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10-1091 (RR)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 10-00001091 Property Address: 78411 AVENIDA APN: 770-165-012-1 Application description: RE -ROOF Property Zoning: MEDIUM DENSITY Application valuation: 6200 Applicant: Tjht 4 4 Q" LA FONDA -000000- RES Architector Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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 and Professionals Code, and my License is in full force and effect. License Class: C39 License No.: 908069 Date:/d'ZZ"/V' Contractor: /�!/fL.L/t•t7C..A't�f'1�y.- 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).: (_) 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 ISec. 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, asowner 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: LQPERA11T Owner: ATLANTIS INVESTMENT 78411 AVENIDA LA FONDA LA QUINTA, CA 92253 ( VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/22/10 Contractor: Il ABOVE IT ALL ROOFING, INC 1�U' i 3943 IRVINE BLVD, #297 1 r f IRVINE, CA 92602 iu �UL T 22 2010 (714)731-3911 1 Lic. No.. 908069 CiWO'j-'1JAG (NTA 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 238001310 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,II shall forthwith comply with those provisions { .Date:•/p—Tz—N Applicant: �-/ r q�`/l O �� Z�/r'fb'r/ 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 hereby authorize representatives of this county to enter upon the above-mentioned property for i ction purposes. - Date: �d-22/!%,Signature (Applicant or Agent) LQPERMIT Application Number . . . . . 10-00001091 Permit . . . RE -ROOF Additional desc . . Permit Fee . . . . 30.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 4/20/11 Qty Unit Charge Per Extension BASE FEE 30.00 ---------------------------------------------------------------------------- Special Notes and Comments RE -ROOF INSTALL.30 YEAR COOL ROOF SHINGLES MALARY COMPOSITION. 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 U v%F ..Crulica[e or compliance: Residential Reroof Address. rwvrnvv rrcvuut:l5 (COOL ROOFS) §151(012 2I/L__ a _ _-__ _ _ •mcrr Vola arca w extenorn rooflng area must meet-the heck applicable alternative surrace to oe replaced exceeds 50Y* of the existing i Ming product "Cool Roof" requirements of §152(b)11 or exception if the roof alteration M_ CF -1 R-ALT-ReRoof lermit # area, or 1,000 ft:, whichever is less, the new 52(b)1Hli, or152(b)1Hlll. - �s exempt from th WMA roonng. 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/Iblf? Alternatives to §152(b)1 HI and §152(b)Hil, Steep -slope roof (pitch > 2:12) ❑ Insulation with a thermal resistance of at least 0.85 heft?-"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(1)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(02; 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)l Hill, 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 IbW 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 products in §118(1) are not applicable. Do not fill table below. Roof Slope Product Weight CRRC Product ID Number 5 2:12 > 2:12 < 51bM2 2 516W O&so - c cuc/ ln4-LAfC 4 i& ❑ i3- ❑ ❑ ❑ ❑ ❑ Aged Solar Thermal Reflectance''4 Em'Ittance SRIS ❑4 4• z? v .. 90 ❑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 Coo/Roof Rating Council's Rated Product Directory at www gootmofs.om/vroduas//sean:h r hn 2. indicate the type of product is being used for the roof top, i.e. single ply roof, asphalt i. If the Aged Reflectance is not available in the Cool Roof Rating Council's Rated Product Directorythenuse fire 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 pis the Initial Solar Reflectance. s. 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 h9 /Avww.energ Lca ae aoopy of the SRI- Worksheet to the CF -1R. /Gl/e24l and enter the resulting value in the SRi Column above and attach ro apply Liquid Field Applied Coatings, the. coating must be applied across the entire roof surface and meet the dry mill thickness or coven ecommended by the coatings manufacturer and meet minimum performance requirements listed,Select_ the_a_pplicable 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 for final inspection. ueclaration 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. • 1 certify that the energy features and performance specifications identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and 6 of the California Code of R ulations. Name: � n � Signature. `J � ,-, C �l /� � P City/State2ip: -7A)1 4-e_ r,4 = 9V_Av7 z i!�-zziv License: e5 O1 A , Phone: For assistance or questions regarding the Energy Standards, contact the Energy Hotline at. 1-800-772-3300. Bin # Oty of La Quint? 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 # \ 1�0 Project Address: G fbel 6 r Owner's Name: / ,A_S A. P. Number: Address: Legal Description: City, ST, Zip: 53 Contractor: Address: 3.9 ��—'Tk-vl).-P— 't.�g 7 Telephone.• % ;`'"':, '�... .s.• fes•'• Project Description: f&lOL�l> City, ST, Zip: —7W4-0- 4-0 6A 926o Z ;;;/,V-73r .3 } (� ETelephone: y "4' , . {.. y;.j?S Lie. #c(40AC �0 State Lic. #: 19P Arch., Engr., Designer. Address: City., ST, Zip: Telephone:` ''. . .,.:'.,ni »,?#?kr�rc °r ,�.•. Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo State Lie. #: Name of Contact Person — G ©i Sq. Ft.: a (UCS #Stories: #Units: Telephone # of Contact Person: 7GO - Fd/ -766 17 Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE N Submittal Req'd Reed TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cales. 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 2i° Review, ready for correctionsfissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 30 Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees L ;r