13-0934 (RR)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
13-00000934
Property Address:
54605 AVENIDA HERRERA
APN:
774-282-017-6-000000-
Application description-
RE -ROOF
Property Zoning:
COVE RESIDENTIAL
Application valuation:
3500
Applicant:
c&ty/ 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
��chitect
or Engineer: xfIL--*—
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 Professionals Code, and my License is in full force and effect.
License Class: License No.:
Date: Contractor:
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).:
1751 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.).
(_ 1 I am exempt under Sec. , B.&P.C. jar this re-015=
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
0- 0"
GON BERTHA A
*NOT N FILE
M O CA 99999
Contractor:
Owner
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
l�
Date: 7/26/13
111.- 2 6 2013
_Girro
FINANCE bfipr
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 thls rmlt is issued, I shall not employ any
person in any manner so as to become Buhl a worke ompensatien laws of California,
and agree that, if I should ome subjecl the worker ' comp atlon provisions of Section
7 3700 of the Labor C 11 forth c ly wlt ose pro isions.
Date- ■ a/ 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 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 Quints, 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 o} ys will subject
permit to cancellation.
I certify that I have read this application and state that the obo Inlormatio is correct. I a r e to co ply with all
city and county ordinances and state laws relating to bulldl corrstructich nd her by a xe repr entativas
of Shls qotVy to a for upon the &bore-mantloned pro for Inspect11
Data: ?Signature (Appllcanl or Age)
Application Number . . . . . 13-00000934
Permit . . . RE -ROOF
Additional desc . .
Permit Fee . . . . 48.62 Plan Check Fee .00
Issue Date Valuation 0
Expiration Date 1/22/14
Qty Unit Charge Per Extension
1.00 48.6200 LS MISC RE -ROOF, 1ST 2000 SF 48.62
Special Notes and Comments
re -roof owens corning shingles. per 2010
calif building codes.
July 26, 2013 12:48:31 PM JJOHNSON.
----------------------------------------------- .-------------------------------------
Other Fees . . . . . . . BLDG STDS ADMIN (SB1473) 1.00
PLAN CHECK, RE -ROOF 97.24
Fee summary Charged Paid Credited Due
Permit Fee Total 48.62 .00 .00 48.62
Plan Check Total .00 .00 .00 .00
Other Fee Total 98.24 .00 .00 98.24
Grand Total 146.86 .00 .00 146.86
LQPERMIT
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 13-00000934
Property Address: 54605 AVENIDA HERRERA
APN: 774-282-017-6-000000-
Application description: RE -ROOF
Property Zoning: COVE RESIDENTIAL
Application valuation: 3500
Applicant:
c&ty/ 4 4 Q"
�C Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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 Professionals Code, and my License is in full force and effect.
License Class: License No.:
Date: Contractor:
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).:
(_ 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.).
(_) 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.).
(_ 1 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:
KENNETH SIGDA
54605 AVENIDA HERRERA
LA QUINTA, CA 92253
(
Contractor:
Owner
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/26/13
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 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. 1 agree to comply with all
city and county ordinances and state laws relating to building construction, and hereby authorize representatives
of this county to enter upon the above -mentioned property for inspection purposes.
Date: Signature (Applicant or Agent):
Bin #
City of La Quinta
Building sz Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Permit #
Building Permit Application and Tracking Sheet
Project Address: Q �'
Owner's Name:
A. P. Number:
-+!
Address: 5 t) ,r
Legal Description:
City, ST, Zip:!fitlw
,/�
Contractor. () t�.l N PiI �(�
-
Address: Project
,De`scription: ,jO w r- -4
City, ST, Zip: i W ( AJ 5 rA) i 1J -Du %Ca,�A "r
Telephone: 3 6 /v l f i� Wry-)
State Lie. # : City Lie. #:
Arch., Engr., Designer: { ] (Q y-
Address:
City, ST, Zip:
Telephone: V?;," � Construction Type: Occupancy:
State Lie. #: %--:--.<->--.< :>:-»:;-->--:: <-: Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: Sq. Ft.: # Stories: # Units:
Telephone # of Contact Person: Estimated Value of Projcct#
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal Req'd Rec'd TRACKING PERMIT FEES
Plan Sets I Plan Check submitted Item I Amount
Structural Calcs.
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
r' 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 correctionslissue Developer Impact Fee
Planning Approval
Called Contact Person A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
Property Detail Report
Page 1 of 1
Property Detail Report for:
54605 AVENIDA HERRERA, LA QUINTA CA, 92253-3727
Owner Information:
DIGITAL MAP eGynneK,ppanp
PRODUCTS
Owner Name:
SIGDA,KENNETH R & KAREN
Mailing Address:
Vesting Code:
COMPANY/CORPORATION/INCORPORATED
Phone Number:
Location Information:
Legal Description:
LOT 6 BLK 305 MB 019/059 SANTA CARMELITA AT VALE LA QUINTA UNIT 28
County:
RIVERSIDE FIPS Code: 06065
Census Trct/Blk: 0451092 / 2
APN:
774282017 Alternative APN: 774282017
Map Ref: F3
Twnshp-Rnge-Sect:
- - Legal Book/Page: 774-28 /
Tract No:
Legal Lot:
6 Legal Block: 305
Subdivison:
SANTA CARMELITA AT VALE LA QUI
Last Market Sale Information:
Sale Date: 12/09/2011
Sale Price: $92,000
Sale Doc No: 0000545501
Price Per SgFt: $70
Transfer Doc No:
Price Per Acre:
Multi/Split Sale:
1st Mtg Doc No:
Sale Type:
1st Mtg Amount: $73,600
1st Mtg Int Type:
2nd Mtg Amount:
2nd Mtg Int Type:
Deed Type:
GRANT DEED/DEED OF TRUST
Title Company:
FIRST AMERICAN
TITLE
Lender:
BANK OF THE WEST
Seller Name:
HUD -HOUSING OF URBAN DEV
Property Characteristics:
Building Area:
1,318
Total Rooms:
6
Construction:
Living Area:
1,318
Bedrooms
3
Heat Type:
CENTRAL
Garage Area:
440
Baths:
2.0
Air Cond:
CENTRAL
Basement Area:
Fireplace:
Roof Type:
Parking Type:
GAO
No of Stories:
1
Roof Material:
COMP SHINGLE
Yr Built/Effective:
1979 /
Quality:
GOOD
Style:
Pool Code:
Tax and Value Information:
Assessed Value:
$126,000
Assessed Year:
2011
Est Market Val:
$113,652
Land Value:
$42,000
Property Tax:
$2,082
Assessor Appd Val
Improvement Value:
$84,000
Improvement %:
Total Taxable Value:
$126,000
Tax Exemption:
Site Information:
Assessor Acres:
Zoning:
R1
Land Use:
163
Assessor Lot SgFt:
No of Buildings:
Land Use Desc:
SFR
Assessor Lot W/D:
I
Res/Comm Units:
1
County Use Code
R1
Calculated Acres:
0.1148
Sewer Type:
Calculated Lot SgFt:
Water Type:
http://maps.digitalmapcentral.corn/production/citygis/v07_03_001 /index.p7.aspx 7/26/2013
P.O. Box 1504
LA QUINTA, CALIFORNIA 92247-1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
PROPERTY OWNER'S PACKAGE
(760) 777-7012
FAX (760) 777-7011
Disclosures & Forms for Owner -Builders Applying for Construction Permits
thWORTAIWt NOTICE TO ROPERTY OWNER
Dear Property Owner.
An application for a building permit has been submitted in your name listing yourself as the builder of the property
improvements specified at
We are providing you with an Owner -Builder Acknowledgment and Information Verification Form to make you aware of your
responsibilities and possible risk you may incur by hawing this permit isswd in your name as the
Owner -Builder. We will not issue a building permit until you have react, initialed your understanding of eack provision,
signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this notice
unless you, the property owner, obtain the prior approval of the permitting authority.
OWPI R'S ACIMOWLEDGMIENT AND VERIFICMION OF REQEM&MN
DfRF.C77ONS: Read and W(ial each statement below to signify you understand or verify this information.
. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner-Buildee'
building permit that erroneously implies that the property owner is providing his or her own labor and material personally. 1, as
an Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person
and his or her employees while working on my property. My homeowner's insurance may not provide coverage for those
injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers
on y property.
2. 1 tmderstand building permits are not required to be signed by property owners unless they are responsible for the
co'L ction arid, are not hiring a licensed Contractor to assume this responsibility.
�3. I understand as an "Owner -Builder" I am the responsible party of record on the permit. I understand that I may protect
myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my
own
4. 1 understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on
permits and contracts.
5. 1 understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value
oC my construction is at ]east five hundred dollars ($500), including labor and materials, I may be considered an "employer"
and state and federal law.
rVernment,
. 1 understand if I am considered an "employee' under state and federal law, I must register with the state and federal
withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment
compensation for each "employee." I also understand my failure to abide by these laws may subject me to serious financial
risk.
7 I understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential
ctures cannot legally build them with the intent to offer them for sale, unless all work is performed by licensed
subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed
under contract with a licensed general building Contractor.
�i
8. I understand as an Owner -Builder if I sell the property for which this permit is issued, I may be he'.d liable, for any
financial or personal, kouries sustained by any subsequent owner(s) that result from any latent construction defects in the
workmanship or materials.
'id 9- I understand I may obtain more information regarding my obligations as an "employer" from the Internal Revenue
Service, the United States Small Business Administration, the California Department of Benefit Payments, and the California
Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1-
800 321-CSLB (2752) or www.csib.ca.gov for more information about licensed contractors.
:710. 1 am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the
party legally and financially responsible for proposed construction activity at the following address:
i I. I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all
7aable laws and requirements that govern Owner -Builders as well as employers.
12. I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the tn€ormattom 1
have provided on this form. Licensed contractors are regulated by laws designed to protect the public. If you contract with
someone who does not have a license, the Contractors' State License Board may be unable to assist you with any financial loss
you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court- It is also
important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working
on your property, you may be held liable for damages. If you obtain a permit as Owner -Builder and wish to hire Contractors,
you will be responsible for ver&fing whether or not those Contractors are properly licensed and the status of their workers'
compensation instirance coverage.
Before a budding perndt can be issued, this form must lie-e�mpleted and signed by the property owner and returned to
the agency responsible for issurdg dw per ,Nets: copy the property owner's driver's Acense, fom nens or
other verification acceptable to A agen ,to be presented when dire permit is eavued to verify the property
owner's signature.`
Signature of property Date: �� S ��
P Pe1h' v
Note: Tire following Authorization Form is required to be completed by the property owner only when designating
an agent of the property owner to apply for a construction permit for the Owner -Builder.
AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF
Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize
the fallowing person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an Owner -Builder
Permit for my project.
Scope of Construction Project (or Description of Work):
Project Location or Address:
Name of Authorized Agent:
Address of Authorized Agent:
Tel No
I declare under penalty of perjury that 1 am the property owner for the address listed above and I personally filled out the above
information and certify its accuracy. Note: A copy of the owner's driver's License, form notarization, or other verification
acceptable to the agency is required to be presented when the permit is issued to verify the property owner's signature_
Property Owner's Signature: Date:
Prescriptive Certificate of Compliance, Residential Reroof CF-1 R-ALT-ReRoof
Project Address:
kb�1 a ,Felrer�i � 4al�c
Climate Zone
Permit #
�M. Vzzf3
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 ff, whichever is less, the new
roofing area must meet the roofing product "Cool Roof" requirements of§152(b)1Hi, 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:-
0 Cool roofs not required in Climates Zones 1-12, 14, and 16 with a low sloped roof pitch (less or 2:12 pitch).
ElCool 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/lb/ft2-
AJternatives to §152(b)1Hi 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(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(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 <_ 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 reouirements for ronfina
products in § I I8(t) are not applicable. Do not fill table below.
Roof Slope
Product Weight
Product
Aged Solar
Thermal
CRRC Product ID Number'
s 2:12 > 2:12
< 5lb/ft2 z 5lb/ft2
Type 2
Reflectance
Emittance
SRI5
❑ ❑
❑
❑
❑4
❑ ❑
❑
❑
❑4
Note: If no CRRC-1 label is available, this compliance method cannot be used, use the Performance Approach to show compliance,
f - The CRRC Product ID Number can be obtained from rho Coo! Roof Rating Council's Rated Product Directory at www.coolroofs.org/nroductslsearch.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(p1nhw — 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 httvJ/www.energy.ca.aov/title24/ and enter the resulting value in the SRI Column above and attach
acopy of the SRI- Worksheet to the CF-I 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
rvu t e: vvnen a coot pool is requ+recr 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 o p�ccurale and complete.
• 1 certify that the energy features and performance specifications identified on this Cfl ficate of ancto the requirements of Title 24, Parts
1 6 of the Calif rnla C e of Regutatlops.
= AI�, •
Sign e:
Company: Date:
Addre w — A� f�i License:
CitylStat�IZip: `1C�� A f3 Phone: 51 2
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.
Property Detail Report
Page 1 of 1
Property Detail Report for:
54605 AVENIDA HERRERA, LA QUINTA CA, 92253-3727
Owner Information:
DIGITAL MAP eGynneK,ppanp
PRODUCTS
Owner Name:
SIGDA,KENNETH R & KAREN
Mailing Address:
3013 W VICTOR AVE, VISALIA, CA, 93277- 7160
Vesting Code:
COMPANY/CORPORATION/INCORPORATED
Phone Number:
Location Information:
Legal Description:
LOT 6 BLK 305 MB 019/059 SANTA CARMELITA AT VALE LA QUINTA UNIT 28
County:
RIVERSIDE FIPS Code: 06065
Census Trct/Blk: 0451092 / 2
APN:
774282017 Alternative APN: 774282017
Map Ref: F3
Twnshp-Rnge-Sect:
- - Legal Book/Page: 774-28 /
Tract No:
Legal Lot:
6 Legal Block: 305
Subdivison:
SANTA CARMELITA AT VALE LA QUI
Last Market Sale Information:
Sale Date: 12/09/2011
Sale Price: $92,000
Sale Doc No: 0000545501
Price Per SgFt: $70
Transfer Doc No:
Price Per Acre:
Multi/Split Sale:
1st Mtg Doc No:
Sale Type:
1st Mtg Amount: $73,600
1st Mtg Int Type:
2nd Mtg Amount:
2nd Mtg Int Type:
Deed Type:
GRANT DEED/DEED OF TRUST
Title Company:
FIRST AMERICAN
TITLE
Lender:
BANK OF THE WEST
Seller Name:
HUD -HOUSING OF URBAN DEV
Property Characteristics:
Building Area:
1,318
Total Rooms:
6
Construction:
Living Area:
1,318
Bedrooms
3
Heat Type:
CENTRAL
Garage Area:
440
Baths:
2.0
Air Cond:
CENTRAL
Basement Area:
Fireplace:
Roof Type:
Parking Type:
GAO
No of Stories:
1
Roof Material:
COMP SHINGLE
Yr Built/Effective:
1979 /
Quality:
GOOD
Style:
Pool Code:
Tax and Value Information:
Assessed Value:
$126,000
Assessed Year:
2011
Est Market Val:
$113,652
Land Value:
$42,000
Property Tax:
$2,082
Assessor Appd Val
Improvement Value:
$84,000
Improvement %:
Total Taxable Value:
$126,000
Tax Exemption:
Site Information:
Assessor Acres:
Zoning:
R1
Land Use:
163
Assessor Lot SgFt:
No of Buildings:
Land Use Desc:
SFR
Assessor Lot W/D:
I
Res/Comm Units:
1
County Use Code
R1
Calculated Acres:
0.1148
Sewer Type:
Calculated Lot SgFt:
Water Type:
http://maps.digitalmapcentral.corn/production/citygis/v07_03_001 /index.p7.aspx 7/26/2013
P.O. Box 1504
LA QUINTA, CALIFORNIA 92247-1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
PROPERTY OWNER'S PACKAGE
(760) 777-7012
FAX (760) 777-7011
Disclosures & Forms for Owner -Builders Applying for Construction Permits
thWORTAIWt NOTICE TO ROPERTY OWNER
Dear Property Owner.
An application for a building permit has been submitted in your name listing yourself as the builder of the property
improvements specified at
We are providing you with an Owner -Builder Acknowledgment and Information Verification Form to make you aware of your
responsibilities and possible risk you may incur by hawing this permit isswd in your name as the
Owner -Builder. We will not issue a building permit until you have react, initialed your understanding of eack provision,
signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this notice
unless you, the property owner, obtain the prior approval of the permitting authority.
OWPI R'S ACIMOWLEDGMIENT AND VERIFICMION OF REQEM&MN
DfRF.C77ONS: Read and W(ial each statement below to signify you understand or verify this information.
. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner-Buildee'
building permit that erroneously implies that the property owner is providing his or her own labor and material personally. 1, as
an Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person
and his or her employees while working on my property. My homeowner's insurance may not provide coverage for those
injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers
on y property.
2. 1 tmderstand building permits are not required to be signed by property owners unless they are responsible for the
co'L ction arid, are not hiring a licensed Contractor to assume this responsibility.
�3. I understand as an "Owner -Builder" I am the responsible party of record on the permit. I understand that I may protect
myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my
own
4. 1 understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on
permits and contracts.
5. 1 understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value
oC my construction is at ]east five hundred dollars ($500), including labor and materials, I may be considered an "employer"
and state and federal law.
rVernment,
. 1 understand if I am considered an "employee' under state and federal law, I must register with the state and federal
withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment
compensation for each "employee." I also understand my failure to abide by these laws may subject me to serious financial
risk.
7 I understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential
ctures cannot legally build them with the intent to offer them for sale, unless all work is performed by licensed
subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed
under contract with a licensed general building Contractor.
�i
8. I understand as an Owner -Builder if I sell the property for which this permit is issued, I may be he'.d liable, for any
financial or personal, kouries sustained by any subsequent owner(s) that result from any latent construction defects in the
workmanship or materials.
'id 9- I understand I may obtain more information regarding my obligations as an "employer" from the Internal Revenue
Service, the United States Small Business Administration, the California Department of Benefit Payments, and the California
Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1-
800 321-CSLB (2752) or www.csib.ca.gov for more information about licensed contractors.
:710. 1 am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the
party legally and financially responsible for proposed construction activity at the following address:
i I. I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all
7aable laws and requirements that govern Owner -Builders as well as employers.
12. I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the tn€ormattom 1
have provided on this form. Licensed contractors are regulated by laws designed to protect the public. If you contract with
someone who does not have a license, the Contractors' State License Board may be unable to assist you with any financial loss
you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court- It is also
important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working
on your property, you may be held liable for damages. If you obtain a permit as Owner -Builder and wish to hire Contractors,
you will be responsible for ver&fing whether or not those Contractors are properly licensed and the status of their workers'
compensation instirance coverage.
Before a budding perndt can be issued, this form must lie-e�mpleted and signed by the property owner and returned to
the agency responsible for issurdg dw per ,Nets: copy the property owner's driver's Acense, fom nens or
other verification acceptable to A agen ,to be presented when dire permit is eavued to verify the property
owner's signature.`
Signature of property Date: �� S ��
P Pe1h' v
Note: Tire following Authorization Form is required to be completed by the property owner only when designating
an agent of the property owner to apply for a construction permit for the Owner -Builder.
AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF
Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize
the fallowing person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an Owner -Builder
Permit for my project.
Scope of Construction Project (or Description of Work):
Project Location or Address:
Name of Authorized Agent:
Address of Authorized Agent:
Tel No
I declare under penalty of perjury that 1 am the property owner for the address listed above and I personally filled out the above
information and certify its accuracy. Note: A copy of the owner's driver's License, form notarization, or other verification
acceptable to the agency is required to be presented when the permit is issued to verify the property owner's signature_
Property Owner's Signature: Date:
Prescriptive Certificate of Compliance, Residential Reroof CF-1 R-ALT-ReRoof
Project Address:
kb�1 a ,Felrer�i � 4al�c
Climate Zone
Permit #
�M. Vzzf3
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 ff, whichever is less, the new
roofing area must meet the roofing product "Cool Roof" requirements of§152(b)1Hi, 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:-
0 Cool roofs not required in Climates Zones 1-12, 14, and 16 with a low sloped roof pitch (less or 2:12 pitch).
ElCool 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/lb/ft2-
AJternatives to §152(b)1Hi 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(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(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 <_ 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 reouirements for ronfina
products in § I I8(t) are not applicable. Do not fill table below.
Roof Slope
Product Weight
Product
Aged Solar
Thermal
CRRC Product ID Number'
s 2:12 > 2:12
< 5lb/ft2 z 5lb/ft2
Type 2
Reflectance
Emittance
SRI5
❑ ❑
❑
❑
❑4
❑ ❑
❑
❑
❑4
Note: If no CRRC-1 label is available, this compliance method cannot be used, use the Performance Approach to show compliance,
f - The CRRC Product ID Number can be obtained from rho Coo! Roof Rating Council's Rated Product Directory at www.coolroofs.org/nroductslsearch.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(p1nhw — 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 httvJ/www.energy.ca.aov/title24/ and enter the resulting value in the SRI Column above and attach
acopy of the SRI- Worksheet to the CF-I 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
rvu t e: vvnen a coot pool is requ+recr 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 o p�ccurale and complete.
• 1 certify that the energy features and performance specifications identified on this Cfl ficate of ancto the requirements of Title 24, Parts
1 6 of the Calif rnla C e of Regutatlops.
= AI�, •
Sign e:
Company: Date:
Addre w — A� f�i License:
CitylStat�IZip: `1C�� A f3 Phone:
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.