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11-1130 (RR)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 11 -0000'1130 --- Property Address:48731 SAN VICENTE ST APN: 646-140-007- - Application description: RE -ROOF Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 36000 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: BIRKLE ROBERT E 48731 SAN VICENTE ST LA QUINTA, CA 92253 Contractor: Applicant: Architect or Engineer: JC ROOFING 2118 ORANGEVIEW ORANGE, CA 92667 (714) 637-1223 Lic. No.: 710121 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: C39 License No.: 710121 ate: %� LL"1i C ` ctor: A. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the j 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).: l _ 1 1, 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, 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.). ) 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: vk . LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/14/11 €�OrIT 1.4 2011 i UTYOFLA ;.WNTA .. =1" , r t, ----------------------------------------------- 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 Yissued. 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 1965470-11 _ 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 th abor C e, I shall forthwith comply with those provisions. Date: ���)4 �1 Applicant: WARNING: FAILURE TO SECURE WOR ERS' 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 building construction, and hereby authorize representatives of this coun y to enter thea ve-mentioned p op y for inspection purposes. Da ,�(Applicant or Age Application Number . . . . . 11-00001130 Permit RE -ROOF Additional desc Permit Fee 30.00 Plan Check Fee .00 Issue Date Valuation . . . . .0 Expiration.Date 4/11/12 Qty Unit Charge Per Extension BASE FEE 30.00 --------------------------------------------------------- Special Notes and Comments REMOVE EXISTING SHAKES; INSTALL 2 LAYERS 30# FELT & EAGLE LITE 6,LBS/SF. TILE, ICC # 1900. VERIFY R-30 INSULATION EXISTING. 2010.CODES. --------------------------------------- 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 # city Of Lc7 Q[1 Who Building 8z Safety Division P.0. Box. 1504,78-495 Calle Tampico La.Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # �� ✓ Project Address:j-3! SR7J Vi Owner's Name:. A. P. Number. Address: Legal Description: Contractor..) C ,' e-:.rc, City, ST, Zip: Telephone: Address: 2 j l � �l Nt'o tai i t Pmject Description: Vt_r rw City, ST, Zip: (\.2J `G e.- Telephone f4 J ��' ('22 State Lie. # :'C'P o L L ( City Lia #; 4 Arch., Eng., Designer. Address: City., ST, Zip: s Telephone:' Construction Type: , Occupancy: ' State Lie. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person:Co Lt Sq. Ft.: ' 8 # Stories: # Units Telephone # of Contact Person: 4 �3 =►22'3 Estimated Value of Project+ fir APPLICANT: DO NOT WRITE BELOW THIS UNE N Submittal Req'd Reed TRAti MG PERhIITFEES Plan Sets Plan Check submitted Item Amouat Structural Calls Reviewed, ready for corrections Plan Chcck Deposit. . Truss Caler. Called Contact Person Plan Check Balance Tule 24 Calci. Pians Olcked up Construction Flood plain plan Plans rtsubmitied' Mecbatilcsl Giading plea 2'' Review, ready for corrections/issue Electrical Subeontactor List Called Contact Person Plumbing Grant Deed Plans picked cep SAI, H.O A Approval Plans resubmitted Grading IN ROUSE:- ''' Review; ready for correctionV183ae Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Feu Total Permit Fees mr•iptiveCertificate. of'Corn Rance: Residential.Reroof lct Address:. CF -1 R-ALT-ReRoof Climate Zone Permit # ROOFING PRODUCTS (COOL ROOFS) 1151012 When the area of exterior roof surface to be replaced exceeds 50% of the existing roof area, or 1,000 , whichever is less, roofing area must meet the roofing product "Cool Roof" requirements of §152(b)1HI, 152(b)1Hil, or 152(b)1 M. the new Check applicable alternative or exception below if the roof alteration is exempt from the roofing product "Cool Roof requirements:, ❑ Cool roofs no required.in Climates Zones 1-12, 14, and 16 with a low sloped O Cool roofs r o required in Climates Zones 1-9, and 16 with a slope st roof pitch �� or 2:12 pitch). Alternatives to §152(b)1 Hi and §152(b)HII Steep� pe to eroof (pitch ch > 2:12J d roots (greater pitch than 2:12) and product weight less than 5/lb/1t2. ❑ Insulation with a thermal resistance of at least 0.85 hr•ft2•°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(I)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(f)2; 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 Hill, Low -slope roof ( pitch 5 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. 1.❑ Roof constructions that have thermal mass over the roof membrane with at least 25 Ib/fl2 are exempt from the Cool Roof criteria: NOTE: If any one of the a/tematrves or exception is checked the Aged Solar Reflectance and Thermal Emittence requirements for roofing products in §118(1) are not applicable. Do not rill table below. Roof Slope CRRC Product ID Number' 5 2:12 > 2:1, (b91 oo ti d ❑ ❑ ❑ Product Weight < NMI? Z 5lb/ft2 Product Aged Solar Type 2 Reflectance" Thermal Emittance SRIS ❑ ® ❑° 113 - I � ❑ ❑ ❑4 Note: If no CRRC-1 label is available, this compliance method cannot be used, use the Performance Approach to show compliance, I. The CRRC Product /D Number can be obtained fivm the Cool Roof Rating Counp7s Rated Product Directory at www coolroofs om bM&cts/search oho 2. Indicate the type of product is being used for the roof top, L e. single-* cool; asphalt roof, metal roof, etc. I. If the Aged Reflectance is not available 7( the Cool Roof Rating Cound directory and use the equation (Q.2+0. 7(l's Rated Product Directory then use the Initial Reflectance value from the same pwu _ p, 2) to obtain a calculated aged value. Where p is the Initial Solar Reflectance. C Check box if Me Aged Reflectance is a calculated value using the equation above. 5. Calculate Me SRI value by using the SRI- Worksheet at hftnAA_Yww. a nervy ca Q -0—y/ le2V and enter the resulting value in the SRI Column above and attach atopy of the SRI- Worksheet to the CF -IR. ro apply Uquid Field Applied Coatings, the coating must be applied across the entire roof surface and meet the dry mit thickness or coverag ecommended 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 " a Cool Roof is the installing contractor final inspection. • I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is accurate and complete. • I certify that the energy features and performance spe cations identified on this Certificate of Compliance conform to the requirements of Title 24, Parts 1 and 6 of the California Code of R ulatlons. Name: �CO_ro � UC�-� Signature: Company: t —� ------------- C— Date: A. ss: License: Phone: 5 1 For assistance or questions regard/ng the Energy Standards, contact the Energy Hotline at: 1--800-772-3300.'