The URL can be used to link to this page

12-0905 (RR)T, P.O. BOX 1504 VOICE (760) 777-7012 TA 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT .Date: 8/13/12 Application Number: 12-00000905 Owner: Property Address: 7.8.12.0>CP;LLE �TAMPICO CUNARD .ROBERT E APN: 770-020-006- -000000- P O BOX 1265 Application description: RE -ROOF LA QUINTA, CA . 92253 Property. Zoning: VILLAGE COMMERCIAL Application valuation: 5400 ^ Contractor: Applicant: Architect or Engineer: MONTROSS COMPANIES ' INC, q ��} 22512 ASPAN STREETL� +_ li �Ln '9� LAKE FOREST, CA 92630 f AG (866)444-5325 I Lic. No.: 499050 CITY OF LA QUINTA F1N4gCF 0 • - LICENSED CONTRACTOR'S DECLARATION s • • 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 and Professionals Code, and my License is in full force and effect._ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided • Lic nse Class: D51 -C39 -:B License No.: 499050 _ for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. /Date: `Z' C tractor: -� I have and will maintain workers' compensation insurance, as required by Section 3700 of the. Labor v 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 BBSI Policy Number 2248 - 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 should become subject to the workers'. compensation provisions of Section • License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the abor.Code, I shall forthwith comply with those provisions. that he or she is exempt therefrom and the basis for.the alleged exemption. Any violation of Section 7031.5 by 81134-L- • any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: Date: 8 134- - plicant: .y (_ 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: FAILU E 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 (M0,000). 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 - SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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.). - APPLICANT. ACKNOWLEDGEMENT 1 _ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. , property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1 .� Each person upon whose behalf this application is made, each person at whose request and for pursuant to the Contractors' State License Law.).' - - whose -benefit work is performed under or pursuant to any .permit issued as a result of this application, (_ 1 I am exempt under Sec. , B.&P.C. forjthis reason the owner, and the applicant, each agrees to, and shall defend, indemnity 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. Date: Owner: 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 CONSTRUCTION LENDING AGENCY permit to cancellation. ' • I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above information is correct. I agree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.). city and county ordinances and state laws relating to building construction, and hereby authorize representatives of t 's"county to enter upon a above-mentioned property for inspection purposes: Lender's Name: - ,.,i'_''— c '� ate: S' nature.(Applicant or Agent): Lender's Address: ��l1TT� , LQPERMIT Application Number . . . . . 12-00000905• Permit RE -ROOF Additional.desc . Permit Fee . . . . 30.00 Plan Check Fee .00 . Issue Date . . . . Valuation 0 Expiration Date 2/09/13 Qty Unit Charge Per Extension BASE FEE 30.00 Special Notes and Comments' ------------------------------ RE -ROOF: TEAR OFF EXISTING BUILT UP ROOF. INSTALL GAF 4 PLY BUILD UP CAP SHEET ROOF WITH CRRC APPROVED COATING. 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 1 41 0 NTROSS. COMPANIES, IIVC. Roofing, Checking and Construction Services 11'cense #49.9050 CITY "AND COUNTYBUILDING DEPARTMENTS L hereby .authorize the following persons to act on my behalf in obtaining business licenses and permits from the Building Department, and to sign permit and related applications on my behalf. I am properly licensed as required by the State of California. I assume full. responsibility under'the law for permits taken out by persons authorized to act on my behalf. This authorization shall continue until the Department of Building and Safety of each City and County is notified in writing that such authorization has been canceled. r . PERSONS AUTHORIZED TO SIGN AND OBTAIN PERMITS: 1. Eric Jacoby 2. Carlos Zamora i 3. Steve Schnierer 4. Ian. Jacoby' 5. Tiffany Douthit 6. Justin Beranich 7. Jennifer Jacoby 81. Allen Jacoby Authorizing officer must be listed on the Personnel List maintained by the State Contractors License Board. COMPANY NAME: Montross Companies, Inc. CONTRACTORS STATE LICENSE # 499050 BY: David Montross TITLE: Owner SIGNATURE: 22512 Aspan Street Lake Forest, CA 92630 • www.MontrossWeatherproofing.com Office: (949) 855-7807 • Fax (949) 855-8935 - (866) ROOFWRK Montross Companies is committed to utilizing products made in the USA. Rated Products Directory: Search Results [ new search) [ print friendly,: '-� view j.( ex rt ) (last updated 3 Aug 201215:50 CDT);....: Showing Search Results for: product id: —0960-00011' select' from products where circ_prod_id like'%0960-0001%' order by company_name asc previous I 1 I next (showing records 1 -1 of 1) 25 Reoords per Page previous I 1 I next (showing records 1 -1 of 1) 25 Recorcis per Page About the CRRC I Product Rating Program I Rated Products Diredory I CRRC Members I CRRC News Become a Member 1. How Do i I Contact UsCool Roof Links I Home httn-//www.coolroofs.orgliDroducts/results.php?keyphrase=&select type=all&market type... 8/10/2012 — -_..^ NSolar Therm Emit. SRI ® Sime Note about — - Manufacturer Product Reflect CRRC ;Prod: ID information (sorted +) Brand' Model . Color Category Application Ratings Type fnit � ind � intt 0960-0001 CCJJ LLC Coat White Bright f=ield- 0.83 0.76 0.87 0.86 104 94 Low/Steep i Michael N Cool CG White Applied. Magallanes 217-A Coating ' (714279-0230) - previous I 1 I next (showing records 1 -1 of 1) 25 Recorcis per Page About the CRRC I Product Rating Program I Rated Products Diredory I CRRC Members I CRRC News Become a Member 1. How Do i I Contact UsCool Roof Links I Home httn-//www.coolroofs.orgliDroducts/results.php?keyphrase=&select type=all&market type... 8/10/2012 Prescriptive Certificate of Com .liance: Residential Reroof CF-1R-ALT-ReRoof Project Address: 7�S1Z-f� C o0.. le- . k arm i c > climate ZonePe�� ROOFING PRODUCTS (COOL ROOFS) §151(012 When the area of exterfor roof surface to be replaced. exceeds S0'A of the exisding roof area, or 11000 , whlcheverfs fess, t he•new roofing area must meet the roofing product "Cool Poor requirements of §152(b)11fi,152(b)1Hfi, or 152(b)1HAL Check applicable alternative or exception below if the roof alteration is exempt from the reofinn nrnduct •cml Rmr taro aro.,,e.,,h- r Roof Slope Product Weight Product ed Solar Thermal cRRc Product is Number s 212 . > 212. < Sbh? a ,iceTVW Reflectance Emittance SRI` CY1 WOo0 I ® sheQ oa 11 ®' ®' 4 Note tf no C1 11abel is.availabfe, this�pGance method cannot be useg use the Aeftmance Appmadr to show co mplfance, hrdl ate the type OfProdact i5 being used forthe roof _ •�•• •••• r . v.nw�.va n,.n.uw,n[,wJ �zj/fuWUQ95ea/dt Mn top, Le. sfirg/e-pyroof, asphaltroof metaltoof, eta ff the A9red Reflects Ve is nod avaffable ir► the Cool Roof Raft CounaTs Reed Product DUedavy then use Hue InAW Ref/ectance vafue from the same o7redary and use the equatdon (0.2+0.7(p — 0.2) to obtain a calculated aged.vahue.- Where p Is the thiMil Solar Reflectance. Check box Me Aged Reflectance is a satCu/aced value uahrg the equation above. Calculate the. SRI value by oshg the SRI- Wouiksheet ethttnlllvww_EMMMAM re24/arrd enter the nesu8arg value in the SR/ Column above and attach acopyof the SRF WNoftheet to the Cl~fR i apply Uquid Field Applied Coatings, the coating must be appfted'across the entire roof surface and meet the dry mg thickness or coves �bmmended by the coatings manufacturer and meet minimum g performance r+equir+errierrtsIisted In §118ni4. Shed theappDcable coating. Aluminum -Pigmented Asphalt Roof Coating . 43 Cement -Based Roof Coating Other i e AcryL _BC )TE When a Cool Roof is ft:quiled,the hstaffing o0nbador shall comalete and submrt due CF.sQ- ►v r • 1 certify under penalty of Perjury, under the taws Of the State of California, the information provided on this form is accurate and oonVete. • I lout that the energy features and performance spedficatlons Identified on this 1 and 6 of the Card6rhla Code 6f Re ula6ons. Certificate of compliance conform to the requirements of Title 24. Parts Name: St e�l e," &6,, ex- er S;gnatatre �� Company t�(� Date Address: ZZ SIZ AA t�iS ars �. license: C;ty/State2p: La G _ _. _ __ L} ci G C' G Phone: c� CA aZ(o3Z? �(o(o-14y 4- S3ZiS For assistance or questions regarding the Energy Standards," contact the Energy Hotline at 1-800-7723300 Total Permit Fees n►n iF City of La Quinta Building W Safety Division Permit #p% P.O. Box 1504, 78-495 Calle Tampico ,� La Quinta, CA 92253 - (760) 777-7012 Building Permit Application a Tracking Sheet X Project Address: '7g 120 Cc,11 e- 7e�rr;ME me: A. P. Number: 4!MF ;—;TM Description: 0.1 I CLegal Contractor: �(o0-7-?7-7O1Address.ZZSIZ : LCL O�ir�CA c-(22.53� A � City, ST, Zip:ciS� �-�. � o 0.`C'1 ription: �. _ 1 esx'c' 1 > c12 (0 CA 3O � vi 1•� U � oo.� .l,n �0.�1 ly ew C-� AF 4� Telephone: h on e. 1 �v-y 3 jC State Lic. # : LAF' �9 OD �� u c �C�ot W 1-41 City Lic. Ci Lic. #: " Ae 24 Q0o„ N^rx rr,:TT Arch., Engr., Designer: Address: 2 S u ar es City, ST, Zip: Telephone: Construction Type: Y P: a Occupancy: P nc Y• State Lic. # ;. Proe ............... J ct (circle e one): type New Add'n Alter Repair Demo Name of Contact Person: ��c �r�i errs Sq. F[.: #Stories: #Units: Telephone # of Contact Person: 95 — zy (_ J �� L%C7C� (off 7(o Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING Plan Sets FEES Plan Check submitted ItemAmount 7Deposit Structural Calcs. Reviewed, readv for corrections Plan C Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"" Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S. M.1. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''" Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P. P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees