14-0330 (RR)P.O. BOX 1504
' 78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
14-00000330
53836 AVENIDA VALLEJO
774-163-006-19 -000000-
RE-ROOF
COVE RESIDENTIAL
7000
Ti&f44Q"-
BUILDING
& SAFETY DEPARTMENT
BUILDING PERMIT
Architect or Engineer:
ap
------------------
LICENSED CONTRACTOR'S DECLARATION
7.18a y
C
�
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 Class: C39 Licensa No.: 499608
Da�_ Contractor: (6�'✓1/�✓�'�^�/(�/(�
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 a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
(_) l,.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 1, 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.).
( 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 ISec. 3097, Civ. C .
Lender's Name: (�
Lender's Address: `1 y
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/27/14
Owner:
GREG BURR
53836 AVENID
LA QUINTA, C
(760)333-664
JFJO
53
MAR 2 r 2014
Contractor: I CITY OF LA IOWA;
LEHMAN ROOFI FINA14CE DEPT.
58440 ARACENA
LA QUINTA, CA 92253
(714)747-2229
Lic. No.: 499608
------------------
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
I& 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: r
Carrier S ATE FLTND Policy Number 0508232-2014
I certify that, in the performance of the.work for which his permit is issued, I shall not employ any
person in any manner so as to become subject to a workers' compensation laws of California,
and agree that, if I should become subject to th orkers' compensation provisions of Section
33700 of the Labor Cod shall fort ith c ly with those provisions.
Date: L7//� Applicant:
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 county ordinances and state laws relating to building construction, and her thorize representatives
of this county to enterup the above-mentioned property r inspectio os
Daterr l
• Z ` Si ature (Applicant or Agent):
Application Number 14-00000330
Permit . . . . RE -ROOF
Additional desc .
Permit Fee . . . . 60.06
Plan.Check
Fee
.00
Issue Date . . . .
Valuation
. . .
. 0
Expiration Date 9/23/14
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 LIGHT -WEIGHT TILE ARTIC
WHITE [CRRC: 0676-00891 - 2010
CALIFORNIA ENERGY CODE.
---------------------------------------------------------------------------
Other Fees . . . . . . . PLAN CHECK, RE -ROOF
97.24
Fee summary Charged'
----------------- ---- - ---------------
Paid Credited
--------------------
Due
"Permit Fee Total 60.06
.00
.00
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
Prescriptive Certificate of Compliance: Residential Reroof CF-1R-ALT-ReRoof
Project Addres
Climate Zone
ermi
Pt #
I 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 , whichever is less, the, new
roofing area must meet the roofing product "Cool Roof" requirements of§152(b)1Hi, 152(b)1HH, 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 (lessor 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 weightless 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•ft2•OFBtu 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
�❑jn 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
�❑ ,wilding 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 Hili, 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.
If any one of the alternatives or exception is checked the Aged Solar Reflectance and Thermal Emittance requirements for
f.,.,......""Y apps ,au IV. ✓V nut fill laulu UVIUM
CRRC Product ID Number
Roof Slope
<_ 2:12 > 2:12
Product Weight
< 51b/ft2 >_ 5lb/ft2
Product
Type2
Aged Solar
Reflectance3°4
Thermal
Emittance
SRIS
0,6 7 j6
V
License:�� lJ
❑
�t
❑4
®.Ti�
�_7
-L
❑
❑
❑
❑
❑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. coo/roofs. org/products/search.php
2. Indicate the type of product is being used for the roof top, i.e. single -ply roof, asphalt roof, metal roof, etc.
. 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;" — 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 httpYAvww.energy, ca. aov/titte24/and enter the resulting value in the SRI Column above and attach
atopy 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 Cool Roof is required, the installing contractor shall complete and submit the CF -6R -ENV -01 for final inspection.
Declaration Statement
• 1 certify under penalty of perjury, under the laws of the State of California, the information provided on this form is a urate and complete.
• I certify that the energy features , performance specifications identified on this Certificate of Compliance confo to the requirements of Title 24, Parts
laqd 6 of the California de ofulations. �f
Nam � �/� �`
Signature:p�
tm2
Date: ,3._
V
License:�� lJ
City(Sttat/ 'p:
Phone:
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.
LEHMAN ROOFING, INC.
81-612 ANDALUSIA �roposy�—=
LA QUINTA, CA 92253
TEL/FAX 760.238.4867
LICENSE # 499608
Name / Address
BURR RESIDENCE
53-836 AVENIDA VALLEJO
LA QUINTA, CA 92253
Job Site
SAME
Date
Proposal #
3/26/14
3065
Item
Description
Total
RE -ROOF
TEAR OFF EXISTING ROOFING TO PLYWOOD
7,000.00
REPLACE ANY BAD PLYWOOD
NAIL I LAYER OF 30# FELT OVER PLYWOOD
INSTALL NEW ROOF SHEET METAL WHERE NEEDED
INSTALL COMPOSITION SHINGLES WHICH ARE COOL ROOF
COMPLIANT OVER COMPLETE ROOF WITH TRIM PIECES
CONTRACTOR WILL PROVIDE PERMITS
-SE-AL AND PAINT ALL -PIPE AND VENT FLASHING
CLEAN AND HAUL AWAY ALL ROOFING DEBRIS
5 YEAR LABOR GUARANTEE
RESPECTFULLY SUBMITTED BY RICK LEHMAN
PROPOSAL ACCEPTED
DATE
VALID FOR 30 DAYS
PLEASE SIGN AND RETURN BY MAIL OR FAX. THANK YOU
CALIFORNIA STATE FUND- WORKERS COMPENSATION INSURANCE
GEMINI - LIABILITY INSURANCE
Total $7,000.00
Bin #
City of La Quinta
Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: 9 63 /,}I/j,/ (%,/a t�(�t�� J
Owner's Name:6 17e-1-611 .13 U 11 f '
A. P. Number:
Address: 5,3 k 3 Ov LL ¢. J
Legal Description:
r
Contractor: L &14 1 ?0 J qC,
City, ST, Zip: L Q (jy.
Telephone•. � � y 6
�- 33 3 MINIM.
Address: �1 !�] Z JS I
Project Description:
City, ST, Zip: L- C,Z �- Z �'�
cr
TelePhoT : ?i 3 p ��%0 b-�`l4�(n�
.#`.>;:•;;:.;
1 V- 5 C.")c� lit o'.— . ✓ o U
q
State Lie. # : C4 / 0 L�—
City Lie.
Arch., Engr., Designer:
v -v J 4— �y 4 C'
Address:
r 2C .—
City., ST, Zip:
Telephone:
............
•'r:```<;•»;:.;:::;:;;>.::;<::<::<;::::e:s:<:::>:<::::::;;
Construction Type: Occupancy:
State Lie. #
Project type (circle one): New Add, n Alter Repair Demo
Name'of Contact Person:
Sq. Ft.: Z- Q
# Stories:
#Units:
Telephone # of Contact Person:Estimated
Value of Project:(00 621
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 Calcs.
Called Contact Person
Plan Check Balance
Title 24 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
god Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Pians resubmitted
Grading
IN HOUSE:-
3d Review, ready for correctionsrssue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees