10-0185 (RR)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
• 4vQ"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 10-00000185
Property Address: -50375 VISTA
MONTANA
APN: 772-260-005-
- -
Application description: RE -ROOF
Property Zoning: VERY LOW DENSITY
RES'
Application valuation: 27500
ApplpliccaantntJ
Architect or Engineer:
LICENSED CONTRACTOR'S DECLARATION -
Ihereby 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.' -
LicenseeCClaOss-:' C39 Licerise No.: 336547
Date: �J�ID Contract
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 1$500).:
( 1 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 taw.).
1 _d 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
Owner:
ROBERTS RICHARD
50375 VISTA MONTANA
LA QUINTA, CA 92253
Contractor: .. I - .. — . ..
MILLER & SONS ROOFING INC,p
68760 SUMMIT DRIVE 11
CATHEDRAL CITY, CA 92234
(760)328-6616
Lic..No.: 336547
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date
tviAR 112010
C1rV OF LA
WORKER'S COMPENSATION DECLARATION.
1. 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 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,aI shall forthwith comply with those provisions.
-
Date:03 0 Applicant:�l�rF�
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVER GE 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 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 countyordinancesand state laws relating to building construction, and hereby authorize representatives
of this county to enter upon the above-mentioned property for inspection purposes.
Date: ®� U fit' Signature (Applicant or Agent): rJDI�
i"
3/11/10
Application Number . . . . 10-00000185
Permit . . . RE -ROOF
Additional desc
-
Permit Fee 30.00
Plan Check Fee
.00
Issue Date
Valuation
0
Expiration Date 9/07/10
- Qty Unit Charge Per
Extension
BASE
FEE
30.00
Special Notes and Comments
REROOF REMOVE ROCK INSTALL SINGLE
PLYROOF SYSTEM OVER 3/8 FANFOLD
--- -- "- --- - -- --- - - _- .; - INSULATION -OVER 'EXISTING ROOF 'BY
MECHANICAL.FASTENING..,
---_-----------
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
LQPERMTT
Prescriptive Certificate of Compliance: Residential Reroof
Project Address: CF -1 R-ALT-ReRoof
Climate Zone Permit #
�0 — 5.1 S V1 j M Nve vr' A' Gii G�ei oc S
ROOFING PRODUCTS (COOL ROOFS) §151(1)12
When the area of exterior roof surface to be replaced exceeds 50% of the existing roof area, or 1,000 fe, whichever is less, the new
roofing area must meet the roofing product "Cool Roof" requirements of §152(b)1H1, 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 (less or 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 weight less than 5/Ib/ft2.
Alternatives to §152(b)1 HI and §152(b)Hil, Steep -slope roof (pitch >-2:12)
❑ Insulation with a thermal resistance of at least 0.85 hr-fl?-°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(010; 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(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)l Hili, 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 thermal mass over the roof membrane with at least 25 Ib/ft2 are exempt from the Cool Roof criteria.
NOTE: If any one of the alternatives or exception is checked the Aged Solar Reflectance and Thermal Emittance requirements for roofing
products in §118N are not applicable. Do not fill table below.
Roof Slope Product Weight Product Aged Solar Thermal
Product ID Number s 2:12 > 2:12 < 5lb/ftz 2 5lb/ftzT e2 Reflectance3'4 Emittance SRI
aO ❑ Ogf IeO4
❑ ❑ ❑ ❑ ❑4
Note: If no CRRC-1 label is11 available, this compliance method cannot be used, use the Performance Approach to show compliance,
1. The CRRC Product ID Number can be obtained11 11 from the Cool Roof Rating Council's Rated Product Directory at.www.coolroofs.oralprodtictslsearch.phD
2. Indicate the type of product is being used for the roof top, i.e. single -ply roof, asphalt roof, metal roof, etc.
r. 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(pL,&a — 0.2) to obtain a calculated aged. value. Where p is the Initial Solar Reflectance.
t. Check box if the Aged Reflectance is a calculated value using the equation above.
i. Calculate the SRI value by using the SRI- Worksheet at httD://www.enemv.ca 9ov4#le241 and enter the resulting value in the SRI Column above and attach
acopy of the SRI- Worksheet to the CF -1 R.
ro apply Liquid Field Applied Coatings, the coating must be applied across the entire roof surface and meet the dry mil thickness or coverac
recommended by the coatings manufacturer and meet minimum performance requirements listed in §118(i)4. Select the applicable coating:
7 Aluminum -Pigmented Asphalt Roof Coating ❑ Cement -Based Roof Coating ❑ Other
VOTE: When a'Cool Roof 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.
• I 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 Re ulations.
Name:l��y 'gnature�
Company:
* A4 ILL ml> s®'NS
A ,ss. , _
City/State/Zip.Dt
For assistance or questions regarding the
J Date:
�C.iZ G( GK License: �J S
Phone:
l X0-3 6 t Z1
Standards, contact the Energy Hotline at: 1-800-772-3300.
A.L MAJU-'LER AND SONS ROOFING CO., INC.
"$Rrmit A00FS FOR IRTMA LIVING„
68-760 SUMMIT Mr .% CATHEDRAL CM, CA 92234
NL (760) 346-1214 FAX (760) 321.7097
LICENSE # 336SO
PROPOSAL AND CONTRACT
COf&a=rDr. Demos Roberta Project: Home
Address: 50375 Vista Montana Addm:50 375 Vifm Montom
City: LaQuilttta. Ca 9MM City: LaQWUU, Ca 92253
Phone: 485-2949 a-mA denrobi118tyaboo.e m
Wli PROP= TO FL11l M 1M F011,0WIT6GMATERIAU AND PPJIMM ALL LAWR TO WO+: TIM ABOVE LWATION .
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a•: 'II. all �Dj ": .'1.I.11.9.U.,' !.L'!!:d.a.a'.'
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AT EPMON
• Section 7018 of the (;anlroatoe Liotaec Lew .provides ibvt startfmg Jury I, 1966. ova7yone lioenmd by ttte Coatiaaor's 1 Board aball
give a copy of the £o l*wiog twice to the payor prior to.ocelvieg from the omm of rhe property or bis agent sig' pymcm for wmft wtdeh a
NOTICE
"Undor tho comb mW Lion Low , any lmbeonuactm, Morse, mppfies or o9w pram wbo holes to mapflaro your p--j-[y but P; vat paid for
!Dine vAA or mpp4* has a ri* W md1X o a d imm apira yoorpropoty. nix mors *s; afiV a Cowl bWin& your popaty world be sold
by a oomt otfioa fa the tvooeod9 of ttfc auk mscd to satlsy tbo indcbtadut�, thio m bappm ever if you have pod Poor ave aoutrar'lor is
fill, if 9a Mftmttvrfnr, Wxxw, or eaPphir remaned 0004"
Al M11a & Soto Roofing Co, Tore. Ag" to Ilrrdsb its mgolw foam WARAMM for A Ycm t&w eaepletion orb said wo& said
Mmmme m aura defects m maeaiel coed vrCrWwzahM only andam to cabal lodamage to mofmg by the almac* Ww wwmml
Arlt of God and thidl +cot Cava mW bvbilll for damago to ImmicM fudatca, deeomtiore, walls, aorrtevta of l>AdUG»R or Gaff pate of dnKLmo
not to damsgc of fealty awaft .1t is also mdfetood mad Wood *4 above guanrntec "I he rade and tmrtain only wbmn and if
pwoem is made as opmod m This m' P, 1. A1.1411or * Sons to nm ree;mnobk for TV zammms .
WL- —ray ouvemd by Walooen's coupmWon Cnd vaWie Nobility tnsmanto. Curlers' mmen sad po* num,ba8 we ave Me oG rcpoeet.
Aay ottfmlons or dtyiCtinns lion the abwo spWfic ons involving cmra mat ofmaterial or labor will wO be d,cmmted upon writtm otdom
for mmm, and.vmll bwaGe on cm Cbarge ova rum awSoned It tbts proposal. All agreements max be made in wMefg, 77tis offs is valid fbr
ono weak Ilan the date ora"nats and is bNmd on firm noocw to building fur d+rmt loading than our fuck. a tiT— aro on torrent dao of
fnalensd and labor, inaroa+oe crxcesds will be rellmoted at time of eigrfing of enntraa. Al Hitler A $ore iii not c for my danagc
to sidewalk& curbs or dffvcways.
If thna is may conflict bdwa'n this prepasxl, and any other cmtttsd of Xmdriicmm rclsOnx ro tea ccd pr*,d the terns of this
prupolm staff Ptevm't
. Rlepmtth ittcd, ,..
AL & SONS 01G., INC
Adcapterle .
Der, mater
1 as
Bin #
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: 0`115- VISA
Owner's Name: 9t . RIG{ wA
A. P. Number:
Address: ®— .S-'1 S V %SIA
Legal Description:
City, ST, Zip:
Contractor:�1 —�
i�.ILL1trA--f' Sir7.�� �'f—twlr�s
��tY:t..�.,.:;.:t:`;:>:t�•c.::::;:N�<:
Telephone:
Address: br� ^ 1 b0 q t,e-1 ID2.
(Z A = * gp �)D
Project Description:9,C.—(Z.001=
City, ST, Zip: 44. C't�T �'L'�
•
�CiGi� f -L 06 -IL j ?L 'R��
S
......�� .tq:•i: Vrii::'.0^.:i :Q:•'•C\iia'{r:
` {i.'•!`.::�` �ti44r+: i •..,t't •: :vrrt:U '.ti
Telephone: 7�to'�: <.: • ;:i:s:<,•'•`:< ...;: ''<:<#s .;
�':ci`f .<:E•::::::>:t•::: i>. ;:. ,:. Vii''?.L:t•: iyi;. t::.
a JRP3u
State Lic. # : `p 5 City Lia
O-OOF
lArch., Engr., Designer:
INCr
Address:
City., ST, Zip:
:<..a�c:::i�s•:�2'ct;�::a. fhii:"a: �:;R2;:jw:>:
Telephone:
State Lic. #: vz :t«: ;;>H ;.
Name of Contact Person: —irkf?.d
Construction Type: jM—"01r Occupancy.
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:#Stories:
# Units:
Telephone # of Contact Person: —2-5o'— ( (C{
Estimated Value of Project: 2 5-00
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Pian Check submitted
Item
. Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Tide 24 Coles.
Plans picked up
Construction
Flood plain plan
I
Plans resubmitted
Mechanical
Grading plan
2"d Review, ready for correctionsrssue
Electrical
Subcontactor List
Called Contact PersonPlumbing
Grant Deed
Pians picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''d 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
L I
i
Total Permit Fees
,A-9-