BRER2014-0022In T4
4 VOICE (760) 777-7125
78-495 CALLE TAIVFPICO V 4 -`
LA QUINTA, CALIFORNIA 92253 COMMUNITY, DEVELOPMENT DEPARTMENT FAX (760) 777-7011
FAX
(760) 777-7153
BUILDING PERMIT
Application Number:
BRER2014-1022
Property Address:
54421 AVENIDA VELASCO
APN:
774251020
Application Description:
REROOF WITH NEW SHINGLES
Property Zoning:
Application Valuation:
$8,500.00
Applicant:
DOVE ROOFING AND CONSTRUCTION
0 OUTSIDE CITY LIMITS
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 70001 of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: _ License No.: :LIC -010614_4
Datl /O 1 _32y 1 Contract' or xx
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. C.).
Lender's
Lender's
Date: 10/13/2014
Owner:
MERAV TYLER
, 92253
Contractor:
DOVE ROOFING AND CONSTRUCTION
0 OUTSIDE CITY,UMITS
LA QUINTA, CA 93253
(760)766-3250
Llc. No.::LIC-0106344
WORKER'S COMPENSA710N DECLARATION
I hereby affirm under penalty of perjury one o- 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' ccmpensation 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 insuranc2 carrier and policy number are:
Carrier: Policy Number:
I certify that in the performance of :he 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 f the Labor Code, I shall forthwith
comply with those provisions. f% n
Date: Al zU f`1 Applicannt //
WARNING: FAILURE TO SECURE WORKERS' C06APENSATION 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 FOF 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 perform ?d under or pursuant to any permit
issued as a result of this application , the owne -, and the applicant, each agrees to, and
shall defend, indemnify and hold harmless the :ity 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 I ws relating to building
construction, and hereby authorize representatives of this city enter upon the above.
mentioned property for inspection purposes.
Date: '/ d �Z �Y Signature (Applicant or Age:
DES{CRIPTION, ws¢ `
FINANCIAL INFORMATION
d-, ACCOUNT QTY` AMOUNT.`¢`
"?PAID'
PAID DATE
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
PAID BY ° -
METHOD
t. • RECEIPT #'.
CHECK #
- CLTD BY .
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
;.DESCRIPTION ''`A :.$
*ACCOUNT,:...
QTY'
:,' AMOUNT
w' PAID. `
-PAID DATE
RE -ROOF - EA ADDITIONAL 1,000 SF
101-0000-42404
0
$23.20
$0.00
PAID BY
METHOD
? ':RECEIPT #;
CHECK # .
CLTD BY'-
.v .DESCRIPTI,ON 4 `
'_r`° ACCOUNT M
...
QTY
AMOUNT .
{ PAID =.eE,
2'--•
PAID DATE
RE -ROOF - FIRST 2,000 SF
101-0000-42404
0
$49.31
$0.00
_> PAID BY
METHOD
RECEIPT #r
CHECK #
CLTD BY
b- DESCRIPTION
":. ACCOUNT ' . t
QTY
AMOUNT
,PAID ; $ r
'PAIDgDATE:
RE -ROOF - FIRST 2,000 SF PC
101-0000-42600
0
$98.62
$0.00
PAiD BY _ -
METHOD'- v `
RECEIPT #' °
CHECK #' `
CLTD BY
Total Paid for RE -ROOF: $171.13 $0.00
TOTALS: $172.13 00
Bin # City of . La Quinta
• Building &r Safety Division
Permit # P.O. Box 1504, 78-495 Calle Tampico .
La Quinta, CA 92253 -.(760) 777-7012.
Building Permit Application and Tracking Sheet
Project Address: ��%Z /'` ten, of U v Owner's Name: P ptci / le,
J
A. P. Number:
Address:. J 7C4 2 (
O? kk-(�-J
Legal Description:
City, ST, Zip: j .A A�,�
Contractor: 27,jE owl•?L( C>0 54rJa,In
Telephone: —
_ •a:::�>:;;,:_;•.:,;�:a.:.
Address: 6 !�flProject
Description:
City, ST, Zip:
Item.
Telephone:
Structural Calcs.
State Lic. # "s //03
City Lie. C.0/0 63�Yy
Reviewed, ready for corrections
Arch., Engr., Designer.,/, `����
Plan Check Deposit
Address: 47.x% Z c50 H 641 r5
City., ST, Zip: V,),
Telephone: % 6 �i Z SZ
r: 3:iYPe:
�p
Construction T Occu an
i�0 e t P cY�
State Lic_ #: /O
ProJect type (circleone): New Add'n Alter Repair Demo
lame of Contact Person: � ,�,,,,��
Sq. FL:
#Stories:
h Units:
Celcphone #,of Contact Person: ;7K 0 366- 3 L S z
Estimated Value of Project:Scst7
APPLICANT: DO NOT WRITE BELOW THIS LINE
9
Submittal
Rcq'd
Rcc'd
TRACKING
PERMIT FEES.
.Plan Sets
Plan Cheek submitted
Item.
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cala.
Called Contact Person
Plan Check Balance.
Titic 24Cala.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
tad Revicw, ready for correctionsfissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Decd
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN IiOUSE:-
'`� Review, ready for corrections/issue
Developer Impact'Fec
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
Scliool.Fccs
Total Permit Fees
Description: REROOF WITH NEW SHINGLES 28 SQUARES
Type: RE -ROOF Subtype:
Status: APPROVED
Applied: 10/13/2014 MFA
Approved: 10/13/2014 MFA �-
Parcel No: 774251020 Site Address: 54421 AVENIDA VELASCO LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 291
Lot: 10
Issued:
UNIT 26
Lot Sq Ft: 0 Building Sq Ft: 0
Zoning:
Finaled:
Valuation: $8,500.00 Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0
No. Unites: 0
Details: REROOF WITH SHINGLES 2013 CALIFORNIA ENERGY CODE.
CONDITIONS
Printed: Monday, October 13, 2014 9:08:35 AM 1 of 2
Total Paid for RE -ROOF: $171.13 $0.00
ilii, ii... iii i
., . :. �, ..
BOND INFORMATION
A I I ACHWN'I 5`
Printed: Monday, October 13, 2014 9:08:35 AM 2 of 2 erWMAr
T
`'
CLTD::
:.]DESCRIPTION*:
ACCOUNT
CITY
AMOUNT
PAID
PAID`DATE.
RECEIPT #^`
CHECK #
METHOD:
PAID BY
..:7
RE -ROOF - EA
101-0000-42404
0
$23.20
$0.00
ADDITIONAL 1,000 SF
RE -ROOF - FIRST 2,000
101-0000-42404
0
$49.31
$0.00
SF
RE -ROOF - FIRST 2,000
101-0000-42600
0
$98.62
$0.00
SF PC
Total Paid for RE -ROOF: $171.13 $0.00
ilii, ii... iii i
., . :. �, ..
BOND INFORMATION
A I I ACHWN'I 5`
Printed: Monday, October 13, 2014 9:08:35 AM 2 of 2 erWMAr
Prescri five Certificate of Compliance: Residential CF -IR -ALT
Residential Alterations Page 3 of 5
Project Name: I Climate Zone # # of Stories
ROOFING PRODUCTS (COOL ROOFS) §1510912
When the area of exterior roojsurface to be replaced exceeds more than 50% of the existing roof area, or more than 1,000f12, whichever is
less, the new roofing area must meet the roofing product "Cool Roof" requirements of §152(6)1 Hi, 152(b)I Hii, or 152(b)1 Hiii.
Check applicable alternative or exception below if the roof alteration is exempt from the roofing product "Cool Roof' requirements. Note: 1f arty
one of the alternatives or exception below is checked, the Aged Solar Reflectance and Thermal Emittance requirements for roofing products in
§118(1) are not applicable. Do not fill table below.
❑ Cool Roofs Not Required in Climate Zones 1-12, 14, and 16 with a Low Sloped. Less or 2:12 pitch.
❑Cool Roofs Not Required in Climate Zones 1 through 9 and 16 with a Steep -Sloped Roofs (pitch greater than 2:12) and product unit weight less
than 5lb/ftZ.
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 heft •°FBtu 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 ftZ of free ventilation area of attic ventilation for every 150 ftZ 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)1Hiii, Low -slope roof (pitch <_2:12)
❑ Building has no ducts in the attic.
Other Exceptions
❑ Roofing area covered by building integrated; photovoltaic panels and solar thermal panels are exempt from the below Cool Roof criteria.
❑ Roof constructions that have thermal mass over the roof membrane with at least 25 lb/ftZ is exempt from the below Cool Roof criteria.
Note: If no CRRC-1 label is available, this compliance method cannot be used, use the Performance Approach to show compliance, otherwise,
Check the applicable box below if Exem t from the Roofing Products "Cool RoofRequirement:
Roof Slope
Product Weight
Product
Aged
Solar
Thermal
CRRC Product ID Number
<_ 2:12 > 2:12
< 5lb/ftZ >_ 5lb/ft2
Type'
Reflectance
3,4
Emittance
SRI
�6 o a
❑
Zro
yp
Z .7
l
❑
❑
❑
❑
4
❑
a
❑
❑
❑4
❑
❑
❑
a
❑4
❑
❑
❑
❑
❑4
1. The CRRC Product ID Number can be obtainedfrom the Cool Roof Rating Council's Rated Product Directory at wivw.coolroofs.oMIproducts/search.
2. Indicate the type of product is being used for the roof top, i.e. single ply roof, asphalt roof, metal roof, etc.
3. /f the Aged Reflectance is not available in the Cool Roof Rating Council's Rated Product Directory then use the Initial Reflectance value from the some
directory and use the equation (0.2+0.7(pi„i,ipt - 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 http:llivww.enerw.ca.eov/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:
13Aluminum-Pigmented Asphalt Roof Coating
TOCement-Based Roof Coating
T Other
MAk
Registration Number:
2008 Residential Compliance Forms
Registration Date/Time: HERS Provider:
August 2009