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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