12-1448 (RR)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 12-.00001448
Property Address: 0493,20 .AVENIDA! FERNANDO
APN:. 658-280-021- -
Application description: RE -ROOF
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 10423
A—li—s-st-
T4ht
4.0",
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Architect or Engineer:
dl ta
Owner:
DONNA MARTIN
49320 AVENIDA FERNANDO
LA QUINTA; CA 92253
Contractor:
ROOF TILE SPECIALTY INC.
P.O. BOX 11257
PALM DESERT, CA 92255
(760)200-0811
Lic. No.: 810537
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/19/12
2012
CITY OF LA r�lilru�re
-------------------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
-----------------------------------
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Busine s and Professionals Code, and my License is in full force and effect.
_ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
Lice se C ass: C39 License No.: 810537
• for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
Da ontractor:
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
OWNER -BUILDER DECLARATION
insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
Carrier STATE FUND Policy Number 1969351-2012
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to
_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
person in any manner so as to become subject to the workers' compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's Statea
agree that, if I should ome subject to the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
t[�the Labor Code, 114h II thwith comply with those provisions.
`i
\
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
, t `f
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
ate:;cant:
(_ 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
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improverrients are not intended or offered for sale. If, however, the building or improvement is sold within
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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.).
(_ 1 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
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 andc unty ortlinances and st laws relating to building construction, and hereby authorize representatives
of t i Ly Ip e��Nupon the abo e -mentioned property for inspection purposes.
e: �_;Snature (Applicant or Agent):
Application Number . . . . . 12-00001448
PermitRE-ROOF
Additional desc .
Permit Fee . . . . 30.00 Plan Check Fee .00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 6/17/13
Qty Unit Charge Per
Extension
BASE FEE
30.00
----------------------'------------------------------------------------------
Special Notes and Comments
RE -ROOF: TEAR OFF EXISTING BUILT UP
ROOF SYSTEM, REPLACE WITH HOT MOP
MATERIALS. REMOVE SOME EXISTING TILES,
ADD NEW.UNDERLAYMENT & REPLACE TILES.
2010 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
LQPEIN1IT
19
t
RTS- I .
Contractors State License #810537
P.O.Box 11257 Palm Desert, CA 92255
Roof Tile Specialty, Inc.
Phone 760-200-0811 Fax 760-200-0801
A proposal submitted to: DONNA MARTIN
Job Address: 49320 AVENIDA FERNANDO LA QUINTA, CA 92253
Phone:
Description of work to be performed: .
FLAT AREA SEE PHOTO
TEAR OFF EXISTING BUILT UP ROOF SYSTEM AND DISPOSE
NAIL 1 LAYER GLASS BASE
FOLLOWED BY 3 LAYERS GLASS PLY 6 HOT MOPPED WITH 25# INTER MOPPING PER IOOSQ FT
INSTALL NEW PERIMETER EDGE METAL
INSTALL NEW ROOF JACKS FOR ALL H.V.A.C. AND PLUMBING PENETRATIONS WITH PRRAERED TOP SURFACE
BACK MOP 2 ADDITIONAL LAYER GLASS PLY SEALING FLASHINGS TO ROOF SURFACE
MOP 1 LAYER 72# CAP TO ALL ROOF TO WALL TRANSITIONS
MASTIC AND WEB WALL TERMINATIONS AND COAT WITH GRANUELS COAT ROOF WITH TITLE 24 APOC 252 WfHITE COATING
FOR TITLE 24
IOYR WARRANTY
$6,
TELE RESETT SEE SEE PHOTO
REMOVE TILE AND STACK
CLEAN ROOF SURFACE OF DEBRIS AND BROKEN TILE AND DISPOSE
INSTALL NEW TILE UNDERLAYMENT AND NEW ROOF TO WALL SHEET METAL \
REINSTALL ROOF TILE TO ORIGINAL APPLICATION
INSTALL NEW TILE REPLACING ALL BROKEN AND DAMAGED TILE
10 YR WARRANTY
$3,643.00 `v
TILE REPAIR
RE OVE T[ NE VALLEY AREA kERLAYM[E
L NEW D P GE SEALING O 'FACE
SEAL D ED NE VALLEYSEAL W L AT BP RO TERMIN IONROOF W T APPLIES TK OVIDED BY T CONTRACT
IYR
$1,247.00
IF NOT ACCEPTED IN 14 DAYS THIS PROPOSAL IS NULL AND VOID
Note: Roofing is not warranted and or guaranteed until 100% complete. Please note Roof Tile Specialty, Inc. is not responsible for delays in roofing
materials of delivery dates. All debris caused from above work to be discarded and area to be left clean. In keeping with industry standards: 1. this
guarantee does not cover any damage to the interior or exterior on which the roof is applied or damage to any contents therein. This guarantee does
not cover damage to roof due to any cause beyond our control, including, but not limited to: fire, lightning, windstorm, hailstorm, antennas or other
equipment, foot traffic on roof, structural fault or settlement, cracking or other failure of roof deck, walls or foundation of the building on which the
roof is applied. 2. Should it become necessary for the roofing contractor to remove and/ or reinstall any antennas, cooling or heating appliances or
other equipment, whether or not an additional charge is made for such work, the customer understands that neither RTS (Roof Tile Specialty, Inc.)
nor the installer assumes any responsibility for the performance of said equipment. 3. RTS (Roof Tile Specialty, Inc.) does not assume any
responsibility for corrections of existing code violations or for the repairs of any existing defects unless specified in estimate and proposal.
Total Cost: S Terms paid on completion unless otherwise specified in the contract. If not accepted in thirty days this proposal is invalid. An
additional $55.00 per sheet of plywood will be applied if needed. In the event of any increase in material price(s), said price increase shall be passed
directly onto the client. At client's request Roof Tile Specialty shall provide written documentation of the increase in material price(s) to client and
client shall pay the actual increase in the material price in addition to any sum client agreed to pay Roof Tile Specialty for work to be performed
under this agreement. Roof Tile Specialty shall add no mark up or profit to any increase in material price(s).
Acceptance: You are here by authorized to furnish all contents written in the contract to complete work mentioned in the proposal contract for which
Uwe agree to pay the amount mentioned, in said proposal, and according to terms thereof, (initial). If a leakage, caused by defects in
workmanship, occurs within years from date of application, we will repair defects free of charge. It is the owner's responsibility to properly
maintain roof system. Guidelines and proposed budget for annual maintenance will be provided upon request.
Installation: It is understood that by the acceptance of this proposal you authorize RTS (Roof Tile Specialty, Inc.) to make the installation; to issue
work orders with specifications shown herein and to pay our charge for such installation. You agree to pay the amount specified herein, which will
cover the price of said material and labor charge. This estimate is based on a complete job and any surplus material remains property of RTS (Roof
Tile Specialty, Inc.). Verbal understanding and agreements with representatives shall not be binding unless set forth herein. There shall be no
liabilities for delays in, or failure to complete, deliver or installation of all or any of the herein mentioned merchandise, if due to fire, strikes, war,
government regulations or any cause beyond our contract. Any changes made by you in specifications herein, necessitating additional materials or
labor shall not be included or covered by this proposal, but shall be provided for under separate and additional order from you. (initial)
Arbitration of Disputes: Any controversy or claim arising out of or relating to this contract, or the breach thereof, shall settled by arbitrator in
accordance with the applicable Construction Industry Arbitrator Rules of the American Arbitration Association which are in effect at the time the
demand for arbitration is filed. Ajudgment award based upon the evidence presented by the party (ies) who do (does) appear and participate.
Notwithstanding Contractor's right to arbitrate, contractor does not waive any of its lien rights. In the event of default by client in payment of the
amount due hereunder, client agrees to pay reasonable attorneys' fees and cost incurred in connection with collection of said amounts whether or not
suit is field. 1.5% per month and/or an annual percentage of 18.0% will be charged on all past due accounts. Contractors are required by law to be
licensed and regulated by the Contractor's State Board. Any questions concerning a contractor may be referred to the register of the board whose
address is: Contractors State Licenses Board, 9835 Goathe road, Sacramento, CA 95827. Mailing address: P.O. Box 26000, Sacramento, CA 95826.
The above prices, specifications and conditions are satisfactory and are hereby accepted.
Owner's Signatur Date
(or authorized representat a
Contractor's Signature Date
it
Notice:
(Section7019- Contractors License Law)
" Under the Mechanics' Lien Law, any contractor, subcontractor, laborer,
material man or/other person who helps to improve your property and is not paid
for this labor, service or material, has a right to enforce his claim against your
property. Under the law you may protect yourself against such claims by filing
before commencing such work of improvement, an original contract for the work
of improvement of a modification, thereof, in the office of the county where the
property is situated and requiring that a contractor's payment bond be recorded in
such office. Said bond shall be in an amount not less than fifty percent (50%) of
the contract price and shall, in addition to any conditions for the performance of
the contract, be conditioned for the payment in full of the claims of all persons
furnishing labor service, equipment or materials for the
Notice '
"Under the Mechanics Lien law any
contractors, subcontractor, laborer, supplier or
other persons who helps to improve your
property but is not paid for his work or
supplies, has a right to enforce a claim against
your property. This means that, after a court
hearing, your property could be sold by a court
officer and the proceeds of the sale used to
satisfy the indebtedness. This can happen even
in full, if the subcontractor, laborer, or supplier
remains unpaid".
Buyer's Rights to Cancel
You may cancel the Agreement or offer referred to above anytime prior to midnight of the third day (excluding Sunday) after the day
you signed the agreement or offer. If you cancel and you have already made some payment to the seller the seller is entitled to retain
out of the payment, as a cancellation fee. Five percent (5%) of the cash price of the goods or service, but in no event may the seller
retain more than fifteen dollars ($15). You may give notice of cancellation by mailing a signed and dated statement to the seller at the
address indicated. In order to have proof of the mailing it is recommended that you mail the statement by registered or certified mail.
Notice to Owner
Under the California Mechanics Lien Law, any contractor, subcontractor, laborer, supplier or other persons who help to improve your
property but is not paid for his work or supplies, has a right to enforce a claim against your property. This means that, after a court
hearing, your property could be sold by a court officer and the proceeds of the sale used to satisfy the indebtedness. This can happen
even if you have paid your own contractor in full, if the subcontractor, laborer, or supplier remains unpaid. To preserve your right to
file a claim or lien against you property certain claims such as subcontractors or material supplies required to provide you with a'
document entitled "Preliminary Notice". Original (or Prime) contractors and laborers for wages do not have to provide this notice. A
Preliminary Notice is not lien against your property; its purpose is to notify you of persons who may have a right to file a lien against
your property if they are not paid. (Generally, the maximum time allowed for filing a claim or lien against your property in ninety (90)
days after completion of your project).
To insure Extra Protection for Yourself and Your Property You May
Wish To Take One or More of the Following Steps
1. Require that payments be made directly to subcontractors and material suppliers through a joint control. Any joint control agreement
should include the addendum approved by the Register of Contractors.
2. Issue joint payments, made out to both your contractor and subcontractor or material suppliers involved in the project. This will help
to insure that all persons due payment are actually paid.
3. After making payments on any completed phase of the project, and before making any further payments, require your Contractor to
provide you with unconditional lien release signed by each material supplier, subcontractor an laborer involved in that portion of the
work for which payment was made. On projects involving unconditional lien release, the persons signing these releases lose the right to
file a claim against your property. In other types of construction this protection may still be important, but may not be as complete.
Applicable Law
This Agreement, and all the rights and obligations of the parties under this Agreement, shall be governed by the law of the State of
California.
Consequential Damages
Buyer shall not be entitled to recover any incident or Consequential damage as that term is defined in Commercial Code Section 2715.
Attorney's Fees
In the event of litigation arising out of this Agreement, or the performance or interpretation thereof, the court will award reasonable
attorney's fees to the prevailing party.
No other agreement
This Agreement is full and final Agreement of the parties and no written or oral communication between the parties before the
execution of the Agreement will modify or amend the Agreement. The Agreement may be modified only by a written document signed
by both parties.
Liquated Damages
In the event of a breach of the payment terms of this agreement, it is agreed that the seller's
(Contractors/Subcontractors/Suppliers)actual damages caused by such a breach are difficult and impractical to determine and include,
among other things, administrative costs for billing, accounting for and collecting past due payments. Accordingly, buyer agrees to pay
seller liquidated past damages as delinquency/service charges on all accounts past due at the rate of 1.5% per month, annual percentage
of 18.0% until paid in full. This agreement to be a reasonable method for fixing seller's damage so rising.
A-1 GRIT COMPANY
t -2 {z�
<�nF
$x'• i- ro 7 �} - - s q Yet a .d r� ql° IY,d,je 1. i d'' t y. c ■. f'��.
signi
A SOLUTION in meeting Title 24 regulations
for BUILT-UP ROOFING _(BUR)
A-1 GRIT'S GLACIER WHITE Tm is Title 24 Compliant and
provides the following advantages:
• Simple, One-time Application
• Reliable
• Economical
• Fire. Resistant
• Aesthetically Pleasing
GLACIER WHITE'° aggregate is a natural resource -'
that is
processed to become a highly reflective mineral surface used to
reduce energy costs.
