BRER2016-0098Applicant: Contractor:
B R S ROOFING INC B R S ROOFING INC
777 SOUTH LUGO AVE 777 SOUTH LUGO AVE
SAN BERNARDINO, CA 92408 SAN. BERNARDINO, CA 92408
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 Professions Code,
and my license is in full force and effect.
License Class: C39 License No.: 907600
Da/�
i� (�
t're. Contractor f;1 a
7 - / P -- -�_
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.).
(_) 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
(909)884-8505
Llc. No.: 907600
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
S n 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: STATE COMPENSATION INSURANCE FUND Policy Number: 9141962
- 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: Applica' n�'°
WARNING: FAILURE TO SECURE WOR 'COMP SATION 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 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 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 to comply with all city and county ordinances and state laws relating to b ilding
construction, and hereby authorize representatives of this city to en er up e
above-mentioned property for inspection purposes.
bate: Signature (Applicant or Agent) -
O�i
VOICE (760) 777-7125
78-495 CALLE TAMPICO
U "��
FAX (760) 777-7011
LA gUINTA, CALIFORNIA 92253
DESIGN & DEVELOPMENT DEPARTMENT
INSPECTIONS (760) 777-7153
BUILDING PERMIT'
Date: 11/7/2016
Application Number:
BRER2016-0098
Owner:
Property Address:
55783 OAK HILL
PGA WEST RESIDENTIAL ASSOCIATION
APN:
775161030
54320 SOUTHERN HILLS
Application Description:
PGA WEST HOA / POLYURETHANE FOAM ROOF
LA QUINTA, CA 92253
Property Zoning:
Application Valuation:
$936.25
Applicant: Contractor:
B R S ROOFING INC B R S ROOFING INC
777 SOUTH LUGO AVE 777 SOUTH LUGO AVE
SAN BERNARDINO, CA 92408 SAN. BERNARDINO, CA 92408
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 Professions Code,
and my license is in full force and effect.
License Class: C39 License No.: 907600
Da/�
i� (�
t're. Contractor f;1 a
7 - / P -- -�_
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.).
(_) 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
(909)884-8505
Llc. No.: 907600
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
S n 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: STATE COMPENSATION INSURANCE FUND Policy Number: 9141962
- 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: Applica' n�'°
WARNING: FAILURE TO SECURE WOR 'COMP SATION 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 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 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 to comply with all city and county ordinances and state laws relating to b ilding
construction, and hereby authorize representatives of this city to en er up e
above-mentioned property for inspection purposes.
bate: Signature (Applicant or Agent) -
Application Number:
BRER2016-0098
Property Address:
55783 OAK HILL
APN:
775161030
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:
B4 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 QTY AMOUNT
BSAS SB1473 FEE I 101-0000-20306 I 0 I $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RE -ROOF - FIRST 2,000 SF
101-0000-42404,
0
$51.68
Total Paid for. RE -ROOF: $51.68
Permit #
Project Address-
,f
City of :lam Quinta
Building-& Safery Division-
ivision•Permic#{ 78 4:95Ca11e Tampico
La Quinta, CA 92253 - (760) 777-701,2
Building Permit,Applicationand Tracking Sheet
. Owner's Name: f
A. P. Number:,;
Address: yd G (`(h "'
City, ST, Zip: lyl
Legal Description:
Contractor: tr• cr-
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kwm C
T nc:
ele P ho
Address:
Project Description: Q. �'
City' ST, Zip:
I'
Telephone:
State Lic.
City Lic.
Arch., Engr., Designer:
Address:
City, ST, Zip:
TelePh one:
Construction O ecu an cY
�Co
22 LW-.
State Lic. # .
Add'n Alter Repair.air
Demo circle one w
N
Name of Contact Person:
)
Sq:-Ft-:
# Stories:
# Units:
Telephone # of Contact
on:
Estimated Value of Project:
APPLICANT: DO NOT WRITE:BELOW THIS LINE
t/
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
o. .
Item
Amount
Structural Cafes.
Reviewed, ready for corrections
.'Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance.
Title 24 Cafes.
Pians picked up
Construction
Floodplain plan
Plans resubmitted
Mechanical
Grading plan
2" Reviciv, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S:MA._
I-I.O.A. Approval
Plans resubmitted
Grading
IN IIOUSE:-
'"' Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date or permit issue
School Fees,
Total Permit Fees
0
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS ;
CEC-CF1 R -ALT -01-E Revised 06/14 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CFIR-ALT-01-E
Prescriptive Residential Alterations (Page 1 of 4)
Project Name: Date Prepared:
A. GENERAL INFORMATION
Ol
�: I
01
03
05
Project Name: e
Project Location: /'
CA City: r ''
02
04
06
Date Prepared:
Building Front .0 rigntation (deg or cardinal): I
Number of Alteeda.pwelling Units:`".
07
Zip Code:
08
Fuel:Typ_,: A q
09
Climate Zone:10
Frame
Spacing
(inches)
Tot�I Cp disloned floo(I ACrj a (f12)
11
Building Type rri vror
12
Sla fea ft2)
13
Project Scope:
Tablg Cell
1,
i TA le_ --w i
B. BUILDING INSULATION DETAILS (Section 150.2(b)1) 14. M
Ol
02
03
04
05
06 _ 07I 08. 9'9
10
11
Ta /ID
Tag/ID
Assembly Type
y yp
Frame
yp
Type
Frame
Depth
(inches)
inches
Frame
Spacing
(inches)
Pr. 'osecl
Required
i
Comments
x-
Cavity �'�¢°Irisulation
R-va. I_. t, Y
:continuous �AReferelnce4
`
��
R -value :, U�faetor
SRI
(Optional)
LI -Factor
Tablg Cell
Exceptionu
CRR�PA O'ct ID
Nwmber ,;
�
PCpductTye .
Deeks
Insulation
NOTES%
• Roof area covered b build
y 1,�lguntegrated pli'4 bic panels and solar thermal panels are exempt from the above Cool Roof requirements.
® 1� rae r .6 V_ VO
C. ROC►F REPLACEMENT (Prescriptive Alteration, SSeec-tjonw150.2(b)1H)
�
3 i
01
02
03
04 t .G
0% .
06�07a'�
08 09 10 11 12 13
"}
4s
� &
R value �,.
Proposed Minimum Required
'ylnitial Solar Aged Solar Thermal SRI Aged Solar i Thermal
Reflectance Reflectance Emittance (Optional) . Reflectance I Emittance
SRI
(Optional)
Method of
Compliance .
Roof
Pitch
Exceptionu
CRR�PA O'ct ID
Nwmber ,;
�
PCpductTye .
Deeks
Insulation
NOTES%
• Roof area covered b build
y 1,�lguntegrated pli'4 bic panels and solar thermal panels are exempt from the above Cool Roof requirements.
Liquid field
• applied�coatings must comply with*initallation criteria from section 110.8(1)4.
vc �w
Registration Number: Registration Date/Time: HERS Provider:
CA Building Energy Efficiency Standards - 2013 Residential Compliance ' June 2014
A
j
1
i.
STATE OF CALIFORNIA {k
RESIDENTIAL ALTERATIONS
CEC-CFIR-ALT-01-E Revised 06/14 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE j CF1R-ALT-01-E
Prescriptive Residential Alterations i (Page 4 of 4)
Project Name: Vn „ Date Prepared: f7, 7-111W
;9'„
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT i
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature:
Company:'
Signature Date:
Address:
CEA/ HERS Certification Id fl icat)orr(if pplicable): {
City/State/Zip: AVPhone:
RESPONSIBL PERSON'S DECLARATION STATEMENT n,
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information this Certificate Compliance is true
provided on of and correct. �,
2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building,desTg or system design identified on this Certificate of Compliance (responsible
designer).
3. That the energy features and performance specifications, materials, compo nen manufactu��,d.�defor the building design or system design identified on this Certificate of
Compliance conform to the requirements of Title 24, Part 1 Part 6 the California Code Rgulatlons
and o of
4. The building design features or system design features identified on th, s Certificate of Co Viance-are conslstent�wi the information provided on other applicable compliance documents,
worksheets, calculations, plans and specifications submitted to t e e fo'rcement agedff-f000''r,approval with this ii Ing permit application.
5. 1 copy aICetshall
will ensure that a registered of this Certificate of CompI be made a allatife with the building permit(s) issued for the building, and made available to.tIhe enforcement agency .
cop
for all applicable inspections. I understand that a regi of this Certificate of Compliance Is regaired'to be included with the documentation the builder provides to the building
C3Y
owner at occupancy. k; ef.- .
Responsible Designer ame: - `
R', on Designer Signature: 1
i
Company :+
Date Signed:
i
Address: _
��
License: i
City/State/Zip:' /t r � Z-'
LY
Phone:
I
�Q I
U'J
ZX
'23
gl !y
For assistance or q estions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.
Registration Number: Registration Date/Time: HERS Provider:
CA Building Energy Efficiency Standards - 2013 Residential Compliance I June 2014
e
. ee ppoa PROPOSAL/AGREEMENT
JJ X�Q@e– u�•. a7 cao 8/23/16
ALL YOUR ROOFING NEEDS
ATTENTION: PROPOSAL FOR: PROJECT CONTACT:
PGA West Residential PGA West William Aceves
Association Inc. Various Buildings
La Quints CA
ROOF SCOPE OF WORK 70,13E PERFORMED
1. Perforin work per the specifications of the 2016 Roof Packets provided by the PGA West Residential Association.
This proposal and pricing has been carefully considered. Each building has been inspected and evaluated for special details
and requirements.
Investment Breakdown
54-46354-447 Riviera -$17,120. Accept *me WHa
�Y
55 -196/55 -204/55 -212.&/v555 -v220 Rivier�� $8,560:00 �epea�ew>tw /
`y 55-694; 55-706, 55-718 &. 55-730•Riviera $8,560.00 Acceptance InMW /
3 55-729,.55-747, 55-765 &$5-783 Oak Hill $3,745.00 Acceptancetnwal
TOTAL INVESTMENT - $37,985.00 AcceptancehWai
APPROVED BY: DATE-
BRS ROOFING: DATE
WE WOULD LIKE TO THANK YOU FOR GIVING BRS ROOFING INC. THE OPPORTUNITY TO 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 NG, INC. ! 777 S. LUGO AVE. 1 SAN BERNARD;NO, CA 92408 17:855.500.1277 F: 9Q9,884.4845 1 SRSROOFING.COM ---
PGA WEST Residential Association, Inc. 18 of 19
2016 Foam Roofing Contract
*ial Initials
ink
3 NEEDS