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12-1156 (RR)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: 1 12-00001156 -, 54700 AVENIDA'JUAREZ 774-263-010-15 -000000- RE-ROOF COVE RESIDENTIAL 21000 Ta�,v °F e(PQ�&& Architect or Engineer: �JR BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 111f%J1 - - .f r!NA4c LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am ' d under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busin nd Pr s Code, and my License is in full force and effect. License Cla s: C39 cense No.: 753053 Date: �Contraao : I hereby affirm under penalty of perjury that I am exempt omontractor's State License Law for the following reason (Sec. 7031.5, Business and Professions e: 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 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: CHARLIE MORGAN 54700 AVENIDA JUAREZ LA QUINTA, CA 92253 Contractor: CONEX ROOFING COMPANY 13502 VINTAGE PLACE CHINO, CA 91710 (888)087-4669 Lic. No.: 753053 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-1153 Date: 10/02/12 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 workerscompensation insurance carrier and policy number are: + . Carrier ULLICO CASUSLTY Policy Number WCS11809600 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 'ect to the workers' compensation laws of California, and agree that; if I sh ul become subject t the workers' compensation provisions of Section 3700 of the Labor ode, I's I h 't comply wit visio 15-., e: �D-2-%£Y pplica WARNING: FAILURE TO S UR ORKERS' COMP d1SAr N COVERAGE NLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO RIMINAL,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. 1 certify that I have read this application a ate th�t�eabinformation is correct. I agree to comply with all city and courity ordinances and state a s relating tonstruction, and hereby auth representatives of this county to enter upontlie ove-mom ' rpection purposes. or Application Number . . . . . 12-00001156 Permit . . . RE -ROOF Additional desc . Permit Fee . . . . 30.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 3/31/13 Qty Unit Charge Per Extension BASE FEE 30.00 ---------------------------------------------------------------------------- Special Notes and Comments REMOVE EXISTING CLAY TILE & RE -ROOF WITH CRRC APPROVED TILE. 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 Prescriptive Certificate of Compliance: Residential Reroof CF -1 R-ALT-ReRoof Pr ;nt Address: Climate Zone Permit # 1. ROOFING PRODUCTS (COOL ROOFS) §151(f)12 When the area of exterior roof surface to be replaced exceeds 50•/ of the existing roof area, or 1,000 ff, whichever is less, the new roofing area must meet the roofing product "Cool Roof" requirements of §152(b)1Hf, 152(b)IM, or 152(b)MM. Check applicable alternative or exception below if the roof alteration is exempt from the roofing product "Cool Roof" 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/Ib/ft2. Alternatives to §152(b)l Hi and §152(b)Hii, Steep -slope roof (pitch > 2:12) ❑ Insulation with a thermal resistance of at least 0.85 hr•ft2• °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(010; or ❑ In climate zones 10, 12 and 13, with 1 ft2of 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(b)l Hili, 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. VOTE. If any one of the alternatives or exception is checked the Aged Solar Reflectance and Thermal Emittance requirements for ronlinn , l uut a nr y 1 loft/ a1C nul appllcaole. uo nor nu taDie twow. CRRC Product ID Number Roof Slope <- 2:12 > 2:12 Product Weight < 5lb/ft2 >_ 5lb/ft2 Product Type 2 Aged Solar Reflectance3.4 Thermal Emittangq SRI /� / / VVV ❑ ❑ C�� ✓ R I Lic e: City/State/Zip: 7� D ❑ ❑ ❑ ❑ ❑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/searoh 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(phw — 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 gov/tit/e24/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 AtnTIC• When r`,.,,! o,. it ,.,j .1._ — • —• • • • •�• • w ���• •1.may,,,, Ulu 111014111119 wnlrackur span comptere ana suomn the cF-6R-ENV-0l 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. • I certify that the energy featuMk and performance specifications identified on this Ce ' ' 1 an_d.6.Qf the California fa6dedf- uulla�tions. e of Comp is conform to the requirements of Title 24, Parts Name: ,R Sig ure: Company: c Date: `( Address: - �� � Lic e: City/State/Zip: 7� D Phone: r f r_ Fur assrsrance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-7724300. a i # City of La Quinta ' Building 8t Safety Division Permit # 1 P.O. Box 1504, 78 495 Calle Tampico �t l� ta.Quinta, CA 92253 -:(760) 777-7012 Permit Building Application and Tracking Sheet . Project Address: wna'sName:. i A. P. Number. A r (} Legal Description: City, ST, Zip: ts)G Z i Contractor. Telephone: Address: L , Project Description: City, ST, Zi C I 0 i Telephone:�;�r i State Lic. # : City Lie. #; L ' Arch., Engr., Designer.. N i F 's . . Address: 1.7- City., ST, Zip: Telephone: Construction Type Occupancy: State Lie. #: Project type (circle one): New Add'n Alter ..Repair Demo Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: 7/V Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd Recd TRACKING PERMIT FEES Pfau Sets Plan Check submitted Item Amount . Structural Cates Reviewed, ready for corrections Plan Check Deposit. . ' Truss Calcs. Called Contact Person Pian Check Balance _ Title 24 Cates. Plans picked up Construction - Flood plaid p(ao Plans resubmitted.. -Mechanical — --- - --- Grading plan 2T'! Review, ready for correctionstissue Electrical -- -SubeoutactorList— -- Called Contact Person Plumbing `- - Grant Deed Plans picked up S.M.L H.O.A. Approval Plans resubmitted Gradiug IN fiOUSE:- ''d Review; ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees