13-0569 (RR)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 13-00000569
Property Address: 79205 COYOTE CREEK
APN: 772-030-033-39 -25429
Application description: RE -ROOF
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 23200
Applicant:
T4hf 4 4 a"
Architect or Engineer:
NA�..
-------------------
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
D°
EMAY0 2 2013
CITY OF LA QUINTA
FINANCE DEPT.
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: C39po LicenseNo.: 859337
Y Date: Contractor: cXs
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 ($500).:
(_ 1 1, 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 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
9 '*�k VOICE (760) 777-7012
FAX (760) 777-7011
� INSPECTIONS (760) 777-7153
Date: 5/02/13
Owner:
HAYES SEAN
Contractor:
ABOVE AND BEYOND ROOFING SYSTE
40875 CARTER LANE
BERMUDA DUNES, CA 92203
(760)702-5984
Lic. No.: 859337
-----------------------------------------------
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 CA -INS CO Policy Number 46-65516901
I certify that, in the Performa ce of the work for which this permit is issued, I shall not employ any
person in any manner so a to become subject to the workers' compensation laws of California,
and agree that, if I should come subject to the workers' compensation provisions of Section
3700 of the Labor rthwith comply with those provisions.
Date: 5 2 Applicant: _7
WARNING: FAILURE 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 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 abov information is correct. I agree to comply with all
city and county ordinances and state laws relating to building co st ction, and hereby authorize representatives
of this county to enter upon the above-mentioned property for i tion purposes.
pate: �i 'L (3 Signature (Applicant or Agent):
LQPERMIT
stion Number . . . . . 13-00000569
RE -ROOF
anal desc . .
Fee 30:00 Plan Check
Fee
.00
Date Valuation
. . .
. 0
tion Date . . 10/29/13
F Unit Charge Per
Extension
BASE FEE
30.00
-----------------------------------------------------------------
L Notes and Comments
WITH TWO (2) INCHES OF FOAM AND '
108 COVER - WHITE COLOR [CRRC:
3221 2010 CALIFORNIA ENERGY CODE.
2013 3:39:52 PM AORTEGA
-----------------------------------------------------------------
Fees . . . ... . . . . BLDG STDS ADMIN (SB1473)
1.00
nmary Charged Paid Credited
----------- ---------- ----- - ---- ---------- ----------
Due
t Fee Total 30.00 .00
.00
30.00
heck Total .00 .00
.00
.00
Fee Total 1.00 .00
.00
1.00
Total 31.00 .00
.00
31.00
r � a
srn. #
QtyOf b. Quln' to
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 #
13• b569
Project Address: 7,7 7 ee �\
Owner's Name:.
A. P. Number. '1q •
Address: 1 R 2 O 3. co 4 -
o
Legal Description:
City, ST, Zip: (1
Contractor. 4V 4 -C a
Telephone:
Address: r-( 01;
Project Description:
City, ST, Zip: v� 0,-2 26 3
�1
} c
MIN
Telephone: '—I(.a -102. ,5'cx Q Lk ,
State Lia #: (�) '�'C -3 3 [CityLie #; IOOqR 2.
Arch., Engr., Designer.
cO
IrP2 f rrA F,, 0 S
C l�
Address:
City., ST, Zip:
Telephone:
State Lie. #:
Name of Contact Person: S 2 �\ CN
Construction Type:. Occupancy:
Project type (circle one): New d'n Alter Rep . Demo
Sq. Ft.: $, 0 a O # Stories: # Units:
Telephone # of Contact Person: —.1 (ry C) . -' 02
Estimated Value of Project �` 2 -3,20-0 .
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Recd
TRACMG
PERMIT FEES
Plan Sets
Plan Check submitted 5
item Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit. ..
Truss Calcs.
Called Contact Person
Plan Check Balance.
Mile 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted. ,
Mechanical
Grading plan
2`� Review, ready for correctionsfissue
Electrical
Subcontactor Ust
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.L
H.O-A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'" Review; ready for correctionvIssae
Developer Impact Fee
Planning Approval.
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue 5
School Fees
Total Permit Fees
Prescriptive Certificate of Compliance: Residential Reroof CF -1 R-ALT-ReRoof
Project Addre :
2 oolf Q,—,t
Climate Zone
Permit #�
q .
ROOFING PRODUCTS (COOL ROOFS) §151(f)12
When the area of exterior roof surface to be replaced exceeds 50% of the existing roof area, or 1,000 ft`, whichever is less, the new
roofing area must meet the roofing product "Cool Roof" requirements of §152(b)Mi, 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 (lessor 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)l Hi and §152(b)Hii, Steep -slope roof (pitch > 2:12)
❑ Insulation with a thermal resistance of at least 0.85 hr•ft2•OF/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(f)10; 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 ventilation area is within 2 feet vertical distance of the roof ridge; or
❑ Building has at least R-30 ceiling insulation; or
❑ Building has radiant barrier in the attic meeting the requirements of §151(f)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 Hiii, 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 Cool 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 anv one of the alternatives or exception is checked the Aced Solar Reflectance and Thermal Emittance requirements for roofine
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.
Declaration Statement
Roof Slope
Product Weight
Aged Solar
Thermal
1 and 6 of the California Code of Regulations.
CRRC Product ID Number'
<_ 2:12 > 2:12
< 5lb/ft2 >- 5lb/ft2
Type Reflectance 3,
Emittance
SRI
0(920-Q02-2_-,,
2Y
11
21--
11E]4Ogg
AC]41
Phone:
'-?Coo --)o 2 - Sa S
O
❑
11
11
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 Directory at www.coolroofs.oro/products/search.,o
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(pwtw - 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 httio://www.eneroy.ca.00v/title24/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.
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 Certific
of Compliance conform to the requirements of Title 24, Parts
1 and 6 of the California Code of Regulations.
Name: \
Signature:
Company:�� aux ` c S �` vv-
V -c
Date: 'S Z 3
Address:
4'(O 0,-1Cac4__1 �P___91
License:
City/State/Zip:
Phone:
'-?Coo --)o 2 - Sa S
M V
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.