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10-0112 (RR)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: : 10-00000112 Property Address: 79330 BRIARWOOD APN: 772 -020 -009 - Application description: RE -ROOF Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 34122 Tihf " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Applicant: Architect or Engineer: Ca.rt�--- 1fy LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that [-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 Class: C39 l' Q ense%No.: 828478 Dgte: Contractor: li3/0,yJd�'S-r'jl p OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, 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 (5500).: (_ 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 completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). (_ I I, as owner of the property, am exclusively contracting with licensed contractors to construct the project ISec. 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 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 Owner: CHUCK SHUTERLAND 79300 BRIARWOOD LA QUINTA, CA 9225 Contractor: CASTRO ROOFING INC P O BOX 122 THOUSAND PALMS, (760)343-0042 Lic. No.: 828478 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 2/17/10. ------------------ WORKER'S COMPENSATION DECLARATION 1 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 63914709 _ 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 � 0 of the Labor Code, I shall fort ith Fmpl w�L.those provisions. ate: Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION 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 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 above information is correct. I agree to comply with all city and county ordinances and state laws relating to buildin emby authorize representatives of this county to enter upon the above-mentioned grope ori spec 'o urposes. �. _-1,0 Signature (Applicant or Age - — r•� Application Number . . . . . 10-00000112 Permit . . . RE -ROOF Additional desc . Permit Fee . .'. . 30.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 8/16/10 Qty Unit Charge Per Extension BASE FEE 30.00 ---------------------------------------------------------------------------- Special Notes and Comments REROOF - CRRC NUMBER 0620-0029 (WHITE - SPRAY FOAM OVER EXISTING BUILT UP ROOF) NERGY: 2007 BUILDING/2008 ENERGY.-- February February 17, 2010 3:20:21 PM AORTEGA --------------------------------------7------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 2.00 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 2.00 .00 .00 2.00 Grand Total 32.00 .00 .00 32.00. LQPERMIT Cool Roof Rating Council Page 1 of 1 Rated Products Directory: Search Results I new search I [ print friendly view I - (last updated 12 Feb 2010 19:47 EST) ,1l Showing Search Results for: -� Company: Henry Company Color. Bright White Product Type: Field -Applied Coating, Factory or Field Applied Coating Model: Permax 120 White Slope: Low select "from products where company_name='Henry Company' and (color like'Bright White%') and (type like'Fiekd-Applied Coating%' or type like 'Factory or Field Applied Coating%') and model='Permax 120 White' and slope like '%Low%' order by company_name asc previous I 1 I next (showing records 1 -1 of 1) 25 Records per Page CRRC Manufacturer JColor JProduct Solar Reflect 11 Therm EmR Slope init init Prod. ID Information (sorted +) Brand Model Tyne Aaalication 0620-0029 Henry Company Henry Permax 120 Bright Field -Applied 0.82 pending 0.89 pending Low/Steep Skip Leonard White White Coating (214-7643022) previous I 1 I next (showing records 1 -1 of 1) 25 Records per Page About the CRRC I Product Rating Program I Rated Products Directory I CRRC Members I CRRC News Become a Member I How Do I I Contact Us I Cool Roof Links I Home hM://www.coolroofs.org/products/results.php?keyphrase=&select type=select&type%5B... 2/17/2010 Solar Reflective Index (SRI) Calculation Worksheet SRI -WS Computer Generated Form , Date: 2/17/2010 Climate Zone: 5.' Building Type: Residential (, Nonresidential t' Project Name: CHUCK SHUTERLAND Project Address: 79-330 BRAIRWOOD, LA QUINTA, CA 92253 Roofing Products (Cool R000 Roofing products with high solar reflectance and thermal emittance are referred to as "Cool Roof', which refers to an outer layer or exterior surface of a roof. As the term implies, the temperature of a cool roof is lower on hot sunny days than for a conventional roof, reducing cooling loads and energy required to provide air conditioning. The benefit of a high reflectance surface is obvious: while dark surfaces absorb the sun's energy (visible light, invisible infrared, and ultraviolet radiation) and become hot, light-colored surfaces reflect solar energy and stay cooler. However, high emittance is also important. Emittance refers to the ability of heat to escape from the surface once it is absorbed. Surfaces with low emittance (usually shiny, metallic surfaces) contribute to the transmission of heat into the roof components under the roof surface. The heat can increase the building's air conditioning load, resulting in increased energy costs and detracting from the comfort level of the home. High-emittance roof surfaces give off absorbed heat relatively quickly through the path of least resistance: upward and out of the building. Rating and Labeling Initial Weathered Roofing products that are used for compliance W Solar Reflectance 0.00 Pending with the standards (prescriptive and performance ICK Thermal Eniittance 0.00 Pending approaches) are required to be tested and labeled C Rated Product ID Number _ _ _ _ by the Cool Roof Rating Council (CRRC). t ICK)l_ RQC>F Licensed Seller ID Number _ _ _ _ Roofing product manufacturers must have their "1TlNt.- C(JI. NC11. Caassificatioti Production Lille roofing product tested for solar reflectance and Coal Roof Ratissg Council ratios1 are detenssined for a fined set of coudidaus. and :nay not be apprgptime for dete—iniva seasoual errergN' perforrna e. 'nre actual effect of solar reflectance and thermal entittauce thermal emittance, and be labeled according to g CRRC procedures. See example of a CRRC on building perfannanoe _.y -y label at right. \�fauufacturer of productthea stipulates that ea ratings were decerauned in accordance with the applicable Cool Roof Rating Council procedures. CRRC-1 Label Attached to Submittal (Note: If no CRRC-1 label is available, this compliance method cannot be used and another method is required to meet compliance ) CRRC Product ID Manufacturer Brand Model Product Type Number 0620-0029 HENRY COMPANY. PERMAX SPRAY SYSTEM RT 2035 FOAM Roof Slope Product Weight SRI Calculations Aged CRRC listed Calculated x2:12 >2:12 < 5lb/sq ft >_ 51b/ ft Relfectance Aged Solar Initial Solar Aged Solar Thermal Listed with Reflectance Reflectance Reflectance Emittance CRRC? No 0.82 0.63 0.89 Solar Reflective 76 Index 2008 Residential and Nonresidential Roof Certificate December 2009 INSTALLATION CERTIFICATE: Residential Reroof CF -6R -ENV -01 Site Address: Enforcement Agency: Permit Number: /f more than one person has responsibilityfor installation of the items on this certificate, each person shall prepare and sign a certificate applicable to the portion of construction for which they are responsible; alternatively, the person with chief responsibility for construction shall prepare and sign this certificate for the entire construction. All applicable Mandatory Measures with check boxes are required to be checked to ensure the mandatory measures have been met. CEILING INSULATION Rigid: Brand Name: Batt or Blanket Type: Brand Name: Loose Fill Type: Thermal Resistance (R -Value): Spray Foam Type: Brand Name: Installed Actual Thickness (inches): Contractor's min installed weight/ft' Manufacturer's installed weight per square foot to achieve Thermal Resistance (R -Value): ❑ § 150(a): Minimum R-19 insulation in wood -frame ceiling or equivalent U -factor. ❑ § 118(a): Insulation installed meets Standards for Insulating Material. ❑ § 150(g): Mandatory Vapor barrier installed in Climate Zones 14 or 16. R ROOFING PRODUCTS (COOL ROOFS) §151012 ❑ Check this box if the newly installed roof is exempted from the roofing product "Cool Roof' requirements as indicated on the CF -1 R-Alt- Reroof form for this project. Otherwise fill in the table below. CRRC Product ID Number' Roof Slope < 2:12 > 2:12 Product Weight < 5lb/ft2 > 5lb/fi2 Aged Solar Thermal Product Type2 Reflectance3'4 Emittance 1N ❑ » ❑ (r•a It4° .fo3 .�1 1. CRRC-I label information is available is on the package of the roofing product being installed and attach the CRRC label to this form. �2. Indicate the type of product is being used for the rooftop, i.e. single ply roof, asphalt roof, metal roof, etc. IIf 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(p;;,;at — 0.2) to obtain a calculated aged value. Where p is the Initial Solar Reflectance. Check box if the Aged Reflectance is a calculated value using the equation above. r apply Liquid Field Applied Coatings, the coating must be applied across the entire roof surface and meet the dry mil thickness or coverage I ommended by the coatings manufacturer and meet minimum performance requirements listed in § 118(i)4. Select the applicable coating: Io Aluminum -Pigmented Asphalt Roof Coating 10 Cement -Based Roof Coating ;I Other DECLARATION STATEMENT • I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is true and correct. • I am eligible under Division 3 of the Business and Professions Code to accept responsibility for construction, or an authorized representative of the person responsible for construction (responsible person). • I certify that the installed features, materials, components, or manufactured devices identified on this certificate (the installation) conforms to all applicable codes and regulations, and the installation is consistent with the plans and specifications approved by the enforcement agency. • I reviewed a copy of the Certificate of Compliance (CF -I R) form approved by the enforcement agency that identifies the specific requirements for the installation. I certify that the requirements detailed on the CF -1R that apply to the installation have been met. • I will ensure that a completed, signed copy of this Installation Certificate shall be posted, or made available with the building permit(s) issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a signed copy of this Installation Certificate is required to be included with the documentation the builder provides to the building owner at occupancy. Company Name (Installing Subcon for or General Contractor or Builder/Owner) �AS�r e Responsible Person's Name- J- Responsible Perso ignature: CSLB License: Date Signed: Position With Company (Title): a:, -i / C9 4ft _`r� "0 „���1� rh�_A-_ 2008 Residential Compliance Forms February 2010 Bin # City of La Quinta Building & 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: �q 3 to�� Owner's Name: C S A. P. Number: Address: 3�D PQ!U' w4 Legal Description: City, ST, Zip: ` ,— Contractor: 7e'— Telephone: Address: PDQ Project Description: City, ST, Zip:U 1NL -4 ofd ` . K Telephone: 3 State Lic. # : City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: Construction Type:o w< Occupancy: State Lic. #: Project type (circle one): New Add'n Iter Repair Demo Name of Contact Person: AA, Sq. Ft.:, St� # Stories: % # Units: / Telephone # of Contact Person: Estimated Value of Project: 31 2 -0a -- APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING . PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cates. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction 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.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 3" Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees