BRER2016-0091A
T 4 a w
78-495 CLLE TAIVIPICO
LA QUINTA, CALIFORNIA 92253
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BRER2016-0091
Property Address:
54463 RIVIERA
APN:
775031028
Application Description:
PGA WEST HOA / P•OLYURETHANE FOAM ROOF
Property Zoning:
Application Valuation:
$8,560.00
Applicant:
B R S ROOFING INC
777 SOUTH LUGO AVE
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
Oate� 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).:
(� 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.).
(_J 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:
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
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
SA 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.
-_ )nevr
Date: Applicant:
WARNING: FAILURE TO SECURE WORK S' OMP 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 building
construction, and hereby authorize representatives of this city to en r u the
above -men lone property for inspection purposes.
Date Signature (Applicant or Agent):
r 4
Application Number
BRER2016-0091
Property Address:
54463 RIVIERA
APN:
775031028
Application Description:
PGA WEST HOA / POLYURETHANE FOAM ROOF
Property Zoning:
Application Valuation:
$8,560.00
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.
pV
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
Bit) it �.
Permit I/
Pr jss:
City of La Quinta
Building &, Safety Division
. 78-495 Caffe Tampico
La Quinta, CA 92253 - (760) 777-70 12
Building Permit Application and Tracking Sheet
c Q
— wner's Name: C
A. P. Number:
vu-
} �
Address:
Legal Descripti
i.01?2
City, ST, Zip:
ntrac
Co t0r• .
�Q
Tele honc:
P
Address: 7
Project Description:
City, ST, Zip:
�� Q°G /��
hone:
Telephone:
................................................
State Lic. # :
City Lie. #;
Arch., Engr., Designer:
Address:
City, ST, Zip:
ane
Telephone- on Occupancy:
:stivcti nYPe:
T
State Lic. #,. /1 ProJect Pe circle one): : New A dA]ter Repairair Demo
Name of Contact Person: C ��� Sq. Ft.: # Stories: #Units:
-
Telephone # of Contact Per Estimated Value of Project: /2va
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Clieck Deposit
Truss Cales.
Called Contact Pcrson
Plan Check Balance.
Title 24 Cates.
Plans picked up
Construction '
Floodplain plan
Plans resubmitted
Mechanical
Grading plan
god Revicw, ready for corrections/issue
Electrical
Subcontaetor Lis(
Called Contact Person
Plumbing
Grant Deed
j
Plans picked up
S.M.I.
II.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
3,° Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees,
l
�"/
Total Permit Fees
STATE OF CALIFORNIA IN
RESIDENTIAL ALTERATIONS z
CEC-CFIR-ALT-01-E Revised 06/14 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E
Prescriptive Residential Alterations (Page 1 of 4)
Proiect Name: F -1%0 /./-P,(-/ Date Prepared: 11117-.W-1901.4
A. GENERAL INFORMATION
01
02
01
Project Name:
02
Date Prepared:
03
05
Project Location: '`„ �. r
CA City:
- 04
06
Building Front Or`,ientatlon (deg or cardinal):
Number of AlteredDwelling Units:
07
Zip Code:
08
Fuel Type (° Ate- 4N
09
Climate Zone:
10
TotaLC,on°dii oned FloorArea'(fII2):1
11
Building Type Ve 0 f
12
1Slab;Are_ a'(ft2) \'-p
13
Project Scope:
_
i i -o - 104 "+
11 .`— '+b, ted'
B. BUILDING INSULATION DETAILS (Section 150.2(b)1)
01
02
03
04
05
06
10
11
Tag/ID
Assembly Type
Frame
Type
Frame
Depth
(inches)
Frame
Spacing
(inches)
tP'rbpoedRequired
Proposed Minimum Required
Comments
( continuous
Cavity l Insulation
R -value. R -value 4R
`AppendixJA4
9N
3 U=.factor
Reference
LI -Factor
Table, Cell
D�ec„knitial
Compliance -
Pitch
Exception
.. Zk��
1
Reflectance Reflectance Emittance (Optional) Reflectance Emittance (Optional)
J
1-71
1
�y
µ CLQ
V1ray
a11.7a
z9a
m 1i'—s"W rr 1.1 'i�L
C. ROOF •REPLACEMENT (Prescriptive Alteration, Secton150.2(b)1H)
't4-0 �;- �t
�
01
02
03
04
05),
06
i67;* 08 09 10 11 12 13
R -value;*
Proposed Minimum Required
Solar Aged Solar Thermal SRI Aged Solar Thermal SRI
Method of
Roof.
CRRC�P o{dU'ct ID
D�ec„knitial
Compliance -
Pitch
Exception
+ioductType
Insulaiwn
Reflectance Reflectance Emittance (Optional) Reflectance Emittance (Optional)
J
1-71
1
�y
µ CLQ
V1ray
a11.7a
z9a
,y
i�
NOTES
• Roof area covered bey builahoto'�ingjntegrated p`otai¢-panels and solar thermal panels are exempt
from the above Cool Roof requirements.
• Liquid field applied; atings must comply withrinstallation criteria from section 110.8(i)4.
Registration Number: Registration Date/Time: HERS Provider:
CA Building EAergy Efficiency Standards - 2013 Residential Compliance June 2014
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
rcr_rc�a_e, r_ni_G �oe,a�e., na,�e�
CERTIFICATE OF COMPLIANCE
CF1R-ALT-01-E
Prescriptive Residential Alterations
4 (Page 1 of 4)
Project Name: Date Prepared:
I '07
A. GENERAL INFORMATION
,
02
01
Project Name:
02
Date Prepared:
10
03
05
'�
Project Location: �. ,
CA City: o'r r"
04
06
Building Front.Orenation'(deg or cardinal):
Number of Alteredf;Dwelling Units: ,
Frame
Type
Frame
Depth
(inches)
07
Zip Code:
08
Fuel Type; .% � Y
Comments
09
Climate Zone:
10
T94alaCon0Ltinned FloorrArea (ft2)i)'
Table. Cell
11
Building Type
12
1 S(ab;Are (ft2) %
Ins_gla t on
13
Project Scope:
_
t i V '.
a -%11— 14L 'To I
B. BUILDING INSULATION DETAILS (Section 150.2(b)1).
01
02
03
04
05
06 08 ` 09
10
`070 08 09 10 11
11
Tag ID
Assembly Type
Frame
Type
Frame
Depth
(inches)
Frame
Spacing
(inches)
�P;r4 sed
Required
Method of
Comments
Cavity
R -value,
tl`
J(�.,ntinuoo us
sulation
R -value ,_ s'Ufactor
�AppendixJA4
Reference
U -Factor
Table. Cell
Compliance .
Pitch
Exception
f. Number dProduct Type
Ins_gla t on
Reflectance Reflectance Emittance (Optional) Reflectance
Emittan a (Optional)
VI .
Za 190 410i
NOTES .. ..
a ff-1% V rr' '101 I -s. A_," I
C. ROOF REPLACEMENT (Prescriptive Alteration, Section4S0.2(b)1H)
01
02
03
04 v 0 ,,
06
`070 08 09 10 11
12 13
R -value '�`
� Proposed Minimum
Required
Method of
Roof.
��:
CRRC."P,rodiict ID
Deck •
'ilnitial Solar Aged Solar Thermal SRI Aged Solar
Thermal SRI
Compliance .
Pitch
Exception
f. Number dProduct Type
Ins_gla t on
Reflectance Reflectance Emittance (Optional) Reflectance
Emittan a (Optional)
VI .
Za 190 410i
NOTES .. ..
• Roof area covered by, buildilggjintegrated pho�tovhol1taicypanels and solar th�mal panels are exempt from the above Cool Roof requirements.
)must
• Liquid field applied, coatings comply wlt.>mstallation criteria from section 110.8(1)4.
Registration Number: Registration Date/Time:
CA Building Energy Efficiency Standards - 2013 Residential Compliance
HERS Provider:
June 2014
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
rcr_rC1w_el T_M_C rwmdma nRNA\
CERTIFICATE OF COMPLIANCE
CF1R-ALT-01-E
Prescriptive Residential Alterations
(Page 4 of 4)
Project Name: Date Prepared:
Documentation Author Signature:
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT x `�k �$
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.
Documentation Author Name:
Documentation Author Signature:
Company:
a'
Signature Date:(in
Address:
CEA/ HERS Certification IdeflfcatLon (if ppIicable)� �a
City/Sta[e/Zip:
Phone: P�` ��
('
RESPONSIBL PERSON'S DECLARATION STATEMENT 1'
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Compliance is true and correct.
2. 1 am eligible under Division 3 of the Business and Professions Code to accept responstblllty for the building cleslgnlor system design identified on this Certificate of Compliance
designer). ��.
(responsible
r�`r
3. : That the energy features and performance specifications, materials, comport w and manufactt�tyred9'd926Q'esor the builcing design or system design identified on thil
f
Certificate of
Compliance conform to the requirements of Title 24, Part 1 and Part G �f the California Code of`f�egulations.
4. The building design features or system design features identified on tN*s"Certificate of compliance•are consistentmitt�tfie information provided on other applicable compliance
documents,
worksheets, calculations, plans and specifications submitted to `thy enforcement agencyy''for, approval with this bull Ing permit application.
S. I
the
will ensure that a registered copy of this Certificate of Com liance;shall be mad .available with the building 15ermit(s) issued for the building, and made available to
for all applicable inspections. I understand that a registered copy of this Certificate f C�'ompliance is ire to be included documentation
enforcement agency
rEq, with the the builder provides
owner at occupancy. A, ,
to the building
Responsible Designer
ame:. y
PCA
Responsible Designer Signature:
000 N,
Company: "�b
J.
F
Date Signed:
SR
$ A.
Address:t
Ucense:
City/State/Zip:
Phone:
Yp .S
For assistance or q estions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.
0
Registration Number: Registration Date/Time:
CA Building Energy -Efficiency Standards - 2013 Residential Compliance
HERS Provider:
June 2014
e
ee PROPOSAL/AGREEMENT
13,2.3/16
ALL YOUR ROOFING NEEDS
ATTENTION: PROPOSAL FOR: PROJECT CONTACT:
PGA West Residential PGA West William Aceves
Association Inc. Various Buildings
La Ouinta CA
ROOF SCOPE OF WORK TO BE PERFORMED
1. Perform 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 forspecial details
and requirements.
Investment Breakdown
54-463154-447 Riviera - �,$17,120. AccepmaceniRa i
55-196155-2D4/55-212 &155-220 Rivier6A $8,560:00 Acceptance Initial /
`y 55-694; 55-706,55-718 &x.55-730 Rivieratf$8,560.00 Anc
ccepfaetnfflat
//
55-729, 55-747,55-765 &, 55-783 Oak Hill - $3,745.00 Accepfance InMfal
TOTAL INVESTMENT - $37,985.00 Acceptanceinmat
APPROVED BY: DATE
BRS ROOFING:. ff -DATE
-
W E WOULD LIKE TO THANK YOU FOR GIVING BR5 ROOFING INC. THE OPPORTUNrrY TO BID ON YOUR ROOFING PROJECT. IF YOU HAVE ANY
QUESTIONS OR CONCERNS REGARDING THIS PROPOSAL PLEASE DONT HESITATE TO CALL COLLIN PASCALE 19511 323-9252
BRS ROOFING. INC. t 717.5. LUGO AVE. I SAN BERNARD:NO. CA 92408 1 T: 855.500.1277 F: 909.884.4845 1 BRSROOF ING.COM
PGA WEST Residential Association, Inc. 18 of 19
2016 Foam Roofing Contract
Wi Initials
In
c--.-
1 NEEDS