13-0167 (RR)444 P.O. BOX 1504 {1w/ 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: /13
Application Number: .13'-00000167 Owner:
Property Address: 53910 AVENIDA HERRERA REINHART KELLY
APN: 774-164-010-15 -000000- 53910 AVENIDA HERRERA
Application description: RE -ROOF LA QUINTA, CA 92253 D��
Property Zoning: COVE RESIDENTIAL
Application valuation: 6600��
1.D►��1��9�
Contractor:
Applicant: Architect or Engineer: SPRAY FOAM OF SOUTHERN CA Frap1,�.N
43890 WARNER TRAIL
PALM DESERT, CA 92211
�'✓ N/� (760)345-5599
LiC. No.: 888675
LICENSED CONTRACTOR'S DECLARATION -
I hereby affirm under penalty of perjury that I am license er�prcxvanpruf"C
9 (commencing withSection 7000) of Division 3 of the Business and Pr Sion s in full force and effect.LicenseClass: C39 Lice
—Date: 2AIIJontractor
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 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:
WPERMIT
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
_ 1 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 9029268-12
I certify that, in the performance of the work for w'. h^ffiis rmit is issued, I shall not employ any
' person in any manner so as to become su ' t kava, tion laws of California,
and agree that, if I shoul� a the rkers' compensation ovisions of Section
3700 of the Labor C e I sha i c y with those r ' ' s.-
Date:2,/z MI.?, Applican
WARNING: FAILURE TO S CU ORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER RINIINAL 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 f 0 days will subject
permit to cancellation.
I certify that I have read this application and state that the4aboveinformation is rect. agree to ply with all
city and county ordinances and state laws relating to buildn d he nze rep sentatives
of this count to enter upon the above-mentioned propertp
Date: ignature (Applicant or Agent): _
Application Number 13-00000167
Permit . . . RE -ROOF
Additional desc . .
Permit Fee 30.00 Plan Check Fee
.00
Issue Date Valuation . . .
. 0
Expiration Date 8/12/13
Qty Unit Charge Per
Extension
BASE FEE
30.00"
--------------------------------------------------------------
Special Notes and Comments
--------------
RE -ROOF TAR - GRAVEL BUILT UP ROOF WITH
URETHANE FOAM SYSTEM. 2010 CODES
APPROVED B.H.
----------------------------------------------------------------------------
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
Bin.#
Clay 0f Ld Quinta
B k tag 8i Safety Dn+fsion
P.O. Box 1504,79-495 Calle Tampico
la.Quinta, CA 92253 --:(760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: ig1l e)y�1,4
Owner's Name:.
A. P. Number.
Address: .� X12
Legal Description:
City, ST, Zip: Z
Contactor. Y oL� ��C
Telephone:
Address:
Project Description: � p .�
City, ST, Zip: /j'1 �2.5 L�K�
/^t
l9'
Telephone:-7/ —S y $Sr
State Lic. #:9--1 9 6-7,5- City Lie #;
�j' • I � I z fLo��
Arch., Engr., Designer
Address:
City., ST, Zip:
6 10
Telephone:
Construction Type:. Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft :2 # Stories: # Unit;::
State Lie. #:
Name of Contact Person:
Telephone # of Contact Person:
Estimated Value of Proj 46-do
APPLICANT: DO NOT WRITE BELOW THIS LINE
N Submittal Req'd Recd TRACKING PERMIT FEES
Pius Sets
Plan Check submitted Item Amount
Structural Calcs.
Reviewed, ready for corrections Plan Check Deposit.
Truss Cates.
Called Contact Person Pian Check Balance.
Title 24 Cates.
Pians picked up Construction
Flood plain plan
Plans resubmitted Mecharilcal
Grading plan
2'' Review, ready for correctioustiissue Electrical
Subcoutactor List
Called Contact Person Plumbing
Grant DeedPlans
picked cep S NLI
H.O.A. Approval
Plaus resubmitted Gradlug
W ROUSE:-
3" Review; ready for eorreetionsfissue Developer Impact Fee
Planning Approval
Called Contact Person A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
Prescriptive Certificate of Compliance: Residential CF -IR -ALT
Residential Alterations age 3 of 5
Pro'ect Name: Climate Zone # # of Stories
53-910 Herrera 15 1
ROOFING PRODUCTS (COOL ROOFS) §1511912
When the area of exterior roof surface to be replaced exceeds more than 50.16 of the existing roof area, or more than 1,000ft2, whichever is
less, the new roofing area must meet the roofing product "Coot Roof' requirements of §152(b)IH4 152(b)1HA or 152(b)IHiii.
Check applicable alternative or exception below if the roof alteration is exempt from the roofing product "Cool Roof' requirements. Note: If any
one of the alternatives or exception below is checked, the Aged Solar Reflectance and Thermal Emittance requirements for roofing products in
§/ 18(i) are not applicable. Do not fill table below.
LJ Cool Roofs Not Required in Climate Zoites 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 51b/ft 2.
Alternatives to §152(b)1Hi and §152(b)Hii, Steep -slope roof (pitch > 2:12)
❑ Insulation with a [hernial resistance of at least 0.85 hr•ft2-°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 § 15l(f)10; or
® In climate zoites 10, 12 and 13, with 1 fi of free ventilation area of attic ventilation for every 150 fix of attic floor arra, 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 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)1Hui, Low -slope roof (pttch <2:12)
❑ 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 lb/ft' is exempt from the below Cool Roof criteria
Note: If no CRRC- I label is available, this compliance method cannot be used, use the Performance Approach to show compliance, otherwise,
Check the applicable box below if Exempt from the Roofing Products "Cool Roof' Requirement:
Roof Slope
Product Weight
Product
Aged Solar
'Thermal
CRRC Product ID Number'
< 2:12 > 2:12
< 5lb/ft2 >_ 5lb/ft2
Type2
Reflectance"'
Emittance
SRIS
0620-0029
❑
p
19
❑
coating
p^
0.73
.0.89
low/steep
❑
❑
❑
❑
d'
❑
❑
❑
❑
Q`
❑
❑
❑
❑
❑'
❑
❑
1 ❑
1. The CRRC Product ID Number can be obtained from the Coo! Roof Rating Council's Rated Product Directory at www.coolroo&or%Ozroducts/searchahp
Indicate the type of product is being used for the roof top, i.e. single -ply roof, asphalt roof, metal roof, etc.
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,.,,; j — 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 htt .-Ilwww.energy.carav/dtlel4/and 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 coverage
commended by the coatings manufacturer and meet minimum performance requirements listed in §118(1)4. Select the applicable coating:
Asphalt Roof
permaxl 20
Aluminum -Pigmented Coating
Cement -Based Roof Coating
x Other
Re tratton Num: -
_ gis _ _ ' ber„ - Registry(ion D�rte/Time; f1ERSProvider;, j
2008 Residential Compliance Forms March 2010'
Prescriptive Certificate of Compliance: Residential CF -IR -ALT
Residential Alterations age 5 of 5
Project 9_HerTera
Name: 53-91-0
3 1 0 Climate Zone #15 1 # of Stories
�J .7 t
HERS VERIFICATION SUMMARY The enforcement agency should pay special attention to the HERS Measures specified in this
checklist below. A completed and signed CF -4R Form for all the measures specified shall be submitted to the building inspector before final
inspection.
Duct Sealing & Testing HERS verification is required for this measure.
® YES ❑ NO YES: In Climate Zones 2 and 9-16, if more than 40 linear feet of new or replacement ducts are installed in unconditioned
space, the ducts are to be sealed per § 152(b) l Dii and the newly installed ducts are to be insulated per §151(f)10.
❑ EXCEPTION: Existing duct systems that are extended, which are constructed, insulated or sealed with asbestos.
®YES ❑NO YES: In Climate Zones 2 and 9-16, if the existing space -conditioning system (HVAC equipment and ducting) is replaced, the
ducts are to be sealed per §I52(b)IDi.
OYES ONO YES: In Climate Zones 2 and 9-16, if the existing HVAC equipment is replaced (including the replacement of the air handler,
outdoor condensing unit of a split system, cooling or heating coil, or the furnace heat exchanger) the ducts are to be
sealed per § 152(b)1 E.
❑ EXCEPTION: Duct systems that are documented to have been previously sealed confirmed through HERS
verification in accordance with procedures in the Reference Residential Appendix RA3.
❑ EXCEPTION: Duct systems with less than 40 linear feet in unconditioned space.
rl EXCEPTION: Existing ducts stems constructed, insulated or sealed with asbestos.
Refrigerant Charge -Split System HERS verification is required for this measure.
❑ YES ® NO YES: In Climate Zones 2 and 8-15, when the existing HVAC equipment is replaced (including the replacement of the air
handler, outdoor condensing unit of a split system A/C or heat pump, cooling or heating coil, or the fimtace heat
exchanger) a refrigerant charge measurement shal l be verified per § 152(b)1 F.
Central Fan Integrated (CFI) Ventilation System and Fan Watt Draw
The ventilation requirements of § 150(o) do not apply to existing residential homes.
Ducted Split Systems -Air Conditioners and Heat Pumps: Airflow HERS verification is required for this measure.
❑ YES ❑ NO YES: In Climate Zones 10 through 15, when the existing space -conditioning system (HVAC equipment and ducting) is
replaced, the airflow and fan watt draw shall be verified per § 152 1 Ci to meet the requirements of § 151 7B.
Documentation Author's Declaration Statement
• I cern that this Certificate of Compliance documentation is accurate and corn I
Name: Peter Froetschel
Signature:
Compmy:Sprayfoam Of Southern California Inc
02/13/13
Address:
`-F Warner Tr
If Applicable CEA or CEPE
If
(Certification #):
pity/State/Zip:Palm Desert,Ca 92211
Palm
Phone -.
Responsible Building Designer's Declaration Statement
• I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the building design identified on
this Certificate of Compliance.
• 1 certify that the energy features and performance specifications for the building design identified on this Certificate of Compliance conform
to the requirements of Title 24, Parts I and 6 of the California Code of Regulations.
• The building design features identified on this Certificate of Compliance are consistent with the information provided to document this
building design on the other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the enforcement
agency for approval with this building permit apptication.
Name:
Signature:
Company:
Date:
Address:
License:
City/State/Zip:
Phone:
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at. 1-800-772-3300.
Registration Number:, Registration Datelfime: HERS Provider: f
2008 Residential Compliance Forms March 2010
Cool Roof Rating Council
Rated Products Directory: Search Results [new search]
Page 1 of 1
(last updated 17 Feb 2012 18:05 CST)
Showing Search Results for:
Match any of:
Company Name: "'permax 120"
Brand: "'permax 120"
Model: "'permax 120"
Type: "'permax 120"
select' from products where ( company_name like '%permax 120%' or brand like '%permax 120%' or model like '%permax 120%' or
type like '%permax 120%' ) order by company_name asc
CRRC
Manufacturer
Information
Color
Product
Solar Reflect.
Therm Emit.
BRIE
Slope
Note
about
Prod. ID
(sorted +)
Brand
ModelCategory
Tyae
init
init
init 3 yr
Application
Ratings
0620-0029
Henry
Henry
Permax
Bright
Field-
0.82
0.73
0.89
0.91
103
90
Low/Steep
Company
120 White
White
Applied
Skip Leonard,
Coating
(214-764-
3022)
0620-0030
Henry
Henry
Permax
Bright
Field-
0.73
0.65
0.97
0.96
91
80
Low/Steep
Company
120 White
White
Applied
Skip Leonard
w/RTC
Coating
(214-764-
White
3022)
Granules
http://www.coolroofs.org/productslresults.php?printview=l &maxList=25&pageStart=l &k... 2/24/2012