13-0706 (RR)i
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 13-00000706
Property Address: 53940 AVENIDA DIAZ
APN: 774-152-010-15 -000000-
Application description: RE -ROOF
Property Zoning: COVE RESIDENTIAL
Application valuation: 2180
Tu!t 4 XP Q"
Applicant: Architect or Engineer:
Cg- -
------------------
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
JL'"J o 4 2013
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 Busi s a Professionals C e, and my License is in full force and effect.
License Class: C39 Li a 7,74482
/ Dat ` � Contractor:
` OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 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 _ 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 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 ofperjury that there is a construction lending agency for the performance of the
work for which this permit is issued (Sec. 3097, Civ. C.I.
Lender's Name: _
Lender's Address:
LQPERMIT
Owner:
CHRISTINE HALE
53940 AVENIDA DIAZ
LA QUINTA, CA 92253
ntractor:
LLIAMS ROOFING
O. BOX 391841
NZA, CA 92539
760)399-9394
ic. No.: 774482
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/04/13
-----------------------------------------------
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
.
ave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
ode, 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 1890178-2012
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 sho d become subject to the worker ompensation provisions of Section
�j, 3700 of the Labor C , I s II forth 4h comply wit th e p visions.
Date;% 3 , 3Applica t:
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 Ouinta, 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 ' formation is correct. I ee to comply with all
city and county ordinances and state laws relating to buil n co truction, nd hereby iie�representatives
of thiscounty to enter upon the above-mentioned propert f r spection rposes.
VwDaiignature (Applicant or Agentl:
Application Number . . . . . 13-00000706
Permit . .
. RE -ROOF
Additional desc .
Permit Fee . . .
. 48.62
Plan Check.Fee
.00
Issue Date . . .
.
Valuation . . .
. 0
Expiration Date .
. 12/01/13
Qty Unit Charge Per
Extension
1.00 48.6200 LS MISC
RE -ROOF, 1ST 2000 SF
48.62
----------------------------------------------------------------------------
Special Notes and
Comments
RE -ROOF - RE -ROOF
PATIO ONLY. COOL ROOF
EXEMPT. 2010 CALIFORNIA BUILDING
CODES.
----------------------------------------------------------------------------
Other Fees . . .
. . . . . . BLDG STDS ADMIN (SB1473)
1.00
PLAN CHECK, RE -ROOF
97.24
Fee summary
Charged
--------------------
Paid Credited
--------------------
Due
-----------------
Permit Fee Total
48.62
.00 .00
48.62
Plan Check Total
.00
.00 .00
.00
Other Fee Total
98.24
.00 .00
98.24
Grand Total
146.86
.00 .00
146.86
LQPERMIT
Bfn. #
city. of La Qutf h to
Bullding 8t SafetyDivision
P.O. Box 1504,.'78-495 Calle Tampico
l.a.Quinta, CA 92253 - (760) 777-7012
Building Permit Application'and Tracking Sheet
Permit#
15
Project Address: 4U,
Owner's Name: .
A. P. Number.
Adder:
Legal Description: J fii
City, ST, Zip:
Contractor:
Telephone: �..�•
Address: Gs
Project Description:
City, ST. Zip:
Telephone: _ y.
State Lie. # : Z City Lia C
i
Arch, Engr., Designer.
Address:
City., ST. Zip:
Telephone:
"
Construction Type--SlerOaupancy:
State Lie. #:
Project type (circle one): Add'n Alter epair' o
Name of Contact Person:
Sq. Ft.: Jf # Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project: o� —
APPLICANT: DO NOT WRITE BELOW THIS UNE
M
Submittal
Req'd
Rcc'd
TRACIMG
PERMIT FEES
Ptah Sets
Plan Cheek submitted
Item Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit.
Truss Cates.
Called Contact Person
Plan Check Balance.
Tithe 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2`! 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:-
Review; ready for correctionslissue
Developer Impact Fee
Planning Approval.
Called Contact Person
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
Or
Prescriptive Certificate of Com liance: Residential Reroof CF -1 R-ALT-ReRoof
Project Address: L<
Ia-7�
Climate Zone
Permit/ #
ROOFING PRODUCTS (COOL ROOFS) §151(1)12
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 meet the roofing product "Cool Roof" requirements of§152(b)1Hi, 152(b)1Hff, or 152(b)Mill.
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/lb/fe.
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(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 ceiling insulation; or
❑ Building has radiant barrier in the attic meeting the requirements of §151(f)2; or
LJ�NLBuilding 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.
wcepton to §152(b)l Hili, Low -slope roof ( pitch 5 2:12)
iilding 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
products in §716(q are not applicable. Uo not fill table below.
NOTE: When a Cool Roof is required, the installing contractor shall complete and submit the CF -6R -ENV -01 for final inspection.
Declaration Statement
Roof Slope
Product Weight
Product
Aged Solar
Thermal
City/State/Zip- � � � Phone:
J
CRRC Product ID Number'
<_ 2:12 > 2:12
< 51b/ft2 >_ 5lb/ft2
TvDe2
Reflectance 3,4
Emittance
SR15
❑
❑
❑
❑
❑4
❑
❑
❑
❑
❑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/nroducts/search.uhn
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(phgw — 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 httnl/www.eneray.ca.aov/title241 and enter the resulting value in the SRI Column above and attach
acopy 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:
❑ 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
• I 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:
VACk h v
Signature:
Compaq / �- Date:
Addp5. V3 / License:
City/State/Zip- � � � Phone:
J
For assistance or auestions reaardina the Enerav Standards. contact the Enerav Hotline at: 1-800-772-3300.
P.O. Box 391841, Anza, Ca. 92539 951.-763-0769
50-855 Washington St. 2c,# 130, La uinta, Ca. 92253 760-399-9394
Contract #6954
For: Christine Hale, 53-940 Avenida Diaz, La Quinta, Ca. 92253
job Address: 53-940 Avenida Diaz, La Quinta, Ca. 92253
Phone:
Date: June 3, 2013
c+.hedule of evtraz if applicable
Durink; the; repair process, if any a,;N'-tos is diccoverod, the removal and disposal cost x% ould be borne by o%% ner. r\r••
rot will be replaced for an additional charge baaetl on 451..()0 per hour labor and 1\6 or I •;s ntaic•riAlm; at S :' ;tl m•r foo!
damaged raf irr t•nds v; ill N! replaced for an .nlditional char;ge bao-c•d on S 109,00 each and fascia beard a1 12 00 l.,•r L.
,any plvwcYod to be replaced at an additional char, "i' teased on S 2 M Per �sl. foot, labor includ d
Scope cif Work: New foam re roof on flat deck only as follows;®-�-
Re roof over existing roof system, Power broom, clean and prep roof deck to accept new
materials,
Install 1" 3.0. SPF Poly Urethane foam roof system per manufactures specifications.
Install Henrys Permax Acrylic roof coating as per manufactures specifications @a rate of '12"
on perimeter and to receive 4 gallons per every 100 square feet.
Remainder of roof system to receive 3 gallons per every 100 Sq. ft. as per manufactures
specifications. (This roof system is Title 24 Compliant)
Replace rotten plywood sheeting (Dryrot as noted on inspection report.)
Replace rotton fascia 2 x 8 (Dryrot as noted on inspection report.)
Replace Broken and or damaged roof tiles throughout file deck.
Reinstall rake edge tile where missing.
Contract Price: $ 2,180.00
Payment to be made as follows: S 2,180 due upon completion.
'•ir illiams Roofi.n` to leave jobsite clean and free of debris.
s,rAN DA.RIU WARRANTY: All work shall be warranted, subject to the general conditions included herein, for a period of
Sig (t,) years from the date of completion. This shall warrant the owner that the roof membrane shall be free of leaks and
~hall obligate Williams Roofing to repair without cost to the o+yner, roof membrane leaks which are discovered during the
term of the waranty. All tivork to be completed in a reasonable amount of time and in a workmanlike manner. Roof
membrano .plitting caused by severe structural or seismic movement of the building, acts of (god, abuse by other trades or
tenants is specifically exciu4 d from thil warranty'
Owner
Contra
013
r