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14-0364 (RR)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 14-00000364 Property Address: Z7.850-76ALLE NOGALES _ -- APN: 773=3'02'_:024-11 -000000- Application description: RE -ROOF Property Zoning: COVE RESIDENTIAL Application valuation: 7200 . T4&f 4.4 Q" - Applicant: Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: C. V. H. C. 45701 MONROE STREET LA QUINTA, CA 92253 (760)347-3157 Contractor: SOUTHWEST ROOFING P.O. BOX 126 INDIO, CA 92202 (760)578-3735 Lic. No.: 787029 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 PR CITI! A ' i 4 QUINTA Date: 4/03/14 ------------------------------------------------------------------------------------------------- < LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION 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 Bu ess and Professions o , 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 icens No.: 787029 _ for by Section 3700 of the Labor Code, for the performance of the work for which this permit is c� issued. Date-����'�T C _ 1 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 9041840 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 becomes bject to the w s' compe sation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor C e, I shall fo with comply with hose pro Bions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by , -'r any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: D ateY'3 ". "1 A�pplic7nt: (_) 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 WARN ING:SFAILURE 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 improvements 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.). (_ 1 1, 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 th be information is correct. I a e to comply with all city and county ordinances and state laws relating to b dd' g constru ion, ari ffereby out ize representatives of this county to enter upon the_aboye-mentioned grope for ins c on purpbles. Application Number . . . 14-00000364 Permit RE -ROOF Additional desc . Permit Fee . . . . 60.06 Plan Check Fee .00 o Issue Date . . . . Valuation 0 Expiration Date . 9/30/14 Qty 'Unit Charge Per Extension 1.00 48.6200 LS . MISC RE -ROOF, IST 2000 SF 48.62 1.00 11.4400 EA MISC RE -ROOF, ADDL 1000 SF '11.44 ---------------------------------------------------------------------------- Special Notes and Comments REMOVE & REPLACE EXISTING TILE TO INSTALL MEW OSB WITH RADIANT BARRIER #40 FELT UNDERLAYMENT 2013 CBC. 2010 CEC ---------------------------- ----------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 PLAN CHECK, RE -ROOF 97.24 Fee summary Charged Paid Credited Due ----------------- ------ Permit Fee Total 60.06 .00 .00 60.06 Plan Check Total .00 .00 .00 .00 Other Fee Total 98.24 .00 .00 98.24 Grand Total 158.30 .00 .00 158.30 as LQPERMIT f Din # Qty Of % Qufnta Building 81• SafM Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 . Building Permit Application and Tracking Sheet Permit # p Project Address:, — 0-s-0 4- ^ C' Owner's Name: C _ ( , `C,_ A. P. Number: Address: 4_-70 M 0 r D E S7C t56 -T -- 6-1Legal Legal Description: City, ST, Zip: N Contractor: �7 VTele hone:i6 — 1 1 > z<>? Address: �� Q ��' (Z Project Description: City, ST, Zip: '7Z /v (:��:lD � ZZO 'Z,_ , Telephon 1 �P 3 C L State Lic. # : 7 Z City Lic. r ^v— N C_ L: Arch., Engr., Designer: Address: City., ST, Zip: Telephone: hone: Constructi n Type: State Lic. #:Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.:2 "'j t9fl# Stories: # Units: Telephone #,of Contact Person: Estimated Value of Project:�=— APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan god 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 corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees Prescriptive Certificate of Compliance: Residential Reroof CF -1 R-ALT-ReRoof Project Address: Climate Zone . Permit # Pi OOFING PRODUCTS (COOL ROOFS) §151(1712 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)1Hi, 152(b)1Hfi, or 152(b)1Hiii. 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 weightless than 5/Ib/ft2. 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 hrrft2•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(1)10; or ❑ In climate zones 10, 12 and 13, with 1 ft2 of free ventilation area of attic ventilation for every 150 fe 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 W Building has radiant barrier in the attic meeting the requirements of §151(1)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 Hfii, 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 Coot 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. CRRC Product ID Number Roof Slope <_. 2:12 > 2:12 Product Weight < 51b/ft2 >_ 51b/it2 Product Type 2 Aged Solar Reflectance 3,4 Thermal Emittance SRI Ift ❑ ❑ ❑ ❑ ;: /State/Zip I � L+ /� /v Z /� ❑4 ❑ ❑ ❑ ❑ ❑4 Note: I1 no CRRC-1 label is available, this compliance method cannot be used, use the Performance Approach to show compliance, 1. The CRRC Product IO Number can be obtained from the Cool Roof Rating Council's Rated Product Directory at www.coolroofs.ora/nroducts/search PhD 2. Indicate the type of product is being used for the rooftop, i.e. singl"ly roof, asphalt roof, metal roof, etc. . 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-egoation-i0. *"(p... — 177) ro o am a calcuialed value-. Where p is the Initial Solar Reflectance. Check box if the Aged Reflectance is a calculated value using the equation above. Calculate the SRI value by using the SRI- Worksheet at httnl/www.enerov ca oov/title241 and enter the resulting value in the SRI Column above and attach acopy of the SRI- Worksheet to the CF -1 R. o apply Liquid Field Applied Coatings, the coating must be applied across the entire roof surface and meet the dry mil thickness or coverage ecommended 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 A111TC• when /`...J On .l:.. -.:__-l .1-_ :_ --- • • • ,. IUw11�V, lilC 111,rdmng contracror snag complete and submit the CF -UH -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 1 and 6 of the California Code of Regulations. ertificate of Compliance conform to the requirements of Title 24, Parts Name:�.• �Cc�-•�` CP CF., ��� Sign e: \ Company: Date: Address: (n Q � 'sO' Z `f' License: Q •� 7 �J ;: /State/Zip I � L+ /� /v Z /� Phone: Flo 0? S7 1 -07 -assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.