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13-1536 (RR)r P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 TW!t " 44f VOICE (760) 777-7012 ` FAX (760) 777-7011 BUILDING & SAFETY DEPARTMENT INSPECTIONS -(760) 777-7153 BUILDING PERMIT Application Number: 13-00001536 PGA WEST'HOA Property Address:. 55114 SHOAL CREEK APN: 775-142-012- - - Application description: RE -ROOF Property Zoning: . LOW DENSITY RESIDENTIAL Application valuation: 1925 nr Appli n�tf Architect toor%Engineer: Owner: PGA WEST'HOA 54320 SOUTHERN HILLS LA,QUINTA, CA 92253 (760)771_-1234 1 Contractor: 03 nr 7765 S. LUGO A SAN BERNARDINO C 924 OF �,QUIPdTA (909)884-8505 CITY DIEPT- L i c. No .• 90716 0 FIiNAWC� 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 Cie : C39 license No.: 907600 Dat ContrdEtor. JO 6.90 ` - 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 to-a-civilpenalty-of not more than five hundred -dollars ($500):: -- - - — (_ 11, 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.). (_) 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 Date: 12/02/13 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 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 should become subject to the workers' compensation provisions of Section 3700 of the LabokRZ6FJ shall forthwitfi-comply with those provisions. —Date? ft__ -ApPIicant 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: ' I certify that I have read this application and state that the above. information is correct. I agree to comply with all city and ou y ordinances and state laws ielating to buil ' onstruction, and hereby authorize representatives of this c unt to enter upon the abov -mentioned rty. for ----tion purposes. Da , Signature Applicant or Agent): LQPERMIT Application Number . . . . . 13-00001536, Permit . . . RE -ROOF Additional desc . Permit Fee 48.62 Plan Check Fee .00 Issue Date . . . . Valuation 0 - Expiration Date 5/31/14 Qty Unit Charge Per Extension i.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 LQPERMIT Bin # City Of La Quintd Building U Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # LPro s �, o Name: b A W MT A. P. Number: Address: Legal Description: itY, ST-, —zip,�.L; v i► Z Contractor: gp0�il N -e �� r� f„i Address: 4 S . L.JA &o k-jePro'ect eschption kCity, ST, Zip:6kP SgqtAA NIDe. N 7,7 9 �A4114 b EZ Tele hone:9 P a1- C o s:#>:;<; .>:<.>: - >>: ' r tate Lic. #fir , (o �a City Lic.'#c Arch., Engr., Designer. Address: J T City., ST, Zip: Telephone: h if i.: ! State Lic. # :<.::.:�,:; .;;:;•..;:<:.;:«.:.,;,,_:;;;::; %`:<::< Name of'Contact-Person: , g dGp o4(, Lw. Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: 240 D T# Stories: #Units: yTelephone # of Co�a'"� ct Pe1°rson: - jf4 FrOgF.sttmate�;Va`lue flf Pro- Q a 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 Cates. Called Contact Person Plan Check Balance Title 24 Caics. 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.I. 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 Prescriptive Certificate of Compliance: Residential Reroof CF -1 R-ALT-ReRoof Project Addre ssn �,, Climate Zone Permit # ROOFING PRODUCTS (COOL ROOFS) §151(t)12 When the area of exterior roof surface -to be replaced exceeds 50.1. of the existing roof area, or 1,000 , whichever is less, the new roofing area must meet the roofing product "Cool Roof" requirements of§152(b)1Hi, 152(b)1Hii, or 152(b)1Hifi. 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/Ib/fe. Alternatives to §152(0)1 Hi and §152(b)Hii, Steep -slope roof (pitch> 2:12) ❑ Insulation with a thermal resistance of at least 0.85 hr•ft2-TBtu 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)l0; 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 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. TOTE: If anyone of the alternatives or -exception is checked the Aged Solar Reflectance. and Thermal Emittance requirements for roofino procucis in g i itl(t) are not applicable. Do not fill table below. NOTE. When a Gooi stool 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 Compan I� � _ I CRRC Product ID Number 5 2:12 > 2:12 < 51b/ft2 >- 51b/ft2 Type2 Reflectance3'4 Emittance SRIS 04 ❑ ❑ �TiN ❑4 1 ❑ ❑ ❑ ❑ ❑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/nroducts/search.ohn 2. Indicate the type of product is being used for the roof top, i.e. single -ply roof, asphalt roof, metal roof, etc. 3. /f 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(pi iw — 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. 5. Calculate the SRI value by using the SRI- Worksheet at_httpJlwww.eneroy.ca.aov/title241 and enter the resulting value in the SRI Column above and attach acopy of the SRI- Worksheet to the CF -1 R. 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: ❑ Aluminum -Pigmented Asphalt Roof Coating ❑ Cement -Based Roof Coating ❑ Other NOTE. When a Gooi stool is required, the installing contractor shall complete and submit the CF -6R -ENV -01 for final inspection. Declaration Statement • [certify under penalty of perjury, under the laws of the State of California, the information provided on this form is accurate and complete. • I 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: o o r t Signat re: ------tea' Compan I� � _ I I Date: ' Address/ Lu•�•o to License Q0(od i City/State S� a�.o z +st' Phone: ?49 f'- . For.assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772=3300.