11-0120 (RR)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/02/11
Application Number.1=00000120
Owner:
Property Address: 77330 CALLE SONORA
CITY OF LA QUINTA REDEVEL..
•APN: 773-212-011-12 -000000-
78495 CALLE TAMPICO
Application description: RE -ROOF
LA QUINTA, CA 92253
Property Zoning: COVE RESIDENTIAL
Application valuation: 10733
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17- J 2� 1 +
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Contractor:
Applicant: Architect or Engineer:
ROOF TILE SPECIALTY INC.
PO BOX 11257 GCTY�F+�,lU1NiA
tt
PALM DESERT, CA 92255 I rtWkIr -1"�'�pY_-
(760)200-0811
pl k
Lic. No.: 81053.7
LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION _ -
' I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
I hereby affirm under penalty of perjury one of the following declarations:
' Section 7000) of Division 3 of the Business nd Professionals Code; and my License is in full force and effect.
_ I have and will maintain acertificate of consent to self -insure for workers' compensation,, as provided '
License lass• C39 License No.: 810537
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
7
Date✓ ) - \ ntractor.
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
- OWNER -BUILDER DECLARATION
insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
Carrier. STATE FUND Policy Number 0009889-2010
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to
_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
person in any manner so as to become subject to the workers' compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
and agree that, if I shoulcome subject tot .we ' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
of_ the Labor C I sh I rthwit omply with those •ons.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
Z0
( ,
I
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
ate:
plicant:
(_ 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
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND'SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees,provided that the
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES -AS PROVIDED FOR IN
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
f I • h 'I A. h
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
'
one year o comp at on, t e owner-bw der wi ave 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.).
(_ ) I am exempt under Seca , BAP.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
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 5ZL tp
that the above information is correct. I agree to comply with all
city and nt111ttt ordinances and state la s elating 'ding constructio etE Iiuthorize representatives
of thjs co ty tkr upon the above- Toned property vin purposes.
Date: / ignature (Applicant or Agent):
Application Number. . . 11-00000120
Permit . . . RE -ROOF
Additional desc .
Permit Fee . . . . 30.00
Plan Check Fee
.00
Issue Date . . . .
Valuation . . .
. .0
Expiration Date 8/01/11
Qty Unit Charge Per
Extension
BASE
FEE
30.00
Special Notes and Comments
RE -ROOF WITH MONIER LIGHT WEIGHT
ROOF
TILE PER 2010 CODES AND APPROVED
CONTRACT.
------------------------------------------------------------"-----------
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
- Prescri
Project Ad
r
--lug —'s-vaLu yr mom Mance: Residential Reroof CF-111-ALT-R311oof
Climate Zone Permit #
'D �o too ��
Rvvrimia rrcuuul:l5 (COOL ROOFS) §151(1)12
When the area of exterfor roof surface to be replaced exceeds 5019 of the existing roof area, or 1,000 fe, whichever !s less, the new
rooflng area must meet the roofing product "Cool Roof" requirements of §152(b)1H1, 152(b)1Hil, or 152(b)1HIll.
Check applicable altemative or exception below if the roof alteration is exempt from the roofing product Tool Roof requirements::
❑ Cool roofs not required in Climates Zones 1-12.14, and 16 with a low sloped roof pitch (less or 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 Mb/f
e.
Alternatives to §152(b)1 HI and §152(b)HII, Steep -slope roof (pitch > 2:12)
❑ Insulation with a thermal.resistanoe of at least 0:85 hr•f?-*F/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 tt2 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'ceiliing 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)1 Hill, 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 -
0. 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 any one of the altemahves or exception is checked the Aged Solar Reflectance and Thermal Emittance requirements for
products in §118(1) are not applicable. Do not fill table below. ru ing
Roof Slope Product Weight Product Aged Solar Thermal
CRRC Product ID Number 5 2:12 > 2:12 < 5lb/it z 5lbAf Type2 Refiectance3'4. Emittance SRIS
❑ ❑ ❑ ❑ - ❑4
❑ ❑ p 13 ❑4
---- ------- d
Note: Ifno CRRC-1 label is available, this compliance method cannot be used use the Performance Approach to show compliance,
i. The CRRC Product /D Number can be obtained from the Cool Roof Raung Co(Incil's Rated Product Directory at ww>•r co01MrS-QM4M2ducxs/searQ) ahn
2. Indicate the type of product is being used for the roof top, i.e. single -ply roof, asphalt roof, metal roof,, etc.
is U the Aged Reftectance,is not available in the Cool Roof Rating Couna7's Rated Product Directory then use the initial Reflectance value from the same
directory and use the equation (0.2+0 � fp,,w _ 0.2) to obtain a calculated aged value. Where p is the Initial Solar Reflectance.
I- Check box if the Aged Reflectance is a Cal aged
value using the equation above. =
5. Calculate the SRI value by using the SRI- Worksheet at ht6 Avww,eneM ca-oovAft241 and enter the resulting value In the SR! Column above and attach
atopy of the SRI- Worksheet to the CF -IR.
fo apply Liquid Field Applied Coatings, the coating must be applied across the entire roof surface and meet the dry mil thickness or oovera
'eeommended by the coatings manufacturer and meet minimum performance requirements listed in §118(1)4. Select the applicable cmatinq:
Aluminum -Pigmented Asphalt Roof Coating ❑ Cement -Based Roof Coating E3 Other
When a Cool Roof is required,
Declaration Statement
contractor shall complete and
for final
• 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 Tits 24, Part:
1 and 6 of tfie California Code of Regulations
Name tl\ n
v \,D� v4,,Y,�A
Signature:
Company: 1
Date: -
F ss: 1 x l•
License: 1 (
City/Statelix.
Phone:-. .
For assistance or questionsregarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.
RTSRoof Tile Specialty, Inc.
Contractors State License # 810537
P.O. Box 11257 Palm Desert, CA 92255
PHONE 760=200-0811 FAX 760-200-0801 .
A proposal submitted to: CITY OF LA QUINTA
Mailing Address: P.O. BOX 1504 LA QUINTA, CA
Job Address: 77-330 CALLE SONORA LA QUINTA, CA
Phone: KURT 760-777-7016
EXHIBIT A
FOR SCOPE AND WARRANTY
PURPOSES ONLY.
Description of work to be performed:
REMOVE EXISTING ROOF AND DISPOSE.
INSTALL 6 O'HAGIN VENTS.
INSTALL ONE LAYER 40# TILE LINER TO ALL ROOF SURFACES.
INSTALL NEW SHEET METAL AT ROOF TO WALL TRANSITIONS.
RIDGE BOARD TO BE INSTALLED ON ALL HIP AND RIDGE LINES.
INSTALL NEW ROOF JACKS PRIMARY AND SECONDARY, TO BE INSTALLED ON ALL H.V.A.C. & PLUMBING
PENETRATIONS PAINTED TO MATCH ROOF.
INSTALL NEW MONIER LIGHT WEIGHT ROOF TILE TO MANUFACTURES SPECIFICATIONS.
CLEAN JOB SITE OF ALL ROOFING DEBRIS.
If not accepted in 14 days this proposal is -null and void
Note: Roofing is not warranted and/or guaranteed until 100% complete. Please note Roof Tile Specialty, Inc. is not responsible for delays in
roofing materials or delivery dates. All debris caused from above work to be discarded and area to be left clean.
In keeping with industry standards: 1. This guarantee does not cover any damage to the interior or exterior on which the roof is applied or
damage to any contents therein. This guarantee does not cover damage to roof due to any cause beyond our control, including, but not
limited to: fire, lightning, windstorm, hailstorm, antennas or other equipment, foot traffic on roof, structural fault or settlement, cracking or
other failure of the roof deck, walls or foundation of the building on which the roof is applied. 2. Should it become necessary for the roofing
contractor to remove and/or reinstall any antennas, cooling or heating appliances or other equipment, whether or not an additional charge is
made for such work, the customer understands that neither RTS (Roof Tile Specialty, Inc.) nor the installer assumes any responsibility for the
performance of said equipment. 3. RTS (Roof Tile Specialty, Inc.) does not assume any responsibility for corrections of existing code
violations or for the repair of any existing defects unless specified in estimate and proposal.
