13-1356 (RR)P.O. BOX 1504 < VOICE (760) 777-7012
78-495 CALLE.TAMPICO FAX (760) 777-7011
LA QUINTA,.CALIFORNIA 92253 - BUILDING & SAFETY DEPARTMENT INSPECTIONS.(760) 777-7153
BUILDING PERMIT
Date: 10/23/13
Application Number: 13-00001356 Owner:
Property Address: 78500 AVENIDA TUJUNGA CYNTHIA APPOLITO
APN: 770-091-00.7-14 000000- 78500 AVENIDA TAJUNGA
Application description:RE-ROOF LA QUINTA, CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL. (760)574-2903
Application valuation: 11948 D
Contractor: i r O
Applicant: _ Architect or Engineer: WESTERN PACIFIC ROOFING CO P 0C'� 23 2013
3462 LA CAMPANA WAY
^ �a� PALM SPRINGS, CA 92262 CITYOFLAQUINTA
V1
(760)416-5877 FINANCE DEPT.
Lic. No.: 235717
}
-—---——---------------------------------------------
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 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 .
License Class: B C39 License :. 235717 for by Section 3700 of the Labor Code, for the performance of the work for which this -permit is .
- - issued.
Date: r ,�L. Contractor: - ✓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:
hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier ARCH INS CO Policy Number ZAWC19302700
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 wor ers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Codel or 3700 of the Labor Code, I shall f hwi h'comp it those provisions.
that he or she is exempt therefrom and the basis for'the-alleged exemption. Anyviolationof Section 7031.5 by f 0 -
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 1$5001.: ; Applicant:�� _ -
(_ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and Pate. - - 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 they .. - - DOLLARS 1$100,000). 1N ADDITION TO THE COSTOFCOMPENSATION, 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. 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 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 autho a representatives
of thisoynty to enter upon the above-mentioned property for insp do rpo S.
• Lender's Name: -,7'7//
_ - `^ • Date: Z7 T Signature (Applicant or Agent):
Lender's Address: V
LQPERMIT - -
Application Number . . . . . 13-00001356
Permit . . . RE-ROOF
Additional desc -.
'Permit Fee 60.06 Plan Check.Fee
00
Issue Date .` . . Valuation . . .
. 0
Expiration'Date 4/21/14
Qty Unit Charge Per
Extension
1.00 48.6200 LS MISC RE-ROOF, 1ST 2000 SF,
48.62
1.00 11.4400 EA MISC RE-ROOF, ADDL 1000"SF
11.44
Special Notes.and Comments
REROOF WITH FOAM - BRIGHT WHITE [CRRC:
0614-0017a] 2010 CALIFORNIA ENERGY CODE..
' Other Fees. . . . . PLAN CHECK, RE-ROOF
97.24
Fee summary Charged Paid Credited
Due
-------------------------------------- ----------
Permit Fee Total 60.06 .00 .'0.0
---------
60.06
Plan Check Total .00 00 .00
..00
Other Fee Total 97.24 00 00
97.24
Grand Total 157.30 .00 .00
157.30
' LQPERMIT -. -
-
Bin #
Cit} Of % Quinta
Building &r SafetyDivision
; P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA.92253 - (760) 777-7012
'Building Permit Application and Tracking Sheet
Permit #
Project Address: '785-W
Owner's Name: �, r CL
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor:C CiA) ac c ° c G
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Telephone:
Address: - 3YG Z
Project Description: illi
City, ST, Zip: efd
Telephone: 7 Go -' yl SY!
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State Lic. # : City Lic. #;
Arch., Engr., Designer:
Address:
City., ST,, Zip:
Telephone:
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°A"`%?<>'"•'••>""'>' :<`?'' ::>; ,... Av?.>.>::Project
Construction Type: Occupancy
.
State Lic. #:
type (circleone): New Add' n Alter Repair Demo
Name of Contact Person:14tj /fit
Sq. Ft.: C)
# Stories:
# Units:
Telephone #,of Contact Person: 0— 5-7 Y —Z g 0 3
Estimated Value of Project:Z4 f
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Pian Sets
Plan Check submitted
Item
Amount-
mountStructural
StructuralCalcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Coles.
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 correctionsfissue
Developer Impact Fee
Planning Approval
Called Contact Person,
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
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Prescriptive Certificate of Compliance: Residential . CF -IR -ALT
Residential Alterations Page 3 of 5
Project Name: Climate Zone # # of Stories
C t•�''ti�� 1 �+�
ROOFING PRODUCTS (COOL ROOFS) §1511912
When the area of exterior roof surface to be replaced exceeds more than 50% of the existing roof area, or more than 1,000f?, whichever is
less, the new roofing area must meet the roofing product "Cool Roof'requirements of §152(b)IHi,152(b)IHii, or 152(b)I11iii.
Check applicable alternative or exception below if the roof alteration is exempt from the roofing product "Cool Roof' requirements. Note: If arty
one of the alternatives or exception below is checked, the Aged Solar Reflectance and Thermal Emittance requirements for roofing products in
§l 18(i) are not applicable. Do not fill table below.
❑ Cool Roofs Not Required in Climate Zones 1-12, 14, and 16 with a Low Sloped. Less or 2:12 pitch.
❑Cool Roofs Not Required in Climate Zones I through 9 and 16 with a Steep -Sloped Roofs (pitch greater than 2:12) and product unit weight less
than 5lb/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 heft •°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 ft of free ventilation area of attic ventilation for every 150 ft2 of attic floor area, and
where at Ieast.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(f)2; 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)lHiii, Low -slope roof (pitch <_ 2:12)
❑ Building has no ducts in the attic.
Other Exceptions
❑ Roofing area covered by building integrated; photovoltaic panels and solar thermal panels are exempt from the below Cool Roof criteria.
❑ Roof constructions that have thermal mass over the roof membrane with at least 25 lb/ft2 is exempt from the below Cool Roof criteria.
Note: If no CRRC-1 label is available, this compliance method cannot be used, use the Performance Approach to show compliance, otherwise,
Check the applicable box below if Exem t from the Roofing Products "Cool RoofRequirement:
Roof Slope
Product Weight
Product
Aged Solar
Thermal
CRRC Product ID Numberl
< 2:12 > 2:12
< 5lb/ft2 > 5lb/ft2
Type'
Reflectance3'4
Emittance
SR15
G — 6 l7/19,_❑
❑
°
❑4
-Yo
❑
❑ .
❑
❑
04
❑
❑
❑
❑
❑4
❑
❑
❑
1134.1
❑
❑
❑
13
1 1134-
1. The CRRC Product ID Number can be obtainedfrom the Cool Roof Rating Council's Rated Product Directory at ivww.coolroofs.or"roducts/search.phn
2. Indicate the type ofproduct is being used for the roof top, i.e. single -ply roof, asphalt roof, metal roof, etc.
3. If the Aged Reflectance isnot 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„i,iat– 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 hit-p://ivu,w.energv ca.gov/title24/and enter the resulting value in the SRI Column above and attach acopy of
the SRI- Worksheet to the CF -i 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:
[13 Aluminum -Pigmented Asphalt Roof Coating
❑ Cement -Based Roof Coating
TO Other
Registration Number: Registration Date/Time: HERS Provider:
2008 Residential Compliance Forms August 2009
ind rated products - Cool Roof Rating Council http://coolroofs.o'rg/products/results
1 SEARCH RESULTS „
Selected filters
Manufacturer: Guest Construction Products dba'United Coatings and.Hydro-Stop
Primary product type: Field -Applied Coatings '.
PRINT EXPORT ALL PRODUCTS
•CRRC PROD. ID' , MANUFACTURER: BRAND - F .PRODUCT TYPE - COLOR SOLAR REFLECTANCE THERMALEMITTANCE SRI MORE,
MODEL _ - _ INFO
., initial 3 Year. Initial 3 year Initial .3 year . .
S _
o614 -0017a Quest Construction Products dba United Field -Applied Bright White 0.83 0.71 0.92 0.90 105 87 +
Coatings and Hydro -Stop: Diathon Coatings: Acrylic —
White
COOL ROOF RATING COUNCIL 1610 Harrison Street Tel (866) 465-2523 or Fax (510) 482-4421 Email: info@coolroofs.org
" Oakland, CA 94612 (510) 485-7175 +
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