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13-1541 (RR)BOX V-At>L �4 - P.O. BOX 15U4VOICE (760) 777 7012 78-495 CALLE TAMPICO 44aFAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 " •BUILDING PERMIT Date: 12/02/13 Application Number: 13-00001541 Owner: Property Address: 54552 SHOAL CREEK PGA WEST HOA APN: 775-071-076- - - 54320 SOUTHERN HILLS Application description: RE -ROOF LA QUINTA, CA 92253. D A Property Zoning: LOW DENSITY RESIDENTIAL (760) 771-1234 Application valuation: 1500 02 2013 Contractor: Applicant: Architect orEngineer: BRS ROOFING INC CITY OFLAf1UINTA P4_ 765 S. LUGO AVENUE FINANCE DEPT.SAN BERNARDINO, CA 92 (909)884-8505 Lic. No.: 907600 ------------------ 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. License CI s: 39 License No.:. 907600 Date: Contracto OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 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 sheds 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 I, as owner of the property, or my employees with wages as their sole r..ompensation, 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 hnrrten of proving that ho 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 contractors) 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 1 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: 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 Sertinn 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 Policy Number 639-0509596 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 shout become subject to the workers' compensation provisions of Section - 3700 of the Labor I s�II forthwith comply with those provisions. Dater Applicant�Fs�'�' WARNING: FAILURE.70 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 co my rdinances and state laws relating to building construction, and hereby authorize representatives of this co ty enter upon the above-mentioned pro or inspection purposes. Date: Signature (Applicant or Agerit): Application Number 13-0'0001541 Permit. RE -ROOF Additional.desc": Permit Fee 48.62 Pian Check Fee .00 Issue Date' Valuation; 0 ..Expiration Date 5,/31/14 Qty Unit Charge Per Extension 1.00 48.6200 LS MISC RE -ROOF, 1ST 2000 SF 48.62" Special Notes and Comments REROOF-WITH FOAM - [CRRC: 0770-0002] 2010.CALIFORNIA ENERGY CODE. Other Fees .. . . . . . . . ------------------------ PLAN CHECK, RE -ROOF 97..24 Fee summary Charged Paid Credited Due Permit Fee -Total 48.62 .00 .00 48.62" Plan Check Total 00 .00 .00 .00 Other Fee Total 97.24 .00_ .00 97.24 Grand Total 145.86 00 .00 145.86 Bin # Qty Of La Quinta Building a SafetyDivision P.O. Box 1504, 78-495 Calle Tampico La' Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # /* oy- '„Project aaaT ._: • a b t Owname: . .�a.. �bA WMT 40 A. P. Number: I Address: 4W Soo jePw C%.*-& Legal Description: Contractor • fS >:,;.::,::;:,>:.>:;:::::.:,•;;,:: 11 Address:. 0.1 s '•1i,�' Pro ectesctxp io City, ST, Zip: A N0 L r1 7 494'.. -& 1144e EZ elephone-10- � State Lic._#l� .� (D D'D f City Lic. #: ,1 lT. ---- Arch., Engr., Designer: - T�-,�. 0 Address: rrff CIA �i 3 % l . City., ST, Zip: Telephone: P Construction Type:. Occupancy: State Lic. # Add'n Alter Repair Dem roecacrclone): New Sq. Ft: g'�� #Stories: # Units: Name of'Contacr.P on: �. µ 6GoC (;,�� ;ffzelephone # of Conta"`”-' Te on:Estim—ateii Yalue�of Prod' D '. APPLICANT: DONOTWRITE BELOW THIS LINE # Submittal Req'd Recd .TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections' Plan Check Deposit Truss Cates. Called Contact Person Plan Check Balance, Title 24 Calcs: Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2q0 Review, ready for correctionsfissue Electrical Subcontactor List Called Contact Person ., Plumbing Grant Deed Plans picked up" S.M.1. H.O.A. Approval Plans resubmitted .. Grading IN HOUSE:- '"' Reyiew, ready for'correctionsrissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees ' Total Permit Fees Prescriptive Certificate of Compliance: Residential Reroof CF -1 R-ALT-ReRoof Pro' ct Address: Climate Zone Permit # �.. _ b� Thermal Com pan ROOFING PRODUCTS (COOL ROOFS) §151(012 When the area of exterior roof surface to be replaced exceeds 50•/ of the existing roof area, or 1,000 ff, whichever is less, the new roofing area must meet the roofing product "Cool Roo f"requirements of§152(b)1Hi, 152(b)1Hii, or 152(b)Miff. Check applicable alternative or exception below 4 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 weight less than 5/Ib/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•112•017Btu 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(1)10; or ❑ In climate zones 10, 12 and 13, with 1 ft2of 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-(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)l Hiii, Low -slope roof ( pitch 5 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 any one of the altematives or exception is checked the Aged Solar Reflectance. and Thermal Emittance requirements for roofing proaucrs in.9 r rap/ are not applicable. Vo not fill table below. I❑ Aluminum -Pigmented Asphalt Roof Coating ❑ Cement -Based Roof Coating ❑ Other I' 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 Product Aged Solar Thermal Com pan CRRC Product ID Number' <- 2:12 > 2:12 < 51b/112 >- 5lb/ft2 Type 2 Reflectance3*4 Emittance SRI5 Q ❑ ❑'fiN ❑4 • 1 Q' ❑ ❑ ❑ ❑ ❑° 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 Councils Rated Product Directory at www.coolroofs. oro/nroducWsearch.vhn 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(p;,w, — 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. . Calculate he SRI value by using the SRI- Worksheet at httpylwww.energy.ca.00v/title24/and enter the resulting value in the SRI Column above and attach acopy of the SRI- Worksheet to the CF -1R. 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: I❑ Aluminum -Pigmented Asphalt Roof Coating ❑ Cement -Based Roof Coating ❑ Other I' NOTE. When a Cool Roof is required, the installing contractor shall complete and submit the CF -6R -ENV -01 for final inspection. Declaration Statement • 1 certify under penalty of perjury, under the laws of the State of Calif omia, the information provided on this form is accurate and complete. • 1 certify that the energy features and performance specifications identified on this Certi ' to of Compliance conform to the requirements of Title 24, Parts 1 and 6 of the California Code of Regulations. Name:'/t Signal re: Com pan Date: Z Z 13 Address�I � ID Licensee �D T City/State Phone: For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.