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LICENSED CONTRACTOR 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 # Lic. Class Exp. Date
Date Signature of Contractor
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's
License Law for the following reason:
.V) 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 & Professionals Code).
( ) I, as owner of the property, am exclusively contracting with licensed
contractors to construct the project (Sec. 7044, Business & Professionals
Code).
( ) I am exempt under Section B&P.C. for this reason
Date I/ - "mss •!✓ ! Signature of Owner..! �w�7 "°'.� �:•..� - --,,.
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.
( ) 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 insurance carrier & policy no. are:
Carrier Policy No.
(This section need not be completed if the permit valuation is for $100.00 or less).
W 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 should become
subject to the workers' compensation provisions of Section 3700 of the Labor
Code, I shall forthwith comply with those provisions.
Date: 'Applicant' �mp� �' ...�'r . � 'L - ¢., 0—t —r .. t.
Warning: Failure to secure Workers' Compensation coverage is unlawful and
shall subject an employer to criminal penalties and civil fines up to $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.
IMPORTANT Application is hereby made to the Director of Building and Safety
for a permit subject to the conditions and restrictions set forth on his
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 applicaton agrees to, & shall, indemnify
& hold harmless the City of La Quinta, its officers, agents and employees.
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. I agree to comply with all City, and State laws relating to the building
construction, and hereby authorize representatives of this City to enter upon
the above-mentioned property for inspection purposes.
Signature (OwnedAgent).D'al:6, i f • iii'
BUILDING PERMIT PERMIT*
DATE VALUATION LOT 0114-2 ' TRACT
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JOB SITE,.
-b-pi ADDRESS +
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•• ••
OWNER
CONTRACTOR / DESIGNER / ENGINEER
1..%QVBg1fA CA 92233
'
j call*
USE OF PERMIT
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SNPAO
RECEIPT
DATEf `BY
ll 154.;
DATE FINALED
INSPECTOR
P
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck LAIRM- r% C� -z $
Exhaust Fans
.O.K.to Wrap
F.A.U.
Framing
Compressor
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
AArr
Final - "/Z_O_Z— �`I�
BLOCKWALL APPROVALS
Final
POOLS - SPAS
Steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
Encapsulation
Gas Piping
Gas Test
Appliances
Final
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Fina]
Utility Notice (Perm)
COMMENTS:
OWNER/BUILDER INFORMATION
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of the property
improvements specified.
For your protection you should be aware that as "Owner/ Builder" you are the responsible party of record on such a
permit. Building permits are not required to be signed by property owners unless they are personally performing their
own work. If your work is being performed by someone other than yourself, you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business license
from the City or County. They are also required by law to put their license number on all permits for which they
apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be
aware of the following information for your benefit and protection:
If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is $200.00 or more for the entire project, and such persons are not licensed as contractors or
subcontractors, then you may be an employer.
If you are an employer, you must register with the State and Federal Government as an employer -and you are subject
to several obligations including State and Federal income tax withholding, federal social security taxes, worker's
compensation insurance, disability insurance costs and unemployment compensation contributions.
There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with
respect to worker's compensation insurance.
For more specific information about your obligations under Federal Law, contact the Internal Revenue Service (and, if
you wish, the U.S. Small Business Adminstration). For more specific information about your obligations under Stare
Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through, their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "Owner/ Builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally.
Building permits are not required to be signed by property owners unless they are performing their own work
personally.
Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your
community or at 1020 N. Street, Sacramento, California 95814.
Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of
these matters. The building permit will not be issued until the verification is returned.
Very truly yours,
CITY OF LA QUINTA
DEPT. OF BUILDING AND SAFETY
78-495 Calle Tampico
La Quinta, CA 92253
(760) 777-7012
60) 777Z -7q 11
OWNER'9 SIGNATURE/ DATE
PROPERTY ADDRESS
bI I I- 2A0
PERMIT NUMBER(s)
ESREPORT TM ER -4660
�� Reissued June 1, 2001
ICBG Evaluation Service, Inc. • 5360 Workman Mill Road, Whittier, California 90601 • www.icboes.org
Filing Category: ROOF COVERING AND ROOF DECK CONSTRUCTION—Roof Covering (202)
EAGLE AND EAGLELITE INTERLOCKING CONCRETE
ROOFING TILES
EAGLE ROOFING PRODUCTS
3546 NORTH RIVERSIDE AVENUE
RIALTO, CALIFORNIA 92377
1.0 SUBJECT
Eagle and Eaglelite-'A Interlocking Concrete Roofing Tiles.
