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12-0627 (RR)P.O. BOX 1504 VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 f .BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 - - - - BUILDING PERMIT Date: 6/06/12 Application Number�12=00000627 + Owner: Property Address: 51310-AVENIDA� VALLEJO. BOWERS RESIDENCE' APN: -773'-084=005-20 -000000- 51310. AVENIDA VALLEJO Application description: RE-ROOFr - LA- QUINTA, CA 92253 Property Zoning; COVE RESIDENTIAL' -Application valuation:. -4500 Contractor: �- Applicanf:.. + "Architect or Engineer: BERRY ROOFING 3226 KLUK,LANE RIVERSIDE, CA, 9250 (95,1)906 5 25116 Y I�1c.'No.. 691947`�� J . • LICENSED CONTRACTOR'S DECLARATION _ - WORKER'S COM SATION DECLARATION I hereby affirm under penalty of perjury that 1 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: C39 -C43 - •"' Li nse No.: 691947 for by Section 3700 of the'Labor Code, for the performance of the work for which this permit is /I r•" R _ • --, - issued. - Date: t0 �ZContractor: I v " 0% 1 - r_ ., _ ],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 A r NER-BUILDER DE LARATION i , i - insurance carrier and policy number are: , w hereby affirm under penalty of perjury that I:am exempt from the Contractor's State License Law for the Carrier CASTLEPOINT Policy Number WSLTHPE09245901 '. following reason (Sec. 7031 .5, Business and: Professions Code: Any city or county that requires a permit to' _ 1 certify that, in.the performance of the work for which this permit is issued, I shalt not employ any .r ,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 Labor Code, hall forthwith omply with those provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031 .5 by "-12— any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: r Date:, Applicant: 1 ^•�( - - A—) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and 1i V 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'S FEES. one year.of completion, the owner -builder will have the burden•of-proving that he or she did no_ t build or - , • . improve for.the purpose of sale.) - I I APPLICANT ACKNOWLEDGEMENT a 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 perks 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 contractorls)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, I f I am exempt under Sec. , B.&P.C: for this reason ,q; tithe 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, orcessationof 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 r work for which this permitisissued (Sec. 3097, Civ. C.). - city and county ordinances and state laws relating to buildin construction, and hereby authorize representatives >y • - of this county to enter upon the above-mentioned property o inspection puryses, Lender's Names • - 'Date: " � — I Z -Signature (Applicant or Agent): - Lender's Address: • i e t- _ _ ., - •LQPERMIT Application Number 12-00000627 Permit RE -ROOF Additional desc . Permit Fee 30.00 Plan.Check Fee :. .00 Issue Date . . . Valuation 0 Expiration Date .. .. 12/03/.12' Qty, Unit Charge Per Extension -. BASE FEE 30.'00 ----------------------------------------------------------------- Special Notes and.Comments ROOF OVERLAYMENT O.C. CORNINGS OAKRIDGE SHINGLES.(SHASTA'WHITE) ---------------•--------------------- Other Fees ;. ---------- BLDG STDS ADMIN.(SB1473) 1.00 Fee summary Charged, i 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 - .., Prescriptive Certificate of Compliance: Residential Reroof CF -1 R-ALT-ReRoof Project Address: 2 a12:41/,� Climate Zone Permit # 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 W, whichever is less, the new roofing area must meet the roofing product "Cool Roof' requirements of §152(b)1 Hi, 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/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-ft'-'F/Btu or at lea'st 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 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(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)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. NOTE: If any one of the alternatives or exception is checked the Aged Solar Hetlectance and t nerma► tmrttance requirements Tor roorrng products in §118(i) are not applicable. Do not fill table below. 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 of Compliance conform to the requirements of Title 24, Parts CRRC Product ID Number' << 2:12 > 2:1Z < 5lb/ 2 z 5lb/ft2 Type 2 Reflectance3,4 Emittance SRI A ti. etc oggp. pp02 ❑ ❑ ❑4 o , 8 p. 2S Vi ❑ ❑ ❑ ❑ Phone: ❑4 Note: If no CRR -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.ordiproducts/search.nhn 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;,,a1.1 — 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 htto://www.enerov.ca.gov/title24/and enter the resulting value In the SRI Column above and attach acopy of the SRI- Worksheet to the -CF -IR. 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 Cool Roof is required, the installing contractor shall complete and submit the CF -6R -ENV -01 for final inspection. Declaration Statement u I certify under penalty of perjury, under the laws of the State of Cal'rfomia, the information provided on this form is accurate and complete. u I certify that the energy features and performance specifications identified on'this Certificate of Compliance conform to the requirements of Title 24, Parts 1 and 6 of the California Code of Regulations. Name: Signature: Company: Date: � Address: C � License: City/State/Zip:— Phone: For assistance or questions regarding the Energy Standards; contact the Energy Hotline at: 1-800-772-3300. Bin. # Oty. Of %a Quinta. BulkUng 8L Safety Division P.O. Box 1504,78-495 Calle Tampico 1.a.Quinta, CA 92253 -:(760) 777-7012 Building Permit Applicadon'and Tracking Sheet Permit # Project Address: Owner's Name:. M , t•. a wR✓S: A P. Number . Addt dress: S ! 3 62) iJ111 \ Legal Description: City, ST, Zip: Z, z,53 Contractor. S Telephone: NJ. 0 -. ? Address: 3'i -2,L �kax Project Description: Roo y iv City, ST, Zip: jVt✓5 j CA C_ C'& k .g Telephone: SS rJ �� �i ��:'' "Ci 1 1 . r Sh �n State Lia #: C(' Lie. #: Arch, Engr., Designer. Address: City., ST, Zip: Telephone:Construction State Lia #: v Type:. p p Oecu ancy: p project type (circle one): New Add'n Alter Repair Demo ' Sq: Ft : �7Q #Stories: #Units: .Name of Contact Person: O �L Q, 0 Telephone #.of Contact Person: .�� Gj I '�55 �` Estimated Value of Project: �5 p d f D 7 . APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd Reed TRACKING PERMIT FEES Pian Sets Plan Check submitted Item Amount Structural Calces Reviewed, ready for corrections Plan Check Deposit • . Truss C21cs. Called Contact Person Plan Check Balance. Title 24 Coles. Plans picked up Canstractlon Flood plain plan Plans resubmitted, . MechafilW Grading plan 2'! Review, ready for correctionstcssue Electrical Subeoutactor List Called Contact Person Plumbing Grant Deed Plans picked up S M.L H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 7i6 Review, ready for correetionsAssae Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees i