12-0356 (RR)P.O. BOX 1504 VOICE (760) 7,77-7012
78-495, CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS. (760) 777-7153
BUILDING PERMIT
- Date: .4/04/12
Application Number: X12-00000356 Owner:
Property Address: , .52100 AVENIDA VILLA R W REAL ESTATE
APN: 773-234-006-17 -0000007 52700 AVENIDA ALVARADO
Application description: RE -ROOF LA QUINTA, CA 92253 i
Property Zoning: COVE RESIDENTIAL-
Application valuation: 9200
Contractor: 3 2012
Applicant: Architect or Engineer: ALPINE ROOF COMP INC`tl
P.O. BOX 167
YUCCA VALLEY, CA "922 ,a�taa�
(760)365-3100 4 �,;,� `•
Lic. No.: 761151
-- - -- - -- • -- - -- --- --- -- - - - -
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 I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License Class: C39 License No.: 761151 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
/r issued.
ate: Contractor. - IX I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor -
•V- Code, for the performance of the work for which this permit is issued. My workers' compensation
OWNER -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 9004267-2012
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 inany manner so as to become subject to the workers' compensation laws of California, -
. permit to file a signed statement that he orshe 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 , 1 II ort ith comply with th se 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)•: te: plica
(_ 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: FAILURETO C WORKERS' COMPENSATION 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 0 CRIMINAL PENALTIES 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.): - APPLICANT ACKNOWLEDGEMENT
(_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety fora permit subject to the
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions 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 requestandfor
pursuant to the Coritractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application,
(—)'I am exempt under Sec. - , B.&P.C. for this reason 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 such permit, or cessation of work for 180 days will subject
CONSTRUCTION LENDING AGENCY - - permit to cancellation.
I 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 an county ordinances and state laws relating to building construction, and hereby authorize representatives
' - /.at,,:
county to enter upon t above-mentioned pro pert or 'nspe tion purposes.
Lender's Name: /•�
1 "1/�Si ture (Applicant or Agent):
Lender's Address: 11
LQPERMIT - .. .
Application Number . . . . . 12-00000356
Permit RE -ROOF INV FEE
Additional desc .,
Permit Fee 60.00 Plan Check
Fee
.00 .
Issue Date Valuation
0
Expiration Date . 10/01/12
Qty Unit Charge Per
Extension
BASE FEE
60.00
Special Notes and Comments
TEAR OFF EXISTING ROOF AND RE=ROOF WITH,
LIGHT WEIGHT TILE. R7-30 INSULATION TO BE
VERIFIED AT FINAL. INVESTIGATION FEE
ASSESSED PER 1997 UNIFORM ADMINISTRATIVE
CODE §304.5 FOR WORK BEGUN WITHOUT
BUILDING.PERMIT: 2010 CODES.
Fee summary Charged Paid Credited
Due
Permit Fee Total 60.00 00
.00
60.00
Plan Check Total 00 .00
00
.00
..Grand. Total-- 6.0..00 _ ___..00 .` ,: ,_ _.. _.0.0
_..
60-.0.0.._. -. .
LQPERMIT• _
,.
'P
.-C tire`, ectlti'_ y.
�1 Gail at 13b� It1 R
Pro)ectdress�. �slf�entlfl �i,raS.:¢ �,,',''...•=t CF.RL�'aR��ttso'f `
Cllmate Zo.ie , Permit tl .
(J 4Ve
ROOFINti :PRODUCTS (COOL RDOFS) §169(f)12
When the area of exteilor roof su ace to be replaced exceeds SM of the e#sting roof area,. or 1;t)QO whichever "is less, the new .
roofing area must MOO! the roofing product "Cool Roof" requireri<ments of 1562(b)11411i.• "
$ 2(15)1 Hl; 1 SZ(b)1 hfil, or 1
Ehedk applicable alterative or exception below if the roof alteration is exempt from the roofing producr -Cool Roof requirements::
❑ Cool roofs Ro3 required in Climates Zones .1712,.14, and 1.6 with a low s -
❑ . Cool "roofs jigrequired in Climates Zones'1-9and 16 wiflm a toped roof �� (less or 2:12 pi ch).
steeP-sbped roofs (greater pitch than 2:12) and product weight less than 511bffl?.
n
Alternatives to §1S2(b)1Hi and §152(b)Hti, Steep lope roof (pitch > 2:12)
❑ isutation with a thermal resistance of at least 0.85 hr=its•"FIBtu 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 seated according to §151(f)10; or
❑ In climate zones 10, 12 aimd 13, with 1 ft2 of free ventilation area of attic ventilation for every 150 ft2 ofattic floor area, and
where at least 30. percent of the freeventilation area is within 2 feet vertical distance of the roof ridge; or
Building has at least R-30 celling insulation; or.
. ❑ Building has radiant barrier in the atticmeeting the requirements of§151(1)2; or
❑ . Building has no duds in the attic; or
O in climate zones 10, 11, 13 and 1'4,.R-3 or greater roof deck insulation above vented attic
Exception to §152(0)1 Hili, Low -slope roof ( pitch S 2.12)
O Building has no duds in the attic
Other Exceptions ,
❑ Roofing area is covered by building integrated; photovoltaic par> .and solar thermal
❑ Roof ihat have panels are exempt from the Cool Roof criteria.
thennal mass over the roof membrane with at least 25 Ibllt2 are exempt. from. the Cool Roof criteria.
NOM: If any one of the anematives or exception is checked the Aged Solar Re ectsnoe and Thermal (�nfttance- requirements for roofing
products in §118(1) are not applicable. Do not rill table below.
Roof Slope
CRRC Product IP Number' S 2:12 > 2;12
❑ ❑
. . : :103�j ❑
Note: If no CRRC-1: label is a fl bt
Product Weight
< WAY i 5lbittz
Product
Type?
. Aged Solar ,
Reflec lancea.a
Thermal
Emittar►oe
SRI5
❑
Hp4
p
❑
❑
[344
va a e, this Compliance method cannot be used, use the Performance Approach to show compliance;
1. The CRRC Pyodud ID Number can be obtained from the ID01 Roof Rating C wmrs Rated product Directory at
2. Indicate ft type of product is being used for the roof top, I. e. sr�� roof, asphaR roof, metal roof, etc.
. If the Aged Reflectance is not available In the Coo/ Roof Rating .: .
directory and use dme equation ilabl CWW's Rated Product Directory then use the initial Reflectance value from the same
4. (fir — 0.2) to obtain a calculated aged value. Where p is the inftjal Solar Reflectance.
Check box H the Aged Reflectance is a celcraated value using the equation above.
Cakrutate the SRI value by using the SRI_ Worksheet at hftJAvww enemy ca onvAf<Ie20/ and enter the resulBng value in the SRI Column above and attach
aoopy of the SRI- Worksheet to the CF_ 1R.
To apply Uquid Field.Applled Coatings, the coating must be applied across the erdire roof surface and meet the dry m0 thickness or covers
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 ❑ Cther
MOTE' When a Cool Roof is required the installing contractor shall complete and submit the CF`6R4W V-01 for final inspeRon.
Declaration Statement
I certify under; penalty of perjury, under the .laws of the State of Califomia, the Information provided on this foam is accurate and complete.
• 1 certify that the energy features and performance specifications identified on this Certiticate oo Compliance conform to the
1 and 6 of the Califomia Code of R ulations. f CmP requirements of Idle 24, Part
Name: ((,— , j�/���
/ ) �J'� Signatu
Company: .
Date-
7
A. :ss: License:
City/State/Zip:
Z.ii�. Phone 77452� S
For assistance or quest/ons regarding the Energy Standards; contact the Energy Hotilne at: 1-800-772-3300.
. Bin. #
of uinta
Bu![dtng. -Division
P.O. Box .1504,:78-495 Calle Tampico ' ... - ....
La.Quinta, CA 92253 -:(760) 777-7012.
Building Permit Application and Tracking Sheet
Permit #
1
Project Address:.' . o��� i�
Owner's Name:. e K
A. P. Number.
Address:' . I I
Legal Description:`
City, ST, Zip: Ih.
Contractor:
,,��. �.v s • ,y
Telephone d .- /3sx
Address: 5 C ?� : ®
Project Description: D�
City, ST, Zip: : VO A
Telephone: 7� — �j -106nin
State Lic. # :
City Lie'. #•:
Arch.; Engr., Designer
Address:
City., ST, Zip:
Telephone: 'Y
State.Lic. #: .� �',
Name of Contact Person:Sq.
Construction Type:. Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Ft.:
# ries: Sto
# Units:
Telephone # of Contact Person:
Estimated Value of Project
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Recd
TRACIMG
PERMfi'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
Tide 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
tad Review, ready for correctionsPissue
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 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