2.0 DESCRIPTION
2.1 General,
2.1.1 Eagle Tiles: Eagle conventional -weight interlocking
concrete roofing tiles are produced in high-profile (Capistra-
no), low -profile (Malibu), and flat -profile styles with either
smooth surfaces (Bel Air Standard, Bel Air Estate or Bel Air
Double Eagle) or textured surfaces (Ponderosa Standard,
Ponderosa Estate, Ponderosa Double Eagle or Ponderosa
Golden Eagle). Ridge and rake trim units are produced to
match each product.
The tiles are composed of Type II portland cement, washed
sand, and proprietary additives. Mineral coloring oxides are
added to or are mixed with portland cement and waterfor sur-
face application following extrusion. Units are cured under
controlled temperature and humidity conditions. Tiles are 17
inches (432 mm) long, 123/8 inches (315 mm) wide, and nomi-
nally 1/2 inch (12.7 mm) thick. They are manufactured in either
flat or profile style with 3/4 -inch -wide (19 mm) interlocking
sidelaps designed to resist surface water penetration and
maintain proper alignment. All tiles have protruding head lugs
on the underside, which provide for mechanical attachment
over wooden battens, or provide a stable foundation for nail
attachment to solid decking. Two nail holes are provided in
each tile for use where half tiles are needed at roof edges,
chimneys, skylights, etc. Approximate installed dry weights
with 3 -inch (76 mm) head laps are 9.5 psf (46 kg/m2) for Ca-
pistrano tiles, 9.5 psf (46 kg/m2) for Malibu tiles and 10.0 psf
(49 kg/m2) for Ponderosa and Bel Air tiles.
2.1.2 Eaglelite Tiles: Eaglelite tiles are produced in the
same size, manner and shapes as the conventional -weight
Eagle tiles described in Section 2.1.1, except for substitution
of lightweight aggregates and additives for sand. Approxi-
mate installed dry weights with 3 -inch (76 mm) head laps are
5.7 psf (28 kg/m2) for Capistrano tiles, 5.5 psf (27 kg/m2) for
Malibu tiles and 7.0 psf (34 kg/m2) for Ponderosa and Bel Air
tiles.
2.2 Installation:
2.2.1 New Construction:
2.2.1.1 Sheathing: Sheathing must be structurally ade-
quate to support the loads involved but not less than solid
sheathing boards of nominal 1 -inch -thick or nominal 1/2 -inch -
thick (12.7 mm) plywood or nominal 1 -inch spaced sheathing
or other decking material recognized in an ICBO ES evalua-
tion report or by the Uniform Building Code-` (UBC) and
approved by the local building official.
2.2.1.2 Underlayment: Tiles installed on roof slopes of less
than 21/2:12 (21 % slope) are considered decorative only and
must be applied over an approved roof covering, subject to lo-
cal building official approval.
On roof slopes from 21/2:12 (21 % slope) to below 3:12 (25%
slope), an approved built-up roof, applied in accordance with
Table 15-D-1 of the code, or a single -ply roof membrane as-
sembly, is first installed.
Where roof slopes fall between 3:12 (25% slope) and 4:12
(33% slope), underlayment may be as described above in this
section, or may be a single -layer, No. 90, granular -surfaced,
asphalt roll roofing, or two layers of No. 30 felt installed
shingle fashion, or an approved single -ply system installed
per code or an ICBG ES evaluation report.
Where roof slopes are 4:12 (33% slope) or greater, one lay-
er of minimum No. 30 felt installed using 6 -inch (152 mm) side
and 2 -inch (51 mm) head laps, complying with ASTM D 226
or equal and recognized in an ICBO ES evaluation report,
shall completely cover the deck and be lapped over hips and
ridges and laced through valleys. Hip and ridge nailer boards
must also be covered. When installed over spaced sheathing,
an underlayment recognized specifically for this type of use
in an ICBG ES evaluation report must be installed with 6 -inch
(152 mm) side and head laps.
2.2.1.3 Battens: Nominal 1 -by -2 wood batten strips are re-
quired where roof pitches fall below 3:12 (25% slope), in order
to minimize membrane penetration, and are required where
roof pitches exceed 7:12 (58.3% slope), to provide positive
tile anchoring. Battens are nailed to the deck with 8d corro-
sion -resistant box nails at 24 inches (610 mm) on center, or
No. 16 gage (0.063 -inch (1.6 mm)) by 7/16 -inch -crown (11.1
mm) by 11/2 -inch -long (38 mm) corrosion -resistant staples on
12 -inch (305 mm) centers, allowing a 1/2 -inch (12.7 mm) sep-
aration at batten ends to provide drainage.
On roof slopes from 2112:12 (21 % slope) to below 3:12 (25%
slope), nominal 3/8 -inch -thick (9.5 mm), decay -resistant
wood lath strips, installed vertically, are attached from eave
to ridge at 24 inches (610 mm) on center using 8d corrosion -
resistant box nails. Horizontal nominal 1 -by -2 wood battens
are then nailed through the vertical battens into the deck at
proper coursing, not exceeding 14 inches (356 mm) on cen-
ter. Where attaching tiles to horizontal battens, nails shall
penetrate the full thickness of the battens but not the roof
membrane.
Battens installed on roof slopes of 4:12 (33% slope) to
21:12 (175% slope) shall be nailed to the deck using 8d corro-
sion -resistant box nails at no more than 24 inches (610 mm)
on center, and shall have provisions for drainage by providing
a 1/2 -inch (12.7 mm) separation at the batten ends every 4
feet (1 219 mm), or by shimming with moisture -resistant, nom-
inal 3/8 -inch -thick (9.5 mm), decay -resistant wood lath strips
or 2 -inch -square (51 mm square) shims, cut from asphalt
REPORTS—are not to be construed as representing aesthetics or any other attributes not specifically addressed, nor are they to be
construed as an endorsement o%the subject of the report or a recommendation for its use. There is no warranty by ICBG Evaluation Service,
Inc., express or implied, as to any finding or other matter in this report, or as to any product covered by the report.
Copyright @ 2001
Page 1 of 5
Page 2of5
shingles, placed between the battens and deck to provide
drainage beneath the battens. Batten placement shall not ex-
ceed 14 inches (356 mm) on center.
2.2.1.4 Eave: Metal eave closure strips must be installed
when using Eagle Capistrano tiles. The use of eave closures
with Malibu tiles is an aesthetic option. Eave riser strips of
wood or metal must be installed at eaves when using Eagle
Bel Air, Malibu or Ponderosa tile. Eave closures and/or eave
risers elevate eave tiles to the proper height; block wind, fire,
snow, vermin, or birds; and allow drainage of moisture accu-
mulated beneath the tiles to escape through weep holes in
metal or slots in wood. Where solid fascia material is attached
to rafter ends and extends above the plane of the deck to act
as a first course tile riser, an anti -ponding device must be
used to support the underlayment.
2.2.1.5 Fastening: Tiles are attached in accordance with
Table 15-D-1 of the UBC for roof slopes less than 4:12 and
Table 15-D-2 of the UBC for roof slopes 4:12 and over. All tile
nails are minimum No. 11 gage, corrosion -resistant steel hav-
ing a minimum 5/16 -inch -diameter (7.9 mm) head and suffi-
cient length to penetrate 3/4 inch (19 mm) into framing, bat-
tens or through the thickness of the sheathing, whichever is
less.
When attaching tiles to overhang areas where the nail
points may be visible from underneath the sheathing, nominal
1 -by -2 wood batten strips are nailed through the sheathing
into rafters with one 8d nail in each rafter. Tiles are nailed into
batten strips with minimum No. 11 gage nails of sufficient
length to penetrate through the full thickness of the batten
strip.
2.2.1.6 Trim Tile: Each hip or ridge tile is secured to nailer
boards with one nail at the head end and a dab of roofer's
mastic or other permanent adhesive placed over the nailing
area to secure succeeding file. When installing Capistrano
tiles, all hip, ridge and head wall intersections must be pro-
tected, to prevent moisture penetration, with mortar, metal,
metal- backed tape, rubber or other ultraviolet -resistant mate-
rials. All rake tiles are attached with two nails into the barge
board.
Nailer boards of sufficient height to adequately support hip
or ridge tiles are nailed into framing every24 inches (610 mm)
with 10d steel nails or are secured using galvanized steel
strapping or special galvanized steel attachment devices at
48 inches (1219 mm) on center.
2.2.1.7 Flashings: Valley flashing must be in accordance
with Section 1508 of the UBC. All other flashing must comply
with Section 1509 of the UBC. Openings through the tile for
penetrations such as vents must be flashed and supported by
additional blocking or roof framing as required. Flashing for
profile tiles must be made of lead or other approved flexible
materials, and must be formed to the contours of the tile.
2.2.1.8 Broken Tile Replacement: The broken tile is first re-
moved. If battens were used originally, existing nails, if any,
are cut and new the inserted. If no battens were used, a
6 -inch -by -6 -inch -by -1/2 -inch (152 mm by 152 mm by 12.7
mm) plywood piece is nailed to the deck to act as a batten.
The new tile is then inserted. As an alternate, new tiles may
be inserted using roofer's mastic to form a bond at the head
lap area.
2.2.1.9 Severe Climate Considerations: In areas desig-
nated by local building departments as subject to rooftop ac-
cumulations of sand, snow or rain driven by high winds, open-
ings at hips, ridges and walls must be closed with metal or
mortar, or approved sealant material. In areas subject to se-
vere ice build-up at the eaves, tile's must not be installed on
roof slopes below 4:12 (33% slope). Roof ventilation de-
scribed in Section 1505.3 of the UBC must be provided.
ER -4660
Horizontal battens must be installed on top of nominal
1 -by -4 vertical battens, to allow airflow between the roof deck
and the installed tile. Vertical battens must be installed at 12
or 16 inches (305 or 406 mm) on center, or at up to 24 inches
(610 mm) on center if fastened into rafters. Horizontal battens
must be minimum 1 -by -4, fastened through the vertical bat-
tens. All tiles are nailed through horizontal battens. In areas
where basic wind speeds exceeding 80 mph (129 km/h) exist,
directions in Table 15-D-1 or Table 15-D-2 of the UBC must
be followed. Underlayment application must comply with
Table 15-D-1 of the UBC for slopes less than 4:12 or Table
15-D-2 of the UBC for slopes 4:12 and greater.
2.2.2 Reroofing: Eagle tiles, as described in Section 2.1.1,
provide a.Class A roof when installed over existing asphalt
shingle roofs. Care should be taken to ensure both horizontal
and vertical alignment on the roof. Foreign matter must be
cleaned from all interlocking areas. Cracked or broken tiles
must be removed from the roof. Damaged or rusted flashing
should be replaced. Existing framing must be adequate for
the additional load. Structural data verifying adequacy should
be submitted to the building official. The existing roof must be
inspected in accordance with Appendix Chapter 15, Section
1515, of the UBC. When reroofing wood shake roofs, existing
shakes must be removed and solid decking and tile must be
installed, as with new construction. When installed over exist-
ing spaced sheathing boards, underlayment complying with
the UBC or an underlayment recognized specifically for this
type of use in an ICBO ES evaluation report, installed with or
without battens, may be used. One layer of No. 30 felt or ap-
proved equal underlayment must be installed on the roof prior
to application of tile. In lieu of this underlayment's being pro-
vided, the building official may determine that the existing roof
covering provides the required underlayment protection.
Details not covered under this section are identical to those
described in Section 2.2.1.
2.3 Roof Classification:
When installed over solid sheathing in accordance with this
report, Eagle and Eaglelite roofing tiles are Class A roof cov-
erings in accordance with Section 1504.1 of the UBC. When
installed over spaced or solid sheathing in accordance with
this report, the tiles are noncombustible roof coverings in ac-
cordance with Section 1504.2 of the U BC. The tiles are Class
A roof coverings when installed over existing asphalt shingles
in accordance with Section 2.2.2 of this report.
2.4 Identification:
The name EAGLE and the evaluation report number
(ER -4660) are imprinted on each tile. A tag on each shipping
pallet indicates the producing plant location, product identifi-
cation and the installed weight. Each Eaglelite tile is identified
by the product name "Eaglelite" on a tag and a light-colored
strip across the headlap area.
3.0 EVIDENCE SUBMITTED
Results of tests in accordance with the ICBO ES Acceptance
Criteria for Special Roofing Systems (AC07), dated April
1999; installation instructions; and quality control manual.
4.0 FINDINGS
That the Eagle Concrete Roofing Tiles described in this
report comply with the 1997 Uniform Building Code",
subject to the following conditions:
4.1 Tiles are manufactured, identified and installed in
accordance with this report and the manufactur-
er's instructions.
4.2 Tiles are manufactured at Eagle Roofing Products
facilities located in Rialto, California, and Phoenix,
Arizona.
This report is subject to re-examination in two years.
Page 3 of 5
3/
ANCHOR
LUGS
WEATHER
BARS
CONTINUOUS
ANCHORLUG
HEAD
END WEATHER
BARS
END
YALIBU or
CAPIS7gAN0 TMm TSe
115/8, I Continuous
PONDEROSe ...,.ti.., u...
Irrt9rI Ing
chenrrel n"\ /
12318.
FIELD AND TRIM TILE SPECIFICATIONS
ER -4660
4"of"5s�
Note:.Hip nailer boards are to be of sufficient height to
maintain even plane of trim tiles. Height of nailer
boards will vary due to roof pitch and type of file.
Cover ridge nailer.
with underlayment
Alternate wind -rain block
mortar, metal or other
roofer's mastic. /
Battens required below 3:12
and above 7:12
TYPICAL RIDGE DETAILS
Battens required '
below 3:1.2 and
i'
above 7:12 C
Eave riser
Eave closure
Apply continuous bead of Cover hip nailer with
approved roofer's mastic at undertayment
overlap area.
Mortaror stack trim Hold back nailer
ends or install hip board 6"
starter
�. TYPICAL HIP DETAILS
Soft aluminum or other
flexible type flashing with
profile tile. Affix to the with
roofer's mast
Double flashin
recommendec
FLASHINGS - PIPE VENT
OTHER THRLI-ROOF PROJECTIONS
ral with
ofel's mastic
Pipe jack
ER -4660
Undedayment Counter flashing
�cv \ \`^ �—recommended in
esevere weather
Z bar
—�4" Min.
112" return lip Standard G.I. pan flashing. Carry
to save line or transfer to top of
FLASHING *� the with flexible metal.
ABUTTING WALL
Min. 6" on all profiles
Counter flashing
Angle flashin`
WSaddle - Use with
projections over 4'
wide.
Sealwithmortar,
c or equivalent
FLASHING DETAILS Continuous pan flashing
carried over top of the
APPLICATION DETAILS
Additional ply of felt
Do not nail
under valley
through flashing
recommended
Battens required
below 3:12 and
Standard
above 7:12
valley
flashing
Undedaymel
Eave
drip strip
1
Allow for valley Solid
drainage when sheathing
applying save closure
TYPICAL VALLEY FLASHINGS DETAILS
Undedayment Counter flashing
�cv \ \`^ �—recommended in
esevere weather
Z bar
—�4" Min.
112" return lip Standard G.I. pan flashing. Carry
to save line or transfer to top of
FLASHING *� the with flexible metal.
ABUTTING WALL
Min. 6" on all profiles
Counter flashing
Angle flashin`
WSaddle - Use with
projections over 4'
wide.
Sealwithmortar,
c or equivalent
FLASHING DETAILS Continuous pan flashing
carried over top of the
APPLICATION DETAILS
Page 5 of 5
Battens required on
roof pitches below 3:12
and above 7:12
Metal drip strip
A
Metal eave riser --' Shingle -lap
with weep holes vertical course
INSTALLATION AT EAVES AND FIELD
Cover ridge nailer with One nail per
underlayment ridge tile Cut tile to fit
opening
Ridge nailer to be of sufficient
height to maintain even plane
of ridge tiles
Apply continuous �'
bead of approved Provide minimum 3" headlap
roofer's mastic at Butt rake tiles to fled course above
overlap area.
Factory finished butt end
Metal eave user Cut off head end of first rake file
and drip strip Two nails per rake trim
TYPICAL RIDGE AND GABLE
Underlayment
Crimped
Standard base Standard flashing. Secure to edge
flashing attached to the with mastic or sealant.
deck. VENT FLASHING
A.pl. ft hs.,
STEP FLASHING
c...1.,
fwl,h.;
t. ur.nn.owvwa
APPLICATION DETAILS
ER -4660