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10-0255 (RR)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 s.. Application Number:1'0 00:000255—) Property Address: 50925 PALOMA CT. APN: 770-104-002-3 -000000- Application description: RE -ROOF Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 4600 Applicant: Architect or Engineef: /I I BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: DAVIS WILLIAM P 50925 PALOMA CT LA QUINTA, CA 92253 (760)564-3566 Contractor: .'. FOAMBOND CORPORATION 255 N. EL CIELO STE 140-65( PALM SPRINGS- CA -.92262 (866)404-544Q Lic. No.: 868171 VOICE (760) 777-7012. FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/25/10. . :LICENSED CONTRACTOR:SDECLARATION . VORKER'S-COMPENSATiON+DECLARATION •I hereby affirm underpenalty of perjury that 1 am licensed under, proyisions of -Chapter 9 (commencing with I hereby affirm under.penalty of perjury one of the following declarations:. Section7000)of Division 3 of the Business and Pr k sionalsCode,• and my license is in full force and effect: and will maintaima•certificate of consent to self -insure for workers' compensation, as provided; License Class:' C39. License No.:, • 868171 - _Lhave - t for ;by Section 3700•of the Labor Code, for the performance ofthe'work for which this. permit is .. ... issued... _ .,... . /• f/ Date:- -7 Contracto I have and -will maintain workers', compensation insurance,asrequired by Section. 3700 ofthe.Labor -compensation - •,Code, for pert_ orrriance of the work for which this permit is issued. My workers' ' OWNER -BUILDER -DECLARATION insurance�carner and policy number are: I hereby affirm under penalty of perjury that.l.am exempt from the Contractor's State License Law,for the Carrier STATE COMP �• - Policy -Number :639-0000154- .' - following reason (Sec.. 7031.5,'Business and.Professions Code". Any ,city;or`county that requires.a permit to - � _ 1 certify that, in the performance of the work for which this permit is issued, I shallnot 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 heor-she is licensed.pursuant to the. provisions of the Contractor's State and'agree that, if 1 should become subject to theworkers' compensation provisions of Section License Law (Chapter9 (commencing with Section.7000) of Division'3 of the.Business and Professions Code) or 0• 370 o1'the Labor Code, I shall forthwith comply with those provisions. that he or she is exempt. therefrom and the basis for alleged exemption. Any violation of .Section 7031..5 by for:a.permh of five hundred dollars 0500).:. ? � Date-:_/_ � �ri , e l any applicant subjects the applicant to a civd•.penalty not more than (_ 1 I, as owner,of the property, or my employees with wages as their sole.compensation, will -.do the work, and p'licant:, -- N , 1' • ,.. .S. .:.: - . ' the structure isnot intended or offered for'sale`(Sec: 7044,, Business and Professions Coder The r WARNING: FAILURE TO SECURE WORKERS' -COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL - . ' Contractors' State License law: does not apply, toan owner of property who builds or improves thereon, SUBJECT'`AN EMPLOYER TOCRIMINAL PENALTIES .AND CIVIL FINES UP TO ONEHUNDRED THOUSAND • and'who'does:the work himself or herself through his or her own'employees, proyided.that.the DOLLARS 1$100,000), IN ADDITION TO :THE COST;OF:COMPENSATION,lDAMAGES AS PROVIDED FORIN* . ..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 yearof completion, the owner builder will have the burden of proving that he or she did not build or - .' improve,for-the.purpose'of sale.). '` - - -' APPLICANT ACKNOWLEDGEMENT (_) I, as owner of ttie'property, am,exclusively,contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby madelto the Director of Building and Safety for a permit subject to the . 7044; Business and Professions Code: 'The Contractors' State License Law doesnot apply.to an owner of .conditions and restrictions set forth on this application.' . property"whb builds'or improves thereon, an&who co6tracts for the projects with a contractor(s) licensed 1 . Each person upori whose behalf this application is made, each person at whose request and for pursuant to the Contractors' Statelicense Caw.). - - - - .whose benefit work is performed under or pursuant to any permit issued as a result of this application, (_) I am exempt under Sec. B.&P.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and hold:harmless the City 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.I. Lender's Name: Lender's Address: LQPERMIT 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 perniifissued 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 count to en/t%e%� upon the above-mentioned propert for inspection purposes. ,at re:� —Z�' `5 igMum..(Applican. t -or: Age LQPERMTT Application Number . . . . . 10-00000255 Permit RE -ROOF Additional desc . Permit Fee . . . 30.00 Plan Check Fee .00 Issue Date Valuation . . . . 0 Expiration Date 9/21/10 Qty .Unit Charge .Per Extension BASE FEE 30.00 Special Notes and Comments RE=ROOF GRAVEL.SWEEP PRIMER,FOAM,.BASECOT,,_. _ ..» -. ..TOPCOAT WITH':GRAVEL PER 2007 CODES... 4 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." _.0'0 Other Fee Total 11.00 .00 0.0; 1`.;00` " Grand Total 31.00 0.0 00. 31.00 i LQPERMTT Prescriptive Certificate of Com liance: Residential Reroof CF -1 R-ALT-ReRoof Project Address:CIIMate29ne Permit # 2- L/Z / G f �� Q�� �a 7 ROOFING PRODUCTS (COOL ROOFS) §151012 y When the area of exterior roof surface to be replaced exceeds 50% of the existing roof area,. or 1,000 , whichever is less, the new roofing area must meet the roofing product "Cool Roof'requirements-of §152(b)1Hf, 152(b)1Hii, 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 MbM2. Alternatives to §152(b)1 HI and §152(b)Hii, Steep -slope roof (pitch > 2:12) ❑ m ulation with a thermal resistance of at least 0.85 hr-fl?-'F/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 ventilatiom area is within 2 feet vertical distance of the roof ridge; or O' Building has at least R-30.ceiling insulation; or ❑ Building has radiant barrier in the attic meeting the requirements of §151(02; 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)l Hiii, Low -slope roof ( pitch 5 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 lb/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 rooting products in § 11.8(1) are not applicable. Do not fill table below. CRRC Product ID Number . Roof Slope 5 2:12 > 2:12 Product Weight < 5lb/ft2- Product Aged Solar Thermal z' 51b/ft2 - T'ype2 Reflectance3A Emittance SRI (t 44 e ❑ ��' r'v C'OG�r n p4 - ❑ ❑ .❑ 0 ❑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 Directoryat www.coolroofs:omlproducts/search php 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(pi,1w — 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 httn://www. enerov.ca.00v,4itle24/and enter the resulting valuein the SRI Column above and attach atopy 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 cover -ecommended by the coatings manufacturer and meet minimum performance requirements listed in §11'8(i)4. Select the applicable coating: IU Aluminum -Pigmented Asphalt Roof Coating D 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 • I 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: Signature: Company: // f' D —,w d Date: F. 2 2 C ' o e - 5 License: g� r/ % City/State/Zip—Phone: Fns _--- • ,vul •...y 1.1C crneryy atanaaras, contact the Energy Hotline at. 1-800-772-3300. Bin # City of La Quinta Building.- & Safety NWslon P.O. Box 1504,:78-495 Calle Tampico La Qulnta;'CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet., Permit # f Project Address: L �G o wt a i 4 Owner's Name: l / G �� e• v $' A. P. Number: Address: SU- /�Z f GG a Cj%• Legal Description: City, ST, Zip: t cit Contractor. �O G /� ;. G /c� (0�I Telephone: 0- f -6y Address: Z �s (' ,. S ly-d,'( Project- Description: City, ST; Zip: i Gc S G C C, G G CA— Tele hone: Telephone: City Lie. #: State Lia # : (� Arch., Engr., Designer: Address: City., ST, Zip: State Lic. #: ;ix• . xa ck...:..Construction Sti;^!.ii '^OCC! -:f :x:?t^;• �?,�;,�{{St' { f�°tryy4r l�iyg'>�� ... - e: , Occupancy:Typ 'Project type (ctrcle one): Add'n Alter Repair Demo Name of Contact Person: prl/,'Sq. ,New Ft.: #Stories: #Units: Telephone # of Contact Person: Q - ` �_ DG71Estimated Value•of Project: Q(� 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 r 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 2°" Review, ready for correctionwluue Electrical Suticontactor List Called Contact Person Plumbing Grant Deed Plansu icked P P S:M.I. H.O.A. Approval Plans resubmitted Grading. IN HOUSE:- 34 Review, ready for'corIrecdons/issue Developer Impact Fee Planning Approval Called Contact Person A.1-P.P. Pub. Wks. Appr Date of permit issue Schodl Fees Total Permit Fees