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13-1268 (RR)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 13-00001268 Property Address: 54640 AVENIDA DIAZ APN: 774-271-007-18 -000000- Application description: RE -ROOF Property Zoning: COVE RESIDENTIAL Application valuation: 7800 TAh t 4 4vQ" Applicant: Architect or 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 LicenseNo.: 958465 ,Date: 16 _4 _ ` _01 _(Dntractor:� �, (►�, � f� vf_' �C�� .(�� 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 1, 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 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 4ioo� VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: MARIA CRUZ 54640 AVENIDA DIAZ LA QUINTA, CA 92253 ( Contractor: RIVERA ROOFING INC, M. 15409 COOLIDGE COURT FONTANA, CA 92336 (760)902-9781 .Lic. No.: 958465 Date: 10/03/13 , ----------------------------------------------— 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. U.4y�VVVhave 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 ca4ier and policy number are: Carrier STATE FUND Policy Number 9057875 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 1 should become subject to the workers' compensation provisions of Section 83,700 of the Labor Code, I s%h'a�ll forthwith comply ,'1fW' ith those !p/roovisions. Date:(0^� ^(Y, Applicant: j' T—\ 1 �N/�— \�--Q V' 2 � Q 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 actor 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. 1 agree to comply with all city and county ordinances and state laws relating to building construction and here orize representatives of this county to enter upon the above-mentioned pro a for inspec 'o urposes.� Date:�7 ignature (Applicant or Agent): C3 A Application Number . . . . . 13-00001268 N Permit . . . RE -ROOF Additional desc . . Permit Fee . . . . 60.06 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 4/01/14 Qty Unit Charge Per Extension 1.00 48.6200 LS MISC RE -ROOF, IST 2000 SF 48.62 1.00 11.4400 EA MISC RE -ROOF, ADDL 1000 SF 11.44 ---------------------------------------------------------------------------- Special Notes and Comments RE -ROOF - REMOVE EXISTING COMPOSITION SHINGLES AND REPLACE WITH 30 YEAR SHINGLES,- CHASTA WHITE COLOR [CRRC: 0890-007) 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 LQPERMIT Bin # City Of La Quinta Req'd Building &r Safety Division P.O. Box 1504, 78-495 Calle Tampico TRACMG Permit.# _ ------- —La-Ouinta,-CA-92253_--(_60)-7-77-7-0-1-2- 60)777-70-12-Building BuildingPermit Application and Tracking Sheet Project Address:6 L 'Q < Owner's Name: S _ A. P. Number: Address: !Lid(� Legal Description: City, ST, Zip: C Contractor: \ telephone: '?, >>'` :>::::' :.::. ;:;::,:.::.,:A!::•<;;:: ::«.k<•.;; •.:.!::.}}:;<.::,; :. Address: Project Description: �' a City, ST, Zip: C, L . A i ei! �•1�:Li%ii::v}} sir K�!i "!:i`�x•��j? r;l,^. Telephone: -�-7 Q 2. '4 '�—"g �:::. �... :..::;.":::;:::.:!.}•>:•' _(?d . State Lic. # : q City Lic. #: Title 24 Cates. Arch., Engr., Designer: Plans picked up Address: P City., ST, Zip: Telephone: '"'>` ' `> ! ' Construction Type: Occupancy: Grading plan State Lic. #:...... Project type circle one): New Add'n Alter Repair Demo Name of Contact Person: IPA` I Sq. FL: eZ d # Stories: # Units: Telephone #,of Contact Person: Estimated Value of Project: `7 0Q dZ_ APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACMG 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 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 -Pt=escri hive Certificate of -Corn Residential Alterations r Project Name: .4 t C, ---- -- -- ------ - — CF -IR -ALT Pa e 1 of 5 Climate Zone k 1 9 of Stories General Information Site Address: — O Enforcement ge y: Date: r Building Type Single Family ❑ Multi Family Circle the Front Orientation: N. E. S. W. or degrees Project Type: ❑ Alterations ❑ Envelope ❑ Fenestration oaf 171 HVAC Conditioned Floor Area (CFA):`7, �` S Replacement or Chan a Out ❑ Duct Replacement ❑ Water Heater NOTE: This form is not to be used for .Newly Constructed Buildings or Additions Insulation Values For Opaque Surfaces lfor Furring use the :1/ass and Furring Strips Construction table beloit) Assembly Alteration ❑ Opening of framed cavity alone -- .4lteratio s that involve the opening of the framed cavity of a wall, ceiling. or floor must install the mandatory minimum insulation value per C 150 for the altered assembly. Fill in Columns .4 --C and enter mandaton! insulation value in Column Il. ❑ Replacement of entire assembly- Replacement of an entire trail, ceiling. or floor assembh• requires the installation of Component Package- D insulation vahtes in Table 151-C. Fill in Columns A -- J. Opaque Surface Details For the furred portioned of Mass Walls see Furring Strips Construction Table below. A B C D E F G I H I I J Proposed See O1' Standard Values From JA4 Table M Framing— Thickness— —Framed— _Continuous_ _1A4 _ Proposed _ Tag/ Assembly Name Material Spacing. U- JA4 Table Cavity Insulation Assemble Assemblv iD' or T ' and Size' or Other' factor' Number` R -value° R -Value' Cell Values U -factor° L y J Assembh 7-1 Nate: For furred assemblies. accounting for Continuous Insulation R-volue. see Page J.44-3 and Equation 4-1. For calculating furred scalls use the Mass and Furring Construction table below. 1. For Tag/ID indicate the identification name that matches the building plans. 2. Indicate the .assembly Name or t3pe: Roof."Ceiling. 11'alls. Floors. Slabs. Crawl Space. Doors and etc... Indicate the Frame type and Si: -e: For Ihood.:%letal. Metal Buildings. ,Hass. enter 214. 2Y6. or etc... see J.4.1 for other possible frame type assemblies. 3. Enter the thickness for mass in inches or Spacing betss:een framing members enter: 16 "or 24 •'OC': or Other for all other assembh• description such as Concrete Sanrhrich Panel. Spandrel Panel. Logs. Straw Bale Panel and etc.... 4. Based on the Climate lone: enter the Standard(: farrow from Table hl -B. C or D for each different assembly \-ame or rope. .i. Enter the Table number that closely resembles the proposed assembly. 6. Enter the R -value that is being installed in the is!all covin, or betiveen the framing: othenvise. enter '. Enter the Continuous Insulation R -value for the proposed assembly: otherwise. enter S. Enter the row and column of the C.' factor value based on Column F TableNumber and enter the Assembly C` factor in.Column J 9. The Proposed AssemblY U -factor. Column J, must be equal to or less than the Standard U factor in Column F_ to comph•. Furring Strips Construction Table for Mass Walls Onl • A I B I C I D I E F G H 1 J 1 K L M Proposed Properties of Masonry and Concrete Added Interior or Exterior insulation Walls From Reference in Furring Space from Reference Joint Appendix Table 4.3.5, 4.3.6, 4.3.7 Joint Appendix Table 4.3.13 L y J Assembh 7-1 Final Mass Name or JA4 fable e c v Assembly Thickness' Tv Number' C > _ •' = ` 3 Ce > — U-factor°� Comment Registration .\'umber: _ _ _ Registration Date Time: _. _._.-.... _.._ .------ _._.___ IIERS Provider: . 2008 Residential C'ontpliunce Form.c August 2009 Prescri Live Certificate of Compliance: Residential Cr iR-A T Residential Alterations Page 3 of 5 Project Name: Climate Zone # # of Stories h 2 ROOFING PRODUCTS (COOL ROOFS) §1511912 When the area of exterior roof surface to be replaced exceeds more than 50% of the existing roof area, or more than 1,000f?, whichever is less, the new roofing area must meet the roofing product "Cool Roof' requirements of §152(6)1 Hi, 152(6)1 Hii, or 152(b)I Hiii. Check applicable alternative or exception below if the roof alteration is exempt from the roofing product "Cool Roof' requirements. Note: If arty one of the alternatives or exception below is checked, the Aged Solar Reflectance and Thermal Emittance requirements for roofing products in §l 18(i) are not applicable. Do not fill table below. ❑ Cool Roofs Not Required in Climate Zones 1-12, 14, and 16 with a Low Sloped. Less or 2:12 pitch. ❑Cool Roofs Not Required in Climate Zones 1 through 9 and 16 with a Steep -Sloped Roofs (pitch greater than 2:12) and product unit weight less than 5lb/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 heft •°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 If of free ventilation area of attic ventilation for every 150 ft 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 11 Building has radiant barrier in the attic meeting the requirements of § 151(fJ2;_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)1Hiii, Low -slope roof (pitch _<2:12) ❑ Building has no ducts in the attic. Other Exceptions ❑ Roofing area covered by building integrated; photovoltaic panels and solar thermal panels are exempt from the below Cool Roof criteria. ❑ Roof constructions that have thermal mass over the roof membrane with at least 25 Ib/ft is exempt from the below Cool Roof criteria. Note: If no CRRC-1 label is available, this compliance method cannot be used, use the Performance Approach to show compliance, otherwise, Check the applicable box below if Exem t from the Roofing Products "Cool Roof' Re uirement: Roof Slope Product Weight Product Aged Solar Thermal CRRC Product ID Numbers < 2:12 > 2:12 < /112 5lb/ft 2 Type Z Reflectance''° Emittance SRI ❑ ❑ ►�SQ ❑4 © rQ� ❑ ❑ ❑ ❑ O4 ❑ ❑ ❑ ❑ U J21 ❑ ❑ ❑ 0 134 qto k,y. _ r ❑ ❑ ❑ ❑ ❑4 RRC Product ID Number can be obtainedfrom the Cool Roof Rating Council's Rated Product Directory at ivivw.coolroofs.org/products/searchpho 1. 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(pi„itiot - 0.1) to obtain a calculated aged value. Where pis 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 hitp://)vwiv.ener--v.ca.gov/title24/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(i)4. Select the applicable coating: ❑ Aluminum -Pigmented Asphalt Roof Coating ❑ Cement -Based Roof Coating ❑ Other M I - Sh n Registration Number: Registration Date/Time: 2008 Residential Compliance Forms M. HERS Provider: August 2009 Prekriptive Certificate of Compliance: Residential CF -IR -ALT Residential Alterations Page 5 of 5 Project Name: Climate Zone # # of Stories HERS VERIFICATION SUMMARY The enforcement agency should pay special attention to the HERS Measures specified in this checklist below. A completed and signed CF -4R Form for all the measures specified shall be submitted to the building inspector before final inspection. Duct Sealing & Testing HERS verification is required for this measure. O YES ❑ NO YES: In Climate Zones 2 and 9-16, if more than 40 linear feet of new or replacement ducts are installed in unconditioned space, the ducts are to be sealed per §I52(b)1Dii and the newly installed ducts are to be insulated per §151(f)10. ❑ EXCEPTION: Existing duct systems that are extended, which are constructed, insulated or sealed with asbestos. ❑ YES ❑ NO YES: In Climate Zones 2 and 9-16, if the existing space -conditioning system (HVAC equipment and ducting) is replaced, the ducts are to be sealed per §152(b)IDi. ❑ YES ❑ NO YES: In Climate Zones 2 and 9-16, if the existing HVAC equipment is replaced (including the replacement of the air handler, outdoor condensing unit of a split system, cooling or heating coil, or the furnace heat exchanger) the ducts are to be sealed per § 152(b) l E. ❑ EXCEPTION: Duct systems that are documented to have been previously sealed confirmed through HERS verification in accordance with procedures in the Reference Residential Appendix RA3. ❑ EXCEPTION: Duct systems with less than 40 linear feet in unconditioned space. ❑ EXCEPTION: Existing ducts stems constructed, insulated or sealed with asbestos. Refrigerant Charge -Split System HERS verification is required for this measure. O-YES—Q NO --YES: In Climate- Zones_2_and.845,_when_the_existing_HY_AC equipment is.replaced_(including thereplacement of the air handler, outdoor condensing unit of a split system A/C or heat pump, cooling or heating coil, or the furnace heat exchanger) a refrigerant charge measurement shall be verified per 152(b) l F. Central Fan Integrated (CFI) Ventilation System and Fan Watt Draw The ventilation requirements of § 150 o do not apply to existing residential homes. Ducted Split Systems - Air Conditioners and Heat Pumps: Airflow HERS verification is required for this measure. ❑ YES 13 NO YES: In Climate Zones 10 through 15, when the existing space -conditioning system (HVAC equipment and ducting) is replaced, the airflow and fan watt draw shall be verified r-§152(b)1Ci to meet the requirements of § 151(f)7B. Documentation Author's Declaration Statement • I certify that this Certificate of Compliance documentation is accurate and complete. Natne: E Signature: a R- Company : Date: \.Q d Dr -`?d� Address: - If Applicable ❑ CEA or O CEPE 1 � � 0 r (Certification #): City/State/Zip: Phone: / 6--1/- 0 ) i Responsible Building Designer's Declaration Statement • I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the building design identified on this Certificate of Compliance. • I certify that the energy features and performance specifications for the building design identified on this Certificate of Compliance conform to the requirements of Title 24, Parts I and 6 of the California Code of Regulations. • The building design features identified on this Certificate of Compliance are consistent with the information provided to document this building design on the other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. Name: 0 P, Signatur I Company: Date: CA t!dd Address: License: d < c a City/State/Zip: Phone: For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300. Registration Number: Registration Date/Time: HERS Provider: 2008 Residential Compliance Forms August 2009