1.800 -266 -GRIT
W,"rw-A] GRIT.com
l
A
CC
Sd- Rdhrta 0.72 Fmfng
71etmal Eminence 0.78 Pesdmg
� Product ID Numbs 0986_0002
soot.aC
M7rCOUNL7L
lxsmed SellaIDNumber
0-986l:G
C1u.4Fieation F1'odoGim Ljx
aol a.awi:e C,a,a � w anemina0 tor. r a x, oraaoe.;om.a �.a k �}n9ri+a
re.a�Q's�,..rmaw�tk.o„a mraatzw�.ear,�a+e.ar
s wss wta.�..a—rte
>�ottaan++er r eea�p.vr aaevt.m a cmmce.tm.r,.p�e�.r
Coal RnafRa"vF Cad paao�y
Prescriptive Certificate of Compliance: Residential Reroof CF -1 R-ALT-ReRoof
Project dr ss:' 1 / e ��Y, non „`
Climate Zone
Permit #
ROOFING PRODUCTS (COOL ROOFS) §151012
When the area of exterior roof surface to be replaced exceeds 5001. of the existing roof area, or 1,000 W, whichever is less, the new
roofing area must meet the'roofing product "Cool Roof" requirements of§152(b)1Hi, 152(b)1Hli, or 152(b)1Hili.
Check applicable alternative or exception below if the roof alteration is exempt from the roofing product "Cool Root' 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/fe.
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 hr-ft2-IF/Btu 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(010; 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 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(6)1 Hiii, 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 Ib/ft2 are exempt from the Cool Roof criteria.
NOTE: If any one of the alternatives or exception is checked the Aged Solar Reflectance and Thermal Emittance requirements for roofing
products in § 118(i) are not applicable. Do not fill table below.
NOTE: When a Cool Roof is required, the installing contractor shall complete and submit the CF -6R -ENV -01 for final inspection.
Declaration Statement
Roof Slope
Product Weight
Product Aged Solar
Thermal
Signature:
CRRC Product ID Number'
<- 2:12 > 2:12
< 51b/ft2 >_ 51
_Type 2 Reflectance 3,4
Emittance
SRI
V
�}�
❑
IJ
❑
❑4
,�
r
O
❑
❑
❑
❑4
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.coolroofs.ora/oroducts/search.oho
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(pk w — 0.2) 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.energy.ca.aov/tit/e24/ and enter the resulting value in the SRI Column above and attach
acopy of the SRI- Worksheet to the CF -1R.
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 is required, the installing contractor shall complete and submit the CF -6R -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.
Name:
so
Signature:
Company: `
Date: l
Address: \,
v \L9 / License:
City/State/Zip: ,'
1�1 i� `"�� Phone:14
For assistance or questions regarding t4 Energy Standards, contact the Energy Hotline at: 1-800-772-3300.
Bin.#
Qty of La Qulntd
Bulldog az' Safety Division
P.O. Box I504,78-495 Calle Tampico
La.Quinta, CA 92253 - (760) 777-7012
Building Permit App 190on and Tracking Sheet
Permit #
ProjectAddress:
In -e✓ u s Name:. rr-uLn
A. P. Number.
Address: qcf V
Legal Description:
City, ST, Zip: LC4 GU ( aro q <
Contractor.
N
e a Telephone:^ �
Address:
x ``2Y5 q Project Desccip on:
City, ST, Zip: a.
Telephone: zcy09
(
State Lie. # : ,
City Lie. #;
Arch., Engr., Designer.
Address:
City., ST, Zip:
Telephone:
Construction Type:. Occupancy: .
,,r . „,r� » :. Project type (circle one): New Add'n Alter Repair Demo
State Lie. #:
Name of Contact Person:
twSq.
Ft.:
#Stories:
# Units:
Telephone # of Contact Person: ` , —� Estimated Value of Pcoject:
# Submittal
Req'd
APPLICANT: DO NOT WRITE BELOW THIS UNE
Recd TRACKING PERMIT FEES
Plgn Sets
Plan Check submitted
Item Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit...
Truss Cates.
Called Contact Person
Plan Check Balance
Title 24 Cales.
Plans picked up
Construction
Flood plain plan
Pians resubmitted,'.
Mecharilcal
Grading plan
r' Review, ready for correctiouslissue
Electrical
Subeontactor List
Called Contact Person
Ptumbing
Grout Deed
Plans picked up
S.MX
H.O.A. Approval
Plans resubmitted
Grading
IN ROUSE:-
1rd Review; ready for correctionslissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr -
Date of permit issue
School Fees
Total Permit Fees