13-0777 (RR)4
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: 6/24/13
Application Number: 13-00000777 Owner:
Property Address: 51735 AVENIDA DIAZ PHIL GERTZMAN
APN: 773-114-013- - - 51735 AVENIDA DIAZ
Application description: RE -ROOF LA QUINTA, CA 92253
Property Zoning: COVE RESIDENTIAL (
Application valuation: 5584 DA
Contractor:
Applicant: Architect or Engineer: CASTRO ROOFING INC JUN 241013
P O BOX 122
THOUSAND PALMS, CA 92276
(7.60) 343-0042 CITY OFLAQUINTA
1 Lic. No.: 828478 FINANCE DEPT.
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjur hat I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Bus ess and Professionals Code, and my License is in full force and effect.
License lias�sL:I C39 License No.: 828478
Dat Contract�
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).:
(_ 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.).
(_ 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(sl 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:
I,QPERi,N4IT
------------------
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
lze�ssued.
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 6391472012
_ I certify that, in the perfor ante of the work for which this permit is issued, I shall not employ any
person in any manner as to become subject to the workers' compensation laws of California,
and agree that, if I sho I become subject to the workers' compensation provisions of Section
00 of the Labor Cod I forthwith comply with those provisions.Ago
D Applicant:.
l
WARNING: FAILURE TO SECURE WOR RS' 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 applic ion becomes null and void if work is not commenced
within 180 days from date of issuance o uch 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 an county ordinances and state laws relating t0 iI ruction, and hereby authorize representatives
of [Itis qunt to enter upon the above-menti0 urpose
Y
Da�f!Jf Signature (Applicant or Agent)'
i
LQPMN111'
Application Number. . . . . . 13-00000777
Permit . . . . RE -ROOF
Additional desc .
Permit Fee 60.06 Plan Check Fee
.00
Issue Date Valuation . . .
. 0
Expiration Date 12/21/13
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 -MALARKEY SHINGLES
DOVE WHITE COLOR (CRRC: 0850-00141
2010 CALIFORNIA ENERGY CODE.
----------------------------------------------------------------------------
Other Fees . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
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 98.24 .00 .00
98.24
Grand Total 158.30 .00 .00
158.30
r
Din #
Permit #
C3 1-n-1
Project Address:
A. P. Number:
Contractor: ( K,v
Address:
City, ST, Zip:
Telephone: 4I6)(RJR.
State Lic. # : 5V
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:
Teleohone # of Contact Person:
# I Submittal
Plan Sets
Structural Cala.
Truss Cala.
Tide 24 Cala.
Flood plain plan
Grading plan
Subcontactor List
Grant Deed
H.O.A. Approval
IN HOUSE: -
Planning Approval
School Fees
City of La Quinta
Widing at Safety Division
P.O. Box 1 SO4, 78-49S Calle Tampico
La Quinta, CA 922S3 - (760) 777-7012
Building Permit Application and Tracking Sheet
l✓ Owner's Name: 'L1 1 v T
Address:',���� (�"L
City, ST, Zip: Ir+ its✓(ia' C"hr p 2 3
Telephone:((
Project Description:
�1,Z�1f►• 4,0►iod� �Si of 8 l �'S L
Lic. #;
Construction Type: JY Occupancy:
Project circle one): New Add'n Alter Repair Demo
Sq. Ft.: ?j3 `3�
# Stories: # Units:
Q
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
Rec'd
TRACIMgG PERMIT FEES
Plan Check submitted Item Amount
Reviewed, ready for corrections Plan Check Deposit
Called Contact Person Plan Check Balance
Plans picked up Construction
Plans resubmitted Mechanical
2". Review, ready for correctionslissue Eleetrlcal
Called Contact Person Plumbing
Plans picked up S.M.I.
Plans resubmitted Grading
Review, ready for correetionsiissue Developer Impact Fee
Called Contact Person A.I.P.P.
Total Permit Fees
I ROOFING PRODUCTS (COOL ROOFS) §161(012 J
When the area of exterior roof surface to be replaced exceeds 50% of the existing roof area, or 1,000 ff, whichever Is less, the new
roofing area must most the roofing product "Cool Roof" repuirements of §152(b)1 Hl, 152(b)1Hli, or 152(b)1 Hlil.
Check applicable alternative or exception below if the roof alteration is exempt from the roofing product "Cool Roor requirements::
❑ Cool roofs not required in Climates Zones 1-12,14, and 16 with a low sloped roof pitch (cess or 2:12 pitch).
❑ Cool roofs got required in Climates Zones 1-9, and 16 with a steep -sloped roofs (greater pitch than 2:12) and product weightless than SAM?.
Altematives to §152(b)1Hi and §152(b)Hii, Steep tope roof (pitch > 2:12)
❑ Insulation with a thermal resistance of at least 0.85 hrftz•°FBtu or at least a 314 inch air -space is added to the roof deck over an attic; or
❑ Existing duds in the attic are Mutated and seated 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
❑ Building has at least R-30 ceMng insulation; or
❑ 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 14,.R-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 duds 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 lbiff t are exempt from the Coot Roof arteria.
.NOTE: If any one of the alternatives or exception is checked
products in §118(1) are not applicable. Do not fill table below.
roofing
1, j,IOTE. When a Cool Roof Is required, the installing contractor shall complete and submit the CF -6R -ENV -01 for final inspection.
Oeciaration Statement
• I certify under penalty of perjury, under the laws of the State of Caldomia, the informs
• I certify that the energy features and. performance specifications identified on this Ce
1 and 6 of the California Code of Regulations.
Roof Slope
Product Weight
Product
Aged Solar Thermal
CRRC Product IQ Number'
s 2:12 > 2:12
< 51b/fiz Z 51b/ft
T z
Refledano e" Emittance SRI
riiil�ste2ip: - k5�.�,0 1�---5
Phone: �� �, Siff '115
❑
❑
❑
❑
❑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 obta/ned from the Cool Roof Rating Council's Rated Product Directory at www !!oofs•orati oducts4searc ,ohD
2. Indicate the type of product is being used for the roof top, I.e. single-* roof, asphalt roof, metal roof, etc.
3. If the Aged Reflectance is not available In the Cool Roof Rating Councils Rated Product Directory then use the Initial Reflectance value from the same
directory and use the equation (0.2+0.7(phw — 0.2) to obtain a calculated aged value. Where p is the lnftiat Solar Reflectance.
Check box it the Aged Reflectance is a calculated value using the equation above.
Calculate the SRI value by using the SRI- Worksheet at htto:1A,,ww.enemv.ca.00yAL16241 and enter.the resulting value in the SRI Column above and attach
acopy of the SRI- Woftheet to the CF -1R.
To apply Liquid Field Applied Coatings, the coating must be applied across the entire roof surface and meet the dry mil thickness or coverag
ecommended by the coatings manufacturer and meet minimum performance requirements listed in §1180)4. Select the applicable coating:
❑ Aluminum -Pigmented Asphalt Roof Coating ❑ Cement -Based Roof Coating ❑ Other
1, j,IOTE. When a Cool Roof Is required, the installing contractor shall complete and submit the CF -6R -ENV -01 for final inspection.
Oeciaration Statement
• I certify under penalty of perjury, under the laws of the State of Caldomia, the informs
• I certify that the energy features and. performance specifications identified on this Ce
1 and 6 of the California Code of Regulations.
provided on this form is accurate and complete.
cats of Compliance conform to the requirements of Title 24, Parts
1
Name: : I
Signature:
Company: �71ry Mo�
Date: �', -Z�+ 3
p. :ss:
v
License: g2�'
riiil�ste2ip: - k5�.�,0 1�---5
Phone: �� �, Siff '115
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.
Find rated products - Cool Roof Rating Council
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CRRC PROD. MANUFACTURER: BRAND PRODUCT TYPE COLOR SOLAR THERMAL SRI MORE
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Initial 3 year Initial 3 year INtw 3 year
0850-0014 Malarkey Roofing Products:Steep Slope: Wood Bright 0.27 0.27 j o.qo o.g6 28 ! 31 .
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