10-1141 (RR)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
--10-00001141
Property Address:
.52685 AVENIDA VALLEJO
APN:
773-292-020-8 -000000-
Application description:
RE -ROOF
Property Zoning:
COVE RESIDENTIAL
Application valuation:
9724 ,
Applicant: Architect or Engineer:
VOICE (760) 777-7012
FAX (760) 777-7011
BUILDING'& SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date't/01/10
Owner: _
CITY OF LA QUINTA
P.O. BOX 1504 D
LA QUINTA, CA 92253
(760) 777-7016 NOV O1 2010
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 Busi nd Professionals Code, and my License is in full force and effect. _
Licens Class: C39 License No.: 810537
Date\ \ le Contractor:
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
thache 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).:
(_ 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
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.).
1 _) 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 1 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: '
LQPFRMIT
Contractor:
ROOF TILE SPECIALTY INC
P.O. BOX 11257
PALM DESERT, CA 92255
(760)200-0811
Lic. No.: 810537
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 238-00098.89-10
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/E7'Sfie hwith comply with those provisions.
Date: \\\\\\O Applicant: \\\\JJ
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 1$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.
'l. 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 a ree o comply with all
city and county ordinances and stZ-mentioned
s re atmg to ui o ruc ion, and hereby authorize representatives
of the county to enter upon the a property for inspection purposes.
Date`s Signature (Aor Agent):
Application Number
10-00001141
. .. .
Permit RE -ROOF
Additional desc
Permit Fee 30.00.
- Plan -Check
Fee
.00
Issue Date
Valuation
0
Expiration Date 4/30/11
Qty Unit Charge Per
Extension -
BASE
FEE
30.00
Special,Notes and Comments''
RE- ROOF CLASS AMATERIALS 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
f
f
LQPEn11T
• - .
Punirlcate of -compliance: -Residential Reroi
Zone I Permit
R-ALT-ReRoof
ROOFING PRODUCTS (COOL ROOFS) §151(012
When the area of exterior roof surface to be replaced exceeds 50Yi of the existing roof area, or 1,000 fe,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)1Hlll.
Check applicable alternative or exception below if the roof alteration is exempt from the roofing product "Cool Roof requirements::
D Cool roofs not required in Climates Zones 1-12,14, and 16 with a low sloped roof pitch (less or 2:12 pitch).
D Cool roofs not required in CfrWes Zones 1-9, and 16 with a steep -sloped roofs_
Alternatives to §152(b)1 Hi and §152(b)HII, Steep -slope roof (pitch > 2:12) ( � pitch than 212) and product weight less than 5/lta/ft2.
❑ Insulation with a thermal resistance of at least 0.85 hr-ft2-°F/Btu or at least a 3/4 inch air -space is added to the roof deck over an attic, or
D Existing duds in the attic are insulated and sealed according to §15i(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
D Building has at least R-30'ceiling insulation; or
D 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 K-11-3 or greater roof deck insulation above vented attic.
Exception to §152(b)1 Hill, Low -slope .roof ( pitch 5 2.12)
❑ 'Building has no ducts in the attic.
Other Exceptions
D 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 Cod Roof criteria.
NOTE: If any one of the alternatives or exception Is checked the Aged Solar Reflectance and Thermal Emittance requirements for roofing
products in §118(1) are not applicable. Do not fill table below.
Roof Slope Prod
5 2:12 > 2:12 < 51
. E3❑ ,®
M� 0
uct Weight
b/ e t 51b/ft2
Product
Tvm2
Aged Solar
Reflectanoe3'4
Thermal
Emitta.
jnce
❑
❑4
Note: If no CRRG1 label is available, this compliance method cannot be used use the Pedbrmsnce Approach to show compliance,
The CRRC Product 10 Number can be obtained from the Coot Roof Rating Coundl's Rated Product
Indicate the type of product is being used for the roof t Directory at w�vw.000lroofs.oro/broducts/"amh oho
If the A op. is �smg/e-p/y root asphalt root metal roof, etc.
ged Reflectance is not evadable in the CootRoof Rati COWW's Rated Product Directory then use Me Initial Reflectance value from the same
directory and use the equation (0. 2+0.7(pjw - 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 ht0DYAVww.enero►, ca 9MMG241 and enter the resulting value in the SRI Column above and attach
acopy of the SRI- Worksheet to the CF•1R.
o apply Uquld Field Applied Coatings, the coating must be applied across the entire roof surface and meet the dry mil thickness or Covera
)commended by the coatings manufacturer and meet minimum performance requirements listed in §1180. Select the applicable coating:
Aluminum -Pigmented Asphalt Roof Coating ❑ Cement -Based Roof Coating ❑ Other
TE. When a Cool Roof is required, the installing contractor May complete and submit the CF-6R-ENv4
eclaration Statement
for final inspection.
• 1 certify under penalty of poijury, under the laws of the State of Califomia, the information provided on this form is acc urateand complete.
• I certify that the energy features and performance specifications identified on this Certificate of Compliance conform to the requirements of Title 24, Parti
1 and 6 of the California Code of Regulations. i-A-�
aignarure:\/ \
Company: \
Date:
P :ss:. /-�
Licenser
Lj \rte a
City/State/Zip:
Phone:
For assistance or questions regarding the En rgy Standards, contact the Energy Hotline at: 1-800-772-3300.
rcootin.g FAX No. 760 200 0801 P. 001
"EXHIBIT A"
RTSRoof TTIe SpecWty, Inc.
Contactors State License S 810537
P.O. Box 11257 Palm Desai, CA 92255
PHONE 760-200-0811 FAX 760 200-0801
A proposal submitted to: C1TI` OF LA QUINTA
Me ling Address: P.O. BOX 1504 LA QUlNTA. CA
Job Address: 52-685 AVE. VALLEJO LA QUINTA. CA
Phone: KURT 760-777••7016
Of work to be
INSTAL(. NEW PSRIMTT„R BEREMOVE STING ROOF AND DISPOSE.
DGE METALLAAND ONE LAYER 4o# TILE L1NPR To ALL
INSTALL NEW SHEET METAL AT ROOF TO WALL TRANSITIONS.ROOF SURFACES.
RIDGE BOARD TO BE INSTALLED ON ALL HIP AND RIDGE LM&
INSTALL NEW ROOF JACKS PRIMARY AND SECONDARY, TO BE INSTALLED ON ALL HVAC. & PLUMBING
PENETRATIONS PAINTED TO MATCH ROOF.
INSTALL NEW MONIER LIGHT WEIGHT ROOF TILE TO MANUFACTURES SPEaplcATIONS.
CLEAN JOB'SITE OF ALL ROOFING DEBRIS
null
Notes Roofing is not wsnanted and/or guaranteed rntil 100% oodtplete. Please note Roof 1IIe
roofing matetials or delivery dates. All debris Caused SPedaltY. is not trspopsibie for calsis is
f3om above weds to be disaerded and area to be left clean
1n keeping with hrdusty standards: 1. This guasumtce does not cagier any damage to the httaior or exoaiot on which the roof in applied or
tO nY Contests therein This gperentee does tot cover d®age to roof doe tp any cause beyond our conte
limited to: frm; lightning, wmdstam, hatlstorar, antennas or otherL Walmitog, but not
other falhse of the troof dock, walls or foundation of the foot trn>fiC on root shuctutal fault ors craaldpg or
contactor to remove and/or reinstsll btuldigg on which the roof is applied 2. Sbould h become necessary for the mofrng
made for
sect wot44 the cus<o>Yrer und�asten® or his aPPlieaoes or other equipment, whether or not an addition! chap is
performance of said equipment 3. RTS (Roof Tile s RTS (Roof ljle Specialty, leo.) nor the lismEer assurlm anY responsibility for the
violations or for the topair erf any einsting elefecrs nisi ) does not asamte spy responsibility for oocrecdona of existing code
TOt`a1 Cost: $9,77.00 Terms paid on s m teatmate and propeuaL
is invalid. Brdea $Ss.oO sheet of conopMe" unless Otherwise steed ml the contract Ifnot accepted in thirty dqs proposal
Pet request
ifneeded in theevent ofany increase in material Price(sl said a shall be
passed
direcry colo the client At diem's rsquest ROOF TTIe Specialty shall Provide written documentation of the
client and elicit shall pay the actual hlaease in the material price in additional to ince mater181 price(,) to
to be perfonsned under this eg<oemeet Roof T ile Specialty shall add >m mark uP en�pmfi�t t AnyCL= �� to � Roof rde Specialty for work
Acceptance: You life hereby authorized to famish ell contents written in the ooetsm to a w,*e materiel prices.
for which Yft agree to pay the e000rmt mentioned, in said wodc onei e fire proposal centsrues
by dehm in W'orleoranship. Cccurs within FM � � to terms btttiaep. if a leaioage, oaosid
responsibility to pmper(y MWztsia aPPli�ioq we vrr7l repay, free of oharge:lt is the own=
Installation: It is understood that by roof �� Guide, and proposed budget far amrual maintenance will be Provided upon request,
aOCCptgpee of this proposal you authorize RTS (Roof 1'rle
issue Wolk orders wi& apedfications shown hand, and to pay our charge for each i6Sts1l8ttOn, y Ste• Lie) to make the insmllatiar>; to
hovel. which will cover the Price of said materials and labor � to pay the amount speet6ed
remains Property of RT5 (Roof Trle S _ _� This estimate: is based on a opmp(etsJohend any ampEus.
rigterial
Set forth heroin. There ahall be no liabilities for delaysVim and e� with rePresentativas shall not be binding unless
. wuur, in. or failure to
neral—di e, if doe to government regulations or Mete, deliver or installation c all or any of fhb You
In mentioned
speeificatons Traria, aeceaettatiag additoael c�sr� ou>r oontrSOL My aLaages made by you is
or labor shall not be included or covered by this proposal, bort eballbe provided for
tinder separate and additional order from you �(imtial)
ArbltratlOR of Disputes: Any cautioversy or arising out of or relating to this coattaot, Cr tha bream theseot shall wed by arbbitratar
in accordance with the applicable Construction Industry Arbitrator Rules of the American Arbitetiop Assodatlen which ere m eiibOt at the
time the demand for arbitration is filed. A judgment award based
Partiedate. Notwithstanding Contractor's ' to arbitrate, � evidence presented by the Pwty(ies) who do (does) appear and
payment of the amount due be�mder, client ttcata c mson or docs not waive ssop' of its lien rights. In the event of ftsult Client
'lees to Pay reasoltable alto
said amawtLs whether or not snit is flied 1.5% 'fee's O°st mem wHh oojlecion of
Contcaetor's art per
month and/or an auunsal Irereentege of 18.046 will be chxged due a=
be refeued to the register of the board whose address is
� � Contactor's State HoatrL Any quip ce ����a �y
Mailing address: P.O. Box 26000, Sacramento, CA, 958 Contactors State Licenses BCard. 9835 Goatbe Road. Sacramento, CA 95827.
The above prices, apedflcir
and conditions 811,44"and are hereby accepted,
Owner's Signature
(or authorized rePr
Date: 2q 2p lb
Contractor's Slgnatae `J i 0 `25 1 to
DI >Y
1 � City of La Quints
\\ i Btn7d/ng 8r Safety DMsfon
err P.O. Box 1504, 78495 Calle Tamplco
La Qulnta, CA 92253 - (760) 777-7012
�b ���' Building Permit Appiication and Tracking Sheet
Project Address: S ��5 ��� Owner's Name: �-� V `rfv
A. P. Number: Address: `�j l 4
Legal Description:
City. ST, Zip:
Contractor. , l
Ccs
Telephone:
Address: ^
City, ST, Zip.C��
Telcphona' �/!��
`^
Project Description:
State Lie. #: I lo`
Arch., F.ngr., Designer.
AdQress:
City Lie. #;
City., ST; Zip:
Telephone:
Construction Type: Occupancy:
State Lit:.
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.:# Stories: #Units:
Telephone # of Contact Person: �Q I Estimated Value of Project: 1 2
APPLICANT: DO NOT WRITE BELOW THIS UNE
# Submittal Req'd Reed TRACKING PERMIT FEES
Plan SW
Plan Check submitted
Item Amount
Structural Calls
Truss Calls.
Title 24 Calcs.
Flood plain plan
Grading plan
Reviewed, ready for correctionsPenn
Called Contact Person
Pians picked up
Pians resubmitted
V Review, ready for corrections/issue
Check D it
Plan Cheek Balance
Construction
Mechanical
Electrical
Subcontactor List
Called Contact Person
Plumbing .
Grant Deed
H.O.A. Approval
INHOUSE:-
Plans picked up
Plans resubmitted
3" Review, ready for corrections/issue
S.M.L
Grading
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks- Appr
School Fees
Date of permit issue
Total Permit Fees