12-1400 (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: 12/03/12
Application Number: [12=00'0014GO-1-1 Owner:
Property Address: 54865 AVENIDA VALLEJO CLINT REUTER"
APN: 774-301-018-8 -000000- 54865 AVENIDA VALLEJO
Application description: RE -ROOF LA QUINTA, CA 922,53
Property Zoning: COVE RESIDENTIAL
Application valuation: 6500
- Contractor: ,
Applicant: Architect or Engineer: JESSE THE ROOFER d
84503 CORTE' CINDAREL
rs COACHELLA, CA 92236
(760') 832-1670 DEQ
ip) Lic. No.: 927830 C.S� Qc� �0��
l Y y t C17Y4F.LA '
P1NetQUINrq+
ljepr-
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._ 1 have and will maintain.a certificate of *consent to self -insure for workers' compensation, as provided
Licens Class: C39 License No.: 927830 + 'for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
ntractor- *' - 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:
I hereby affirm under penalty of perjury that I'am exempt from the Contractor's State License Law for the Carrier STATE FUND Policy Number 238=0011655
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 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 -abor Code, I shall forthwith comply with th a provisions. ,
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by r7
many applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: ate: rG - 3 — plicant: '
(_ )� I, 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 WARNING: FAIL RE TO SECURE WORKERS' COMPENSATION COV AGE 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 not build or
improve for the purpose of sale.). - APPLICANT ACKNOWLEDGEMENT
(_) 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 1 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 Ouinta, 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. '
herebyaffirm under penalty of perjury that there is a construction lending agency for the performance of the I cern that I have read this application and state that the above information is correct. I agree to comply with all
P Y P I Y 9 9 Y P certify PP 9 P Y
'work for which this permit is issued (Sec. 3097, Civ. C.). city and county ordinances and state laws relating to building construction, and hereby authorize representatives
of this county to enter upon the above-mentioned propertYY for inspection purposes,
Lender's Name:
• \ /� - - ate: nature (Applicant or Agent):
Lender's Address: N r
}
LQPERMIT - - .
d 1 - -
-
Application Number . . . . . 12-0.0001400,
Permit RE -ROOF
Additional desc .
Permit Fee 30.00 Plan Check
Fee
.00
Issue Date . . . . Valuation
. .
. 0
Expiration Date 6/01/13
Qty Unit Charge Per
Extension
BASE FEE
30.00
. Special Notes and Comments
RE -ROOF WITH 4 PLY BUILT UP GAF
SYSTEM,WHITE IN COLOR.. 2010 CODES,.
---------------------------------------------- --
Other Fees . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged Paid Credited
Due
Permit Fee Total. 30.00 Ob
.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: r
5 e ov t v cL ale
Climate ZonePer
it #
/3- 1400
I A Q v t kAa- — C 4,
ROOFING PRODUCTS (COOL ROOFS) §151(1712
When the area of exterior roof surface to be replaced exceeds 50•/ of the existing roof area, or 1,000 ft, whichever is less, the new
roofing area must meet the roofing product "Cool Roof' requirements of§152(b)1Hi, 152(b)1Hil, 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•ft2-`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(1)10; or
❑ In climate zones 10, 12 and 13, with 1 It2 of free ventilation area of attic ventilation for every 150 11:2 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(02; 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.
NOTE. If any one of the alternatives or exception is checked the Aged Solar Reflectance and Thermal Emittance requirements for roofing
,.. .............. J . . vr.r u... , v. cq/YnHgy/c. VV "V4 ll/I loulu UC/uw.
#001E. M fen a VVU/ H001 IS required, the rnstanrng contractor shall complete and submit the CF -6R -ENV -01 for final inspection.
Declaration Statement
Roof Slope
Product Weight
Product
Aged Solar
Thermal
Name: 5U S /`'I -PCU � 2
CRRC Product ID Number'
<_ 2:12 > 2:12
< 5lb/ft2 >_ 5,b/ft2
Type 2
Reflectance3,4
Emittance
SRI
0G -76-00Z -.
❑
❑
❑❑
G�qi
❑4
9. 63
-7
7
l�rld U
❑
❑
❑
❑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.coolroofs ora/vroducts/search oho
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; jgw — a2) 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 httnl/www.eneray.ca.gov/title24/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(1)4. Select the applicable coating:
K-k,Uminum-Pigmented Asphalt Roof Coating ❑ Cement -Based Roof Coating ❑ Other
#001E. M fen a VVU/ H001 IS required, the rnstanrng 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 accurate and complete.
• 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: 5U S /`'I -PCU � 2
Signature:
Company-
P Y
n Q a ,ZI—
Date: r
Address:
c i� c0��LC6¢
License:
City/State/Zip: f0AC4-i e
Phone: gD
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.
Bin.#
city.of LQ Qulnta
Building 8L Safety Ditdsion
Box 1504,78-495 Calle Tampico
La.Quinta,'CA 92253 -:(760) 777-7012
Building Permit Application and Tracking Sheet
Permit #P.O.
1!t.
VOL
Project Address: Cj L 6
1 cz
Owner's Name:. CPV +Ri5U�
P^
A. P. Number.
j
Address: S , to 1ie1`J / C I
mUa1l
Legal Description:
Contractor. 2 S /ll
5 a Me Z
City, ST, Zip-Z61� U ! /J+ OL
Telephone:
one:
Address: p CQ f l .L ,U Q ('G4'
Project Description:
City, ST, Zip: j .4 Ctj 2 /¢
Ci4- q22
f—
� aOwl
Telephone:7/,D 1 321 Z, lOa
cl ar\M'.,,, �.tt:• .
31
State Lic. #: 2 7 0
CityLic. #;
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
State Lic. #:;wg�
Name of Contact Person:
a
:- .... .
»:ua�
Construction Type.. Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: # Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW.THIS LINE
#
Submittal
Rcq'd .
Rec'd
TRACKING
PERMIT FEES
Pian Sets
Plan Check submitted
Item
Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposit_' .
Truss Cates.
Called Contact Person
Plan Check Balance
Title 24 Coles.
Pians picked up
Construction
Flood plain plan
Plans resubmitted..
Mechanical
Grading plan
2ad Review, ready for correctionsfissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.L
H.O.A. Approval
Plans resubmitted
Grading .
IN HOUSE--
7i° 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