BRER2015-0034LICENSED 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 Professions Code,
and my License is in full force and effect.
License Class: License No.:
Date:
Contractor:
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
( I as owner of the property, or my employees with wages as their sole
co ensation, 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
with' one year of completion, the owner -builder will have the burden of proving that
h he did not build or improve for the purpose of sale.).
( I, as owner of the property, am exclusively contracting with licensed contractors
to nstruct 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 ontractors' State License Law.).
(_YI am exempt under Sec. . B.&P.C. for this reason
Date: 7 i Owner:"��1�.� - . .
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 Na
Lender's Address:
. 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:
Carr ,Policy Number: _
I certify that in the performance of the work for which this permit is issued, I
shall no employ any person in any manner so as to become subject to the workers'
compensation laws of California, and agree that, if I should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply wit those p ovisions.
� q
Oate: /70 Applicant:I
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 Building Official 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 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 city to enter upon the above-
mentionell popen for inspection purposes.
Date: Signature (Applicant or Agent) Ola —N hf` 1
z
4a
VOICE (760) 777-7125
78-495 CALLE TAMPICO
D
LA QUINTA, CALIFORNIA 92253
FAX (760) 777-7011COMMUNITY
DEVELOPMENT DEPARTMENT
INSPECTIONS
(760) 777-7153
BUILDING PERMIT
Date: 4/23/2015
Application Number:
BRER2015-0034
Owner:
Property Address:
78160 CALLE NORTE
ROBERT DENHAM
APN:
770011081
78160 CALLE NORTE
Application Description:
DENHAM/RE-ROOF 1800
SQUARE FEET WITH COATING [0656-0002]
LA QUINTA, CA 92253
Property Zoning:
o
Application Valuation:
$5,000.00
c
a
Applicant:
Contractor:
m
ROBERT DENHAM
ROBERT DENHAM
S i�
78160 CALLE NORTE
78160 CALLE NORTE
z O CAD
LA QUINTA, CA 92253
LA QUINTA, CA 92253
.
n O
(562)787-3855
� 1
m
Llc. No.:
y �t
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 Professions Code,
and my License is in full force and effect.
License Class: License No.:
Date:
Contractor:
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
( I as owner of the property, or my employees with wages as their sole
co ensation, 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
with' one year of completion, the owner -builder will have the burden of proving that
h he did not build or improve for the purpose of sale.).
( I, as owner of the property, am exclusively contracting with licensed contractors
to nstruct 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 ontractors' State License Law.).
(_YI am exempt under Sec. . B.&P.C. for this reason
Date: 7 i Owner:"��1�.� - . .
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 Na
Lender's Address:
. 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:
Carr ,Policy Number: _
I certify that in the performance of the work for which this permit is issued, I
shall no employ any person in any manner so as to become subject to the workers'
compensation laws of California, and agree that, if I should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply wit those p ovisions.
� q
Oate: /70 Applicant:I
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 Building Official 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 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 city to enter upon the above-
mentionell popen for inspection purposes.
Date: Signature (Applicant or Agent) Ola —N hf` 1
z
Rt - Roo F
4
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CERTIFICATE OF COMPLIANCE
Prescriptive Residential Alterations
Project Name:
Date Prepared:
Y COMMISSION y
CFI R -ALT -01-E
(Page 1 of 4)
A. GENERAL INFORMATION
Ol
AM"
01
Project Name:
02
Date Prepared:
03
Project Location:
04
Building Front di jentafionlcleg or cardinal):'
05
CA City:
06
Number of Altered(gwelling Units: �`yt
0.7
Zip Code:
08
Fuel Type: ik .." � �
09
Climate Zone:
30
Total.Cond)tio ed Floor?0ea(ft2):'1
11
1 Building Type
12
1 S(ab,Xrea N2) I% VA `1h4-
••13
13
Project Scope:
Reflectance Reflectance Emittance (Optional) Reflectance Emittance (Optional)
i " `t 4 .,, W 11
' k 'obi
B. BUILDING INSULATION DETAILS (Section 150.2(b)1) `
Ol
02
03
04
05
06 08, X09
10
11
Tag/ID
Assembly Type
Frame
Type
Frame
Depth
(inches)
Frame
Spacing
(inches)
e1 Pro osed
Required
Comments
i►
ContlnUou
Cavity lnsulation
R -value.. *t:, R -value ,; Lifactor
Appendix JA4
Reference
U -Factor
Table. Cell
-*1
kti ck„
' initial Solar Aged Solar Thermal SRI Aged Solar Thermal SRI
Compliance
Pitch
Exception
, Number ,
r"'prgduct Type
1`nsulat on
Reflectance Reflectance Emittance (Optional) Reflectance Emittance (Optional)
Do
C. ROOF REPLACEMENT (Prescriptive Alteration, Sections150.2(b)1H),
Ol
02
03
04 ,A 3 -A
05 ..
� 06
14—f 170 08 09 10 11 12 13
-.
'R -value <f"
Proposed Minimum Required
Method of
Roof
CRRC P1od'uct ID
-*1
kti ck„
' initial Solar Aged Solar Thermal SRI Aged Solar Thermal SRI
Compliance
Pitch
Exception
, Number ,
r"'prgduct Type
1`nsulat on
Reflectance Reflectance Emittance (Optional) Reflectance Emittance (Optional)
Do
"� ``rte
V Y�'.•a
'
.i
NOTES
-integrated
• Roof area covered by, build ng photovoliilc panels and solar thermal panels are exempt from the above Cool Roof requirements.
• Liquid field applied cpatings,must comply with': installation criteria from section 110.8(i)4.
g
- W111,i
"oe
Registration Number:
CA Building Energy Efficiency Standards - 2013 Residential Compliance
Registration Date/Time:
HERS Provider:
June 2014
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CEC-CFIR-ALT-01-E Revised 06/14 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E
Prescriptive Residential Alterations (Page 2 of 4)
Project Name: Date Prepared:
D. FENESTRATION/GLAZING AREAS ALLOWED (Section 150.2(b)1)
Ol 02
04
03 ,E
.Alteration Type Orientation
Maximum Allowed ft2 Cgmrients
e.
E. FENESTRATION/GLAZING PROPOSED AREAS AND EFFICIENCIES (Section 150.2(b)1)
a:.
01
02
03
04
05
06
07
0$.
09
10
11
12
13
14
15
tx^
`Ug
Combined
Orientation
Area
Area '`'
r,40
Ma�,muAI
Exterior
SHGC
Tag/
Fenestration
Frame
Dynamic
N, S, W, E, or
Removed
Added E
Added
Alldwed
Shading
from
ID
Type
Type
Glazing
Roof
ft2
ft2
Area ft2
U fac or
U -factor
Source
SHGC
Source
Device
CF1R-ENV-03
a
Net Added We ac nog enestration Atrea
, ",
b
Existing+Add
m�O.Anfacing Fenestration rea
c
Maximum All edWest-facingFFe . s ation Area
°k
k x`
,
..
d
Is"West-facing Fenestration Area,<axlinunii'Allowed We t fdcrrjg Fenestrat
5
YAre;O.
e
Net Added Fenest�atign Area (all or; entatlons)
f
" Existing + Added Fenestration Area (alho Qrtations)
n
g
'v ;; Maximum,Allowed`FAestration Area (all orientations)
h
Is Existing +74ded'"Fenestration Area <'Maximum Allowed Fenestration Area (all
t I orientations)
Registration Number: Registration Date/Time:
CA Building Energy Efficiency Standards - 2013 Residential Compliance
HERS Provider:
June 2014
. J
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CEC-CFIR-ALT-01-E Revised 06/14
CERTIFICATE OF COMPLIANCE
Prescriptive Residential Alterations
Proiect Name:
C F 1 R -ALT -01-E
(Page 3 of 4)
Date Pre
F. SPACE CONDITIONING(SC) SYSTEMS - HEATING%COOLING .(Prescriptive section 150.2(b)) `
I
01 02 03 'T,
Dwelling Unit Name Dwelling Unit CFA (Ft2) Comm nt_ ted`— ti
•� 3 o IT
G. WATER HEATING SYSTEMS (Section 150.2(b)1G)'
as
01
02
03
04
05
06
07
1 '08
,9
`Nry10
d111�
r 12
13
14
15
Water Heating
Alteration to the Space
N of
Water
_ hr ` Name
;;Odentlfication or Name
Conditioning System(s)?
`_'�"'�
System
Water
Water
Water
Heaters
Heater
Storage?
Rated
q
R t".d
eatingertg
,
Exterior
Back -Up
Solar
Dwelling Unit DHW
Identification or
Heating
Heater
Fuel
Input
EfficiencyEfflciency
Standby
Name
in
Volume
,In�a
,,,�7alue
Insul.
Savings
Central DHW System'
System
System Type
Type
system
I (gal)
Type
TypeA
; Value
Lois,(%)
R -Value
Fraction
Distribution Type
Distribution Type
`
pTypg'
.- Ch
Shy'
N
z7!1 "Che
H. SPACE CONDITIONING SYSTEMS AND WATER HEATING SYSTEMS INIVIULTIFAMILY piV1ELLING UNITS
as
01
02
E fi
03s, 1,
04
05 "
06
f
Cent" �VJate[rHeating
s Nulling Unit
Dwelling Unit:
Dwelling UnittjTbt I,�CFA
Sys rr l'd ntification or
's WaterrHeating System
Alteration to the Space
Dwelling Unit Name
(ft2)
_ hr ` Name
;;Odentlfication or Name
Conditioning System(s)?
Comments
Registration Number: Registration Date/Time: HERS Provider:
CA Building Energy Efficiency Standards - 2013 Residential Compliance June 2014
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CEC-CF1 R-ALT-01rE (Revised 06114)
CERTIFICATE OF COMPLIANCE
Prescriptive Residential Alterations
Proiect Name: '
r
CALIFORNIA ENERGY COMMISSION 'N
CFIR7ALT-01-E `.
(?age 4 of 4)
Date Prepared:
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT`
1. 1 certify that this Certificate of Compliance documentation is accurate and complete. A '`
Docume Author Name:
Documental' th Signat
r
Pa6y:
Signatu Date:
4 z 6;
Address�;n/
CEA/ HERS Certification Iderftiflca(lon!(if applicable):Vp.
city/State/Zip:
Phone:
9��t 4''
RESPONSIBLE PERSON'S DECLARATION STATEMENT z� �V
I certify the following underpenalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Compliance is true and correct.,'
2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsifflity, for the buildin design?or system design identified on this Certificate of Compliance (responsible
designer). rales--�k;
3. That the energy features and performance specifications, materials, compondiitss;�'a�tca�manufacture� d-evice"'�$rfor the building design or system design identified on this Certificate of
Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the QUifornia Code of'RQg'Ulafions. CA -
C -1,
4. The building design features or system design features identified onth�ertificate of Coiplance are consisten. itQ
pKe information provided on'other applicable compliance documents,
worksheets, calculations, plans and specifications submitted to ti a e4forcement agency fo approval with this building permit application.
.5. 1 will ensure that a registered copy of this Certificate of Complia ee shall be made wAil ble with the builds; p m t(s) issued for the building, and made available to the enforcement agency
for all applicable inspections. I understand that a registged opy''of this Ce tificd eTof Compliance is t ire* to be included with the documentation the builder provides to the building
owner at occupancy.
Responsible Designer Nam"ficsponsible
Designer e:
k .
!Il q NA
Sr
u.
Company: a ria `. t
�9N? I
Date Signed•
y' r
ti '
Address: �Y ((FF
9'
i-5•.
License-
.
City/State/Zip:r"?vc .^
///\\\/////////�//���ggqqqqr„
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For assistance o'rquestions regarding the Energy Standards, contact the Energy Hotline at:•1-800-772-3300.
Registration Number: Registration Date/Time: HERS Provider:
CA Building Energy Efficiency Standards - 2013 Residential Compliance June 2014
Report prepared for: Brendan Dineen (Malarkey Roofing Products) on 10/31/2014 11:09:26 AM
� CDIRECT ruvEauEa�r>,
lintertek
LISTING INFORMATION OF Malarkey AC -14 Combustible Deck Slope 2:12
SPEC ID: 16168
Malarkey Roofing Products
3131 North Columbia Blvd.
PO Box 17217
Portland, OR 97217
This report is for the exclusive use of Intertek's Client and is provided pursuant to the agreement between Intertek and its Client.
Intertek's responsibility and liability are limited to the terms and conditions of the agreement. Intertek assumes no liability to any party,
other than to the Client in accordance with the agreement, for any loss, expense or damage occasioned by the use of this report. Only
the Client is authorized to permit copying or distribution of this report and then only in its entirety. Any use of the Intertek name or one
of its marks for the sale or advertisement of the tested material, product or service must first be approved in writing by Intertek. The
observations and test results in this report are relevant only to the sample tested. This report by itself does not imply that the material,
product, or service is or has ever been under an Intertek certification program.
Malarkey Roofing Products 16169 J Rev: Sep 18 2008 2:14PM Uncontrolled Copy . Page 1 of 3
Report prepared for: Brendan Dineen (Malarkey Roofing Products) on 10/31/2014 11:09:26 AM cDIRECT PD(a�RED#IYt�f
CLASS A
Comb. Deck
Slope: 2:12 (AC -14)
1. Optional Insulations: Manufacturer specified, certified insulations.
2. *1 -Ply 501, 503, 515 base sheet or inverted 502 cap sheet, mechanically fastened (optional when
minimum 1/2" insulation board is applied).
3. *2-, 3 -Plies 501 or 503 base sheet, 500, 506 ply sheet, fully adhered with ASTM -D312 roofing asphalt, hot
mopped.
4. *1 -Ply 350, 502 cap sheet, fully adhered with ASTM -D312 roofing asphalt,, hot mopped.
Note: The component materials of each system must be applied in the order in which they are listed,
above. -
For additional product information, visit Malarkey's website at www.malarkeyroofinci.com.
Evaluated to the following...
The roof covering systems in this section have been evaluated for external fire resistance Classifications A,
B, C as outlined by the following test methods:
• ASTM -E108 - American Society for Testing & Materials 'Standard Methods of Fire Test of Roof
Covering'
• FM -4470, Section 5.1.A - Factory Mutual 'Standard Method of Test for Fire Resistance of Roof
Covering Materials'
• NFPA-256 - National Fire Protection 'Standard Method of Fire Tests of Roof Covering'
• UBC -15-2-94 - Uniform Building Code 'Test Standard for Determining the Fire Retardancy of Roof
Covering Materials'
• CAN/ULC-S107 - Underwriters' Laboratories of Canada 'Standard Method of Tests for Fire
Resistance of Roof Covering Materials'
• UL -790- Underwriters' Laboratories Inc. 'Tests for Fire Resistance of Roof Covering Materials'
Each system listing identifies the deck substrate as either non-combustible or combustible. Systems
evaluated for combustible decks will provide the same ratings when applied over non-combustible decks.
Unless otherwise noted in individual listings, combustible decks shall be sheathed with a minimum 15/32"
veneer plywood or minimum 7/16" non -veneer APA rated sheathing panel (oriented strand board panels,
structural particleboard panels, composite panels or wafer -board panels) or 3/4" thick solid wood sheathing
boards. The component materials of each system must be applied in the order in which they are listed. All
components of the system must be listed for external fire exposure by an agency acceptable to the AHJ.
Some Roof Covering Systems have been evaluated for other performance characteristics, in addition to
external fire exposure. Where applicable, such additional performance characteristics are noted within the
specific listing.
In all cases, manufacturer's instructions should be consulted for. installation procedures and details not
covered by these listings.
Malarkey Roofing Products 116168 1 Rev: Sep 18 2008 2:14PM I Uncontrolled Copy Page 2 of 3
Report prepared for:.Brendan Dineen (Malarkey Roofing Products) on 10/31/2014 11:09:26 AM c .SIRE POHtEttEDBY
Listed Materials, are identified by a label or marking bearing the wording, "Listed Roofing Component', a
reference number or code and
the WHI Certification Mark.
Attribute
Value
Criteria
UBC 15-2 (1994)
Criteria
NFPA 256 (2003)
Criteria
CAN / ULC S107 (1987)
Criteria
FM 4470 Section 5.1.A
Criteria
UL 790 (2004)
Criteria
ASTM E108 (2005)
CSI Code,
07 30 00 Steep Slope Roofing
Intertek Services
Certification
Listed or Inspected
LISTED
Listing Section
ROOF COVERING SYSTEMS
Roofing: Deck Type
Combustible
Roofing: Fire Rating
Class A
Roofing: Maximum Slope
2:12.
Spec ID
16168
Malarkey Roofing Products 116168 Rev: Sep 18
2008 2:14PM Uncontrolled Copy Page 3 of 3
#911 ETERNALASTIC ELASTOMERIC ROOF COATING
TROPICAL ROOFING PRODUCTS' #911 ETERNALASTIC ELASTOMERIC ROOF COATING is'a professional
grade 100% Acrylic Elastomeric coating. Energy Star Approved, California Title 24 compliant, UL classified, Miami -Dade
County Approved, designed specifically for the rigors of professional'roofing. 911's durability pr*ovides superior adhesion y
on a wide variety of substrates and will. dramatically reduce roof temperatures while protecting the underlying roof
membrane, delivering extremely high elastomeric properties. Coating exhibits maximum flexibility in cold climates_.., ,
Meets ASTM D 6083. UL Classified '
PREPARATION: Surface must be clean and dry, free of moisture both on'and beneath the surface. Pressure
wash roof thoroughly to remove as much dust, dirt, and debris, as possible. After careful inspection of entire
.roof, repair all holes, cracks, tears or breaks with reinforcing fabric and #950 Eternamastic: #950 Eternamastic,
repairs can usually be coated within 24 hours. Coat newly applied asphalt emulsion as soon. as the emulsion
can take foot traffic without scuffing the surface, normally .7-10 days.
APPLICATION: Apply on warm, sunny days, preferably in the morning hours to provide maximum cure time.
#911 Eternalastic can be applied to a dry or slightly damp, but not wet, surface. Water must be swept out of all
puddles prior to application of #911. Stir #911 thoroughly before application.to achieve a uniform consistency.
Apply with a heavy-duty paint roller or heavy-duty spray equipment. When applied with roller or brush, strokes
should be kept in one direction..Apply second coat perpendicular to the first. Allow at least four hours between
coats and 24-48 hours for full cure, dependent upon weather conditions. Relative humidity will directly affect
drying/curing time. Avoid over application..71
COVERAGE: Apply at a minimum rate of 1-1.5 gallons per 100 sq. feet per coat dependent upon roof porosity.
Two coats are required.
PRECAUTIONS: DO NOT APPLY IF TEMPERATURE IS BELOW 50° F OR ABOVE 110°F. DO NOT APPLY
IF THERE IS A THREAT OF RAIN OR DEW WITHIN 48-72 HOURS: DO NOT ALLOW TO FREEZE. DO NOT
THIN. DO NOT HEAT CONTAINER or store at temperatures greater than 120°F. Be sure the lid is tight and
the pail is secured when transporting this product. Do not allow pail to tumble as this may loosen the lid and
allow leak- age or spillage to occur. This coating is not recommended for areas with inadequate drainage
(ponding water), over gravel, over walking decks, or old roofs that are too brittle and dry.
DO NOT APPLY TO FLAT SURFACES WITH POOR DRAINAGE OR WHERE PONDING WATERWILL EXIST.
CLEANUP: Clean with mineral spirits or paint thinner. . " 1 `• ;;
CAUTION! COMBUSTIBLE!'
• KEEP OUT OF REACH OF CHILDREN. Close container after each use, DO 'NOT .TAKE INTERNALLY!, If swal-
lowed, do not induce vomiting. CALL PHYSICIAN IMMEDIATELY!
CRRC PRODUCT ID = 0656-0002
MAXIMUM V.O.0 = 49 G/L
entR�rsrna
SOLAR REFLECTIVE, D.O.E.,— .86
WEIGHT — 11.3 LBS. PER GAL"
' VOLUME SOLIDS — 62% •+ CM1AM1jDMADEC0U=NTYWEIGHT SOLIDS'— 79% • P°M",
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•,. SW 31ST AVE 14435 MACAW STREET 1225 BRAI DRIVE
HALLANDALE, FL33009 LA MIRADA, CA 90638 PORT ARTHUR, TX 77640
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P.O. Box 1504
LA QUINTA, CALIFORNIA 92247-1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING &'SAFETY DEPARTMENT
(760) 777-7012
FAX (760) 777-7011
Considering Becoming an Owner -Builder?
Important information you need to know BEFORE pulling your permit!
The term "Owner -Builder" can mean three different things:
"Owner as Worker", "Owner as Contractor" or "Owner as Employer"
Understand each has Benefits or Risk, and it is possible to combine them!
Hiring a California Licensed Contractor means you do not personally perform any of the construction work, the permit is not taken
out in your name, you are not personally responsible for the construction and you are not an Owner -Builder. Instead,. you become a
"Customer" and California law provides you the benefit of protection from poor workmanship, failure to finish the job and financial
risk due to worker injury.
Benefit/Risk: Highest Benefits and the Least amount of Risk
Owner -as -Worker is a type of Owner -Builder where you personally perform the construction work, the permit is taken out in your
name and you are personally responsible for the construction management, knowledge, workmanship, and completion of the job. You
benefit by not paying others to perform this work for you and your risk depends on your own ability to complete the job successfully.
Benefit/Risk: Possible Benefit with Low Financial Risk
Owner -as -Contractor is a type of Owner -Builder where you personally act as your own General Contractor, the permit is taken out in
your name and you hire California licensed sub -contractors to perform portions of the construction work. WARNING: The benefit of
protection provided by law when you hire only California licensed sub -contractors can turn to serious financial risk if you hire
unlicensed contractors to perform any of the work.
Benefit/Risk: Possible. Benefit and Sienificant Financial Risk
Owner -as -Employer is a type of Owner -Builder where you pay any unlicensed individual to perform any construction work valued at
more than $500.00, the permit is taken out in your name and you are personally responsible for their employment requirements,
supervision, performance, safety and welfare while on your property. WARNING: Cost savings benefit can turn to serious financial
risk if you fail to deduct payroll taxes or provide workers compensation insurance for each worker.
Benefit/Risk: Possible. Benefit with Significant Financial Risk
(Health and Safety Code Section 19827) The California Legislature declares an "urgent and statewide
public interest in assuring" that contractors comply with Contractors' License Law, Business and
Professions Code and Workers' Compensation Insurance requirements to ensure property owners are
informed about, and protected from the following when improving their property as Owner -Builders:
Fraudulent representations • Liability for worker's injuries - Liability for material and labor costs unpaid by
contractors - Licensing requirements - Employers tax liabilities
Over 20,000 consumer complaints are filed each year. Many complaints relate to owner/builder projects
and include workmanship and workers' compensation issues Homeowners suffer financial harm due to
defective workmanship. and injured employees.
Following are alarming examples of what has occurred with Owner -Builder permits:
Example 1: Homeowner received insurance money to rebuild burned -down home.
■ Owner/Builder permit pulled to rebuild structure.
■ Unlicensed contractor built substandard structure — must be torn down and replaced.
■ Estimated financial injury is $225,000.
■ Additional financial injury - IRS threatened to tax insurance payout if house not completed by the end of
the year.
Example 2: Brother-in-law had active license but filed an exemption from Workers Comp.
■ Owner -Builder hires brother-in-law to install a new roof.
■ Employee falls and sustains multiple spinal and extremity fractures as well as a. head injury and
remains in a coma to this day.
■ The Owner -Builder, who has sold the home, is now a defendant in a lawsuit for reimbursement for
benefits paid to the injured worker.
Example 3: Employee of contractor without Workers Comp is hired by Owner -Builder to install septic
system and suffers injury that results in permanent disability.
■ The Owner -Builder did not have a homeowner's insurance policy on the house against.which to submit
a claim.
■ The Owner -Builder is now a defendant in a lawsuit for reimbursement for benefits paid to the injured
worker.
Did you know — unlicensed persons frequently have the property owner obtain an "Owner -Builder" building
permit which erroneously implies that the property owner is providing his or her own labor and material
personally?
Did you know — your homeowner's insurance may not provide coverage for injuries sustained on your
property by an unlicensed contractor and-hisiher employees?
Did you know — if you are considered an "employer" under state and federal law, you must register with
the state and federal government, withhold payroll taxes, provide workers compensation and disability
insurance and contribute to unemployment compensation for each "employee"?
Did you know — that if you fail. to abide by these laws you may be subjected to serious financial risk?
OWNERS BEWARE AND CONSIDER THE. RISK BEFORE ACCEPTING FULL RESPONSIBILITY FOR
YOUR CONSTRUCTION PERMIT
P.O. BOX 1504
LA QUINTA, CALIFORNIA 92247-1504 BUILDING & SAFETY DEPARTMENT
78-495 CALLE TAMPICO (760) 777-7012
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
PROPERTY OWNER'S. PACKAGE
Disclosures & Forms for Owner -Builders Applying for Construction Permits
IMPORTANT! NOTICE TO PROPERTY OWNER
Dear Property Owner:
An application for a building permit has been submitted jfi your name h tin yourself as the builder of the property
improvements specified at `7t�n (�a /�,']► (� `�
We are providing you with an Owner -Builder Acknowledgment arid Information Verification Form to make you aware of your
responsibilities and possible risk you may incur by having this permit issued in your name as the
Owner -Builder. We will not issue a building permit until you have read, initialed your understanding of each provision,
signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this notice
unless you, the property owner, obtain the prior approval of the permitting authority.
OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION
DIRECTIONS: Read and initial each statement below to signify you understand or verify this information.
41. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner -Builder"
bil�ding permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as
an Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person
and his or her employees while working on my property. My homeowner's insurance may not provide coverage for those
injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers
on my property.
12. I understand building permits are not required to be signed by property owners unless they are responsible for the
construction and are not hiring a licensed Contractor to assume this responsibility.
3. I understand as an "Owner -Builder" I am the responsible party of record on the permit. I understand that I may protect
m elf from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my
own.
p4. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on
p 'ts and contracts.
5. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value
of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer"
under state and federal law.
6. I understand if I am considered an "employer" under state and federal law, I must register with the state and federal
government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment
compensation for each "employee." I• also understand my failure to abide by these laws may subject me to serious financial
risk.
k7. I understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential
structures cannot legally build them with the intent to offer them for sale, unless allwork is performed by licensed
subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed
under contract with a licensed general building Contractor.
L
8. I understand as an Owner-Builder,if I sell the property for which this permit is issued, I may be held liable for any
cial or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the
workmanship or materials.
9. I understand I may obtain more information regarding my obligations as an "employer from the Internal Revenue
Service, the United States Small Business Administration, the California Department of Benefit Payments, and the California
Division of Industrial Accidents. I also understand I may contact .the California Contractors' State License Board (CSLB) at 1-
800-321-CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors.
Al 0. 1 am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the
party legally and financially re3ponsibk for proposed construction 4tivity at the following address:
11. I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all
applicable laws and requirements that govern Owner -Builders as well as employers.
12. I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I
have provided on this foam Licensed contractors. are regulated by laws designed to protect the public. If you contract with
someone who does not have a license, the Contractors' State License Board may be unable to assist you with any financial loss
you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors maybe in civil court. It is also
important for you to understand that if an unlicensed Contractor or employee of that individual or fum is injured while working
on your property, you may be held liable for damages. If you obtain a permit as Owner -Builder and wish to hire Contractors,
you will be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers'
compensation insurance coverage.
Before a building permit can be issued, this form must be completed and signed by the property owner and returned to
the agency responsible for issuing the permit. Note: A copy of the property owner's driver's license, form notarization, or
other verification acceptable to the agency is re uired to be presented when the permit is issued to verify the property
owner's signature.
property Signature of owner1�21�AJ4M^ Date:
g P
Note: The following Authorization Form is required to be completed by the property owner only when designating
an agent of the property owner to apply for a construction permit for the Owner -Builder.
AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF
Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize
the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an Owner -Builder
Permit for my project.
Scope of Construction Project (or Description of Work):.
Project Location or Address:
Name of Authorized Agent:
Address of Authorized Agent:
Tel No
I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above
information and certify its accuracy. Note: A copy of the owner's driver's license, form notarization, or other verification
acceptable to the. agency is required to be presented when the permit is issued to verify the property owner's signature.
Property Owner's Signature: Date:
DESCRIPTION `;
FINANCIAL INFORMATION
,' `11ACCOUNT • =• QTY"
" '.AMOUNT I = : PAID , PAID DATE
BSAS SB1473 FEE
101-0000-20306
0
$1.00 $0.00
;.PAID BY 3 - . ,sP.
METHOD -,
:,RECEIPT #='CHECK# CLTD BY
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
_ ..-' DESCRIPTION , ` .,
ACCOUNT ' ``
QTY
AMOUNT .
PAID
PAID DATE
RE -ROOF - FIRST 2,000 SF
101-0000-42404
0
$49.31
$0.00
METHOD
` ' 'RECEIPT:# i
CHECK #;
CLTD BY; "
DESCRIPTION""-: t '
ACCOUNT " .,
,QTY
,.':� ;'AMOUNT -' '
PAID
"PAID DATE
RE -ROOF - FIRST 2,000 SF PC
101-0000-42600
0
$98.62
$0.00
PAID BY
METHOD.
''RECEIPT # . ' .
: CHECK #'
CLTD. BY
Total Paid for RE -ROOF: $147.93 $0.00
TOTALS: $148.93 06
I
Description: DENHAM/RE-ROOF 1800 SQUARE FEET WITH COATING [0656-0002]
Type: RE -ROOF Subtype: Status: UNDER REVIEW
Applied: 4/23/2015 SKH
Approved:
Parcel No: 770011081 Site Address: 78160 CALLE NORTE LA QUINTA CA 92253
Subdivision: TR 18767 CM 049/070 Block: Lot: 1
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $5,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
STATE•
Details: REROOF WITH ELASTOMERIC (FOAM) [CRRC: 0656-0002] ROOF COATING CLASS A INSTALLED PER MANUFACTORS CLASS A
REQUIRMENTS FOR FLAT ROOF. 2013 CALIFORNIA ENERGY CODE.
Printed: Thursday, April 23, 2015 9:59:24 AM 1 of 2 CR
SYSTEMS
CHRONOLOGY
t
CONDITIONS
.PHONE
Printed: Thursday, April 23, 2015 9:59:24 AM 1 of 2 CR
SYSTEMS
.PHONE
FAX .. _
EMAIL.
NAME -TYPE NAME-.",
r ADDRESSl -
CONTACTS
;CITY
STATE•
ZIP
APPLICANT ROBERT DENHAM
78160 CALLE NORTE
LA QUINTA
CA
92253
(562)787-3855
.CONTRACTOR ROBERT DENHAM
78160 CALLE NORTE
LA QUINTA
CA
92253
(562)787-3855
OWNER ROBERT DENHAM
78160 CALLE NORTE
LA QUINTA
CA
92253
(562)787-3855
Printed: Thursday, April 23, 2015 9:59:24 AM 1 of 2 CR
SYSTEMS
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DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID,
PAID. DATE
RECEIPT #:
CHECK#
METHOD
-PAID BY -
-
BY
RE -ROOF - FIRST 2,000
101-0000-42404
0
$49.31
$0.00
SF
RE -ROOF - FIRST 2,000
101-0000-42600
0
$98.62
$0.00
SF PC
Total Paid forRE-ROOF: $147.93 $0.00
TE
17" �-71_
Printed: Thursday, April 23, 2015 9:59:24 AM 2 of 2 CRWlYSTEMS
ME
77�
Printed: Thursday, April 23, 2015 9:59:24 AM 2 of 2 CRWlYSTEMS
Bin #
City of La Quinta
Building 8r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012.
Building Permit Application and Tracking Sheet
Permit #
Project Address:r D C
Owner's Name: 2
A. P. Number:
Address. G
v
Legal Description:
City, ST, Zip:44
Contractor:
TeleP hone:20
Address: GWA\/ bV
Project Description:
City, ST, Zip:
kb O
Telephone:
ele h
Po .
State Lic. # :
City Lie.
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:.
Construction Type:Occupancy:
YP
State to Lic. #:
'n Alter r
type one • New DemAdd o
Name of Contact Person:
Sq. Ft.: IT (>C�
# Stories:
#Units:
Telephone # of Contact Person: -
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
tl
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 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
tad Review, ready for corrections/issue
Electrical
Subeontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
3d 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
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