A. P. Number. Electrical Address: tJ /j% , Legal Description: City, ST, Zip: Amount Plumbing Address: f telephone: !� Project Description: � `yw;,�'�> �;,. ' •�" ; , . City, ST, Zip: Plan Check Deposit S.M.L Truss Cafes. Telephone: t Called Contact Person Plan Check Balance. State Lie. # : Title 24 Cafes. City Lie. #: IN HOUSE:- Plans picked up Arch., Engr., Designer: Developer Impact Fee Flood plain plan Address: Plans resubmitted Mechanical i City., ST, Zip: Pub. Wks. Appr Telephone: State Lie. #: Name of Contact Person: } '' `' ": l ' w�j.;•!! �' , %:�.<:�;,Y'?`�s�� "s'--�` � Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft: # Sto • . # Units: Telephone # of Contact Person: v Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE Total Permit Fees Req'd Recd TRACKING PERMIT FEES Electrical F#Submittal Subcontactor List Plan Check submitted Item Amount Plumbing Structural Cafes. Grant Deed Reviewed, ready for corrections Plan Check Deposit S.M.L Truss Cafes. t Called Contact Person Plan Check Balance. Grading Title 24 Cafes. IN HOUSE:- Plans picked up Construction Developer Impact Fee Flood plain plan Planning Approval Plans resubmitted Mechanical i Total Permit Fees 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:- ''" Review, ready for corrections2ssue Developer Impact Fee Planning Approval Called Contact Person A.I.E.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees