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10-0624 (RR)r P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 10-00000624 Property Address: 52120 AVENIDA HERRERA APN: 773-224-005-18 -000000- Application description: RE -ROOF Property Zoning: COVE RESIDENTIAL Application valuation: 9900 T44t, 4 XP Q" A ppli c ant : Architect or Engineer: ----------------- LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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: C39 License No.: 336547 Date: © �-5 Contractor _ �j OWNER -BUILDER DECLARATIOhP , 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 70001 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 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: LQPERD1IT Owner: MCCREARY RESIDENCE 52120 AVENIDA HERRERA LA QUINTA, CA 92253 ( Contractor: MILLER & SONS ROOFING INC, AL 68760 SUMMIT DRIVE CATHEDRAL CITY, CA 92234 (760)328-6616 Lic. No.: 336547 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/13/10 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 ofthework 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 238002574 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: OApplicant: _ T..-�.�� WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, A LL 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 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 ordinances and state laws relating to building construction, and hereby authorize representatives of this ccoou�nt/y/ trot// enter upon the above-mentioned property for inspection purposes. Date: v ,1 ,J 14ignature (Applicant or Agent Te b, � LQPERAITT Application .Number '. . . 10-00000624 Permit . . . RE -ROOF Additional desc . Permit Fee . . . . 30.00 Plan Check Fee .00 Issue Date . . . . Valuation' 0 Expiration Date 1/09/11 Qty Unit Charge Per Extension BASE FEE 30.00 ---------------------------------------------------------------------------- Special Notes and Comments RE -ROOF TEAR OFF EXISTING ROOF INSTALL CRRC SHINGLE OVER (1)LAYER 30 #FELT OVER �_.. - -------------- ---WOOD-DECK.-_2007-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 LQPERAITT Bin # Qty of La QuinLcl Building 8t Safety Division— Permit # P.O. Box 1504, 78-495 Calle Tampico tA La Quinta, CA 92253 - (760) 777-7012 U Building Permit Application and Tracking Sheet Project Address: 572 — l 20 + ILN1 r 1 Owner's Name: /i(/(, A. P. Number: Address: Legal Description: City, ST, Zip: L(- ,rj r�2� Contractor: telephone: ltitf [.L -rill- �S c p Address: ���� S(,Cy� �,,,I'r /� Project Description: ' City, ST, Zip: /�'l 172/ — � efF l 5 A)o . geaf Telephone: (2 State Lic. # : 3 g �{ CityLic. #:. Arch., Engr., Designer: e,I` Address: Telephone: State Lic. #: Name of Contact Person: Teleahone # of Contact Person: # Submittal Plan Sets Structural Calcs. aZYnss Cfllcs. Title 24 Caics. Flood plain plan Grading plan Subcontactor List Grant Deed H.O.A. Approval IN HOUSE: - Planning Approval Pub. Wks. Appr School Fees Total Permit Fees Construction Type: Occupancy: \Z: u1tv Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: 00 it Stories: I # Units: ` Estimated Value of Project: 0-0 APPLICANT: DO NOT WRITE BELOW THIS LINE Reed TRACKING PERMIT FEES Plan Check submitted Item Amount Reviewed, ready for corrections Plan Check Deposit Called Contact Person Pian Check Balance. Plans picked up Construction Plans resubmitted Mechanical 2' Review, ready for correctionsfissue Electrical Called Contact Person Plumbing Plans picked up S.M.I. Plins resubmitted Grading Review, ready for corrections/issue Developer Impact Fee Called Contact Person A.I.P.P. Date of permit issue Total Permit Fees Prescriptive Certificate of Compliance: Residential Residential Alterations Prpje�t Name:2w I►�� SZ'I ?.� �/1L�4 Hry �/1r CF -IR -ALT Pa e 3 of 5 Climate 'Zone # I # of Stories ROOFING PRODUCTS (COOL ROOFS) §1511912 When the area of exterior roof surface to be replaced exceeds more than 50% of the existing roof area, or more than 1,000.f?, whichever is less, the new roofing area must meet the roofing product "Cool Roof " requirements of §152(b) I Hi, 152(b) I Hii, or 152(6)1 Hiii. ` Check applicable alternative or exception below if the roof alteration is exempt from the roofing product "Cool Roof' requirements. Note: !Jany one of the alternatives or exception below is checked, the Aged Solar Reflectance and Thermal Gmittance requirements for roofing products in §I 18(i) are not applicable. Do nol ftli table below. ❑ Cool Roofs Not Required in Climate Zones 1-12, 14, and 16 with a Low Sloped. Less or 2:12 pitch. ❑Cool Roofs Not Required in Climate "Zones 1 through 9 and 16 with a Steep -Sloped Roofs (pitch greater than 2:12) and.product unit weight less than 5lb/ft2. . Alternatives to §152(b)ltli and §152(b)ilii, Steep -slope roof (pitch > 2:12) ❑ Insulation with a thermal resistance of at least 0.85 heft •°FBtu 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(f)10; or ❑ In climate zones 10, 12 and 13, with 1 112 of free ventilation area of attic ventilation for every 150 ftp 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(02; 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)lHiii, Low -slope roof (pitch 52.12) ❑ Building has no ducts in the attic. Other Exceptions ❑ Roofing area covered by building integrated; photovoltaic panels and solar thermal panels are exempt from the below Cool Roof criteria. ❑ Roof constructions that have thermal mass over the roof membrane with at least 25 IMF is exempt from the below Cool Roof criteria_ Note: If no CRRC-1 label is available, this compliance method cannot be used, use the Performance Approach to show compliance, otherwise, Check the applicable box below if Exem t from the Roofing Products "Cool RoofRequirement: Roof Slope Product Weight Product Aged Solar Thermal CRRC Product ID Number <_ 2:12 > 2:12 < 5lb/tt2 >_ 5lb/ft T Z Reflectance3'4 Emittance SKIS 1 -1 Q6 -7t, - .0042 ❑ e' ❑ SNlN&L 4 0 . 2 41)w ❑ ❑ ❑ ❑ '4 Q ❑ ❑ ❑ ❑ ❑4 ❑ ❑ ❑ ❑ ❑4 1. The CRRC Product ID Number can be obtained from the Cool Roof Rating Council's Rated Product Directory at www. coolroofs.orgproducts/searchp 2. Indicate the type of product is being used for the rooftop, i.e. single -ply roof asphalt roof, 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 some directory and use the equation (0.2+0.7(p;titiat — 0.2) to obtain a calculated aged value. ;Vhere p is the Initial Solar Reflectance. i 4. Check box if the Aged Reflectance is a calculated value using the equation above. 5. Calculate the .S'RI value by using the SRI- Worksheet at http:1/wv w.energv.carov11itle24/ and enter the resulting value in the SRI Column above and attach atopy of rhe SR1- 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 coverage recommended by the coatings manufacturer and meet minimum performance requirements listed in §1 18(1)4. Select the applicable coating: ❑ Aluminum -Pigmented Asphalt Roof Coating TO Cement-Based Roof Coating ❑ Other ' /✓ Registration Number: 2008 Residential Compliance Vorms V 0-7 11 3 I ID -10 Registration DalelTilhe: . , 1/F_RS Pruvider: August 2009