10-0504 (RR)1 '
ceity�, 4
P.O. BOX 1504 VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 6/10/10
Application Number: c10-00000504' Owner: )//,'��►
Property Address: 46325 ROUDEL LN HEGGE JIM P
APN: 649-051-002-2 -2667 - 46325 ROUDEL LANE
Application description: RE -ROOF LA QUINTA, CA 92253 U
Property Zoning: MEDIUM DENSITY RES
Application valuation: 12400
Contractor-, q,
Applican Architect or Engineer: WESTERN PACIFIC ROOFING CORP
D/�%� 3462 LA CAMPANA WAY
•`� PALM SPRINGS, CA 92262
(760)416-5877
tic. No.: 235717
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 Class: B C39 L' ens o.: 235717
Date- Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 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).:
(_) 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.).
(_ 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
PuroueRI 16 the CER1r8Et878' Otato Li....— L —I.
I _ I 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
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
_ 1 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 CYPRESS INS Policy Number 33000053308091
_ 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 forthwith comply v/Qh tV provisions.
—Date:--.6—/6-/� 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 fpr
Wh6ge 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
performedunder 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 county to enter upon the above-mentioned property for inspectic/on purposes.
Date: C—/o -/d,—signature-(Applicant or Agent_/
LQPERMIT
Application Number
10-00000504
Permit . .
. RE-ROOF-
E-ROOFAdditional
Additionaldesc .
Permit Fee
30.00
Plan Check Fee
00
Issue Date . . .
.
Valuation . . .
. 0
Expiration Date
12/07/10
Qty Unit Charge
Per
Extension
BASE
FEE
30.00
----------------------------------------------------------------------------
Special Notes and
Comments .
INSTALLATION OF A
POLYURETHANE
FOAM
- RE -ROOF. PER 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
1.00
.00 .00
1.00
Grand Total
31.00
.00 ,00
31.00
LQPERMIT
Bin #
City of La Quinta
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
Penna #
ProjectAddress: 63Z -
44A,
Owner's Name:
A. P. Number.
Address: /moopp
.�r t
Legal Description:
Contractor: S TC�n 4C-904c, c, ,o o fy,;ry
City, ST, Zip: A, owl 64- fee 3-2
.Telephone:
Project Description:
Address: ,3YG Z � � . ,_ 01. A—
City, ST, Zip: i. it T �A
`
S ala rte 6X
Telephone: 76 o — _3 9 77
State Lia #: 2357-71-7
City Lie. #:
Arch., Engr., Designer.
Address:
City., ST, Zip:
Telephone:
State Lie. #:
Name of Contact Person: / X), ,t IGL
Construction TyANpe: Oswpancy:
Project type (circle one): New Add'c AILrs Repair Demo
Sq. Ft.:#Stories:
# Units:
Telephone # of Contact Person: 76 o - S7 y- a 1'03
Estimated Value of Project: Z O p
APPLICANT:
DO NOT WRITE BELOW THIS UNE
#
Submittal
Plan Sets
ItNtd
Reed
TRACKIIVG
Plan Cheek submitted
PERMTI' FEES
Item Amount
Structural Calks.
Reviewed, ready for corrections
Plan Cbeek.DDeposit
Truss Gla.
Called Contact Person
Plan CheckBalauce
Title 24 Cala.
Plans picked up
Coastrucd(w
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2'! Review, ready for correetionsAuue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M i.
H.O.A. Approval
Plans resubmitted
Grading
fN HOUSE:-
34 Review, ready for corrections/issue
Developer :impact Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
Prescriptive Certificate of Compliance: Residential Reroof CFA R-ALT-ReRoof
Project Address: Climate Zone Permit #
y� z 5 / .�
ROOFING PRODUCTS (COOL ROOFS) §151(1)12
un.--'� _ - - -- - -
..11c11 U„G drrd or exrenor roof surface to be replaced exceeds 50% of the existing roof area, or 1,000 fe, whichever is less, the new
roofing area must meet the roofing product "Cool Roof” requirements of §152(b)1Hi, 152(b)1Hii, cr 152(b)1HI11.
Check applicable attemative or exception below if the roof alteration is exempt from the 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 (greater pitch than 2:12) and product weight less than 5/lb/1112.
Alternatives to §152(b)l HI and §152(b)Hii, Steep -slope roof (pitch > 2:12)
❑ Insulation with a thermal resistance of at least 0.85 hr•f?-* /Btu or_at-least_a-314-inch-air-space-is-adder; to -the -roof deck -over -an -attic; or
- ❑ -Existing ducts iii the attic are insulated and sealed according to §151(1)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(1)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)1 Hifi, Low -slope roof ( pitch S 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 exenpt from the Cool Roof criteria.
❑ Roof constructions that have thermal mass over the roof membrane with at least 25 IbJQ2 are exempt from the Cool Roof criteria.
NOTE. If any one of the alternatives or exception is checked the Aged Solar Reflectance and Thermal Ernittance requirements for roofing
products in §118(i) are not applicable. Do not fill table below.
Roof Slope Product Weight Product Aged Solar Thermal .
CRRC Product ID Number s 2:12 > 2:12 < 5lb/ft2 2 51b/ft2 T 2 Refle-lancel4l Emittance SRI
04 LG — Vo ! ` ❑ ❑ 1:30 Deaf,:, [34
E❑ ❑ ❑ ❑ p4
Note: If no CRRC-1 label is available, this compliance method cannot be used, use the Performance Approach to show compliance,
1. The CRRC Product ID Number can be obtained from the Cool Roof Rating Council's Rated Product Directory at ►www 000/roofs om/vroducxs/searcir oho
2. Indicate the type of product is being used for the roof top, i.e. single -ply roof; asphalt roof, metal roof, etc.
I. If the Aged Reflectance is not available in the Cool Roof Rating Council's Rated Product Directory then use the !r►iBal Reflectance value from the same
directory and use the equation (0.2+0.7(py„t, — 0,2) to obtain a calculated aged value. Where p is the Initial Solar Reflectance.
1. Check box i/ the Aged Reflectance is a calculated value using the equation above.
5. Calculate the SRI value by using the SRI- Worksheet at httQYAvww.enernv ca
atopy of the SRI- Worksheet to the CF -1R. ao0itle24/and enter the resulting value in the SRI Column above and attach
ro apply Liquid Field Applied Coatings, the coating must be applied across the.entire roof surface and meet the dry mil thickness or covera,
ecommended by the coatings manufacturer and meet minimum performance requirements listed in §118(1)4. Select the applicable coating:
:1 Aluminum -Pigmented Asphalt Roof Coating ❑ Cement -Based Roof Coating ❑ Ofther
NO When a Cool Roof is required, the
Declaration
contractor shall complete and submit the CF-6R-EMV-01 for final inspection.
• I certify under penalty of perjury, under the laws of the State of California, the information provided on this fom is accurate and complete.
• I certify that the energy features and performance specifications identified on this Certificate of Compliance conform to the requirements of Title 24, Part -
1 and 6 of the California Code of Regulations.
Name: J� / & Signature:
Company: - GU <c
C rCi.1 `l �Date:
/I .ss
JYZZ owl 07
City/State/Zip:
For assistance or questions regarding
I,
License! Z 3 5'7/-7
9ZZG2 Phone: 76 o —Y/C - _s -s- 77
Energy Standards, contact the Energy Hotline at: 1-800-772-3300.