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11-1308 (RR)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 11t_0000.1308 Property Address: 79900 HIGHWAY 111 APN: 649-020-032- - - Application description: RE -ROOF Property Zoning: REGIONAL COMMERCIAL Application valuation: 280000 Applicant: U % Architect or Engineer: PI ------------------ LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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 Professionals Code, and my License is in full force and effect. License Class: C39 License No.: 475568 Z • -I - t k .e._ e ate: Iontractor. ._' y�� , 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.). (_ 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. , BAP.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: HOME DEPO USA PO BOX 105842 601 S PLACENTIA AVE ATLANTA, GA 30348 Contractor: HOWARD ROOFING COMPANY INC 139 EAST COMMERCIAL ST POMONA, CA 91767 (909)622-5598 Lic. No.: 475568 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 12/07/11 ----------------------------------------------- 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. 11114-1 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 COMP PROP Policy Number CPCA12942 _ 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' compens . n laws of California, and agree that, if I should become subject to the workers' compens n provisions of Section 37100 of the bor Code, I shall forthwith comply with those provisi ns. pplicant: 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 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 comply city and county ordinances and state laws relating to building construction, and hereby authorize represe tives •_ oI is county to enter upon he above-mentioned prope spection urposes. Date: I Z--74- ' nature (Applicant or Agent): y for in Application Number . . . . . 11-00001308 Permit . . . RE -ROOF Additional desc . Permit Fee . . . . 30.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 6/04/12 Qty Unit Charge Per Extension BASE FEE 30.00 -----------------------------------------------7---------------------------- Special Notes and Comments LAY OVER EXISTING ROOF WITH COOL ROOF, RATING COUNCIL APPROVED PRODUCT. 2010 CODES. ----------------------------------------------------.------------------------ 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 ,rrescrt Live certllicate: of Co Project Address:.., of . Climate Zone ROOFING PRODUCTS (COOL ROOFS) §151(012 When the area of exterior roof surface to be replaced exceeds 50% of the existing roof area, or 1,000 fe rooting area must meet the roofing product "Cool Roof" requirements of §152(6)1 Hi, 152(b)1 Hil, or 152 Check applicable alternative CF -1 R-ALT-ReRoof Permit # whichever is less, the new (b)1Hill. or exception below if the roof alteration is exempt from the roofing product "Cool Roof requirements:: ❑ Cool roofs Lot required in Climates Zones 1-12,14, and 16 with a low sloped roof pitch pass or 2:12 pitch). ❑ Cool roofs Dot required in Climates Zones 1-g, and 16 with a stee slo ped roofs Alternatives to §152(b)1 Hi and §152(b)Hil, Steep -slope roof (pitch > (greater than 2:12) and product weight less than 5llb/flZ. ❑' Insulation with a thermal resistance of at least 085 hr•ftz.'FBtu or at least a 3/4 inch air -space is added to the roof deck over an attic; or 0 Existing ducts in the attic are insulated and seated according to §151(t)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'celing insulation; or ❑ Building has radiant barrier in the attic meeting the requirements of §151(1)2; 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)l Hill, Low-610pe roof ( pitch 5 2:12) ❑ Building has no duds 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 COTE: if any one of the alternatives or exception is checked the Aged Solar Reflectance and Thermmittance requirefrom the Cool mentcris roofing products in § 118(i) are not applicable. Do not fill table below. CRRC Product ID Number Roof Slope 5 2:12 > 2:12 O(oZS ❑ L Mffm Product Weight < 5lb/fl2 i 5lb/fl2 Product z Aged Solar Thermal T Reflectance3'4 Emittance 5 SRI ❑ Sw ❑° J. Note: If no CRRC-f label is available, this compliance method cannot be used, use the Performance Approach to show compliance, The CRRC Product ID Number can be obtained from the Cool Roof Rating Councils Rated product Directory at www coolroofs orv/oroducts/cearch ohn Indicate the type of product is being used for the roof top, i. e. single-pty roof, asphalt roof, metal roof, etc. If the Aged Reflectance is not available in the Cool Roof Rating Councff s Rated Product. Directory then use the Initial Reflectance value from the same directory and use the equation (0.2+0.7(" _ 0.2) to obtain a calculated aged value Check box ff the Aged Reflectance is a calculated value using the equation above. Where p is the Initial Solar Reflectance. Calculate the SRI value by using the SRI- Worksheet at httn aoopy of the SRI- Workshheet to the CF -IR. Menecv v ca oovrURe24/ and enter the resulting value in the SRI Column above and attach o apply Liquid Field Applied Coatings, the coating must be applied across the entire roof surface and meet the dry mil thickness or coverag :commended by the coatings manufacturer and meet minimum perfomnance requirements listed in §118(1)4. Select the applicable coating: .l Aluminum -Pigmented Asphalt Roof Coating ❑ Cement -Based Roof Coating ❑ Other TOTE: When a Cool Roof is required, the installing contractor shall complete and submit the Cr6R-ENV4 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 1 and 6 of the California Code of Regulations,of Compliance conform to the requirements Title 24, Parts Company: s , P. ss: _ �n1� _ �� C_QYUIJ�a Sr License: City/StateIZip: °7(� l�c� �' � � Phone: For assistanc or questions regarding the Energy Standards, contact the Energy Hotline. at: 1-800-772-3300. ouncil Cool Roof Rating C Rated Products Directory: Search Results ( new search ) (last updated 1 Nov 2010 19:39 CDT) Showing Search Results for: Company: rCarlisle SynTec Incorporated . select' from products where company name='Carlisle SynTec Incorporated' order by comoanv name ase Page .1 of . http://www.coolroofs.org/products/r.esults.php?printview-- l &maxList=25&pageStart= l &company_name... 11/5/2010 Manufacturer Solar Reflect. fiherm Emit SRI 10 CRRC Prod. ID Information (sorted +) -Color init 3 yr init 3 yr Slope Application 0628-0011 Carlisle SynTec Spectro-Weld White Bright Single -Ply- 0.88 pending 0.89 pending 111 pending Low/Steep Incorporated TPO White Thermoplastic Matthew Leatherman (717-245-7116) 0628-0006 Carlisle SynTec Sure -Flex White Bright Single -Ply- 0.87 0.61 0.95 0.86 1.11 72 Low/Steep Incorporated PVC White Thermoplastic Matthew Leath&man (717-245-7116) 0628-0008 Carlisle SynTec Incorporated Matthew Leatherman (717-245-7116) Sure -Flex Elvalov White Elvaloy Bright White Single -Ply- Thermoplastic 0.86 0.70 0.86 0.82 108 84 Low 0628-0005 Carlisle SynTec Sure -Seal EPDM Other- Rubber 0.12 0.09 0.87 0.84 7 2 Low/Steep Incorporated Dusted Membrane Matthew Blade , Leatherman (717-245-7116) 0628-0009 Carlisle SynTec .Sure -Weld Tan TPO Tan Single -Ply- 0.71 0.64 0.86 0.87 86 77 Low/Steep Incorporated Thermoplastic Matthew Leatherman (717-245-7116) 0628-0010 Carlisle SynTec Sure -Weld Gray TPO Grey Single -Ply- 0.46 0.43 0.89 0.88 53 48 Low/Steep Incorporated Thermoplastic Matthew Leatherman (717-245-7116) �xri 2 - Incorpora White White Thermoplastic Matthew Leatherman (717-245-7116) 0628-0003 Carlisle SynTecSure-While EPDM Bright Single -Ply- 0.76 0.64 0.90 0.87 94 77 Low/Steep Incorporated White White Thermoset Matthew Leatheiman (717-245-7116) 0628-0007 Carlisle SynTec Incorporated Matthew Leatherman (717-245-7116) X-Tenda Coat White Acrylic Bright White Field -Applied Coating 0.83 pending 0.92 pending 105 pending Low Acrylic Coatino http://www.coolroofs.org/products/r.esults.php?printview-- l &maxList=25&pageStart= l &company_name... 11/5/2010 Bin # City of ' La . Quinta Building 8r Safety Dh4slon P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # q Project Address: 1 I flO _W1 Owner's Name: A Mr �� T b A. P. Number: Legal Description: 4OMt; Address: p l9 City, ST, Zip: N—lA I� 3035 Contractor. D �) Address: 13 M2�1 nqH Lzt1 Telephone: ��•�;:� •: ;.'�s::.�.•�."h',s Project Description: City, ST, Zip: OMOcAl. Telephone: 40 1 (pZZ— r?5 �$ ;mow r ; <zy;;,r+ x. c, :, w i{!Ur!U\:i!.' ..!ham , :!`�\• � .�(/ : v. city Lic. #: L)J T'K I state Lic. # : �-1'L 5��� ��,r� (3 (.A C ( e Arch., Engr., Designer: �OD� Address: City., ST, Zip: Telephone.: x ! �r,�: = �' Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo State Lic. #: Name of Contact Person: Sq. Ft.:`0 625�� # Stories: 1 #^units: Telephone # of Contact Person: Estimated Value of Project: Q B� APPLICANT: DO NOT WRITE BELOW THIS LINE N 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 Calcs• Called Contact Person Plan Check Balance Tide 24 Calcs. 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. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''' 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 111