11-1328 (RR)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number. --11-00001328
Property Address:
76925 AVENIDA FERNANDO
APN:
658-240-029- -
Application description:
RE -ROOF
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
12300
T,i`(t'4'4Qum&
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
CURTNER PATRICIA
76925 AVENIDA FERNANDO
LA QUINTA, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/14/11
Contractor: A U ,j
Applicant: Architect or Engineer: VALLEY PAINTING & ELASI TNGS j
P.O. BOX 182. �;j y
CATHEDRAL CITY, CA 9223`• Ut.-V 2011 i
LA
(760)321-0830
aLA LiC. No.: 671610 ! CITY OFLAQUINTA
-
----------------------------------------------------------------------------=------------- - - - - - -
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 y License is in full force and effect.
License Class: B C33 C39 _ License No.: 671610
Date: l ntractor:
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).:
(_ 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
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 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 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: r
LQPERMIT
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
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 STATE FUND Policy Number 0022009-2010
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 Id become su '.ct to the worke s' compensation provisions of Section
3700 of the La r Co e, I shalVoravith comply wi those provisions.
85te:1 : scan
WARNING: FAIL RE 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 cancella '
I certify that I have read t ' pplicatio and state th the above information is correct. I agree to comply with all
city end county ordinanc s and state I s rela in wilding construction, and eiel authorize representatives
of thi co nt to enter u on t e -me do roperty for inspection oses.
Kate:(' na re o Ag
aD
Application Number . . . . 11-00001328
PermitRE-ROOF
Additional desc .
Permit Fee 30.00
Plan Check Fee
.00
Issue Date
Valuation . . .
. 0
Expiration Date 6/11/12
Qty Unit Charge Per
Extension `
BASE FEE
30.00
------------------------------------------------------------------------
Special Notes and Comments
APPLY URETHANE FOAM ROOFING.OVER BUILT
UP ROOF. REMOVE GRAVEL, CLEAN,
PREP,PRIME, FOAM AND COAT. 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
LQPERMIT
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Prescriptive Certificate of Cornpli2
Project Address:
V
Residential Rero {of �\
A A AA. L. O
Zone
CF -1 R-ALT-ReRoof
ROOFING PRODUCTS (COOL ROOFS) §151(,)12
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 §152(b)1Hi, 152(b)1Hii, or 152(b)141,1.
Check applicable alternative or exception below if the roof alteration is exempt from the roofing product "Cool R requirements::
❑ Cool roofs ,Cot 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 1-4, and 16 with a steep -sloped roofs (greater pitch than 2:12) and p ud weight fess than 511b/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-OF/Btu or at least a 314 inch air -space is added to the roof deck over an attic; or
❑ Existing ducts_ in the attic are insulated and seated 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 dstance 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 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)1 Hiii, Low -slope roof ( pitch 5 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 exempt from the Cool Roof criteria.
❑ Roof constructions that have thermal mass over the roof membrane with at least 25 Ib/RZ are exempt from the Cool Roof criteria-
ffgJE. if any one of the alternatives or exception is chec*ed the Aged Solar Retiectanoe and Thermal Emittence 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~M-ENV-01 for final inspection. nwF v
Declaration Statement
Roof Slope
Product Weight Product Aged Solar Thermal s
CRRC Product ID Number'
S 2:12 > 2:12
< 5lbR 2 5168 Type? Reftectancel4 E mittarwe SRi
P. ss: C # U i r� r W O License:
b l
103
13 34
❑
❑
!E33
❑ b4
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 cooiroofs.oro%roducts/search.ahn
2. Indicate the type of product is being used for the roof top. La. 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(phw — 0.2) to obtain a calculated aged value. Where p is the Initial Solar Reflectance.
4. Check box it the Aged Reflectance is a calculated value using the equation above.
5. Calculate the SRI value by using the SRI- Worksheet at htty:/fwww.enerov.ca.aov/titie24/ and enter the resulting value in the SRI Column above and attach
acopy of the SRI- Worksheet to the CF -IR.
To apply Liquid Field Applied Coatings, the coating must be applied across the entire roof surface and meet the dry mil thickness or coverag
recommended by the coatings manufacturer and meet minimum performance requirements listed in §118())4. Select the applicable coating:
[01 Aluminum -Pigmented Asphalt Roof Coating ❑ Cement -Based Roof Coating OthJ /
NOTE: When a Cool Roof is required, the installing contractor shall complete and submit the CF~M-ENV-01 for final inspection. nwF v
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 of the California Code of Regulations.
Name:Signat
V1�N ISA ice%
r
Company:� � nD ate: l
P. ss: C # U i r� r W O License:
b l
+ 1 u Phone: ILO
City/StatelZip: � CA-
For assistance or questions regWding the Energy Standards, contact the Energy Hotline at: 1-800-772.3300.
cv �. - �c- �.,• IV.oWt. .r,6L OCAWNa., IDUGIaGaUDf. •aa f�U.�G'IC(CU: N 'I/1. ,, ,: ' .
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These are.some owner requirements.
M
1. Owner must obtain all permits through City of La Quinta. -
2. ' OWner agrees to ensure that the contractor keeps the streets,
gutters and adjacent properties clean and free of dirt, trash,
debris or other material related to or caused by the work and
dean up of all street spills on a daily basis.
3. Construction hours are Monday. through Friday fraarn 8000
AM — IM„M. - Contrstruction not permitted on legal
holidays.
4. Owner will' be held responsible for any road damaged caused
by contractors work or vehicles. We strongly recommend use
of plywood sheets under paver stockpiles an on the road as
needed to protect the road surface from truck and bulldozer
scuffing during concrete removal and paver installation. This is
especially important during this period of extreme heat.
Please let me know if you have any additional questions. Thanks
Cc: Board of Directors
'thank you,
Carol Calhoun, CCAMO .
Community Association Manager
Desert Resort Management
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Bin #
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l.�Ly �� QUtnI.QI
Qty
Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
\3
Project Address: J'1
Owner's Name:'
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor:
Address:S `� C� (�
Project Description:
City, ST, Zip:CA - /��� I
Telephone -.1% n
.City
State Lic. #: VI Io
Lie. #
_
Arch., Engr., Designer:
-�
QAM
Address: ------
City., ST, Zip: -� —
–
Telephone:
Construction TY
Con Pe: pp Occupancy:
State Lie. #:
Proect a circle one): New Add'n Alter Repair Demo
Name of Contact Person: C
Sq. Ft.:
# Stories: L
# Units: `
Telephone # of Contact Person
�
Estimated Value of Project: t}
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2r' Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
Review, ready for correctiouslissue
Developer Impact Fee'
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees