13-0470 (RR)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 _
Application Number:
Property Address:
A'PN:
Application description:
Property Zoning:
Application valuation:.
Applicant:
13-00000470'
46250 ROADRUNNER.LN
649-062-008-39 -2180
RE -ROOF
LOW DENSITY RESIDENTIAL
27988
Architect or Engineer:
------------------
LICENSED CONTRACTOR'S DECLARATION
4 - m
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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 4ss: 9 LicenseNo.: 810537
Dat ontractor.
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 ($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 completion, the owner -builder will have the burden of proving that he or she did not build or
improve for the purpose of sale.l.
(_ 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 I am exempt under Sec. - , BAP.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 _
VOICE (760) 777-7012
{ FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/16/13
Owner:
ROBERT SCHWARTZ
46250 ROADRUNNER LN. -
LA QUINTA, CA 92253 D n
( Lr��
APR 1 u
Contractor:
ROOF TILE SPECIALTY INC. CiTVOF.LAQUIPITA
P.O. BOX 11257 FAN NCE 'EP _
PALM DESERT, CA 92255 -
(760)200-0811
Lic. No.: 810537
-----------------------------------------------
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.
have and will maintain workers' compensation insurance, as required by Section 3706 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 1969351-2012
rt' 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
7000 of the Labor
Date: de, I forthwith comply with triose provisions.
A;
� �ppplicant:
: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,agentsand employees for any act or omission related to the work being "
performed under or following issuanceof 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 stat relating to building construction, and hereby authorize representatives
of th' ounty, enter upon theme Toned property for inspection purposes
Date: `ntSignature (Applicant or Agent):
LQPERMIT
Application Number . . . . 13-00000470
Permit . . . RE -ROOF
Additional desc .
Permit Fee 30.00 Plan Check
Fee
.00
Issue Date . . . Valuation
0
Expiration Date 10/13/13
Qty- Unit Charge Per
Extension
BASE FEE
30.00
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Special Notco and Comments
RE -ROOF - APPROX. 4,100 SQ. FT., INSTALL
NEW BORAL LIGHT WEIGHT 600 SAXONY ROOF
TILE ON FRONT HALF OF ROOF, INSTALL 30
YR. SHINGLES ON BACK HALF OF ROOF,
INSTALL 1/2 OSB PLYWOOD TECH SHIELD OVER,
ENTIRE LIVING SPACE AREA (SEE ATTACHED
.CF -1R), HOT MOP ONLY OVER PATIO AND
GARAGE. 2010 CALIFORNIA BUILDING 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
A.
Prescriptive Certificate of Compliance:
Project Addressr 1
Residential Reroof
„
CF -1 R-ALT-ReRoof i
mate Zgne Perm ►t
�
� � auI
f# ^ �7C
ROOFING PRODUCTS (COOL ROOFS) §151(t)12
When the area of exterior roof surface to be replaced exceeds 50% of the existing roof area, or 1,100 , whichever is less, the new
roofing area must meet the roofing product "Cool Roof" requirements of §152(b)1H1, 152(b)1Hff, or 152(b)1Hiff.
Check applicable alternative or exceptiori,below if the roof alteration is exempt from the roofing product "Cod Roof" requirements::
❑ Cool roofs no required in Climates Zones 1-12,14, and 16 with a low sloped roof pitch (less or 2:12 pitch).
❑ C I not required in Climates Zones 1-9, and 16 with a steep -sloped roofs (greater pitch than 2:12) and product weight less than 5/Ila/ft2.
A Ike a ' to §152(b)1Hi and §152(b)Hii, Steep -slope roof (pitch> 2:12)
nsulation with a thermal resistance of at least 0.85 hr-ft2- or at least a 3/4 inch air -space is added to the roof deck over an attic; or
❑ isting 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
Building has radiant barrier in the attic meeting the requirements of §151(02; 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)l Hili, Low -slope roof ( pitch <_ 2:12)
❑ Building has no ducts 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 25 lbtft2 are exempt from the Cool Roof criteria.
NOTE: if any one of the alternatives or exception is checked the Aged
... Y .. �,,, a. � aNN„f aula. uu rnut nn more oerow.
Emittarce requirements for roofing
CRRC Product ID Number'
ed
Roof Slope
S 2:12 > 2:12
Product Weight
< 61b/ft' >_ 5lb/ft2
Product
Type 2
Aged Solar
Reflectanc;_3.4
Thermal
Emittance
SRI
City/State/Zip: �\\^ ^ �k LN\1 Phone: --1 (00 -2w 11
(J
❑
❑
❑
❑
❑4
❑
❑
❑
❑
❑4
Note: If no CRRC-1 label is available, this compliance method cannot be used, use the Performance Approc-ch to show compliance;
1. The CRRC Product ID Number can be obtained from the Cool Roof Rating Council's Rated Product Directory at www coolroofs org/vroducts/search ohn
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(p;jw - a2) to obtain a calculated aged value. Where p is the Initial Solar Reflectance.
4. Check box if the Aged Reflectance is a calculated value using the equation above.
5. Calculate the SRI value by using the SRI- Worksheet at httDYAvww.enerov.ca.aovlVtle241 and enter the resulting value it the SRI Column above and attach
acopy of the SRI- Worksheet to the CF -IR.
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 ❑ Cement -Based Roof Coating ❑ Other
NOTE. • When a Cool Roof fsr h '
equrr , t e rnstallmg contractor shall complete and submit the CF -0R -ENV -01 for final inspection.
Declaration Statement
• 1 certify under penalty of perjury, under the laws of the State of California, the information provided on this form is accurate and complete.
• 1 certify that the energy features and performance specifications identified on this Certificate of Compliance conform, to the requirements of Title 24, Parts
1 and 6 of the California Code of Regulations.
Nam
Sign to ,,
Compan � � Date:
Address: License:
City/State/Zip: �\\^ ^ �k LN\1 Phone: --1 (00 -2w 11
(J
or assts ance or questions regarding theaway Standards, contact the Energy Hotline at: 1-800-772-3300.
Building a Safety Division
P.O. Box 1504,'78-495 Calle Tampico
La.Quinta, CA 92253 - (760) 777-7012
Building Permit •Application and Tracking Sheet
Permit #
13 O
Project Address:
Owner's Name:.
Y Z
A. P. Number.QUI
Address. iL�� 0
rAnV
Legal Description:
City, ST, Zip:
Contractor.
telephone: [� '
Address: n
jectDescription:
City, ST, Zip: : I M
Telephone: 7100 2WOEU
State Lia #: 3
.r <
City Lic # MAM— t
Arch, Engr., Designer.
, l
Address:
City., ST, Zip:
Telephone:
State Lic. #:
Name of ContactPerson:
Construction Type:. Oc apancy:
Project type (circle one): New Add'n Alter Repair . Demo
Sq. Ft : # Stories: # Units:
Telephone # of Contact Person: Estimated Value of Project .
APPLICANT: DO NOT WRITE BELOW THIS UNE
M
Submittal
Req'd
Recd
TRACMG
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit. .
Truw Cates.
Called Contact Person
Plan Check Balance
Tide 24 Calci.
Plans picked up
Construction
Flood plain plan
Plans resubmitted..
Mechanical
Grading plan
2`! Review, ready for correctionsrissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
iq HOUSE:-
''d Review; ready for correctionsAssae
Developer ._mpaet Fee
Planning Approval
Called Contact Person
A.I.P.P. �.
Pub. Wks. Appr
Date of permit Issue
School Fees
Total Permit Fees