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BRER2015-005078-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application Description Property Zoning: Application Valuation: Applicant: WILLIAMS ROOFING P 0 BOX 391841 ANZA, CA 92539 T4'it 4 4wQu;.rw COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT BRER2015-0050 80000 HERMITAGE 762231017 MATT RESIDENCE RE -ROOF $18,000.00 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 Professions Code, and my License is in full force and effect. License Class: C39 License No.: 774482 n Date:/ % Contractor / r—v C vv OWNER -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.). I ) 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.). (_) I am exempt under Sec. . BAP.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: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/9/2015 _Owner: MATT, COLLEEN A Contractor: WILLIAMS ROOFING P 0 BOX 391841 ANZA, CA 92539 (760)399-9394 Llc. No.: 774482 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: _ Policy Number: _ 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 �3 �S Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($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. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official 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 ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the 3&0ve• mentioned property for inspection purposes. Date:2'_ - Signature (Applicant or Agent) La "..FINANCIALINFORMATI• r a DESCRIPTION s ,° `' �&ACCOUNT� a y" t� BSAS SB1473 FEE - - 101=0000-20306 0 $1.00 $0.00 �f5 2fi'•Y' *rA, q-"C;�",�"f Z["Y'�;,y; (ve{.5. F°!% ., a* �i .. rvF PAID „� �.. MET'HOU CLTD BY BY w fe,100 ., e� Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00 DESCRIPTION �� x.;� by,. , 's - r, $"' ACCOUNTs QTY= ;Y 43.i y is �w AMOUNT E x a �; "-. .{ , v PAID' PAID DATE'. sl, . , r . ,_/ s < r :,.' .:,.... , .., .;¢ Sa.. ;,; ..;�:�...,.;,4�.r, inti �.. ✓ .... . ,. ,:V.t RE-ROOF - EA ADDITIONAL 11000 SF 101-0000-42404 0 °;;$34.80 $0.00 i? i'y - ! PSw . €'"'. PPiIU BY:+ w ..: 4 ..4.y�` S%=-5.*.1e .'X«?;fi METHOD t RECEIPTt#, '' CHECK # CLTDlBY aP > ..� x;� ;.,, .z .Y,.�r,xf ... 8.'x ,aA <;, >��t� , ..`:.� .�$.... �:.rsA.eaw i' b.¢: z've,�'4is z xz T' MSS r L DESCRIPTION^ �x Y rSi�%SL::..:' -� { "S".�u"A h N.-aa,"b,..0 .. Y 5i S`, Y E S i•�..ZS'S4 4 4, PAID°DATE; ..vY..''F Y n�as" w ry ��h#*ACCOUNT ..; 44QTYr a ,AMOUNT s n �s:..i ... j YzPAID r ID, _ RE-ROOF - FIRST 2,000 SF 101-0000-42404 0 $49.31 $0.00 F, ,: 'd... Y'rv'`5•�{ ;3!C 1y R{w .rFW 1 .s. = PAID BYE ' gy j {f es r "'�'"w. ? . F`!� 'R Y"�Sa�dg5� m METMQD' d J' � >?'E - ��:F'P$#, y'' ..e� �.ib. � -' EIPT *, REC # - �TY.�, 2 N CIiECK # CLTD BY r� ..�"A'e. (' � /i... § _,'&»'eilr 9 z --Zr 0;It DESCRIPTION 'ati.'.'..�'-,';hSt'�+`Z°"x. A000UNT CZTIf k AM`OUNT c ; C i � PAID DATE: >' a+. � F�� ri, ': x PAID ' RE-ROOF- FIRST 2,000 SF PC ' . 101-0000-42600 0 $98.62 $0.00 a sr rax ' :z y rr CX PAID BY f r a { e 4 ��HOD 9�RECEIPT r #���CHECK s # CLT-D BY r� �" X°�fr ._v�. .Y iS,�S. h '%nv Y--TxdF .-P$-{-u -'�° $d.. J.L.- JY tiS{ . 3 s .,,8..`Y t. -•1 Total Paid forRE-ROOF:. $182.73 $0.00 • 06 Description: MATT RESIDENCE RE -ROOF Type: RE -ROOF Subtype: Status: APPROVED Applied: 7/9/2015 EVA Approved: 7/9/2015 EVA Parcel No: 762231017 Site Address: 80000 HERMITAGE LA QUINTA,CA 92253 Subdivision: TR 27332 SEE ASSESSOR MAP 761 PG 47 Block: Lot: 5 Issued: &48 Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $18,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 CITY Details: REROOF - [CRRC: 0942-0008] 2013 CALIFORNIA ENERGY CODE. ADDITIONAL CHRONOLOGY CONDITIONS CONTACTS NAME TYPE NAMEADDRESS1- CITY STATE. ZIP_- _ ' PHONE : - ' ;-.:.,FAX , : EMAIL >. APPLICANT WILLIAMS ROOFING P 0 BOX 391841 ANZA CA 92539 CONTRACTOR WILLIAMS ROOFING P 0 BOX 391841 ANZA CA 92539 OWNER MATT, COLLEEN A 1801 PORT ASHLEY PL NEWPORT CA 92660 BEACH Printed: Thursday, July 09, 2015 4:28:29 PM 1 of 2 Cm SYSTE/v1S DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY RE -ROOF -EA 101-0000-42404 0 $34.80 $0.00 ADDITIONAL 1,000 SF RE -ROOF - FIRST 2,000 101-0000-42404 0 $49.31 $0.00 SF RE -ROOF - FIRST 2,000 101-0000-426000 $98.62 $0.00 SF PC Total Paid for RE -ROOF: $182.73 $0.00 TOTALS:00 PARENT PROJECTS F_ BOND INFORMATION Printed: Thursday, July 09, 2015 4:28:29 PM 2 of 2 sys�rnns 116 41 Off! # City of La Quinta Building ar Safety Division P.O. Box I SO4, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777.7012 5 0 Building Permit Application and Tracking Sheet Permit At kZ 2 0 t 100 'Project Address: wner's Name:P6 A. P. Number: Address: Legal Desch ion:. C City, ST, Zip: LA7 00 q22,S3 Contractor.7Wrelephone.-7 P06- Address: Pr MY -':�q I Sq I Project Description: City. ST, Zip: Telephone: qSj—-�Oqkq ."01'L Pr State Lic. # Citv Lic. #i Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #: Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: 7 N Stories: .1 #Units: Telephone# of Contact Person: C/o Estimated Value of Project: $ 9 f I /M r APPLICANT: DO NOT WRITE BELOW THIS LINE Submittal Rcq'd Rcc'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calts. Rtviewtd, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"' Review, ready for corrctflonsfissut Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up ISAII.I. 11.6A. Approval Plans resubmitted Grading [N'HOUSE:- 1*4 Rtvic%, "adv for corrections/issut btvttoptr Impact Fee Planning Approval Called Contact Person AJ.P.P. Pub. Wks. Appr Date of permit issue School Fees II Total Permit Fees lb/Ar. Prescri Uve Certificate of Compliance: Residential Reroof CF-iR-ALT-ReRoc RrolAddre s• 81ArJ6=,i L477DJLL, L qZ253 Climate Zone I Permit 0 I U ROOFING PRODUCTS (COOL ROOFS) 9151(012 When the area of exterior root surface to be replaced exceeds 50% of the existing root area, or 1,000 fe, whichever Is less, the net roofing are* must meet the roofing product "Cool Root" requirements of §152(b)MI, 152(b)11111, or 152(b)1HIII, Check applicable altemative or exception below it the roof alteration is exempt from the rcpjing product "Cool Roor requirements: ❑ Cool roofs not required in Climates Zones 1-12,14, and 18 with a low sloped roof pitch (less or 2:12 pitch), ❑ Cool: roofs V& required in Climates Zones 1-9, and 18 with a steep -sloped roofs (greater pitch than 2:12) and product weightless than 5/lbil Alternatives to §152(b)1H1 and §182(b)HII, Steep -slope roof (pitch > 2:12) ❑ Insulation with a thermal resistance of at least 0.85 heft"-'F/Btu 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(11)10; or ❑ In climate zones 10, 12 and 13, with 1111:2 of free ventilation area of attic ventilation for every ISO 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 ❑ Building has at least R•30 ceiling Insulation; or ❑ Building has radiant barrier in the attic meeting the requirements of §151(92; 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)1Hill, Low -slope roof ( pitch S 2.12) ❑ Building has no ducts in the attic. Other Exceptions ❑ Roofing area is covered by building Integrated; photovoltaic panels and solar thermal panels are exempt from the Cool Roof criteria. ❑ Roof constructions that have thermat mase over the roof membrane with at least 25 Ib/ft2 are exempt from the Cool Roof criteria. NOTE: it any one of the alternatives or exception is checked the Aged Solar Reflectance and Thermal Emiltance requirements for roofing products in §118(1) are not applicable. Do not fill table below. nIOTE: When a Cool Root is required, the installing contractor shall complete and submit the CF -6R -ENV -01 for final inspection. Declaration Statement .Roof Slope Product Weight Product Aged Solar Thermal Name: CRRC Product ID Number' S 2:12 > 2:12 < 51b111112 a 5lb/ft2 Type2 Reflectance3'4 Em1tta ce SRI i ❑ ❑ ❑ � ' �, Phone _. ❑4 1T3 ❑ ❑ ❑ ❑ ❑4 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 10 Number can be obtained from the Cool Roof Rating Council's Rated Product Directory at www.coolroo1s.oa1Wm ctsisearch.nhQ 2, Indicate the type of product Is being used for the rooftop, I, e. single -ply roof, asphalt root, 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(p,,,w - 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. 5. Calculate the SRI value by using the SRI- Worksheet at htta;/www.eneray.ca.ggWptle24Jand enter the resulting value in the SRi Column above and attach atopy of the SRI- Worksheet to the CF. I R. To apply Liquid Field Applied Coatings, the coating must be applied across the entire roof surface and meet the dry mil thickness or cover 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 nIOTE: When a Cool Root 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. • [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 COO of Re ulations. Name: Signature: CompaW1 I 11'AM'S RWDMQ Obtfr Addr ffn License: City/S t J � ' �, Phone _. For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.