BRER2014-1002Building Permit Page 1 of 1
PERMIT NO jBREP2014-1002(
LA QUINTA, CALIFORNIA 92253
View Report,
94 =of 2 ?D D9
�', 1100% n �_
_� Find I Next
APN: -
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
BRER2014-1002
Property Address:
52920 EISENHOWER DR
APN: -
773331010
Application Description:
RE -ROOF
Property Zoning:
Application Valuation:
$6,900.00
Applicant:
MYCO INVESTMENTS INC DBA MYCO
3045 S ARCHIBALD AVE H-137
ONTARIO, CA 91761
T,d/ D VOICE (760) 777-7125
O FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 7/15/2014
Owner:
JOSE LOPEZ
52920 EISENHOWER DRIVE
LA QUINTA, CA 92253
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: B. C39, 03,C27, C20 License No.: 853581
Contractor:
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.).
(__J 1, 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. . 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
Contractor:
MYCO INVESTMENTS INC DBA MYCO
3045 S ARCHIBALD AVE H-137
ONTARIO, CA 91761
(909)456-9719
Llc. No.: 853581
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
perf r once 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.,M 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: �7-
Applicant-'
WARNING: FAILURE TO SEC RE 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 above-mentioned property for inspection purposes.
Date: /-�/ / ignature (A ant or
http://laquinta.crw.comltrakit9lDocumentV iewer,aspx?&report=/Documents/PERMITS/B... 7/15/2014
Ian
DESCRIPTION
• QTY
PAID
PermitTRAK
$158.30
BRER2014-1002 Address: 52920 EISENHOWER DR
Apn: 773331010
$158.30
BUILDING STANDARDS ADMINISTRATION BSA
$1.00
BSAS SB1473 FEE
101-0000-20306 0
$1.00
RE -ROOF
$157.30
RE -ROOF - EA ADDITIONAL 1,000 SF
101-0000-42404 0
$11.44
RE -ROOF - FIRST 2,000 SF
101-0000-42404 0
$48.62
RE -ROOF - FIRST 2,000 SF PC
101-0000-42600 0
$97.24
TOTAL FEES PAID BY RECEIPT:R397
$158.30
Date Paid: Wednesday, July 16, 2014
'Paid By: ALBERT WILLIAM YOUNG
Cashier: SKH
Pay Method: CHECK 163
Printed: Tuesday, July 15, 2014 4:13 PM 1 of 1
RWVCTFhAC
Bin #
Submittal
City of La Quinta
Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico .
La Quinta,CA 92253 - (760) 777-7012.
Building Permit Application and Tracking Sheet
Permit #
Project Address: 5';t 2e
��SL� �✓ Q
Owner's Name: I1//f 40pfz
A. P. Number:
Address: Sat 99""o
Legal Description:
City, ST, Zip: if AV/NJ'
Contractor: 61
,095V C,O Cojl/
Telephone: — �,'
Address:3O yS ,J',
AWAI A19 /V4 37
Project Description:
City, ST, Zip: 0417'1%A9
C4,
&C470W a .r MWX ,C.f 4F Y
Telephone:
Called Contact Person
State Lic. # : d ,f'3 ,S�
Plan Check Balance.
City Lie. #;
yon'.
Arch., Engr., Designer:
Address:
Construction
City., ST, Zip:
Flood plain plan
Telephone:
NSi�: �:}$'v': �iy_}?:{;%i: }S:'7 iiSSi:�:^ tie.:lF''•'f�.
' """ °"" ='' '"'""' `' t'%'` `
Construction Type: RMF Occupancy:
State Lic. #
Project type circle one): New Add'n Alterepair Demo
Name of Contact Person: 1��� vN
Sq. Ft.- 2S'oo#Stories:
, r',
# Units:
Telephone #,of Contact Person:
Estimated Value of Project: OV 6 FCV
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACMG
PERMIT FEES,
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance.
Title 24 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" Review, ready for correctionsrssue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Decd
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
7rd 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
Prescriptive Certificate of Compliance: Residential Reroof CF -1 R-ALT-ReRoof
Project Address:
Y21;ZO fIS 4 /,C n DYL
Climate Zone
1 /,57-
Permit #
I ROOFING PRODUCTS (COOL ROOFS) §151(f)12 I
When the area of exterior roof surface to be replaced exceeds 50% 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)1Hi, 152(b)1Hii, or 152(b)1Hiii.
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 16 with a low sloped roof pitch (lessor 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 5/Ib/ft2.
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 hr•ft2•IF/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(f)10; or
❑ In climate zones 10, 12 and 13, with 1 ft2 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
Building has at least R-30 ceiling insulation; or
❑ Building has radiant barrier 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, R-3 or greater roof deck insulation above vented attic.
Exception to §152(b)l Hili, Low -slope roof ( pitch <_ 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 thermal mass over the roof membrane with at least 25 Ib/ft2 are exempt from the Cool Roof criteria.
tvu r c: it any one or me airernanves or exception is cnecKeo me Hgeo solar Heriectance ano t nermat rmtttance requirements Tor rooring
products in § 118(i) are not applicable. Do not fill table below.
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 Weight
Product
Aged Solar
Thermal
Company: Date:
CRRC Product ID Number'
<_ 2:12 > 2:12
< 5lb/ft2 >- 5lb/ft2
Type 2
Reflectance3,4
Emittance
SRI
❑
❑
❑
❑
❑4
❑
❑
❑
❑
❑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 ID Number can be obtained from the Cool Roof Rating Council's Rated Product Directory at www.coolroofs:oro/products/search.,p
2. Indicate the type of product is being used for the roof top, 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 same
directory and use the equation (0.2+0.7(pi�;,a, - 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 ht1p://www.enerov.ca.00v/tit1e24/ and enter the resulting value in the SRI Column above and attach
acopy of the SRI- Worksheet to the CF -1 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 §118(i)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
• 1 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, Parts
1 and 6 of the California Code of Regulations.
Name: 1
1 a�'n T ov,N
Signature:
Company: Date:
n? CO' C-OA-"V_;L(JC o
Address: License:
City/State/Zip: Phone:
0&77 17n)V C/X. 70 22 - V XC- 9 7/
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300. .