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11-0043 (RR)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: t 11 -0000001413 - Property Address: 78222 CALLE FORTUNA APN: 770-154-006-6 -000000- Application description: RE -ROOF Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 15300 Applicant: r c&ht 4 4 Q" Architect or Engineer: a/A 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 Co enSA7License is in full force and effect. Lic nseClass: C39 cens 477507 Date: f:I ontracior: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perju y 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 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 contractorls) licensed pursuant to the Contractors' State License Law.). 1 I I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY 1 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: tit 1A I.QPERMIT Owner: FREDERICKS JEFF/DENINE, 78222 CALLE FORTUNA LA QUINTA, CA 92253 f Contractor: PALM DESERT CONTRACTORS P.O. BOX 2795 PALM DESERT, CA 92261 (760)346-2420 Lic. No.: 477507 VOICE (760) 777-7012 FAX (760) 777-7011 `INS CTIONS (760) 777-7153 'uuU)!I d te: 11/11 J!r .0" I I �ui1 Crr✓r'j e 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 and policy number are: Carrier STATE FUND Policy Number 1870876 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 w nsation provisions of Section / 3700 of theabor Code, I shall forthwi p y rose provisions. Date: pplicant: WARNING: FAIL RE TO SECUREERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0001. 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 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 information is correct. I agree to comply with all city,and county ordinanc s and state laws relating to building construction, and hereby authorize representatives o(iihis county to enter pon the above-mentioned property for inspection purposes. � fl—ft Date: / Signature (Applicant or Agent): Application Number . . . . 11-00000043 Permit RE -ROOF Additional desc . Permit Fee 30.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 7/10/11 Qty Unit Charge Per Extension BASE FEE 30.00 ---------------------------------------------------------------------------- Special Notes and Comments RE -ROOF WITH EAGLE LIGHT WEIGHT TILE # 545. R-30 INSULATION EXEMPTION TO APPLY. 2010 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 LQPEnIIT Certificate of Compliance: Residential Reroof Project Address: 78 2-2-2— I ROOFING PRODUCTS (COOL ROOFS) §151(1)12 Climate Zone / 1! CF -1 R-ALT-ReRoof 'ermit # 11-43 - When the area of exterior roof surface to be replaced exceeds SM of the existing roof area, or 1,000 ft`, whichever Is less, the new roofing area must meet the roofing product "Cool Roof, requirements of §152(b)1H1, 152(b)1Hil, or 152(b)1Hill. 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 % 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 weightless than 511bfi 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 hrfe-°F/Btu or at least a 3/4 inch air -space is added to the roof deck over an attic; or t3r_Existing ducts in the attic are insulated and sealed according to §151(f)10; or ❑ In climate zones 10, 12 and 13, with 1 1ft2 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 O ---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 duds 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)1 Hill, Low -slope roof ( pitch S 2:12) ❑ Building has no duds in the attic. Other Exceptions ❑ Roofing area is covered by building integrated; photovoltaic panels and solar thermal panels are exempt from the Coot Roof criteria. ❑ . Roof constructions that have thermal mass over the roof membrane with at least 251b/fl2 are exempt from the Cool Roof criteria. NOTE: If any one of the alternatives or exception is checked products in §118(1) are not applicable. Do not fill table below. Solar Renectance and Thermal Emittance requirements for roofing 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 WeightProduct 1 and 6 of the California Code of Regulations. Aged Solar Thermal CRRC Product ID Number' s 2:12. > 2:12 < 51bife z 5lb/fe TvPW Reflectance3'4 Emittance SRIS rcily's/Zitatep: pine; o� ❑ Qr ❑ ❑ 'rN(t.c ❑4 ❑ ❑ ❑ ❑ ❑4 Note: If no CRRC-1 label is available, this compliance method cannot be used, use the performance Approach to show compliance, i. The CRRC Product ID Number can be obtained from the Cool Roof Rating Councils Rated Product Directory at www.00 Irmis.ora/nroducW-Merch.aho 2. indicate the type of product is being used for the roof top, i.e. single-ly roof, asphalt roof, metal roof, etc. 3. If the Aged Reflectance is not available in the Cool Roof Rating Counci s Rated Product Directory than use the Initial Reflectance value from the same directory and use the equation (0.2+0.7(p*ww - 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. Calculate the SRI value by using the SRI- Worksheet at httn:/Mrww.enemY ca.gov4tle24/ and enter the resulting value In the SRI Column above and attach atopy of the SRI- Worksheet to the CF -IR. To apply Liquid Field Applied Coatings, the, coating must be applied across the entire roof surface and meet the dry mil thickness or covera :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. • 1 certify that the energy features and performance specifications identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and 6 of the California Code of Regulations. Name: 1 gnature: 't r•c- 4fi Company: Date: F ss: License: rcily's/Zitatep: pine; o� For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300. PALM DESERT CONTRACTORS/ROOFING P.O. Box 2795 Palm Desert California, 92261 Lic# 477507 760-346-2420 Fax 760-345-3924 DATE: 11-23-10 PROPOSAL PROPOSAL submitted to; Jeff Fredericks 310-918-7548 WORK to be performed at; 78222 Calle Fortuna L Q Palm Desert Contractors/Roofing hereby proposes to furnish material and perform the labor necessary for the completion of; Total removal of existing roof and re -roof as follows; TILE: Install 40 Ib base sheet, Install Eagle light weight concrete the #545, Install standard metal which Includes the pan, saddle, drip edge and roof to wall. Install ridge and trim as needed, Install birdstop at eve, use cement as needed. Paint all roof jaxs. FLAT: Install 28 Ib base sheet, Install American modified tar commercial roofing membrane, white. Install standard metal, paint all roof jaxs. Extras; ROVEA , plywood @$45.00 per sheet, extra painting, custom sheet metal work, vents @$75.00 per vent. 5 Year contractor warranty. The work will be performed in accordance with the drawings and �. specification submitt®d for the above work and completed Ina workman like manner for the sum of; $ 15300.00 With payments as follows: S r down Balance u2 p y ���— , pon completion Respectfully submitted y < ACCEPTANCE OF PROPOSAL The above price, specification and conditions are satisfactory and are hereby accepted. Palm Desert Contractors/Roofing is authorlied to do the work as specified. Payments will be made as outlined. Date ��'_z 20/© Signature C. -/iy3, Bin # City of La. QuiCItd Building &r Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application -and Tracking Sheet Permit # Project Address: 72ri ii ch r 'v r -a. Owner's Name: A. P. Number: Address: Legal Description: City, ST, Zip: Contractor: �Q,` �,-fi Telephone: > Address: 7 3 3 r f Zoe , Project Description: City, ST, Zip: Telephone: 7 2_0 i l ---c r . c1.sr• T State Lie. # : Y 7 7 City Lie. #: Arch., Engr., Designer: ' Address: City, ST, Zip: Telephone: ne: Lie. Construction TYPe• 1nn an Occupancy: cY Project type . New -Add'n Alter Repair rDemoStoto Name of Contact Person: Jw ..rs Sq. Ft.: Z SnO # Stories: #Units: Telephone # of Contact Person: Estimated Value of Project:/ f 3 o v APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cafes. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction ' Flood plain plan Plans resubmitted Mechanical Grading plan V. 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 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