BRER2016-0101f
X78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
lus
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Application Number: BRER2016-0101 Owner:
Property Address: 55204 RIVIERA PGA RESIDENTIAL ASSOCIATION
APN: 775153063 54320 SOUTHERN HILLS
Application Description: PGA WEST HOA / POLYURETHANE FO ROOF i--� ® QUINTA, CA 92253
Property Zoning:
Application Valuation: $2,140.00.
D) -
Applicant:
NOV 10 CQ113 o tractor:
B R S ROOFING INC
S ROOFING INC
777 SOUTH LUGO AVE
SAN BERNARDINO,
777 SOUTH LUGO AVE
CITY OF LA QUINTA
CA 92408
ERNARDINO, CA 92408
DEVELOPMENT DEPART
DESIGN AND
(909)884-8505
(
Llc. No.: 907600
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 C y///
Date: �f��11icContractor: �J (1 �1�N_/A
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 Name:
Lender's
Date: 11/9/2016
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
Secti 700 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 Polity 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: Applicar)- / o
WARNING: FAILURE TO SECURE WORO NSATION 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 enter upcIOhe
above-mentioned property for inspection purposes.
Date: Signature (Applicant or Agent):
Date: 11/9/2016.
Application. Number:
BRER2016-0101
Owner:
Property Address:
55204 RIVIERA
PGA RESIDENTIAL ASSOCIATION
APN:
775153063
54320 SOUTHERN HILLS
Application Description:
PGA WEST HOA / POLYURETHANE FOAM ROOF
LA QUINTA, CA 92253
Property Zoning:
Application Valuation:
$2,140.00
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
(909)884-8505
Llc. No.: 907600
Detail: REROOF WITH POLYURETAHNE
FOAM - LA POLLA COATINGS[CRRC: 0770-0002) 2013
CALIFORNIA ENERGY CODE.
DESCRIPTION
FINANCIAL INFORMATION
ACCOUNT QTY
AMOUNT
BSAS SB1473 FEE
101-0000-20306 0
$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
Bit) # Qty of La Quin to
BuitdinD & Safety Division
Permit # 78-495 Ca11e Tampico
La Quinta, CA 92253 - (760) 777-701.2
guilding Permit Application and Tracking Sheet
Project Address:. '�jU -y Owner's Nae: f
A. P. Number: '9
e
Address: - 1otr rcc
Legal Description:
City, ST, Zip:
Contractor: 0
Telephone:
c h nc:
P
Address: 7
Project Description:
f✓.
City_ ST, Zip:
G
ro(I !M V. 0 r).
Telephone:
y
State Lic. # :
City Lic. #t
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
P h e:
ane •
Occupancy:
n tructi n T e: •
Construction s o YP P Y
1 Lic.
PSfate r Demo
roJectty P circle one): New Add'.n Alter Repairato
Name of Contact Person:Sq.
Ft_:
Stories: A
# Units:
Telephone # of Contact Person:
Estimated Value of. Project: I
APPLICANT: DO NOT WRITE BELOW THIS LINE
tl
Submittal
Rcq'd
Rcc'd
TRACKING
PERMIT PEES
.Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs:Called
Contact Person
Plan Check Balance.
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
tad Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
II.O.A. Approval
flans resubmitted
Grading
IN HOUSE.:-
Review, ready for correctionstissuc
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks_ Appr.
Date of permit issue
School Fees.
Total Permit Fees
e '
RR
'A PROPOSAL/AGREEMENT
9 9 El W.; m u�.ema�o 8/23/l6
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 VvORK 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 cbrefufiy considered. Each budding has been inspected and evaluated for special details
and requirements.
Investment Breakdown
54-46354-447 Riviera - $17,12L0 Acceptance Ma
141
55-196/55-204/55-2128, 55-220 Rivier6b $8,560:00 AcceptancetnBlal
�y. 55-694155-706, 55-718 ✓I<.55-730 Riviera $8,540.00 AcceptancelnHkd
55-729, 55-747, 55-765 & 55-783 Oak Hill - $3,745.00 Acceptcncelnmat
TOTAL INVESTMENT - $37,985.00 • Accepfance'MCI
APPROVED BY- DATE -
BRS ROOFING, DATE
WE WOULD LIKE TO THANK YOU FOR GIVING BRS ROOFING INC. THE OPPORTUNITY TO BED ON YOUR ROOFING PROJECT. IF YOU HAVE ANY
QUESTIONS OR CONCERNS REGARDING THIS PROPOSAL PLEASE DON'T HESITATE TO CALL COVIN PASCALE (951) 323-9252
ORS ROOFING, INC. 777 S. LUGO AVE. I SAN BERNARDINO. CA 92408 1 T: 855.500.1277 F: 9Q9.884.4845 I BRSROOHNG.COM --
PGA WEST Residential Association, Inc. 18 of 19, i al Initials
2016 Foam Roofing Contract
a NEEDS
_ --
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CEC-CF1 R -ALT -01-E Revised 06/14 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CHR -ALT -01-E
Prescriptive Residential Alterations (Page 1 of 4)
Project Name: 4 Date Prepared:
A. GENERAL INFORMATION
01
02
01
03
05
Project Name:LZin
Project Location: L - Q _ • •-
/' . ,
CA City:S r -
02
04
06
Date Prepared:
Building Front Orientation (deg or cardinal):
Number of Altered,Dwelling Units:
07
Zip Code:
08
Fuel Type: aar
09
Climate Zone:
30
Total;Cpn°ditioned Floor> rdb (ft2)P
11
Building Type
12
Sla _'*6-(ft2)
13
Project Scope:
`Initial Solar Aged Solar Thermal SRI
1`1 •1 -6 , "
a v 0 Nzi
B. BUILDING INSULATION DETAILS (Section 150.2(b)l)
01
02
03
04
05
06_ x,,`°07 1 O8 09
10
11
Ta ID
Assembly Type
Frame
Type
Frame
Depth
(inches)
Frame
Spacing
(inches)
,t RI'Of osed 110 W.
Required
Comments
/ ^l[ontinuous
Cavity \ Insulation 6.V
R -value, R -value OR. ll)--actorTable
Appendix 1A4
Reference
LI -Factor
Cell
`Initial Solar Aged Solar Thermal SRI
Aged Solar Thermal SRI
Compliance .
Pitch
Exception
0 r. r
Insulation
Reflectance Reflectance Emittance (Optional)
Reflectance Emittance (Optional)
N
UT
C. ROOF REPLACEMENT (Prescriptive Alteration, Sercft 150.2(b)11HI) + `r'•
01
02
03
04 05)1,,. Q
' 06
07,0 08 09 10
11 1 12 13
R -value.
.t�tr
1'w Proposed
Minimum Required
Method of
Roof
C,R�R-!C�tP odID
QA, e7p*roductType
Decks
11.
`Initial Solar Aged Solar Thermal SRI
Aged Solar Thermal SRI
Compliance .
Pitch
Exception
E� ryurriber f
Insulation
Reflectance Reflectance Emittance (Optional)
Reflectance Emittance (Optional)
N
UT
yam.
\�
NOTES _Of 11p 1
• Roof area covered by building integrated photohItaic•paneIs and solar thermal panels are exempt from the above Cool Roof requirements.
• Liquid field stallation from
applied coatings must comply with criteria section 110.8(i)4.
` v
Registration Number: Registration Date/Time: HERS Provider:
CA Building Energy Efficiency Standards - 2013 Residential Compliance June 2014
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS 4.0
CEC-CFIR-ALT-01-E Revised 06/14 CALIFORNIA ENERGY COMMISSION t
CERTIFICATE OF COMPLIANCE CFIR-ALT-01-E
Prescriptive Residential Alterations (Page 4 of 4)
Project Name: Date Prepared:MILQ 7. an
OW
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT a `�
1. 1 certify that this Certificate of Compliance documentation is accurate and complete.. rt "
Documentation Author Name:
o,,
Documentation Author Signature:
Company:
Signature Date: lr ��
tI (i' �:►
Address:
CEA/ HERS Certificatiode, tlficatlon (if pplicableJr)
City/State/Z71p: n !
Phone:
RESPONSIBL PERSON'S DECLARATION STATEMENT41 r
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. I Division 3 the Business Professions Code to for the buildingsi design identified
am eligible under of and accept responsibifyn or system on this Certificate of Compliance (responsible
designer).
3. That the energy features and performance specifications, materials, components�lnd manufactured` % flCo es for the building design or system design identified on this Certificate of
Compliance conform to the requirements of Title 24, Part 1 and Part 6 ofthe California Code of'Reg 'dons. �
4. The building design features or system design features identified on this Certificate of Co-mplianceware consisten wit t "A a information provided on other applicable compliance documents,
pproval
worksheets, calculations, plans and specifications submitted to the enforcement agencc�y fort/ with this tiuildlng permit application.
S. I will ensure that a registered copy of this Certificate of Compliance -shall be made.availablb with the building permit(s) issued for the building, and made available to the enforcement agency
for all applicable inspections. I understand that a registered copy of this Certificate $f Compliance is regwid to be included with the documentation the builder provides to the building
owner at occupancy. AM nx,(►,iry
Responsible Designer am/e::
Responsible Designer Signature:
p�
Company:
M6 el
Date Signed:
---
Address:>
`;
h
license:
f .
O�
City/State/Zip:' /i .0 Y .�
Phone:
v
D
For assistance or questions 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 June 2014