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13-1546 (RR)P.O. BOX 1504 VOICE (760) 777-7012 78-495 CALLE TAMPICO �\--�/ FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT,' v INSPECTIONS (760) 777-7153 BUILDING PERMIT Date; 12/02/13 Application Number: 13-00001546 - Owner: Property Address: 54576 SHOAL CREEK PGA WEST HOA-. APN: 775-071-074- - - 54320 SOUTHERN HILLS Application description: RE -ROOF t LA QUINTA, CA 92253 Property Zoning:' LOW DENSITY RESIDENTIAL (760) 771-1234 Application valuation: 1500. - Rr—A Contractor: Irl I- — r, 2013 Applicant: Architect or Engineer- BRS ROOFING INC l; r + . 765 S. LUGO AVENUE SAN BERNARDINO, :CA 92408 ;lTY;)s,A QUINTA J /� (909)884-8505, �/ i _9Q;,�#71=es•Q , .. Lic. No.: 907600 - ------------------------------ ' LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION r 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 Licen I s: C3 9 - License No.: 907600 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is , nit, zsued. Date: v ac Contrtor:_✓ I have and will maintain workers' compensation insurance, asrequiredby 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 '639-0509596 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 requiresthe 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 shout ecome subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 70001l of Division 3 of the Business and Professions Code) or _ 3700 of the Labo 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 any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: Date: n Applicant: I - (_ 1. 1, 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 SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'SFEES. ` one year of completion, the owner-buildar will have the burden of proving that he ui she did not. build or - improve for the purpose of'sale.). APPLICANT ACKNOWLEDGEMENT 1 _) 1, 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 _ 1 I am.exempt under Sec. B.&P.C. for this reason 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 actor omission related to the work being + - performed under or following issuance of this permit. Dater Owner: 2. Any permit issued as a result of this application becomes null and void if work is not commenced _ within 180 days from dateofissuance 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 1 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 c my, ordinances and state laws relating to building construction, and hereby authorize representatives • of this y Ito enter upon t above-mentioned peTerfli, for inspection purposes. Lender's Name: - Date: Signature (Applicant or Agent):'. -Lender's Address:. ' LQPERMIT r Bin # City of La Quinta Building u SafetyDivision Permit # P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 } Building Permit Application and Tracking Sheet f . - -.7h t weer same: fo A WMT A. P. Number:JA!d � v Legal Description: . ity, Contractor."'" x;:>r'5:::z>::,•::::: -; V1DPt W' & rephone: f ' ``' ddress: 6S S . WA460 ko H P�oiect esciap n ity, ST, Zip:A t L n 17 kAtbve6O' Telephone.1(1- -4- �`Ci 9t' 'City "#•:' State Lia • , �p �'� Lic. `01 (I V(0 1 . Arch., Engr., Designer. �f "^-- Address: City., ST, Zip: ` Telephone: Construction Type:' Occupancy: State Lic. #: :` .-........,..,:.............: ,. ">:�<:-i%�� , Project'type (circle one): New Addn Alter Repair .Demo ¢Nam offConia3' on:r"a e. 6a �(, ��. Sq. Ft.: v it Stories: #Units: � RTelePhoneiof"Contee°�ison:•e T iaue of3- ;roj" ect O V t APPLICANT: DO NOT WRITE 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 Cala. Called Contact Person Plan Check Balance Title 24 Cala. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan Zed Review,' ready for corrections/issue Electrical " SubcontactorList `' Called Contact Person Plumbing Grant Deed Plans picked up S.M.L H.O.A. Approval Plans resubmitted Grading IN HOUSE:-' '"' Review, ready for correctionstiissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees ' Total Permit Fees t t Prescriptive Certificate of Compliance: Residential Reroof CF -1 R-ALT-ReRoof Pro' ct Address: Climate Zone Permit # Aged Solar Reflectance 3,4 Thermal Emittance SRI ROOFING PRODUCTS (COOL ROOFS) §151(1)12 When the area of exterior roof surface to be replaced exceeds 50•A of the existing roof area, or 1,000 ff, whichever is less, the new roofing area must meet the roofing product "Coot Roof" requirements of§152(b)1Hi, 152(b)1Hii, or 152(b)1Hiii. Check applicable alternative or exception below if 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 (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 weight less than 5/IW. 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•ft2•`FBtu 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 f? 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 <— 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. • - .• •, . • ...' arc/ uauvca u/ CAcepuun is crtecKeu the Hgeo Jotar Hettecrance.ana I nermat tmtrrance requirements for rooting products in §118(1) are not applicable. Do not fill table below. CRRC Product ID plumber' Roof Slope <_ 2:12 > 2:12 Product Weight < 51be >_ 51be Product Type 2 Aged Solar Reflectance 3,4 Thermal Emittance SRI Loll❑ kddress I � O le 1D License, O (0 0 T ;ity/State ❑ �'fiN ❑4 1 g ❑ ❑ ❑ ❑ ❑4 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 Council's Rated Product Directory at www.coolroofs.ora/aroducts/search.nf� 2. Indicate the type of product is being used for the roof top, i.e. single -ply roof, asphalt roof, metal roof, etc. '. If the.Aged Reflectance is not available in the Cool Roof Rating Councils Rated Product Directory then use the Initial Reflectance value from the same directory and use the equation (0.2+0.7(p;,,;,, — 0.2) to obtain a calculated aged value. Where p is the Initial Solar Reflectance. '. Check box if the Aged Reflectance is a calculated value using the equation above. Calculate the SRI value by using the SRI- Worksheet at hanJAvww.eneryv.ca.govftitle24/and enter the resulting value in the SRI Column above and attach acopy of the SRI- Worksheet to the CF -1R. 'o apply Liquid Field Applied Coatings, the coating must be applied across the entire roof surface and meet the dry mil thickness or coverag commended by the'coatings manufacturer and meet minimum performance requirements listed in §118(i)4. Select the applicable coating: 7 Aluminum -Pigmented Asphalt Roof Coating ❑ Cement -Based Roof Coating ❑ Other v r cr c: wnen a coot Hoot is required the installing contractor shall complete and submit the CF -6R -ENV -01 for final inspection. 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 Certi ' to of Compliance conform to the requirements of Title 24, Parts 1 and 6 of the California Code of Requlations. \lame: Tjjjfi Signat e: :ompan S �ib O�tr� Date: IZ) 't kddress I � O le 1D License, O (0 0 T ;ity/State Phone: )r assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.