Total Cost: $10,733.00 Terms paid on completion unless otherwise specified in the contract. If not accepted in thirty days this
proposal is invalid. Extra $55.00 per sheet of plywood if needed. In the event of any increase in material price(s), said price increase shall be
passed directly onto the client. At client's request Roof Tile Specialty shall provide written documentation of the increase in material
price(s) to client and client shall pay the actual increase in the material price in additional to any sum client agreed to pay Roof Tile Specialty
for work to be performed under this agreement. Roof Tile Specialty shall add no markup or profit to any increase in material prices.
Acceptance: You are hereby authorized to furnish all contents written in the contract to complete work mentioned in the proposal contract
for which Uwe agree to pay the amount mentioned, in said proposal, and according to terms thereof, (initial). If a leakage, caused
by defects in workmanship, occurs within FIVE YEARS from date of application, we will repair defects free of charge.It is the owners
responsibility to properly maintain your roof system. Guidelines and proposed budget for annual maintenance will be provided upon request.
Installation: It is understood that by the acceptance of this proposal you authorize RTS (Roof Tile Specialty, Inc.) to make the installation; to
issue work orders with specifications shown herein and to pay our charge for such installation. You agree to pay the amount specified
herein, which will cover the price of said materials and labor charge. This estimate is based on a complete job and any surplus material
remains property of RTS (Roof Tile Specialty, Inc.). Verbal understanding and agreements with representatives shall not be binding unless
set forth herein. There shall be no liabilities for delays in, or failure to complete, deliver or installation of all or any of the herein mentioned
merchandise, if due to fire, strikes, war, government regulations or any cause beyond our contract. Any changes made by you in
specifications herein, necessitating additional materials or labor shall not be included or covered by this proposal, but shall be provided for
under separate and additional order from you. (initial)
Arbitration of Disputes: Any controversy or claim arising out of or relating to this contract; or the breach thereof, shall settled by arbitrator
in accordance with the applicable Construction Industry Arbitrator Rules of the American Arbitration Association which are in effect at the
time the demand for arbitration is filed. A judgment award based upon the evidence presented by. the party(ies) who do (does) appear and
participate. Notwithstanding Contractor's right to arbitrate, contractor does not waive any of its lien rights. In the event of default by client
in-payment'of the amount due hereunder, client agrees- to pay reasonable attorneys' fee's and cost incurred in connection with collection of
said amounts whether or not suit is filed. 1.5% per month and/or an annual percentage of 18.0% will be charged on all past due accounts.
Contractor's are required by law to be licensed and regulated by the Contractor's State Board. Any questions concerning a contractor may
be referred to the register of the board whose address is: Contractors State Licenses Board, 9835 Goathe Road, Sacramento, CA 95827.
Mailing address: P.O. Box 26000, Sacramento, CA, 95826.
The above prices, specifications and conditions are satisfactory and are hereby accepted.
Owner's Signature Date:
(or authorized representative)
Contractor's Signature Date: �\��\
Bin #
Cit/ Of is Quinta
' Building 8T Safety Division .
Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #P.O.
1
Project Address: 'S 3 0 `a l e
Owner's Name:
A. P. Number:
Address:
Legal Description`
City, ST, Zip:
Contractor:l
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elephone:
Address:
Project Description:
City, ST, Zip:
Telephone:
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City Lic. #t
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State Lic. # :
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
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Construction Type: .Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
State Lic. #:
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
aoo -CKD
Telephone # of Contact Person: oBI(
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
k
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.
Pians picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical.
Grading plan
20° Review, ready for correctionsfissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up -
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
70 Review, ready for correctionstissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees