BRER2016-0095Applicant:
B R S ROOFING INC
777 SOUTH LUGO AVE
SAN BERNARDINO, CA 92408
moi✓
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/7/2016
Owner:
PGA WEST RESIDENTIAL ASSOCIATION
54320 SOUTHERN HILLS
LA•QUINTA, CA 92253
Contractor:
B R S ROOFING INC
777 SOUTH LUGO AVE
SAN BERNARDINO, CA 92408
(909)884-8505
Llc. No.: 907600
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter I I hereby affirm under penalty of perjury one of the following declarations
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
I have and will.maintain a certificate of consent to self -insure for workers'
C�
78-495 CALLE TAMPICO
License -,Class: C39 License No.: 907600
0 D...MCl/
LA QUINTA, CALIFORNIA 92253
DESIGN & DEVELOPMENT DEPARTMENT'
Da' te� Contractor'
5 iR 3700 of the Labor Code, for the pert_ ormance of the work for which this permit
BUILDING PERMIT
Application Number:
BRER2016-0095
Carrier: STATE COMPENSATION] NSU RANCE FUND Polity Number: 9141962
Property Address:
55729 OAK HILL
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
APN:
775231030
shall not employ any person, in any manner so as to become subject to the workers'
Application Description:
PGA WEST HOA /POLYURETHANE FOAM ROOF
Property Zoning:
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division
Application Valuation:
$936.25
`
Applicant:
B R S ROOFING INC
777 SOUTH LUGO AVE
SAN BERNARDINO, CA 92408
moi✓
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/7/2016
Owner:
PGA WEST RESIDENTIAL ASSOCIATION
54320 SOUTHERN HILLS
LA•QUINTA, CA 92253
Contractor:
B R S ROOFING INC
777 SOUTH LUGO AVE
SAN BERNARDINO, CA 92408
(909)884-8505
Llc. No.: 907600
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter I I hereby affirm under penalty of perjury one of the following declarations
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
I have and will.maintain a certificate of consent to self -insure for workers'
and my License is in full force and effect.
compensation, as provided for by Section 3700 of the Labor Code, for the performance
License -,Class: C39 License No.: 907600
of the.work for which this permit is issued. ;.
r a
r I have and will maintain workers' compensation insurance, as required by
Da' te� Contractor'
5 iR 3700 of the Labor Code, for the pert_ ormance of the work for which this permit
is issued.. My workers' compensation insurance carrier and policy number are:
OWNER -BUILDER DECLARATION
Carrier: STATE COMPENSATION] NSU RANCE FUND Polity Number: 9141962
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
I certify that in the performance of the work for which this permit is issued, I
city or county that requires a permit to construct, alter,'improve, demolish, or repair
shall not employ any person, in any manner so as to become subject to the workers'
any structure, prior to its issuance, also requires the applicant for the permit to file a
compensation laws of California, and agree that, if I should become subject to the
signed statement that he or she is licensed pursuant to the provisions of the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division
comply with those provisions.
3 of the Business and Professions Code) or that he or she is exempt therefrom and"the
for 7031.5 for
`
basis the alleged exemption. Any violation of Section by any applicant a
permit subjects the applicant to a civil penalty of not more than five hundred dollars
Date Applica140
✓ r./
($500).:
WARNING: FAILURE TO SECURE WOR 5' COM NSATION COVERAGE IS UNLAWFUL,
(� I, as owner of the property, or my employees.with wages as their sole
AND SHALL SUBJECT AN EMPLOYER TO.CRIMINAL PENALTIES AND CIVIL FINES UP TO
compensation, will do the work, and the structure'is not intended or offered for sale.
ONE HUNDRED THOUSAND DOLLARS ($100;000). IN ADDITION TO THE COST OF
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
apply to an owner of property who builds or improve6s thereon,'and who does the work
INTEREST, AND ATTORNEY'S FEES.
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
APPLICANT ACKNOWLEDGEMENT
within one year of completion, the owner -builder will'have the burden of proving that
IMPORTANT: Application is hereby made to.the Building Official for a permit subject to
he or she did not build or improve for the purpose of sale.).
the conditions and restrictions set forth -on this application.
(1 I, as owner of the property, am exclusively contracting with licensed contractors
1. Each person upon whose behalf this application is made, each person at whose
to construct the project. (Sec. 7044, Business and.Professions Code: The Contractors'
request and for whose.benefit work is performed under or pursuant to any permit
State License Law does not apply to an owner of property who builds or improves
issued as a result of this application , the owner, and the applicant, each agrees to, and
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
shall defend, indemnify and holq harmless the City of La Quinta, its officers, agents, and
the Contractors' State License Law.).
employees for any act or -omission related to the work being performed under or
(� I am exempt under Sec. . B.&P.C. for this reason
following issuance of this permit.
2. Any permif issued as a result of this application becomes null and void ifwork is
not commenced within 180 days from date of issuance of such permit, or cessation of
Date: Owner:
work for 180 days will subject permit to cancellation.
CONSTRUCTION LENDING AGENCY I certify that I1have read this application and.state that the above information is correct.
I hereby affirm under penalty of perjury that there is a construction lending agency for I agree to comply with all city and county ordinances and state laws relating to building
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). construction, and hereby authorize representatives of this city to enter up
pfr5he
above-mentioned property for inspection purposes.
Lender's Name:
Dater Signature (Applicant or Agent):
Lender's Address:
Application Number:
BRER2016-0095
Property Address:
55729 OAK HILL
APN:
775231030
Application Description:
PGA WEST HOA / POLYURETHANE FOAM ROOF
Property Zoning:
Application Valuation:
$936.25
Applicant:
B R S ROOFING INC
777 SOUTH LUGO AVE
SAN BERNARDINO, CA 92408
Date: 11/7/2016
Owner:
PGA WEST RESIDENTIAL ASSOCIATION
54320 SOUTHERN HILLS
LA QUINTA, CA 92253
Contractor:
B R S ROOFING INC
777 SOUTH LUGO AVE
SAN BERNARDINO, CA 92408
(909)884-8505
Llc. No.: 907600
Detail: REROOF WITH POLYURETAHNE FOAM - LA POLLA COATINGS[CRRC: 0770-0002] 2013 CALIFORNIA ENERGY CODE
DESCRIPTION
ACCOUNT CITY
AMOUNT
BSAS SB1473 FEE
101-0000-20306 0
$1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:
$1.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
RE -ROOF - FIRST 2,000 SF
101-0000-42404
0
$51.68
DESCRIPTION
ACCOUNT
CITY
AMOUNT
RE -ROOF - FIRST 2,000 SF PC
101-0000-42600
0
$103.36
Total Paid for RE -ROOF:
$155.04
Bin rI
'
Permit it78-495.Caite,
Project Address:, "
C S
Qty- of La Qui. oto
Guddiny Bt.Sarety Division
Tampico
La Quirita, CA 92253 -.(760) 777-701.2
Building Permit Appiicatioli,and-Tracking Sheet
,�-� f ONvner's Namc. f
A. P. Number:Address:
r I,,
. 1
ST, Zip: GId�
Legal Description:City,
Contractor: C
I
nc: `
Telephone:
Address:
41/1
Project Description: ,
City, ST, Zip:
Telephone:
317
J
State Lic. # : Lo
CityLie. #.
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
Cons truction TYe: ~�n ec.u P an eY:
1'O
ic. #
dd'iAlter Repair.air Dcmo
oState
ProJectYP circle one • Nev A
Mame of Contact Person:
Sq'. Ft._
# Stories:
# Units:.
relcphone # of Contact
on:
Estimated Value of Project:
APPLICANT: DO NOT WRITE'BELOW THIS LINE
Submittal
Rcq'd
Rcc'd'TRACKING
PERMIT FEES
Plan Sets
?
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Conlaet Person
Plan Check Bilance.
Title 24 Calcs.
Plans picked up
`Construction '
Flood plain plan
Plans resubinilted
Mechanical
Grading plan
2°' Revicw„ready'for corrections/issue
Electrical .
Subcontactor List
Called Contact P'crson
Plumbing
Gran( Deed
Plans picked up w
S•T4.I.
M.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
` Rcviciv, ready for correctionstissue
'Developer Impact Fee
Planning Approval
Called Contact.Pcrson
A:I P.P.
Pub. Wks. Appr
Date of permit issue
School Pecs,
.
I
10(al Permit Fees
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CEC-CF1R-ALT-01-E (Revised 06/14) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E
Prescriptive Residential Alterations (Page I of 4)
Project Name: 17 Pate Prepared: ZzW-w-z2Q11,1
A. GENERAL INFORMATION
n,
AtX-30'1.2(b)1H)
01
01 Project Name: V& R_ �[J/ jes-:I��n
O� Project Location: w
05 CA City: (9
02
04
4
Date Prepared:
Building Front Cirie `tAfjon-(deg or cardinal):
.Number of A g,VnIts: A
_[firpeft;�vellin
07 Zip Code:
08
F ue Type
01
9 Climate Zone:
to
Tqfw,.cZ4r?dIf1"o'hed Floor,,A-rv�# (fQ
11 Building Type
12
S12b, Xr-,.ra (ft2) ik 1
13 Project scope:
Required
Proposed Minimum Required
B. BUILDING INSULATION DETAILS (Section 150.2(b)1)
n,
AtX-30'1.2(b)1H)
01
02
03
04
.05
06 08 19
10
11
08 09 10 1:1�11 2 13
_Nr.pposed �
Required
Proposed Minimum Required
jnitial Solar
�,ig'ppenclix JA4
Thermal SRI Aged Solar I Therrhal SRI'
Method of
Roof
CR Codu'ct ID
Dae
Compliance
P
Pitch
Exception
Frame
Frame
'!�Yulatipn
Co
Continuous
Reference
Reflectance
Emittance (Optional) Reflectance Emittance (Optional)
Frame
Depth
Spacing
Cavity
`,Ansu�la i n wr*
'71
i-- -
1?h
Tag/ID
Assembly Type
Type
(inches)
I (inches)
R-valuq 1�
R -value 01 @51firctor Table Cell-
LI-Factor
Comments
a , 01
/744
C. ROOF REPLACEMENT (Prescriptive Alteration; S eth"
e—ip
n,
AtX-30'1.2(b)1H)
:yap01
02
03
04 w
0%,
06
08 09 10 1:1�11 2 13
R -value
Proposed Minimum Required
jnitial Solar
Aged Solar
Thermal SRI Aged Solar I Therrhal SRI'
Method of
Roof
CR Codu'ct ID
Dae
Compliance
P
Pitch
Exception
mb er
du
^c du ct T
p ype
'!�Yulatipn
Reflectance
Reflectance
Emittance (Optional) Reflectance Emittance (Optional)
Z Aj�,
,
44. If
AL
'71
i-- -
1?h
1 �231
6, a.
7/,? z -go
NOTES rk ir
v Roof area covered by:bull4j,,iiniegrated plyb%oltzp kpanels and solar thermal panels are exempt from the above Cool Roof requirements.
0 Liquid field a pp1ied_F-"coaRngs- must comply with,,inttallation criteria from section 110.8(i)4.
Registration Number: Registration Date/Time: HERS V
Pro ' ider:
j
CA Building Energy Efficiency Standards - 2013 Residential Compliance June 2014
'STATE OF CALIFORNIARESIDENTIAL ALTERATIONSCEC-CF1R-ALT-01-E (Revised 06/14) CALIFORNIA IZNIZM�T COMMISSIONCERTIFICATE OF COMPLIANCE CF1R-ALT-01-EPrescriptive Residential Alterations, -T (Page 4 of 4)
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
is
1. 1 dertify that this Certificate of Compliance documentation accurate and complete.
Documentation Author Name: Documentation Author Signature: v
Company:
Signature Date:
cityistate/zip:
-1
'rPERSON-S DECLARATION STATEMENT
I certify the following under penalty of perjury, under the laws of the State of California:
ik
The information provided on this Certificate of Compliance is true and correct.
.1 6ilityfor build' rn.
the of Com
ept Ing es por system design identified on this Certificate pliance (responsible
2. 1 am eligible under Division 3 of the Business and Professions Code to acc respons
Kir
3. That the energy features and performance specifications, materials, compon 7— f o r t h e b u Ing design or system design identified on thi's Certificate of
�he G
Compliance conform to the requirements of Title 24, Part I and Part 6 Athe �'li ornJa Code of,, eg laftions.
4 The building design features or system design features identified on th" ts Certificate of C6Tplianc are consi steARWIT45he information.provided on other applicable compliance documents,
.
fb thl Ing
worksheets, calculations, plans and specifications submitted.to t e epfd1rcement agen.t. . approval with u,j, permit application.
Y.
5. 1 will ensure that a registered copy of this Certificate of Con I" h flbe mad araYblb. with the bui qg'p�rmit(s) issued for the building, and made availab e to the enforcement agency
for all applicable inspections. I understand that a registE Xf this Certificke Compliance is,t;`&qu , ire8 to be included with the documentation the builder provi
owner at occupancy.
Responsible Designer
ame:
0
ffEL
Licen
012
zx
~ '
AMI I
For assistance 031"r-Ifuestions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.
Registration Number: KeQstradonDate/Tme:* HERS Provider: ��------
C4Building Energy Efficiency Standards '2Ul3Residential Compliance ! June 2014
a -
e .
ERIS
PROPOSAL/AGREEMENT
8/23/16
ALL YOUR'ROOFING'NEEDS
ATTENTION: PROPOSAL FOR: PROJECT CONTACT:.
PGA West Residential _ PGA West William Aceves
Association Inc. Various.suildiAgs
La Qulnta CA
ROOF SCOPE _OF WORK TO SE PERFORt:ED
1. Perforrn work per the specifications of the 2016 Roof Packets provided by the PGA West Residential Association. .
This proposal and pricing hos been carefully considered.: Each building has been inspected and evaluated for special details ipc-
and requirements. !NEEDS
Investment. Breakdown
54,46354-447 Riviera -Q $17,120.9 Acceptance mmol
�I 55-196J55-20455=212 &/555-v220'Rivier61- $8,560:00-TIF7�ema—mma
`y 55-694; 55-706, 55:7188,.55-730.,Rivlera $8,560.00 Acceptan=emmd
55-729, 55-747,55-765 8.55-783 Oak Hill $3,745.00 Acceptoncetntllai
TOTAL INVESTMENT - 537,985.00 Acceptance Mal
APPROVED BY: DATE
BRS;ROOFING:DATE
WE WOULD LIKE TO THANK YOU FOR GIVING BRS ROOFING INC. THE OPPORTumr*00 BID ON YOUR'ROOFING PROJECT. IF YOU HAVE ANY
QUESTIONS OR CONCERNS REGARDING THIS PROPOSAL PLEASE DON'T HESITATE TO CALL COLLIN PASCALE (951).323-9252
— BRS ROO-ING. INC. ! 777 S. LUGO AVE. I:SAN BERNARD:NO. CA 92408 1 7:.855.506.1277 F: 90,9.884.4845 1 BRSROOF ING.COM --
PGA WEST Residential Association, Inc. 18 of 19 i a] Initials
2016.Foam Roofing Contract