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12-0182 (RR)P.O. BOX 1504 VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 3/01/12 - Application /01/12 - Application Number: 12=00006182 Owner: Property Address: 53313 AVENIDA NAVARRO CLOHESSY GEORGE H & CYNTHIA �� A APN: 774-094-015-4' -000000- 53313 AVENIDA NAVARRO J7 t+ Application description: RE -ROOF LA QUINTA, CA 92253 'J Property Zoning: COVE RESIDENTIAL ' �} A s Application valuation: 12000 �M1 'L JR V 1 ZQ1Z } !1 ' Contractor. CI iY c� ; Applicant: Architect or Engineer: BAZUA ROOFING . , t --A f,3u54 P.O. BOX 818 MECCA, CA 92254 (760)776-7663 1�,A Lia. No.: 628223 �+ NC 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 1 hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. - _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: C39 License No.: 628223 for by Section 3700 of the Labor Code, for the performance of the'work for which this permit is '` EO0 64Z-(4 4 Zln r1 issued. /Date � ontractor. �� �C�% ' 1 �I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor IF 7 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 1932753 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 State and agree that, if I should become 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 3700 of t e Labor Code, I shall forthwith comply with those provisions.. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by �ff' SII F � 6,1" � , ,a any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: ate: pplicant: '4 `�+R ( _) 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT M 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 anyact 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 ri inspection purposes. .Date:'nature (Applicant or Agent): Application Number . . . . . 12-00000182 Permit RE -ROOF Additional desc-. Permit Fee .. . . . 30.00 Plan Check Fee .00 Issue Date . . . . Valuation 0 Expiration Date 8/28/12. .Qty Unit Charge Per Extension BASE FEE 30:00 ------------------------------------------------------------------- Special Notco. and Commcnto - RE -ROOF OVER EXISTING LAYER OF ROOF MEMBRANE WITH ROLLED ROOFING SYSTEM. EXEMPTION FROM COOL ROOF REQUIREMENTS DUE TO NO DUCTS IN ATTIC. 2010 CODES.. Other Fees . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid Credited Due Permit Fee .Total 30.00 OA 00 .30.00 Plan Check,Total 00 .00 j.00 .00 Other Fee Total 1.00 .00 00 1.00 Grand Total 31.00. .00 .00' 31.00 . LQPERMIT - :Prescri tive-Certificate of,'Co .I6n :: Residential F Project: Address: . Climate ne Permit # et ratZec.;.,c� ROOFING PRODUCTS (COOL ROOFS) §151012 �. 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 rooting product "Cool Roof'.. requirements of §152(b)1 Hi, 152(6)1 Hii, or 152(b)1 Hiii. 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 riot required in Climates Zones 1-9, and 16 with a steep -sloped roofs (greater pitch than 2:12) and product weight less than 5Abfft2. Alternatives to §152(b)l HI and §152(b)Hll, Steep -slope roof (pitch > 2:12) ❑ Insulation with a thermal resistance of at least 0:85 hr•fe.*FBtu or at least a 3/4 inch air -space is added to the roof deck over an attic; or ❑ Existing duds in the attic are insulated and sealed according to §151(f)10; or O In timate zones 10; 12 and 13,'with 1 ft2 of free ventilation area of.attic ventlation 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 D Building has at least R-30 ceding 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)1Hiil, Low-Glope roof (pltch S 2:12) /,r 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 Ih ft2 are exempt from the Coot Roof adena. NO if any one of the alfematives 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. CRRC Product ID Number Roof Slope 5 2:12 > 2:12 O ❑ �Mrm Product Weight < 5lb/fe a 5lb/ft2 -E Product Type 2 Aged Solar Reftedance3'4 Thermal Ernittance SRI !i E3E34 . ❑ ❑ ---- [j4 - - - - — --- Note: I/no CRRC-f label is available, thiscompliance method cannot be used, use the Performance Approach to show compliance, 1. The CRRC Product ID Number can be obta/ne i from the Cool Roof Rating Councils Rated Product Directory at w�wv.coolroof� oraMroduacl earth nhv 2. Indicate the type of productis being used for the roof top, i. e. single-* roof, asphalt roof, metal roof, etc. . I. 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(ph" _ 0, 2) to obtain a calculated aged value. Where p is the'InNal Solar Reflectance. 3. Check box if the Aged Reflectance is a calculated value using the equation above. i. Calculate the SRI value by using the SRI- Worksheet at://tiVWW.enerov atopy of the SRI- Worksheet to the CF -1R• M22aovrtiye24/and enter.the resulting value in the SRI Column above and attach fo apply Liquid Field Applied Coatings, the coating must be applied across the entire roof surface and meet the dry mil thickness or covers eoommended by the coatings manufacturer and meet minimum performance requirements listed in§118(1)4. Select the g applicable coating: 7 Aluminum -Pigmented Asphalt Roof Coating ❑ Cement -Based Roof Coating ❑ Other ►OTE: 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. • I certify that the energy features and performance specification's identified on this Certificate of Compliance conform to the requirements of Title 24, Parts Land 6 of the California Code of R utations. Name: FADL) -�ZU Signature: Company: n F 0� A License- c City/StatefZip:n/1 .� ,. �, �D 2 0 2 2 3 1 L k/ Phone- - 76 For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300. Bin + � ;OfL �qi 11.11 '. . �Buikfh?g s .,Safety Division P.O..Box:1504,.:78,495•Calle Tamptco: l a.Qufita, CA 92253 -(760) 777-7012 Building Permit Appli6don:•and.Tracking Sheet ' d �• .. ProjectAddress: �J :, �%&KAetZo Owner'§Namer. A P. Number. Address: . Legal Description: Contractor. Z LA City,. ST, Zip: . Telephone: Address: (� .� .�� Project Description: City, ST, zip: WX 14 I 0/3 2-2 S L� V0bP O'(e c"X t r N 6 I )u F Telephone: D — State Lic. #: 2 �2 Ci C. City Lic. n •(�o11C�. .00FIN; Arch., Eagr., Designer. Address: City., ST, Zap: Telephone: Construction Type:. H Occupancy: State Lie. #: Prdeet c � type ( ircle one): New Aidd'n Alter Repair Demo Name of Contact Person: Sq. FL:?j dp # Stories: IN Units: Telephone # of Contact Person: Fstimatod Value of Project* 12, cw)-c> - APPLICANT: DO NOT WRITE BELOW THIS. LINE !I Submittal Req'd `Rev'd TRACING PERMIT.FEES Plan Sets Plan Check submitted. Item Amount Structural Calks. Reviewed, ready for convedons Plan Check Deposit. . Truss Cates. Called Contact Person Plan Cheek Balance Title 24 Cales, Plans picked up Constsaction Flood plain plan Plans resubmitted •' . Mechsrilcal Grading plan ' Review, ready for correctioneasue Electrical Subcontaetor List Called Contact Person Plumbing' Grant Deed Plans picked up SALL H.O.A. Approval Plans resubmitted Graolag IIOVS&_ '`" Review; ready for corrections/issue Developer Impact Fee Planaing Approval Called Contact Person A.LP:P. Pub. Wks. Appr - Date of permit Issue School Fees Total Permit Fees