BRER2016-001378-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Tiht 4 4 Q910&
11111111111111111111
64
VOICE (760) 777-7125
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BRER2016-0013
Property Address:
78015 CORONADOS CIR
APN:
646210003
Application Description:
MURRAY RESIDENCE / REROOF
Property Zoning:
Application Valuation:
$17,913.00
Applicant:
ROOF TILE SPECIALTY'INC
P 0 BOX 11257
PALM DESERT, CA 92255
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: C3�j License No.: 810537
Date: V Contracto
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).:
(_J 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, 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. Q.
Lender's
Lender's Address:
JENNIFERM�R$1GN.FA
P O BOX 753
LA QUINTA, CA 92253
Contractor:
ROOF TILE SPECIALTY INC'
P 0 BOX 11257
PALM DESERT, CA 92255
(760)200-0811
Llc. No.: 810537
777-7011
777-7153
2/12/2016.
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: 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
above-ment'oned pC\o�p\1`ep�rty for ins ion purposes.
Date: Signature ( licant or Agent):
FINANCIAL ••
•
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID:
PAID DATE
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$1.00
2/12/16
PAID BY
METHOD °
RECEIPT #
CHECK #
CLTD BY
ROOF TILE SPECIALTY INC
CHECK
R12886
9997
MFA
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:
$1.00
.$1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID,
PAID DATE.
RE -ROOF - FIRST 2,000 SF
101-0000-42404
0
$49.31
$49.31
2/12/16
PAID BY
METHOD
RECEIPT #- •
CHECK #
CLTD BY
ROOF TILE SPECIALTY INC
CHECK
R12886
9997
MFA
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RE -ROOF - FIRST 2,000 SF PC
101-0000-42600
0
$98.62
$98.62
2/12/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
ROOF TILE SPECIALTY INC
CHECK
R12886
9997
MFA
Total Paid for RE -ROOF:
TOTALS:
$147.93
$148.93
$147.93
$148.93
Description: MURRAY RESIDENCE / REROOF
Type: RE -ROOF
Subtype:
Status: ISSUED
Applied: 2/12/2016 MFA
Approved: 2/12/2016 MFA
Parcel No: 646210003 Site Address: 78015 CORONADOS CIR LA QUINTA,CA 92253
Subdivision:
Block:
Lot: 2
Issued: 2/12/2016 MFA
Lot Sq Ft: 0
Building Sq Ft: 0
Zoning:
Finaled:
Valuation: $17,913.00
Occupancy Type:
Construction Type:
Expired: 8/10/2016 MFA
No. Buildings: 0
No. Stories: 0
No. Unites: 0
PALM DESERT
Details: REROOF - FLAT ROOF TO ASPHALT PER 2013 CALIFORNIA ENERGY CODE
92255
ADDITIONAL SITES
__j Applied to.Approved
In Approved to Issued
CHRONOLOGY
CONTACTSCONDITIONS
NAME TYPE
NAME
ADDRESSI
CITY
STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT
ROOF TILE SPECIALTY INC
P 0 BOX 11257
PALM DESERT
CA
92255
THERESA@ROOFTILESP
ECIALTY.COM
CONTRACTOR
ROOF TILE SPECIALTY INC
P 0 BOX 11257
PALM DESERT
CA
92255
THERESA@ROOFTILESP
ECIALTY.COM
OWNER
JENNIFER MURRAY
P 0 BOX 753
LA QUINTA
CA
92253
FINANCIAL INFORMATION
Printed: Friday, February 12, 2016 12:55:06 PM 1 of 2
_ SYS TGti1S
I. . . - - I 1 .1 PARENT PROJECTS
Printed: Friday, February 12, 2016 12:55:06 PM 2 of 2
,MNAJF
17= SYSTEMS
... ......... .
.. ... . .....
CLTD.
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT#
CHECK #
METHOD
PAID BY
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$1.00
2/12/16
R12886
9997
CHECK
ROOF TILE SPECIALTY
MFA
INC
Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $1.00
BSA:
RE -ROOF - FIRST 2,000
101-0000-42404
0
$49.31
$49.31
2/12/16
R12886
9997
CHECK
ROOF TILE SPECIALTY
MFA
SF
INC
RE -ROOF - FIRST 2,000
101-0000-42600
0
$98.62
$98.62
2/12/16
R12886
9997
CHECK
ROOF TILE SPECIALTY
MFA
SF PC
INC
Total Paid for RE -ROOF: $147.93 $147.93
TOTALS: $148.93 $148.93
I. . . - - I 1 .1 PARENT PROJECTS
Printed: Friday, February 12, 2016 12:55:06 PM 2 of 2
,MNAJF
17= SYSTEMS
Prescriptive Certificate of Compliance: Residential Reroof CF -1 R-ALT-ReRoof
Project Address: __] c OV� C -b 0 0 OCA 0 5 (L
Climate Zone
Permit #
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 ft`, whichever is less, the new
roofing area must meet the roofing product "Cool Roof" requirements of §152(b)1H1, 152(b)1Hfi, 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 weightless than 5/Ib/ft2.
Alternatives to §152(b)1 Hi and §152(b)HII, Steep -slope roof (pitch > 2:12)
❑ Insulation with a thermal resistance of at least 0.85 hr.ft2•OF/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)l0; 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 Hill, Low -slope roof ( pitch 5 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 §118(1) 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
Address: r,� \\ License:
CRRC Product ID Number'
s 2:12 > 2:12
< 5lb/ft2 >- 5lb/ft2 Type 2
Reflectance3,4
Emittance
SRI
I-1
❑
❑ a
❑4
-0005
❑
❑
❑
❑
❑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.org/Aroducts/search.php
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(p1,,1t1,i — 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 httpJ/www.energv.ca.00v/title24/ 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 VW the California Code of Regulations. 2�=-
Name:X��A• nVA _Q\N�fN&
Signa e:
Company: `�
� Date:
Address: r,� \\ License:
City/State/Zip: CX \ Y Phone
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.
Bi"
City of La Quinta .
Building Sr Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: 1 U 1 �`
wner's Name. r v f
A. P. Number:
Ad U
Legal Descr' tion: `
City, ST, Zip: U
nr a v
Co tact r:
0 vV............................................
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Telephone
ele P
Address: ��
Project Description:
City, ST, Zi Y & \f"
n
Telephone:
ele h e:
Po O
State Lie. # : ` -
City Lie. #.:
e --
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone: hone:
Con tructi n Type: Occupancy:ancY
Lic. #•
Add'n Alter RepairDemoStato
'
PJecttYP (circle one): w
Name,of Contact Per : "0 �`
Sq. Ft.:
# Stories:
==�4 0C 1�
# Units:
-N
Telephone # of Contact Person. l
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
it
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cafes.
Called Contact Person
Plan Check Balance
Title 24 Cafes.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" Review, ready for correctionslissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
If.O.A. Approval
Plans resubmitted
Grading
IN If OUSE:-
'" 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