10-0464 (RR)P.O. BOX 1504, '.
78-495 CALLE TAMPICO
LA QUINTA CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
11.0.00.0_00464
,515-7.0_AVENIDA VALLEJ,O
773-132-003-22 -000000-
RE-ROOF
COVE RESIDENTIAL
8800
#%4
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Applicant~ � Architect or Engineer. r
Civ yam.
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 ofessionals Code, and my License is in full force and effect.
License Class: C39 License No.: 908069
ate:-e;C-01 IVContractor.
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 70001 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).:
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.).
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 I am exempt under Sec. , BAP.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:
LQPERAIIT
Owner:
LAYTON ALLEN
51570 AVENIDA VALLEJO
LA QUINTA, CA, 92253
(760)880-3867 -
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777=7153
Date:
Contractor: Jull- G ��
ABOVE IT ALL• ROOFIN , NC 2 [u�0 f
3943 IRVINE BLVD, 9 G1T�
IRVINE, CA 92602 j).ar�F�%tltlrVt�
(714) 731-3911
Lic.. No.: 908069
6/02/10
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 0 Policy Number 23800.1310
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 Labor Code, I forthwith c ply with those provisions. ,
ate -66 -OZ -/0s A, pplicant:
WARNING: FAILURE TO'SECURE KERS' 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 county ordinances and state laws relating to building construction, and hereby authorize representatives
of this.. ,,✓✓��
county to enter upon the above-mentioned property for inspect' purposes.
Dat�Ow•-/0 Signature -(Applicant or Agent): -
Application Number 10-00000464
Permit RE -ROOF
Additional desc
Permit. Fee 30.00
Plan Check
Fee
.00
Issue•Date.:..
Valuation.
0
Expiration Date 11/29/TO
Qty" Unit Charge Per
Extension
BASE,.FEE
30.00
Special Notes and Comments
- TEAR OFF ROCK ROOF REROOF 30 YEAR
COOL
ROOF SHINGLES. 2007 CODES.
Other Fees ...-BLDG..STDS ADMIN (SB1473-)
1.00.
Fee summary Charged
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 ;
LQPERAIIT
Prescriptive Certificate of C
Project Address:
sl—
S 7U
: Residential Reroof
/t)A V
mate Zone
ROOFING PRODUCTS (COOL ROOFS) §151(1)12
When the area of exterior roof surface to be replaced exceeds 50% of the existing roof area, or 1,000
roofing area must meet the roorrng.product "Cool Roof" requirements of §152(b)1H1, 152(b)1Hii, or 1;
Check applicable alternative or exceptlon below if the roof alteration is a fro
CF -1 R-ALT-ReRoof
'ermit #
r
', whichever Is less, the new
(b)1 Hill.
xempt m the roofing product Cool koor requirements:,
❑ Coop 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/lb/ft2.
Alternatives to §152(b)l Hi and §152(b)HII, Steep -slope roof (pitch > 2:12)
O Insulation with a thermal resistanceof at least 0.85 hrft •°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 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 duds 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)1Hifi, 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 Ibl'ft2 are exempt from the Cool Roof criteria.
NOM: If any one of.the aftematives or excepfion is checked the Aged Solar Reflectance and Thermal Emittence requirements for r oting
products in §118(1) are not applicable. Do not fill table below.
CRRC Product ID
-001-S ;�
Roof Slope
Pnk
s 2:12 > 2:12
< 51
❑ ®
C
❑
C
duct Weight
�/fl2 i 51b/ft2
Product
T s
Aged Solar
Reflectance '4
ance'
Thermal
Emittance
SRI S
m
51k;h,g�
❑4--
❑
[34
Note: If no CRRC-f 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 Coo/ Roof Rating Council's Rated Product Directory at ► v.cDolroofs.ordbrodu cp,ce, _ ho
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:
5. Calculate the SRI value by using the SRI- Worksheet at htty✓M%wiv.e my ca oov/N1s24(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 coverak
recommended by the coatings manufacturer and meet minimum performance requirements listed in §118(1)4. Select the applicable coating:
❑ Aluminum -Pigmented Asphalt Roof Coating ❑ Cement -Based Roof Coating
13 Other
NOTE When a Cool Roof is required, the rnstallrng 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 Certificate of Compliance conform to the requirements of Tdle.24, Parts
1 and 6 of the California Code of Regulations.-
Name:
e ulations.Name: /
,4ti► / �:. Signature:
Company: ,, _ .
35� /3
City/State/Zip:
'
_Z Vince
_2_
- ^ - aw -
License,
Phone:
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-7724300. L
Bin #
City Of La •_Quints
Buf(ding a Safety DWon
P.O. Box 1504, 78-495 Calle Tampko
La Qulnta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permlr #
1 j�Ll�
Project Address:_52—SIC '� O vloA 14ZjC_ So
Owner's Name:
A. P. Number.
"Address:
Legal Description:
Contractor: vy� �%` /Zg7f�46_ _Z7 .
City, ST, Zip: 1110_612t t_).tM e-
Telephone: A 0 6 7 .
�'�'D •- �
Project Description: �—?9-1Z lLGY/
2 5/--3.Tcl
Address: J 9 _z /IC 4p7"7
City, ST, zip:
-20>420fZ
Telephone:
City Lic. #;
Cam- /C�G�. s�i✓J S
State Lic. # : Q
V6—
Arch., Engr., Designer.
-
Address:
City., ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person: C71
Construction Type: f� Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft : yid
#Stories: /
# Units:
Telephone # of Contact Person: 74k) _57eq —766 %
Estimated value of Project:
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Ree'd
TRACKING
PERMIT FEES
Plan Set
Plan Check submitted
Item
Amount
Structural Cala.
Reviewed, ready for corrections
Plan Check Deposit .
Truss Cala.
Contact Person
Plan Check Balance
Title 24 Cala.
cked up
Construction
Flood plain plan
submitted
Mechanical
Grading plan
ew, ready for correctioaMssue
J2-
Electrical
Subcontaetor List
Contact Person
Plumbing
Grant Deed
icked up
S.M.L
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:- " -
--
''' Review, ready for eorrectionslissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP.P.
Puli. Wks. Appr
Date of permit issue
School Fen
Total Permit Fees
7•
V