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13-0579 (RR)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 _ VOICE (760) 777-7012 % FAX (760) 777-7011 BUILDING & SAFETY DEPARTMENT `.•/ INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: • 5/06/13 Application Number: 13-00000579 Owner: Property Address: 52990 AVENIDA VILLA SHARON FREEMAN APN: 773-334-013-14 -000.000- Application description: RE -ROOF Property Zoning: COVE RESIDENTIAL 52990 AVENIDA VILLA ' LA QUINTA, CA 92253 D A (31d)890-4971 Application valuation: 2000 - Contractor: MAY .0 6 2013 Applicant: Architect or Engineer: HENRY GENERAL CONTRAC OR ON 8747 CLIFTON WAY, #10 CliYOFLAf1UINTA BEVERLY HILLS, CA 902 FINANCEDET. /V 0/ (310) 990-1730 Lic. No.: 629329 --------------------------------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION 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. Licens lass: B / ice No.: 629329 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. Date:y ' ' ' !/v = /_`_/ ?Contractor "��r --��" _ 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 - O R -BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt•from the Contractor's State License Law for the - Carrier STATE FUND - Policy Number 9046997 -- following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to I certify that; in the performance of the work for which this permit is issued, I shall not employ any , construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the - person in any manner so as to become subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Code, I shall rthwit mply wit those provisions. 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). Date:/Ippli 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 - WARNING: FAILURE TO SECURE WORKERS' CO ATION COVERAGE IS UNLAWFUL, AND SHALL. Contractors' State License Law does.not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIE .AND CIVIL FINES UP TO ONE HUNDRED THOUSAND . and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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 1 - - 11APPLICANTACKNOWLEDGEMENT (_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7n44, Rncinarr inrl Prnfnnginng rodQi Tho Cantreatara' Ot t u Libc.be LU d ­— UL apply tU an Uwnei U1 IMPORTANT Application is hereby made to the Director of Buildinq and Safety for a permit v&QGt 19 the Wnultlons ana reglfidti6ns set forth on this application. - - - property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1 . Each,person upon whose behalf this application is made, each person at whose request and for pursuant to the Contractors'._ State License Law.). (_ 1 I am exempt under Sec. , BAP.C. for this reason 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. Date: Owner: _ - . • - 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 suchpermit, or cessation of work for 180 days will subject ' ' CONSTRUCTION LENDING AGENCY permit to cancellation. - - 1 -hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above information is correct. I agree to comply with all - work for which this permit is issued (Sec. 3097, Civ. C.). city and county ordinances and state laws relating to building construction, and hereb authorize representatives u of thie�County to enter upon the abo entioned property for ' pec ' n prpos 'Lender's Name: - " ✓ / - Date: � Signature (Applicant or Agent . Lender's. Address: - - LQPERMIT Application Number 13-00000579 Permit .. . . RE -ROOF Additional desc . " Permit"Fee 30.00.Plan.Check Fee '. .00 Issue Date . . . . Valuation 0 Expiration.Date 11/02/13 Qty Unit Charge, Per Extension BASE FEE 30.00 Special Notes and. Comments RE -ROOF - RE -ROOF APPROXIMATELY 800 SQ. FT. ON FLAT ROOF. 2010 CALIFORNIA BUILDING 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 LQPERMIT Bin.# CIS}/ Of is Qu(nta Bul(ding 8r Safety Duron P.O. Box 1504, 78-495 Calle Tampico La.Quinta, CA 92253 - (760) 777-7012 Building Permit Application' and Tracking Sheet 7 2 V� Permit # Project Address5�? 9 0 Owners Name:. r A. P. Number. Address:-5,2 90 vc�jt/G. Legal Description: City, ST, Zip: Contractor: a Telephone: ?j /Q r'o AddresseZ17 ProjectDescription: City, ST, zip: ,, o o F -00 S Telephone9 : � % O ' o • State Lie. #: 6 d c2 City Lia C. Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lie. #: Name of Contact Person: Construction Type:. O=pancy: Project type (circle one): New Add'a Alter Repair o Sq, Ft: # Stories: # Unit;: Telephone # of Contact Person: Estimated Value of Project: p pp. APPLICANT: DO NOT WRITE BELOW THIS UNE H Submittal Req'd Recd TRACMG PERMITFEES Pip Sets Plan Check submitted Item Amount Structured Cafes. 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 Pians resubmitted. • MechanicaL Grading plea 2'! Review, ready for corrections%sue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S hLL H.O-A- Approval Plans resubmitted Grading IN HOUSE:- ''d Review; ready for eorrectionslissuc Developer inpaet Fee Planning Approval Called Contact Person A.T.P.P. Pub. Wks. Appr ` Date of permit issue School Fees I Total Peradt Fees * x• . 1 �' i -h.i ,' to ' ' •1\ •' • � ' •. ` .. '.. � kf , Yi , .ar •� � yy".. � Presto tive Certificate of Compliance: Residential Reroof CF -1 R-ALT-ReRoof Project Address: at Zong Permi[Climf t# _ ROOFING PRODUCTS (COOL ROOFS) §151012.' When the area of exterior. roof surfaceto be replaced exceeds;50%/the existin g4rea, or.1000 L • - - 9 _ __ �,,;F, whichever is Jess, the new woofing -area must meet the roo/fng product LCool-Roof='iequfiements of§152(b)1H1, 152(b)1H_ii;,or.152(b)1Hifi: • ,` ": d 'Check applicable alternative or exception below if the roof alteration is exempt from the roofing product "Cool Root" requirements:;. ❑ Cool roofs not required in Climates Zones 1-12,14, and 16 with a low sloped . _ ped roof pitch (lessor 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 5Ab/ftZ. r Alternatives to §152(b)1Hi and §152(b)Hii, Steep -slope roof (pitch >_ 2:12) ' ' ❑ Insulation with a the resistance of at least 0.85 hr•ft?•°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(010; or- •' ❑ °•, In climate zones 10, 12 and 13, with 1 fiz of free ventilation area of attic ventilation for'every.150 ftz of attic floor area, and tY where at least 30 percent of the free ventilation area is within 2 feet vertical distance of the roof ridge; or . i ❑ .. 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 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)l Hiii, Low -slope roof ( pitch 5 2:12) ` ❑ Building has no _ducts in the attic.' - - •;• ' f Other Exceptionsa ❑ 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 anyone 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. CRRC Product ID Number Roof Slope <_ 2:12 > 2:12 Product Weight '< 5lb/f? >_ 5lb/ft2 Product Type 2 Aged Solar Reflectance3`4 ♦ Thermal 'Emittance Na e: SRI ,r T ❑ ❑ ❑ ❑ ❑4 c Address, /`751 r / 4 License: , 7,;;iate/Z' f F'st Phone: x,96 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/nroductslsearch oho 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(phw, - a2) to obtain a calculated aged value. Where p is the Initial Solar Reflectance.1 ' - 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 httnJ/www.energy.ca.aov/title24/ and enter the resulting value in the SRI Column above and attach atopy 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 NOTE- When a rnnl Rnnf is rA.n,; a 4 - - - o -- ... �, •�,• ....,,N—,a ami auur,ot u,c %,r-vn-err v -u r ror nnai insnernnn I . Declaration Statement c • 1 certify under penalty of perjury, under the laws of the State of Califomia, the information provided on this form is accurate and complete. • 1 certify that the energy features and performance specifications identified on this Certificate 1 and Q of the Californi Code of R ulations. of Compliance conform to the requir ments of Title 24, Parts Na e: Signatur / Company: ate 7— Address, /`751 r / 4 License: , 7,;;iate/Z' f F'st Phone: x,96 For assistance or que r ns regarding the enargy Standards, contact the Energy Hotline at:' 1-800-772-3300.