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11-1171 (RR)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: TA14 . t44Q" 11-0000117.1 -- 78454 CALLE.SEAMA . 646-182-016- - - RE -ROOF LOW DENSITY RESIDENTIAL 8498 Architect or Engineer: P, - BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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 11 License No.: .947919 fe'2tS ontractor. _jr— 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): (_) 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, 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 _ ) 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: MIKE EAGAN 78454 CALLE SEAMA LA QUINTA, CA 92253 .VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/26/11 D a --� OCT 26 2019 CI7 OF Lq OWu. ... Contractor:<< DIVERSIFIED ROOFING SRVC, INC-.-_,._, 73280 EL PASEO, SUITE #5 PALM DESERT, CA 92260 (760)407-9639 LiC. No.: 947919 WORKER'SCOMPENSATION DECLARATION 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 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 COMPANION PROP Policy Number CPCA12850 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 with those provisions. Date:'10pl: icant: WARNING: FAILUR E 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 building construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. Datedo uO -/ISignature (Applicant or Agent): Application Number . . : . . 11-00001171 Permit . . . RE -ROOF Additional desc . Permit Fee . . . . 30.00 Plan Check Fee .00 Issue Date Valuation . . . 0 Expiration Date 4/23/12 Qty Unit Charge Per Extension BASE FEE'. 30.00 Special Notes and Comments REMOVE EXISTING ROOFING @ REAR OF RESIDENCE & INSTALL CRCC RATED ROCK ROOFING'. 2010 CODES. -------------- ---------------------------------------------------- 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 ,.uv�s.VGrirTlCaYe OT'Gbnt liance:`itesidential.Rt3roof :. Project Address:. . W c/S Y GClimate CPA R-AL.'T,11— Zone Permit # ROOFING PRODUCTS (COOL ROOFS) §151(612 When the area of exterior 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 §i52(b)1H1, 152(6)1 Hii, or 15Z(b)lHifl. Check applicable alternative or exception below if the roof alteration is exempt from the roofing product "Cool Roof requirements:, Cd"/Cool roofs notrequired 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 5Ab/ft2 . Alternatives to §152(b)1 HI and §152(b)Hii, Steep -slope roof (pitch > 2:12) ❑ Insulation with a thermal resistance of at least 0.85 hr•fe.*F/Btu or at least a 3/4 inch air -space is added to the roof deck over an attic; cr ❑ 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 when: 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 §I51(f)2; or ❑ Building has no ducts in the attic; or ❑ In dimate zones 10, 11, 13 and 14,.R-3 or greater roof deck insulation above vented attic. Exception to §152(b)1 Hill, Low -slope roof ( pitch S 2:12) . ❑ Building has no ducts in the attic. Other Exceptions ❑ Roofing area is covered by building integrated; photovoftaic 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 IbM are exempt from the Cool Roof criteria. NOTE. if any one of the altematives or exception is checked the Aged Solar Reffectence and Thermal Emittance requirements for roofing products in §1180) are not applicable. Do not rill table below. CRRC Product ID Number Roof Slope 5 2:12 > 2:1 0 00 S_ 2T 1 ❑ MW Note: if no CRRC-f label is available, this compliance method cannot be used, use the Performance Approach to show compliance, 1. The CRRC Product /D Number can be obtained from the Cool Roof Rating Council's Rated Product Directory at www 000lroofs orv/vroducts/searoh oho 2. Indicate the type of product is being used for the roof top, i.e. single-p!y roof, asphalt roof, metal root, etc: directory and use the equation (0.2+0.7(p 1. if the aged Reflectance is not available in the Cool Roof Rating Council's Rated Product Directory then use the Initial Reflectancevalue horn the same p, 2) to obtain a calculated aged value. Where p is the Initial Solar Reflectance. 1. Check box N the Aged Reflectance is a calculated value using the equation above. 5. Calculate the SRI value by heet to the CF -1 R. using the SRI- Worksheet at ftp /Amw e aoopy of the SRI-- Workshnemy o2!Aj1e24/ and enter the resulting value in the SRI Column above and attach Product Weight 511D/fe a 51b/ft2 Product Type2 Aged Solar Reftectance3'4 Thermal Emittance SRI E103 4Q 4 ro apply Uquid Field Applied Coatings, the coating must be applied across the entire roof surface and meet the dry mil thickness or coverag *ecommended by the coatings manufacturer and meet minimum performance requirements listed in §118(1)4. Select the applicable coating: ❑ Aluminum -Pigmented Asphalt Roof Coating ❑Cement -Based Roof Coating ❑ Other A- G r �� VOTE: When a Cool Roof is required, the installing contractor shall complete and submit the CF -6R -ENV -01 for final inspection. Declaration Statement • 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 specifications identified on this Certificate of Compliance conform to the requirements of Title 24, Parts 1 and 6 of the California Code of Regulations. Name: k L Fi T Z. r c✓ *r C_ p Signature: � Company- L7 J���e�skl=koci �nc�rtv�r s�✓`UIGGS P. ss. C 5vr Is -- A I I_AL. . AIwL, Da 5c�-T• License: Q f' Phone: ^ `I W--oZ2S -17-tq For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300. r Cool Roof Rating Council Page 1 of 1 a Rated Products Directory: Search Results [ new search ] [ print friendly view'Y (last updated 17 Oct 2011 16:21 CDT) f.` �j :Fdw Showing Search Results for: ', wh_ product id: —0986-0005— Company: `0986 0005"'Company: A-1 Grit Company select' from products where crrc_prod_id like '%0986-0005%' and company_name='A-1 Grit Company' order by company_name asc previous 1 1 1 next (showing records 1 -1 of 1) �� c 25 Records per PageLJ u, 1. • - - ' CRRC Manufacturer Information Color Product Solar Reflect. Therm Emit. SRI ®- Slope Note about init 3 -yr init ;_yr init EiilApplication Prod. ID (sorted +) Brand Model Category Type Ratings 0986-0005 A-1 Grit Glacier 3/8 inch Bright Other - 0.70 pending 0.85 pending 85 pending Low Company White aggregate. White Other Harold Tested over Aggregate Newman black asphalt for use in (951-782- with a Roofing 0102) maximum Products ' solar reflectance , of 0.05. Manufacturer recommends 100°% , granule coverage for � �- proper , ' pertormance. '•'a`� previous 11 j next (showing records 1 - 1 of 1) 25 Records per Page s 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 UsI Cool Roof Links I Home mhtml:file://C:\Documents and Settings\ownerWy Documents\CoolRoofRatingCouncil\... '-10/2.1/2011 Bin # City0f La Quints'. Building 8t Safety Division P.O. 'Box.1504, 78495 Calle Tampico La Quints, CA -92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # ` Project Address: % 8 �S^ �1 �q /I,- s (� yv� Owner's Name: JAA L K, C, 14 int -I A. P. Number: Address: _784S4 C�•1.1G Se ��. w Legal Description: Contractor: 1 ivGr,S FtecJ Q0 .4> i=t in sc✓`v le -es City, ST, Zip: o -I �•- ::<:::; ....... Telephone: fx;"? ss:s :<:>A: >,n ;a-s:ssk Address: 13z90 �:L 4��ScC Sot TG � Project Description: City, ST, Zip: -94 g zG C o I Telephone: 76B q7 Y q ::«{{:>�:<?<o:•:s>}:::}}:::.}r•::{::3s:�zr.z'•.:^:':; Gw,µ ©l' j.,0 � s� $' .� t1-'S-1''� �l C State Lic. # : y 7 R City Lia #.: . Arch., Engr., Designer: Address: City., ST, Zip: Telephone: t�•ti'riii{h:i:.'•'tq.•`.•: :;.;,<•;.;»»:m: �:•. "}•' ><%`'::>::> :> :r:} Construction Type: Occupancy: .State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person:Sq. F[.: #Stories - Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calts. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"" Review, ready for correctionstissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 7nd Review, ready for correctionsfissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees