12-0339 (RR)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253.
Application Number: 12-00000339
Property Address: 77835 CALLE CHILLON '
APN: 774-224-013-2 -000000-
Application description: RE -ROOF
Property Zoning: COVE RESIDENTIAL
Application valuation: 160000
Tu!t aF 4 Q"
Applicant: Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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 Professionals Code, and my License is in full force and effect.
License Class: C39 �.LLiic/e�nseeNo.: 336547
Date:03�30%� tractor: I `^'t"'
��— -�-- OWNER -BUILDER DECLA TION
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 ($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 comractor(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: �r
Lender's Address: r
LQPERMIT
Owner:
LAURIE ABDELNOUR
77835 CALLE CHILLON
LA QUINTA, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/30/12
Contractor:
MILLER & SONS ROOFING IN
68760 SUMMIT DRIVE
CATHEDRAL CITY, CA 92234
(760)328-.6616
Lic. No.: 336547
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:
Carrier STATE FUND Policy Number 238002574
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 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
3 00 of the Labor Code, I shall forthwith comply with those provisions.
Kate: (iApplicant: &T t!
WARNIN : F IL TO SECURE WORKERS' COMPENSATION CO ERAGE 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 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 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 t e above-mentioned property for inspection pur oses.
ate: i� ature (Applicant or Agent): /�f�+ �u'P���1 _
Application Number . . . . . 12-00000339
Permit
RE -ROOF
Additional desc .
.
Permit Fee . . .
. 30.00
Plan Check Fee
.00
Issue Date . . .
.
Valuation
0
Expiration Date
9/26/12
Qty Unit Charge Per
Extension
BASE FEE
- 30.00
--------------------------------------------------------------=-------------
Special Notes and
Comments
RE -ROOF WITH COOL
ROOF RATING COUNCIL
APPROVED PRODUCT.
20.10 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
Prescri tive Certificate of Compliance. Residential Reroof CF -1 R-ALT-ReR®of
Project Address: j l.N
-7'1935 Cru- Gni ��l
Climate Zone
f-
j '
Permit ;Y
l� .4.3 t
ROOFING PRODUCTS (COOL ROOFS) 9151(012
When the area of exterior roof surface to be replacer! exceeds SM of the existing roof area, or 1,000 W, whichever is less, the new
roofing area must meet the roofing product "Cool goof" requirements of §152(b)1H$ 152(b)1Hii, or 152(b)iHill.
Check applicable alternative or exception below if the roof alteration is exempt from the roofing product "Cool Roof" requirements::
❑ Cod roofs not required in Climates Zones 1-12,14, and 16 with a low stoped roof pitch (lessor 2:12 pitch).
❑ Cod roofs not required in Climates Zones 1-9, and 16 with a steep -sloped roofs (greater pitch than 2:12) and product weightless than 511blftz.
Alternatives to §152(b)1 HI and §152(b)Hli, Steep -slope roof (pitch > 2:12)
❑ Insulation with a thermal resistance of at least 0.85 hr•ft2 °F/Btu or at least a 314 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 i010: or
❑ In climate zones 10, 12 and 13, with 1 1t2 of 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
Cl 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 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 S 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 Iblft2 are exempt from the Cool Roof criteria.
NOTE- If anv one of the alternativas or aucention is checked the Aaad Solar RPfl,*r_tanr_a and Thermal FmiNanra renuirernan►s fnr rnnfinn
products in § 118(i) are not applicable. Do not fill table below.
NOTE: When a Cool Roof is required, the installing contractor shall complete and submit the CF -6R -ENV -01 for final inspection.
Oeclaration Statement
Roof Slope
Product WeightProduct
• I certify that the energy features and performance specifications identified on this Certificate of
Aged Solar Thermal
1 and 6 of the California Code of Regulations.
CRRC Product ID Number
5 2:12 > 2:12
< 5lb/ft2 2 5lb/fe
T 2
Reflectance" Emittance
SRIS
oc� 1
[Y-
❑
❑
-YCD
❑4
, , -7
.
❑
❑ .
❑ ®
❑4
Note. If no CRRC- f label is available, this compliance method cannot be used, use the Performance Approach to show compliance,
1. The CRRC Product 10 Number can be obtained from Me,lrool Roof Rating Councils Rated Product Directory at www.coolroars.ornrvroducts/search.nhv .
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 a vailable. 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(p;, w - 0.2) to obtain a calculated aged value. Where p is the Initial Solar Reflectance.
4. Check box it the Aged Reflectance is a calculated value using the equation above.
5. Calculate the SRI value by using the SRI- Worksheet at ttt+7�//www, energy. ca. aov/tit/e2A/ 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
NOTE: When a Cool Roof is required, the installing contractor shall complete and submit the CF -6R -ENV -01 for final inspection.
Oeclaration 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.
• I 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:
Date:
Address:
d 5 U�"'L i(
License: T
3 3 �: 5
City/State/Zip: L,. �r , ^ G 2 3 ,
1 �
Phone: IL V
r
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800.772-3300.
MAR -15-2012 02:34 FROM: Tn.:17603217097
AL MILLER AND SONS ROOFING CO., INC.
"BETTER ROOFS FOR BETTER LIVING"
68.760 SUMMIT DRIVE, CATHEDRAL CITY, CA 92234
PH. (760) 346-1.214 FAX (760) 321.7097
LICENSE # 336547
PROPOSAL AND CONTRACT
Owner. Lori Abdelnour Project: Abdelnour residence
Address: 77835 Calle Chillon Address: 77835 Calle Chillon
City: .La Quinta, CA 92253 City: La Quinta, CA 92253
Phone: 760-567-3258 Email: abdelnour@aol.com
I7- 0/f $
P.1
WE PROPOSE TO FURMS14 THE FOLLOWING MATERIALS AND PERFORM ALL LABOR TO ROOF'I'H E ABOVE LOCATION.
Flat Roof Scone of (Fork Fibertite single Div roof system: Roofing -contractor will sweep loose debris
from roof and haul away, Roofing contractor will then install a Fib rtite single ply roof system2ver
exi3ting roof using the following materials. One ( I ) laver OKI b me F'ibertite roofing mechanigally
fast ngd, over One ( 1 ) laver stip sheet over ext _'ng roof to wand rnof deck, puce iinlchides lifting &
re -installing mechanical units to facilitate rooline. Title 24 Rt CRRC comoliance, roof nermitsLtoxes—
Roof Price: S 17,900.00
Exclusions: skylights, operational condition of mechtt 'cal Ilinitq. any other work [tot 1iSted above.
Terms: Net Cash on Completion
ATTENTION
Section 7018 of the Contractors Licensc Law provides that starting July 1, 1956, everyone licensed by the Contractor's License Board shall
hive u e:upy of tho fullowiug notice to the payor prior to r000iving from the owner of the property or ])is 48cttt any payinont for work which 4
oontraator's license is required
NOTICE
''Under the mechanics' Lien Law ;tory subcontrnclor, laborer, supplier or other person who helps to improve your property but is not pnid for
there work or supplies, has a right to enforce a claim against your property. This mentis that, after a court hearing, your property could be sold
by a court officer for the pmcecds of the sale used to satisfy the indebtedness. 'Phis can happen oven if you have paid your own contractor in
full, il'tho Fubcontractur, taborer, or supplier remained unpaid,"
Al Miller & Sons Ruofuig Co., Inc. Agrees to fiimish its regular form GUARANTEE for ,,,L,Years after completion of its said work Said
guarantee to cover defects in material and workmanship only and not to extend to damage io rooting caused by the elements, other unusual Acts
of God and shall not cover any liability for damage to interiors fixtures, decotndons, walls, contents of building or other parts of struclurc not to
damage of faulty conslneotiun. It is also understood and agreed that the above guarnntec shall be made and remain only whou and if paymcni is
made as abroed in this eonlrnct. At Miller k Sons is not responsible for'rV antennas.
we arc fully covered by Workmen's compensation and public liability insurance. Carriers' names and policy numbers sre available on request.
Any alterations or deviations from tho above specifications involving extra cost of material or labor will only be executed upon written orders
for same, and will become an extra charge over sunt mentioned in thin proposal. All a6reemenis must W rondo in writing. This after is valid for
Ono weak from the dello of estimate and is based on lino accosa to building for direct loading from our truck.
Prices are based an current cost of material and labor, increases or decreases will be reflected at time of signing of contract. Al Millcr & Suns
is not responsible for any damugo In sidewalks, curbs or driveways. if there is any conflict between this proposal, and any other contract or
specification relating to the above referenced project the terms of this proposal Khats prevail.
Respectfully submitted,
AL MILLER & SONS ROOFING., INC.
Acruptcd:
I I f (/
By; Peter Turvey, Estimator
Dute:
/
pato; 113/15/2012
Cool Roof Rating Council
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......._...._......
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{sorted +}
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DC196
Off -White
0634-0001
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(800-927-
4_..___..._...-.__8578)
_ ..._.
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B1n.
C►ty �f . �.d �uju
Building a. Safety Division .
P.O. Box 1504, 78-495 Calle Tampico,.
La.Quinta, CA 92253 - (760) 777-7012
Building Permit Application'and Tracking Sheet
Permit #
,?
�Z
Project Address: �'� e�,�,•� . c -1A L(��
Owner's Name:. (&ftl A4DX-L ddUA-
A. P. Number:
Address:
Legal Description: ,
Contractor.
Contractor. ys.`,t' W -A, „ + 30" KO&F l,M&
City, ST, Zip: L4— " l Adr& 6A -
Telephone: .;, >y . �. ter."H• ',:5`
Address: r ( (,
Project Description:
City, ST, zip:CAJU1UAAL-G1
Telephone: W 0- 3 1q' r "�
/
�g
State Lie. # : City Lie. M
Arch, Engr., Designer.
Address:
City., ST, Zip:
,AMY
-
Telephone:
State Lie. #: s j .:.»"
. ,N
Construction Type:. Occupancy: jM�y� IL
Project type (eircle one): New Add'n Alter Repair Demo
Name of Contact Person: qxT"----��(,V�, j
Sq. FL: J�/ 0,00#
Stories:
#Units:
Telephone # of Contact Person: -� .o
Estimated Value of Project
APPLICANT: DO N T WRITE BELOW THIS EINE
#
Submittal
Req'd
Reed
TTtACEING
PERMrr FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit, .
Truss Calcs•
Called Contact Person
Plan Check Balance.
Tide 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted'.
Mechanical
Grading plan
2id Review, ready for correctionMiissue
Electrical
Subeontactor List
Called Contact Person
Plumbing
Grant Deed
Pians picked up
S.bLL
11.0-A—Approval
Plans resubmitted
Grading
IN HOUSE:-
''" Review; ready for corrections/issue
Developer Impact Fee
Planning Approval.
Called Contact Person
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees