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12-1434 (RR)T4t!t 4 P.O. BOX 1504 VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 12/13/12 Application Number:`_ _ 12-00001434 Owner: Property Address: 51400 CALLE GUATAMALA KELLER BOB APN- 770-163-007-18 -000000- 51400 CALLE GUATAMALA D Application description: RE -ROOF LA QUINTA, CA 92253 Property Zoning: MEDIUM DENSITY RES Application valuation: 4000 DEC 1 Contractor: CITY OF LA QUINTA Appli Architect or Engine KRUEGER ENTERPRISE FINANCF OEpT 5320 VIA SEVILLE YORBA LINDA, CA 92887 (714),742-9394 LiC. No.: 417485 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: 13-C License No.: 417485 Dateai ;- 1.3 'Contractor: OWNE 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).: (_) 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.). (_ 1 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 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 --------—————-----------------—---------------- 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 497002385 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 Cod hall forthwith comply with those provisions. Date:/Z43 -� .opplicant: WARNING: FAILURE TO SECURE WORK S' C:1Es SATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL P ALD CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000). IN ADDITION TO THE F 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 voidif 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 ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned propert�ection rposes. �� � -Date: anature. (Applicant or Agent): Application Number . . . . . 12-00001434 Permit . . . RE -ROOF Additional desc . Permit Fee . . . . 30.00 Plan Check Fee .00 Issue Date . . . . Valuation 0 Expiration Date 6/11/13 Qty Unit Charge Per Extension BASE FEE 30.00 ------------------------------ --------------------------------------------- Special Notes and Comments REROOF ON GARAGE ROOF ONLY FLAT ROOF - TEAR OFF & NEW EDGE METAL & CAPS FLEET ROOF UNDCONDITIONED SPACE.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 LQPERMIT Prescriptive Certificate of Compliance: Residential Reroof CF -1 R-ALT-ReRoof Project Address. � ) � �/ l �//l� � 7 ✓. Climate Zone Permit tt I ROOFING PRODUCTS (COOL ROOFS) §151(Q12 When the area or exterior roof surface to be replaosd exceeds 50% of the existing roof area, or 1,000 ffz, whichever Is less, the new rooiing area must meet the roofing product "Cool Roorrequirenwrts of §152(6)11, 152(b)1Hil, or 152(6)1111. Check applicable alternative or exception below d the roof afteration Is exempt from the roofing product 'Cool Roof' requirements:: ❑ Cool roofs rW required in Climates Zones t-12,14, and 16 with a low sloped roof pitch (less or 2:12 pitch). ❑ Cool rods IM required in Climates Zones 1-9, and 16 with a steep -sloped roofs (greater pitch than 2:12) and product weight less than 5/IbJ(t2. Alternatives to §152(b)1Hi and §152(b)Hii, Steep -slope root afth> 2.12) ❑ Insulation with a thermal resistance of at least 0.85 hr4f- F/Btu or at least a 3/4 inch air-spaoe is added to the rod deck over an attic; or ❑ Existing ducts in the attic are insulated and sealed-acoonft to §151(010; or ❑ In climate zones 10, 12 and 13, with t to of free ventilation area of attic ventilation for every 150 fe d attic floor area, and where at least 30 percent of the free ventilation area is within 2 feet vertical datanoe of the roof ridge; or ❑ Bukhm has at feast R-30 ceiling insulator; or ❑ Building has radiant banter in the attic meeting the requirements of §151(f)2; or ❑ Building has no ducts in the attic; or ❑ In climate zones 10, 11, 13 and 14, R3 or greater roof deck insulation above vented attic. Exception to §152(b)1 Hili, Low -slope roof ( pitch 5 2:12) ❑ Budding has no ducts in the attic. Other Exceptions ❑ Roofing area is covered by buildng integrated; photovoltaic panels and solar thermal panels are exempt from the Cod Roof criteria ❑ Root caviructions that have thermal mass over the roof membrane with at least 25 Iblft2 are exempt from the Cool Roof aftena. MOTE: If any one of the alteratives or exception is checked the Aged Solar Reflectance and Thermal En*tance requirements for roofing products in § 11 B(i) are not applicable. Do not fill table below. MM When a Cool Roof Is regnred, the mstafGng contractor shall complete and submit the CF -6R -EMM -01 for final inspection. Dedaration Statement Roof Slope WeightProduct provided on this form is accurate and complete. 3 mal Product ID Number s 2:2 >> 2::12 < 51bNe 5W Rflektarceed e'• EmMance SCRRC SRI D' J b ❑ ❑ ❑ ❑` Ynvb i ❑ 1 ❑ ❑ ❑ ❑` Note: N no CRRC-1 label is available, this compliance method cannot be used, use the Performance Ap praa * tcshow car>p<sianoe, 1. the CRRC P►odret ID Munber can be obtained horn the Cool Roo/ Rating Councrs Rated Pro&V Directory at ""w. copftaf&o#ytr0dxft&w-rtft&v M tate the type o(Wod uct los being used for the roof top. i.e. sh►gfe-p y roof, as#W roof, meta! roof, eta . It the Aged Reflectance is not avag" bn the Cool Roof Rating Court Rated Pod& OLectory then use fie IMtiaf Reflectance value horn the same Avctay and use fie equation (0.2+0.7(per„ — 0.2) to obtain a cabulated aged value. More p is the India/ Solar Reflectance. Check box if fie Aged Reflectance is a cakulated value using the equation above. the SRI value by using the SRI- Worksheet at and enter the resulting value w the SRI Column above and attach y of the SRI- Worksheet to the CF -1 R. ply Liquid Field Applied Coatings, the coating must be applied across the entire roof surface and meet the dry mit thickness or covemended rrdate by the coatings manufacturer and meet minimum performance requirements listed in §118(1)4. Select the applicable coaling: minum-Pigmented Asphalt Roof Coating ❑ Cement -Based Roof Coating ❑ Other MM When a Cool Roof Is regnred, the mstafGng contractor shall complete and submit the CF -6R -EMM -01 for final inspection. Dedaration Statement • I certify under penalty of pefJury, under the taws of the State of Califomia, the information provided on this form is accurate and complete. • I certify that the energy features and performance dons identified on this Certificate of Com conform to the requirements of Title 24, Parts 1 and 6 of fie California Code d R Name: � � TSgnatu7,����: Company: Address: M QD V �--� license /� n City/State/Zp: T Phone: b For assistance or questions negaMing the Energy Standards, contact the Energy Hotline at. 1 800.772-3300. Bin. # Ory of* La QuInta Bu&bg at Safety Mion P.O. Box 1504,78-495 Cale Tampko La.Qubta, CA 92253 -:(760) 777-7012 Building Pen nit Application and Tracking Sheet C4tLLg0Mv nLQ cesN me.. D17Q. Penna # d ns Pt gjectAte A. P. Number Address I �'� e L U� Legal Description: City, ST, zip: b-=4(J I �%� CACI Contractor. e' L) j7�( elephone: Address�J� V jeaDesaiptioQn: 0 ON City. ST, Tip: tl L CQ- " Ptor O f N �-T ftIF Tekphono214-742!-9 3 TSA k State Lha # . ' 72City Lie g: (V Ateh., EWg Dwipw. Address: C Y. ST. Te4hone: Construction Type:. Occupancy: St* Lia #: Project type ( one): New Add'n Aker Repair Demo Name of Contact Pe:son: M.lK Sq. Ft: # Stories: ` # Utrit� Telephone # of Contact Person:- Estimated Value of Project: : APPLICANT: DO NOT WRF E BELOW THIS UNE P Submittal .. • Beq•d 'Ree'd TBACMG PERhIrr FSE& Plan Set+ PIau Cheep sabmitted lean Amoaat Stract" Cera. Reviewed, ready for carecdons Plan Chock Deposit. - 1ta:s Cdcs. Called Contact Perna Plan Check Balaam. Mile Zt Cala. Pram pickod up Comtractlon Flood plain piss Plana resabmltbed Meehacdal Gimding pbin r! Review, ready for correctionsfasue Electrical Subeoamstor List Caned Comaet Person Phunbiag Grant Deed Plans pidked up MLS.O.A. Approval Pians raabmitted Grading 11V HOUSB:- ''+Review; ready for corracdoswUsut Developer Impaet Fee Phnntnb Approval Called Contact Person AXP.P. Pub. WkL Appr Date of permit Issue SeM W Fen Totat Permit Fees