12-0199 (RR)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: =C12�'00000>199
Property Address:
53701 �AVENI9A"VELASCO
APN:
774-124-025-11 -000000-
Application description:
RE -ROOF
Property Zoning:
COVE RESIDENTIAL
Application valuation:
7800
Applicant: Architect or Engineer:
�lr
d -!t °F �iW Qu1«�w
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.
Licensee classs�C,39 Licens 958465
�
e: l ` W ontractor. r1C( {�
OWNER -BUILDER DECLARATION _
I hereby.atfirm 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).:
(_) 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 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
Owner:
ALEXSA GOBEL.
53701 AVENIDA VELASCO
LA QUINTA, CA 92253
Contractor:
RIVERA ROOFING, M.
15409 COOLIDGE COURT
FONTANA, CA 92336
(760)902-9781
LiC. No.: 958465
VOICE (760) 777-7012
FAX (760) 777-7011
153
12
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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 FOND Policy Number 0002500=2011
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
3700 of t�he abor Code, I shall forth.%11 comply wprovisions.
WARNING: FAIL6FIE 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 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
/oftis county to entter upo he above-mentioned prog rtt ffo�r inspectio urposes.
3CJse (Applicant of Agent): Y l��
Application Number . . . . . 12-00000199
Permit . . . RE -ROOF
Additional desc .
Permit Fee 30.00 Plan Check
Fee
.00
Issue Date Valuation
. . .
. 0
Expiration Date". 9/02/12"
Qty Unit Charge Per
Extension
BASE FEE
30.00
Special Notes and Comments
REROOF WITH,EAGLE-LITE CAPISTRANO 518
TILE - ORANGE MULTI -COLOR [CCRC:
0918-0002] 2010 CALIFORNIA ENERGY CODE.
February 23, 2012 1:53:43 PM AORTEGA
----------------------------------------------------------------------------
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
u
-_h _
.ROOFING PRODUCTS (COOL"ROOFS) §151(012;
When the area of exterior roof surface to be replaced exce
roofing area must meet the roofing product "Cool Root"
Check applicable alternative or exception below if the roof alt
❑ Cool roofs not required in Climates Zones 1-12,14, and 16
❑ Cool roofs riot required in Climates Zones 1-9, and 16 with
Alternatives to §152(b)1 HI and §152(b)Hti, Steep -slope roof
❑ Insulation with a thermal resistance of at least 0.85 hrrf?-'F
❑ Existing ducts in the attic are insulated and sealed aeoordin
❑ In climate zones 10, 12 and 13,.with 1 ft2 of free ventilation
where at least 30 percent of the free ventilation area is withi
. ❑ Building has at least R-30 ceiling insulation; or
❑ Building has radiant barrier in the attic meeting the requirem
❑ Building has no duds in the attic; or
❑ In climate zones 10, 11, 13 and 14,-R-3 or greater roof deck
Exception to §152(b)1 Hili, Lowslope roof ( pitch S 2:12)
❑ Building has no ducts in the attic.
Other Exceptions
❑ Roofing area is covered by building integrated; photovoltaic
❑ Roof construe'
Liar Keroo>r,CFAR
�' =/BLT=ReRoof
requfrements
Climate Zone
Permit # . '
Ls
T2 -19q
acts 50% of the existing roof area, or 1,000 ff,.whichever is less, the rtew
of §152(b)1 Hl, 152(6)1 Hil, or 152(b)1 Hill.
eration is exempt from the roofing product "Cool Roof requirements::
with a low sloped roof pitch (less or 2:12 pitch). .
I steep -sloped roofs (greater pitch than 2:12) and product weight less than 511btf?. '
(pitch > 2:12)
Btu or at least a 3/4 inch air -space is added to the roof deck over an attic; or
g to §151(1)10; or
area of attic ventilation for every 150 Uof attic floor area, and'
n 2 feet vertical distance of the roof ridge; or
ents of §151(f)2; or
insulation above vented attic.
panels and solar thermal pants are exempt from t— rrni D. i
rons that have thermal mass over the roof membrane with at least 25 Ib/ft2 are exempt from the
ME. If any one of the daemaums or exception is. checked the AgedSaar Reflectance and Thermal Emittance
Products in §118(i) are not applicable. Do not fill table below.
I Roof Slope Product Weight Product Aged Solar
Product ID Number 5 2:12 > 2:12 < 5lb/fe z 5lb/ft2. T 2 Mb
34
° ❑ S (e iAJE)o i -c,2 ❑ ❑ ❑ ❑
Note:'lf no CRRC-1 label is available, this compliance method cannot be used, use the Performance roach to show compliance,
1. The CRRC Product !D Number can be obfalned horn the Cool Roof Rating Coiincf!•s Rated Product Directory et w�vw.000lroofsro%
oroduct rearoh aha
2. Indicate the type of product is being used for the roof top, 19. single -ply roof, asphalt roof, metal roof, etc.
3. if the Aged Refuse thce is not available in the Coo/ Roof Rating Council's Rated Product Directory then use the Initial Reflectance value. from the same
directory and use the equation ce is(0.2+0.7( 'pj„•„ _ p, 2) to obtain a calculated aged value. Where p is the Initial Solar Reflectance.
4. Check box i/ the Aged Reflectance is a calculated value using the equation above.
5. Calculate the SRI value by using the SRI- Worksheet at h/hvww enernv ca n216
'11e24/
soapy of the SRI- Worksheet to the CF -1 R. and enter the resulting value in the SRI Column above and attach
ro apply Uquid Field Applied Coatings, the coating must be applied across the entire roof surface and meet the dry mil thickness or coverag
ecommended by the coatings manufacturer and meet minimum performance requirements listed in §1180)4. Select the aoolicahiP mnfinn-
Aluminum -Pigmented Asphalt Roof Coating
:ool Roof criteria.
equirements for roofing
Thermal
Emittance SRI
-7 A I `ZZ ,
When a Cool Roof
the
❑ Cement -Based Roof Coating. ❑ Other
contractor shall complete and submit the CF-6R-ENV4
Declaration Statement
• I certify under penalty of perjury, under the laws of the State of California, the information provided
• I certify that the energy features and performance specifications identified on this Certificate oyC�
1 and 6 of the California Code of Reaulatinns
Company:
final inspection.
curate and complete,
to the requirements of Title 24, Parts
Signature:
Date:
22 z
License:
UP ITa S r, / S C Q 22 y� Phone: 6 O
assistance or questions regarding the Energy Standards, contact f,Fe Energy Hotline at: 1-800-772-3300. '70,S -
For
Bin #.
e
1tY 6 La:•Qu'1f:td•,
:.Buifc/Ing a Safety.
P.O. Bax: f 504, :78495 Calfe Tampico.
La.Qulnta, CA 92253 - (760) 777-7012 '
Building Pennit'Application and Tracking Sheet
Project Addtess:
Name: .
A. P. Number.
p:7dd:
Legal Description:
Zip:S
Tel4 _ n
Contractor.
*Pephone:
Address. -4l 0
Pmject Description: r 12f
City, ST, Zip:
Telephone:`74 U ._Cf fl'L—
-
State Lic. #: City Lir #;
tit C --mel
W Fab/
Arch., Eagr., Designs'
Address:
City, ST, Zip.-
ip:Telephone:
Telephone:
State Lic. #:
Name of Contact Person: �
Telephone # of Contact Person: ti '
Construction Type:. 4 t?Occupancy:
Project type (cattle. one): New Add'n .Alter Repair Demo
Sq. FL: rL { # Stories: # Unit$:
Fsti=tW Value of Project 6.
APPLICANT: DO NOT WRITE BELOW THIS. LINE
N
Submittal
Plan Sets
Req'd
Recd
TRACKWG PERbIrr-FEES
Plan Check submitted Item Amount
Structural CaIcs.
Reviewed, ready for correcdons Plan Check Deposit. .
Trot Cales.
Called Contact Person Plan Cheek Balance
'IMde 24 Calcr.
Plans picked up Construction
Flood plain plan
Plans resubmitted.'. Meehaeikal
Giading planZ`!
Review, ready for correctionslissue Electrical
Snbeo,tactor List
Called Contact Person Plumbing
Grant Deed
Plans picked up SALL
ILO.A. Approval
Plans resubmitted Grading
IN NOUS$:-
''a Review; ready for correedondissne Developer Impact Fee
Planning Approval.
Called Contact Person AXP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees