11-0581 (RR)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
C13!-_06000581
Property Address:
79890 HORSESHOE RD
APN:
649-061-020-21 -2180 -
Application description:
RE -ROOF
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
18900
T4'ht 4 4 a"
Applicant: Architect or Engineer:
-----------------
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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 Q ^ License No.: 477507
(Date: �.- 7li�rCor- nnvac1W
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 applicarit to a civil penalty of not more than five hundred dollars (5500).:
(_ 1 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
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.).
(_) 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 contractorls) licensed
pursuant to the Contractors' State License Law.).
I—) 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:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
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 1870876
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' com sation provisions of Section
3700 of the Labor Code, I shall forthwith atpf it rovisions.
(5ke: • L__3'11 Applicant:
WARNING: FAILURE TO SECUR S' 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, a erebp�dQ ize representatives
of this county to enter upon the above-mentioned property for ins purpose `
�rSignature (Applicant or Agent):
Date: 6/03/11
Owner:
MACCHI RESIDENCE
79890 HORSESHOE ROAD
LA QUINTA, CA 92253
(
Contractor:
2011
PALM DESERT CONTRACTOR
.i4%3 V '
P.O. BOX 2795
PALM DESERT, CA 922611;
c,;;,��a�
(760) 346-2420
t ^' [�:•}:"
Lic. No.: 477507
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 1870876
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' com sation provisions of Section
3700 of the Labor Code, I shall forthwith atpf it rovisions.
(5ke: • L__3'11 Applicant:
WARNING: FAILURE TO SECUR S' 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, a erebp�dQ ize representatives
of this county to enter upon the above-mentioned property for ins purpose `
�rSignature (Applicant or Agent):
Application Number
. . . . . 11-00000581
Permit . .
. RE -ROOF
Additional desc .
.
Permit Fee . .
. 30.00• Plan Check Fee
.00
Issue Date . . .
. Valuation . . .
. 0
Expiration Date
11/30/11
Qty Unit Charge
Per
Extension
BASE FEE
30.00
-----------------------
Special Notes and
---------------------------------------
Comments
--------------
RE -ROOF USING O.C.
WOOD CREST TIMBER
R-30 IN ATTIC 2010
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
PrescriPtivibCertificate of Com liance: Residential. .
Project Address:. CF -1 R-ALT-ReRoof
Climate Zone. Permit #
t�
ROOFING PRODUCTS (COOL ROOFS) §151(t)12
When the area of exterior roof surface to be replaced exceeds 50% of the existing roof area, or 1,000 ,whichever !s less, the new
roofing area must meet the roofing product "Cool Roof' requirements of §152(b)1Hl, 152(b)iH!!, or 152(b)1H111.
Check applicable attemative 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
Steep -slope .slo roofs (greater than 2:12) and product weightless than 5AbfftZ.
Alternatives to §152(b)1 Hi and §152(b)Hli
p pe roof (pitch >> 2:12:12) .
❑ Insulation with a thermal resistance of at least 0.85 hr•ftz•°F/Btu or at least a 314 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
J� Building has at least R-30'ceiling insulation; or
O Building has radiant barrier in the attic meeting the requirements of §151(f)2; or
❑. Building has no duds in the attic; or
O In climate zones 10, 11, 13 and 14, R-3'or greater roof deck insulation above vented attic.
Exception to §152(b)1Hill, Low -slope roof (pitch 5 2:12) .
❑ Building has no duds in the attic.
Other Exceptions
❑ Roofingarea 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 VV are exempt
NOTE: If anyone of the alternatives or exception is checked the Aged Solar Reflectance and Thermal Emittance Cool Roof
products in § 116(i) are not applicable. Do not fill table below. requirements for rooting
CRRC ProductlD Number'
l_! QJ C�
Roof Slope
S 2:12 > 2:1;
❑ [�}
❑ ❑
2
Product Weight
< 51b/ft2 i 51b/fe
Product
T 2
Aged Solar
Reflectance"
Thermal
Emittance
SRI
iE00
[34
❑4
Note: If no CRRC-1 label is available, this compliance method cannot he used use the Performance
1, The CRRC Product ID Number can be obtained from the �/ Roof Rating Councils Rated Product a ww.QQph of show compliance,
2. Indicate the type of product is being used for the roof t rectory at �y�rw.coolrnofs.OrQ/b/Od��caamh ..�...
3. If the Aged Reflectance is not available in the i.e. ��� roof, asphalt root, metal roof, etc.
Cool Roof Rating Count's Rated Product Directory then use the Initial Reflectance value from the same
directory and use the equation ce is p 7�p� _ 0 2) to obtain a calculated aged value. Where p is the Initial Solar Reflectance.
I. 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 ht6o /M�ww,anerm, ca cov; 241and enter the resulting value in the SRI Column above and attach
acopy of the SRI- Worksheet to the CF -IR.
ro-appty Liquid Field Applied Coatings,-tft�coating mustlie applied across the entire roof surface and meet the dry mil thickness or covera,
'ecommended by the coatings manufacturer and meet minimum performance requirements listed in §1180. Select the applicable coating:
71 Aluminum -Pigmented Asphalt Roof Coating ❑ Cement -Based Roof Coating ❑ Other
TE: When a Cool Roof is required, the installing contractor shall complete and submit the CF-6R-FN9.4
Declaration Statement
for
• 1 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 Title 24, Parts
1 and 6 of the California Code of R ulations.
Name:
74�A-. Signature:
Company:
Date:
F :ss:
License:
City/State/Zip: '-f -? '7 r v 7
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at.• 1-800-772-3300. _�
I
PALM DESERT CONTRACTORS/ROOFING
P.O. Box 2795 Palm Desert
California, 92261 Lic# 477507
760-346-2420 Fax 760-345-3924
DATE: 5-4-11 PROPOSAL
PROPOSAL submitted to;
Robert Macchi
WORK to be performed at;
79890 Horseshoe Rd., L Q
Palm Desert Contractors/Roofing hereby proposes to furnish material and
perform the labor necessary for the completion of;
Total removal of existing roof and re -roof as follows;
PITCH: Install appx 140 sheets of 7/16 metal back plywood (OSB) Install one
layer of 15 Ib base sheet, Install shingles
. Woo �K 3 install standard metal, paint all roof jaxs.
FLAT: none
Extras; Permit, vents @ $75.00 ea., plywood 0$45.00 per sheet, extra
painting, custom sheet metal work.
5 Year contractor warranty.
The work will be performed in accordance with the drawings and
specification submitted for the above work and completed in a workman like
manner for the sum of; $18900.00
With payments as follows: $1000.00 down, $5000.00 when material are
delivered, Balance upon completion
Respectfully submitted
ACCEPTANCE OF P OPOSAL
The above price, specification and conditions are satisfactory and are hereby
accepted. Palm Desert Contractors/Roofs thorized to do the ork as
specified. Payments will be made as o 11 d.
Date Or A/
Signature
Bin #
Qty of LaQ iulntQ
Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
A
Project Address: 7q p r se S �,.�
Owner's Name:
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor:�
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Telephone: . •; •..:.;::.;;;<:s�:::;s::::::;:»:>>;si;; .
Address: 6 2 7 4 J—
Project Description:
City, ST, Zip: %� Cj2 Z(o�
PIZ ov v t
Telephone:
0i}'J,'.jij<3:: .: �•::.;:yiiCY,.$:
...:........ :...........:::::::..:
State Lic. # City Lic.
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
P
State Lic. #:
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:..>;:o y:..>.....
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t•.:.., •:::; :>s::y;:;:' ::.:: v;::: 4.;.
Construction Type: a.s Occupancy:
cin
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: .
Sq. Ft.: 30 0 0
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project:'—
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 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'"' Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
Schodl Fees
Total Permit Fees