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11-1362 (RR)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number.: T1�00_(;E0 3.6.2u Property Address: 53773 AVENIDA VELASCO APN: 774-164-014-2 -000000- Application description: RE -ROOF Property Zoning: COVE RESIDENTIAL Application valuation: 10800 Applicant: Architect or Engineer: ------------------ LICENSED CONTRACTOR'S DECLARATION BUILDING &SAFETY DEPARTMENT BUILDING -PERMIT - VOICE (760) 777-7012 FAX (760).777-7011 INSPECTIONS (760) 777-7153 Date: 12/27/11 Owner: KRAMEM FILEEN 53773 AVENIDA VELASCO. LA QUINTA, CA 92253 (760) 777-9801 _ Contractor: r�; 201 JESSE THE ROOFER 84503 CORTE CINDARELLA (� i:s N }} COACHELLA, CA 92236 _ _ f �:�•F(F-i l;J. k:5iii A (760) 832-1670 r;,.t,:{F's'�3rttz't. Lic. No.: 927830 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 LicenseNo.: 927830 r Date: ��Z_:�l( Coni` tractors _ 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).: (_) 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.). () 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.). l _ 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 --------------- - - - 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______L. Policy Number 238-0011655 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 the Labor Code, I shall forthwith comply with the provisions. Dater���� Appy - 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. ' 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 the above-mentioned property for inspection purposes. Date: r'�Sign atute_IApplicant-or Agent): LQPERMIT Application Number . . . . 11-00001362 Permit RE-ROOF Additional desc . Permit Fee . . .30.00- Plan Check Fee 00. Issue Date Valuation . . . . 0 Expiration Date 6/24/12 Qty Unit Charge Per Extension BASE FEE 30..00 ---------------------------------------- ------------------------------------ Special Notes and Comments. RE-ROOF TEAR OUT EXISTING EXISTING OLD AND INSTALL.NEW EAGLE PONDEROSA#331 ORO VALLEY,0919-0059. 2010 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 Treriptive.Crtifcate of Com laieResid6htalR,efoof CF -1R -i4 T-R97Roof Project Address: j-? �j )4 �� �, Climate Zone Permit # ROOFING PRODUCTS (COOL ROOFS) §151(1)12 When the area of. exterior roof surface to be replaced ex roofing area must meet the roofing product "Cool Roof 'heck applicable alternative or exception below if the roof 50% of the existing roof area, or 1,000 fe, which, cements of §152(b)1HI,152(b)1Hil, or 152(b)1H111. on Is exempt from the roofing product "Cool Roof n is less, the new ❑ Cool roofs not required in Climates Zones 1-12, 14, and 16 with a low sloped roof pitch (lessor 2:12 pitch), ❑ Cool roofs r� required in Climates Zones 1-9, and 16 with a steep -stoped roofs (greater pitch than 2:12) and product weight less than 5Ab/ft2. Alternatives to §152(b)1Hi and §152(b)HIi, Steep -slope roof (pitch > 2:12) ❑ Insulation with a thermal resistance of at least 0.85 hr•tt •°FA3tu or at least a 3/4 inch air -space is added to the roof deck over an attic; or ❑ Existing duds in. the attic are insulated and seated a000rding 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 ceding insulation; or ❑ Building has radiant barrier to the attic meeting the .requirements of §151(f)2; or ❑ Building has no duds in the attic; or ❑ 'in dimate zones 10, 11, 13 and 14,'R-3 or greater roof deck insulation above vented attic• l=xception to §152(b)1Hill. Low -slope roof (pltch,5 2:12) O Building has no duds in the attic. Other Exceptions i ❑ 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 bTQ are exempt from the. Cool Roof criterta: 10 . • If any one of the alternatives or exception is checked the Aged Solar Reflectance and Thermal tmittance requirements for roofing iroducts in §1180) are not app/kable. Do not fill table below. t✓/ L - ��olcl�oSlQ Roof Slope T Product Weight Product Aged Solar Thermal CRRC Product 10 Number 5 2:12 > 2:12 < 5lb/fe z 51b/ft T z ReflectancW" Emt4noe SRIS ❑ � S 2'FO ❑4 m / s67 . % S Note: If no CRRC-f label is available, this compliance method cannot be used, use the Performance Approach to show compliance, f. The CRRC Product ID Number can be obtained /rom the Coo/ Roof Rating COUndi's Rated Product Diredory at WAyyv,000/roofs o►v/oralucts/seand� nun 2. Indicate the type of product. is being used for the roof top, i.e. single_ly roof, asphalt roof, metal roof, etc. If the Aged Reflectance is not available in the Cool Roof Rating Council's Rated Product Directory then use the Initial Refledanoe value from the same dimdory and use the equation (0.2+0.7(p*wa - 0.2) to obtain a calculated aged value. Where p is the initial Solar Refledence. 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:Afvww eneruv ca oovbtle24/ and enter the resulting value in the SRI Column above and attach atopy of the SRI- Worksheet to the CF -IR. n annly r Inuld Flom ennilad i`snN..e.� �►.. ___.:__ ---_. . ,t, 11 NUOL Lm c,t,„zu nevus ine enure root surtace and meet the dry mil thickness or coverag mmended by the coatings manufacturer and meet minimum performance requirements listed in 61iRMA Saler! tt,a, annllr�t.Ic ...,,...,..• Aluminum -Pigmented Asphalt Roof Coating When a Cool Roof is Cement -Based Roof Coating ❑ Other ure installing contractor shall complete and submit the CF -6R -ENV -01 for 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: a Date: p. :ss: License: 9Z 7 2 7 �,� Phone: -7190 G For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300. 'bin# ... City of La: Quinta ..:. Building 8t Safety Division' P.O. Box 1504, 78495 Calle Tampico 1 La Quinta, CA 92253 - (760) 777-7012 '. Bdilding Permit Application and Tracking Sheet Permit # Project Address:. 3 73 A v / Owner's Name: r' C&_�SC A. P. Number: Address:.S � '23 A V e e CO Legal Description: ^ ity; ST, Zip: ,�% t' U / Contractor: Address. 69 ,� •. 'N e Telephone: 6O 7 " City, ST, Zip: ? ,•ct ^ L `;;?<:> ';:w ' " .'•ii v fid Tele hone:7d C-) �Z^ f;.• f., .z:.. .�; ;,.: :.:;::.:;. - State Lic. # : • ,.S 3'c> City Lic. #: ppProjeetDescription: ko'a e) JP 2k !A1 Q 0 AJ 6-&(J IV Arch., Engr., Designer:U) n Lt qJA mer h26 Address: City, ST, Zip: Telephone: �~'Q g�:yv-::::.`.4;x?;;?• ,..`�� State Lic. #: ram>`•<� a .<"?"M>:v <> ;; Name of Contact Person: Construction T YPe' Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. FL: R 6 # Stories: J # Units: Telephone # of Contact Person: Estimated Value of Project: a �Q APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd . Rec'd 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 god Review, ready for correctionsrssueElectrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Review, ready for correctionstissuc Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees