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BRER2016-002378-495 CALLE TAMPICO Date: LA QUINTA, CALIFORNIA 92253 Application Number: BRER2016-0023 Property Address: 52350 AVENIDA VELASCO APN: 773265005 Application Description: ENGAL / REROOF Property Zoning: LA QUINTA, CA 92253 Application Valuation: $5,400.00 Applicant: T M H ROOFING INC 28441 STONEY POINT COVE MENIFEE, CA 92585 11111111111111111111 45 VOICE V E (760) 777-7125 FAX (760) 777-7011 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT LICENSEOCONTRACTOR'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: C39 License No.: 967811 7 Date: r% 1& Contractor: OWNER -BUILDER CLARATION 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 ) 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.). ( I 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 Add 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. . '7d—Yhave 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 , i I s ou ecome subject to the workers' compensation provisions of S ion 3700 of th or Code, I shall forthwith comply with t ose Vrovisions. 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 t pon the above -men • ned property for inspection purposes. Date: f� �� Signature (Applicant or Agent Date: 3/18/2016 Owner: HEATHER ENGEL 52350 AVENIDA VELASCO LA QUINTA, CA 92253 h r f . Contractor: j T M H ROOFING INC f- '® • A 28441 STONEY POINT COVE MENIFEE, CA 92585 `��•"- (951)255-5268. - ��_. LIC. No.: 967811 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. . '7d—Yhave 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 , i I s ou ecome subject to the workers' compensation provisions of S ion 3700 of th or Code, I shall forthwith comply with t ose Vrovisions. 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 t pon the above -men • ned property for inspection purposes. Date: f� �� Signature (Applicant or Agent DESCRIPTION' FINANCIAL INFORMATION ACCOUNT AMOUNT:: PAID PAID. DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RE -ROOF - EA ADDITIONAL 1,000 SF 101-0000-42404 0 $11.60 $0.00 PAID BY METHOD - RECEIPT '# CHECK # CLTD BY DESCRIPTION _ ACCOUNT .' QTY AMOUNT; ; PAID PAID DATE RE -ROOF - FIRST 2,000 SF 101-0000-42404 0 $49.31 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT. ..QTY AMOUNT :: PAID PAID DATE RE -ROOF - FIRST 2,000 SF PC 101-0000-42600 0 $98.62 $0.00 PAID BY METHOD . ` RECEIPT # • CHECK # CLTD BY Total Paid for RE -ROOF: $159.53 $0.00 TOTALS:.0 00 Description: ENGAL / REROOF CONDITIONS Type: RE -ROOF Subtype: Status: UNDER REVIEW Applied: 3/18/2016 SKH Approved: Parcel No: 773265005 Site Address: 52350 AVENIDA VELASCO LA QUINTA,CA 92253 Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 85 Lot: 5 Issued: UNIT 10 NAME ADDRESSI CITY Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $5,400.00 Occupancy Type: Construction Type: Ekpired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: REROOF WITH - OAKRIDGE ASPHALT SHINGLE - OYSTER SHELL [CRRC: 0890-0012] 2013 CALIFORNIA ENERGY CODE. CHRONOLOGY CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT T M H ROOFING INC 28441 STONEY POINT COVE MENIFEE CA 92585 CONTRACTOR T M H ROOFING INC 28441 STONEY POINT COVE MENIFEE CA 92585 OWNER HEATHER ENGEL 52350 AVENIDA VELASCO LA QUINTA CA 92253 Printed: Friday, March 18, 2016 10:43:42 AM 1 of 2 SYSTEMS INSPECTIONS PARENT PROJECTS BOND INFORMATION Printed: Friday, March 18, 2016 10:43:42 AM 2 of 2 Ori SYSTEti1S CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: RE-ROOF - EA 101-0000-42404 0 $11.60 $0.00 ADDITIONAL 11000 SF RE-ROOF -FIRST 2,000 101-0000-42404 0 $49.31 $0.00 SF RE-ROOF - FIRST 2,000 101-0000-426000 $98.62 T $0.00 SF PC Total Paid for RE-ROOF: $159.53. $0.00 INSPECTIONS PARENT PROJECTS BOND INFORMATION Printed: Friday, March 18, 2016 10:43:42 AM 2 of 2 Ori SYSTEti1S Find rated products - Cool Roof Rating Council Page 1 of 1 1 SEARCH RESULTS Selected filters Keywords: o890-oo12 Primary product type: Steep Slope: Asphalt Shingles Please note.that the CRRC does not set a'minimum definition for "cool", the CRRC simply lists the measured radiative property values on our Directory. A product's placement on the Directory does not mean that the product is "cool" as defined by any particular code body or program. *CRRC Rapid Ratings: These are interim laboratory -aged values that simulate weathered values. These values will be replaced with the measured three-year aged values upon completion of the weathering process. SRI values calculated using Rapid Ratings may change once the aged. rating replaces the interim rating. PRINT EXPORT ALL PRODUCTS CRRC PROD. ID MANUFACTURER: BRAND PRODUCTTYPE COLOR SOLAR REFLECTANCE THERMAL EMnTANCE SRI 'MORE MODEL INFO Initial 3 year In@lal 3 year. InRlal 3 year 0890-0012 Owens Coming Roofing and Asphalt, Steep Slope: Asphalt Off -White 0.23. pending : 0.92 , pending 24 - pending + LLC: TruDefiinitionm Duration&, Shingles — Oakridge Oyster Shell COOL ROOF RATING COUNCIL 44915th Street, Suite 400 TEL (866) 465-2523 EMAIL: info@coolroofs.org Oakland, CA 94612 FAX (510) 482-4421 Centifi.te3146- http://coolroofs.org/products/results 3/18/2016 Prescriptive Certificate of Compliance: Residential Reroof CF -1 R-ALT-ReRoof Project Address: y Climate Zone Permit # ROOFING PRODUCTS (COOL ROOFS) §151(f)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)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 (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/I6/ft2. Alternatives to §152(b)l Hi and §152(b)Hii, Steep -slope roof (pitch > 2:12) ❑ Insulation with a thermal 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 §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(1)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 Hiii, 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. NOTE: If any one of the alternatives or exception is checked the Aged Solar Reflectance and Thermal Emittance requirements for roofing 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 CRRC Product ID Number' <_ 2:12 > 2:12 < 51b/ft2 >- 5lb/ft2 Type 2 Reflectance3'4 Emittance SRI ` v - 6 / 1111❑ 11 E14❑ ❑ ❑ ❑ ❑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.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(pi,,,;�, — 0.2) to obtairi 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.enerov.ca: oov/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 Certific p1• nce conform to the requirements of Title 24, Parts 1 and 6 of the California Code of Regulations. Name: Signatur Company: cs Date: Z �� Address:),, > License: .p / City/State/Zip: O Phone: For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300. Bin # City of La Quanta Building St- Safety Division. . . 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address:j v Wily 6� �L' (/fwd Owner's Name: ('l412, . s fi 6 4-(L . A. P. Number: Address:!/�[�+��5 ca Legal Description: City, ST, Zip: 1 t•� C�i ,�-d S3 Contractor: /7 Tele hone: -DS/- Address: /�1 syr p G� Project Description:rf.Qe'—' City, ST, Zip: c/�e` r�i� �� 0�5— u1�`� i�%%�'%C/%�,/ A�o9t!� /¢i✓�. Telephone: A � S- S / s c 5 7 S� State Lie. # City Lie. #.:....... C D. �/1/y.✓�i ca/% 0 5z d ^� Arch., Engr., Designer: Address: City., ST, Zip: cY Con truTelePhone: ction TYPe:�� Occup f S State Lie . 'ct nP (circle one): : New Ad d'nAIte Repairair Demo Name of Contact Person: Sq. Ft.: a # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: 5-L 062 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rcc'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cates. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2nd Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"! Review, ready for correctionstissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees, Total Permit Fees