BRER2014-101978-495 CALLE!YAIVIPICO
i
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
Applicant:
ANDRE'S ROOFING
1721 CHUNCH STREET
REDLANDS, CA 92374
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
BRER2014-1019
(48720 AVENIDA FERNANDO
658310008
REROOF 600 SQ FT INSTALL NEW UNDERLAYMENT AND TILE
$600.00
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 Professions Code,
and my License is in full force and effect.
Licceennsse.0 ss: 39 Lic rise No.: 888856 g
Contractog� l�lMnl C ''
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
SHANALUND
48720 AVENIDA FERNANDO
LA QUINTA, CA 92253
Contractor:
ANDRE'S ROOFING
1721 CHUNCH STREET
REDLANDS, CA 92374
(909)954-7678
Llc. No.: 888856
Date: 9/30/2014
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WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I hav d will maintain a certificate of consent to self -insure for workers'
compensatio , as provided for by Section 3700 of the Labor Code, for the performance
of the wo 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:
OWNER -BUILDER DECLARATION
Carrier: _ Policy Number:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
_ I certify that in the performance of the work for which this permit is issued, I
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
shall not employ any person in any manner so as to become subject to the workers'
city or county that requires a permit to construct, alter, improve, demolish, or repair
compensation laws of California, and agree that, if I should become subject to the
any structure, prior to its issuance, also requires the applicant for the permit to file a
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
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
comply wi th e pro isiip
�
of the Business and Professions Code) or that he or she is exempt therefrom and the
Dater Appk:c t:/
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
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
($500).:
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
(_) I, as owner of the property, or my employees with wages as their sole
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
compensation, will do the work, and the structure is not intended or offered for sale.
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
INTEREST, AND ATTORNEY'S FEES.
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
APPLICANT ACKNOWLEDGEMENT
are not intended or offered for sale. If, however, the building or improvement is sold
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
within one year of completion, the owner -builder will have the burden of proving that
the conditions and restrictions set forth on this application.
he or she did not build or improve for the purpose oflale.).
1. Each person upon whose behalf this application is made, each person at whose
(_) I, as owner of the property, am exclusively contracting with licensed contractors
request and for whose benefit work is performed under or pursuant to any permit
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
issued as a result of this application , the owner, and the applicant, each agrees to, and
State License Law does not apply to an owner of property who builds or improves
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
employees for any act or omission related to the work being performed under or
the Contractors' State License Law.).
following issuance of this permit.
(_) I am exempt under Sec. B.&P.C. for this reason
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.
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:
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 city to enter upon the above.
mentioned rope �fo in purposes. ��' v
Date '� Signature (Applicant or Agent):
Prescriptive C''ertificate of Compliance: Residential CF -IR -ALT
Residential Alterations Page 3 of 5
Prr� ame: Climate Zone # #�of Stories
ROOFING PRODUCTS (COOL ROOFS) §151(1)12
When the area of exterior roof surface to be replaced exceeds more than 50% of the existing roof area, or more than 1,000f?, whichever is
less, the new roofing area must meet the roofing product "Cool Roof'requirements of§152(b)IHi, 152(b)1Hii, or 152(b)IHiii.
Check applicable alternative or exception below if the roof alteration is exempt from the roofing product "Cool Roof' requirements. Note: If any
one of the alternatives or exception below is checked, the Aged Solar Reflectance and Thermal Emittance requirements for roofing products in r
§/ 18(i) are not applicable. Do not fill table below.
❑ Cool Roofs Not Required in Climate Zones 1-12, 14, and 16 with a Low Sloped. Lessor 2:12 pitch.
❑Cool Roofs Not Required in Climate Zones 1 through 9 and 16 with a Steep -Sloped Roofs (pitch greater than 2:12) and product unit weight less
than 5lb/ftZ.
Alternatives to §152(b)1Hi and §152(b)Hii, Steep -slope roof (pitch > 2:12)
❑ insulation with a thermal resistance of at least 0.85 heft •°FBtu or at least a 3/4 inch air -space is added to the roof deck
over an attic; or
❑ Existing ducts in the attic are insulated and sealed according to § 151(f)10; or
❑ In climate zones 10, 12 and 13, with 1 ftZ of free ventilation area of attic ventilation for every 150 ftZ of attic floor area, and
here 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 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)1Hiii, Low -slope roof(pitch:52:12)
❑ Building has no ducts in the attic.
Exceptions
[Other
Roofing area covered by building integrated; photovoltaic panels and solar thermal panels are exempt from the below Cool Roof criteria.
❑ Roof constructions that have thermal mass over the roof membrane with at least 25 Ib/ftZ is exempt from the below Cool Roof criteria.
Note: If no CRRC-1 label is available, this compliance method cannot be used, use the Performance Approach to show compliance, otherwise,
Check the applicable box below if Exem t from the Roofing Products "Cool RoofRequirement:
Roof Slope
Product Weight
Product
Aged Solar
Thermal
CRRC Product ID Number
< 2:12 > 2:12
< 5lb/ftZ > 5lb/ftZ
Type'
Reflectance'"4
Emittance
S
SRI
El
❑
❑
❑
❑4
❑
❑
❑
❑
Q4
13
❑
❑
❑
U
❑
❑
❑
❑
❑4
❑
❑
❑
❑
❑4
1. The CRRC Product ID Number can be obtained from the Coo! Roof Rating Council's Rated Product Directory at wwtiv.coolroofs.oMIRroducislsearch hp
2. Indicate the i)pe of product is being used for the roof lop, i.e. single ply roof, asphalt roof, metal roof, etc.
3. lfthe Aged Reflectance is not available in the Cool Roof Rating Council's Rated Product Directory then use the Initial Reflectance value from the some
directory and use the equation (0,2+0.7(piniri&— 0.2) to obtain a calculated aged value. Where pis 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 htt1):/hvivw.energy.ca.gov/title24/and enter the resulting value in the SRI Column above and attach acopy of
the SRI- Worksheet to the CF -1 R.
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
Registration Number: Registration Date/Time: HERS Provider:
2008 Residential Compliance Forms
August 2009
Description: REROOF 600 SQ FT INSTALL NEW UNDERLAYMENT AND TILE
Type: RE -ROOF Subtype: Status: FINALED
Applied: 9/30/2014 SKH
Approved: 9/30/2014 SKH
Parcel No: 658310008 Site Address: 48720 AVENIDA FERNANDO LA QUINTA,CA 92253
Subdivision: LA QUINTA GOLF ESTATES 1 Block: Lot: 69
Issued: 9/30/2014 SKH
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled: 11/26/2014 JFU
Valuation: $600.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
PAID DATE RECEIPT # CHECK # METHOD PAID BY
Details: REROOF - 600 SQ FT INSTALL NEW UNDERLAYMENT AND TILE. 2013 CALIFORNIA ENERGY CODE.
57— 0
0
i Applied to Approved
Approved to Issued
Issued to Finaled
Printed: Friday, May 05, 2023 3:50:54 PM 1 of 2
WsYsrEMS
FINANCIAL
WE
• • • •
CLTD
DESCRIPTION ACCOUNT QTY
AMOUNT
PAID
PAID DATE RECEIPT # CHECK # METHOD PAID BY
wr
BY
BSAS SB1473 FEE 101-0000-20306 0
$1.00
•
9/30/14 R1580 DEBIT ANDRE'S ROOFING
SKH
Total Paid for BUILDING STANDARDS ADMINISTRATION
NAME TYPE
NAME
ADDRESSI
CITY
STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT
ANDRE'S ROOFING
1721 CHUNCH STREET
REDLANDS
CA
92374
(
Printed: Friday, May 05, 2023 3:50:54 PM 1 of 2
WsYsrEMS
FINANCIAL
INFORMATION
CLTD
DESCRIPTION ACCOUNT QTY
AMOUNT
PAID
PAID DATE RECEIPT # CHECK # METHOD PAID BY
BY
BSAS SB1473 FEE 101-0000-20306 0
$1.00
$1.00
9/30/14 R1580 DEBIT ANDRE'S ROOFING
SKH
Total Paid for BUILDING STANDARDS ADMINISTRATION
$1.00
$1.00
BSA:
Printed: Friday, May 05, 2023 3:50:54 PM 1 of 2
WsYsrEMS
BOND INFORMATION
Attachment Type CREATED OWNER DESCRIPTION PATHNAME SUBDIR ETRAKIT ENABLED
DOC 3/25/2015 CECILIA PATINO ISSUED PERMIT BRER2014-1019.pdf 0
Printed: Friday, May 05, 2023 3:50:54 PM 2 of 2
WsYsrEMS
REVIEWS m
REVIEW TYPE REVIEWER SENT DATE DUE DATE
RETURNED STATUS
DATE
REMARKS
NOTES
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
RE -ROOF - FIRST 2,000
101-0000-42404
0
$49.31
$49.31
9/30/14
R1580
DEBIT
ANDRE'S ROOFING
SKH
SF
RE -ROOF - FIRST 2,000
101-0000-42600
0
$98.62
$98.62
9/30/14
R1580
DEBIT
ANDRE'S ROOFING
SKH
SF PC
Total Paid for RE -ROOF:
$147.93
$147.93
TOTALS:4.
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR
SCHEDULED
COMPLETED
RESULT
REMARKS
NOTES
DATE
DATE
PRE -ROOF
AOR
10/7/2014
10/7/2014
APPROVED
FINAL"
JFU
11/26/2014
11/26/2014
APPROVED
BOND INFORMATION
Attachment Type CREATED OWNER DESCRIPTION PATHNAME SUBDIR ETRAKIT ENABLED
DOC 3/25/2015 CECILIA PATINO ISSUED PERMIT BRER2014-1019.pdf 0
Printed: Friday, May 05, 2023 3:50:54 PM 2 of 2
WsYsrEMS
REVIEWS m
REVIEW TYPE REVIEWER SENT DATE DUE DATE
RETURNED STATUS
DATE
REMARKS
NOTES
BOND INFORMATION
Attachment Type CREATED OWNER DESCRIPTION PATHNAME SUBDIR ETRAKIT ENABLED
DOC 3/25/2015 CECILIA PATINO ISSUED PERMIT BRER2014-1019.pdf 0
Printed: Friday, May 05, 2023 3:50:54 PM 2 of 2
WsYsrEMS
Bin #
City of lid Quin to
Building 8l: Safety Division
P.O. Box 1504, 78-495 Calle Tampico.
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
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A. P. Number:Address:
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Legal Description:
City, ST, Zip: C 2Z
Contractor: el -S w 6✓�, K.,
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Address: 1 % -2,
Project Description:--
escription:-City,
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phone:
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Construction Type: Occupancy:
'tato Lie. #:
Project tyPc circle one):: New Addn Alter. Repair De m 0
Jame of Contact Person:
Sq. Ft:
# Stories:
#Units:
elcphone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACICT'G
PERMIT FEES.
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Chcck Deposit
Truss Cales.
Called Contact Person
Plan Check Balance.
Title 24 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" Review, ready for eorrcctionsrssue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
R.O.A. Approval
Plans resubmitted
Grading
IM ROUSE:-
'`" Reyiew, ready for corrcctions(ssue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees