BRER2016-010095 CALLE TAMPICO7 -4 Q�i VOICE (760) 777-7125
8 � D
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT FAX (760) 777-7011
FAX
(760) 777-7153
BUILDING PERMIT
Date: 11/9/2016
Application Number: BRER2016-0100 Owner:.
Property Address: 55212 RIVIERA PGA RESIDENTIAL ASSOCIATION
APN: 775153062 54320 SOUTHERN HILLS
Application Description: PGA WEST HOA / POLYURETHANE FOAM ROOF ® LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $2,140.00
Applicant: ® v 1Q ��16 Contractor:
B R S ROOFING INC �t S ROOFING INC
777 SOUTH LUGO AVE �QV\NEQPRZM97 SOUTH'LUGO AVE
SAN BERNARDINO, CA 92408 C\�(��O11E�OQMNO SAN BERNARDINO, CA 92408
N^A\QQGv (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/� n License No.: 907600)(/�/L/� `n
Date:
��/�i/r /(//�I, Contractors
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.).
'(_) 1, 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 Address:
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 th work -for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
Se. 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 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 thos provisions.
Date: Applican z
WAR ING: FAILURE TO SECURE WORKER 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 enter upo e
above-ment'oned property for inspection purposes.
Date: L' Signature (Applicant or Agent):
Date: 11/9/2016
Application Number:
BRER2016-0100
Owner:
Property Address:
55212 RIVIERA
PGA RESIDENTIAL ASSOCIATION
APN:
775153062
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
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
Bin ff
Permit ff
�����r Ol
Project Address: �l
��, Q
e
City of La Quin to
Building 81: Safety Division
78-495 Calle Tampico
La Quinta, CA 92253- (760) 777-701,2
Building Permit -AP plicationand Tracking Sheet
_ / } �- P Owner's Name:
A. P. Number: . t,
m
�
Address:
Legal Description:
City, ST, Zip: a
n
Co tr r•act
o.
h nc:
TeleP0
Address:7 77 6.n
Project Description:
�.
City, ST, Zip:
6 ,roa!m
300f
e•
Tel hon .
e P
y
State Lic. # :
City Lie. #.:
Arch.,'Engr., Designer:
Address:
City, ST, Zip:
Telephone -
an
Occupancy:
Construction Type: cert cY:
YP Ila
•
0SfateLie.,. t le ne •� New Add.n AIter Re air
Pro'ecttYP ciDemo
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project: X, q1), ea
APPLICANT: DO NOT WRITE BELOW THIS LINE
tl
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 C21cS.
Called Contact Person
Plan Clieck Balance.
Tit!e 24 Calcs.
Plans picked up
Construction
Floodplain plan
Plans resubmitted
Mechanical
Grading plan
2°' Review, ready for corrections/issue
Electrical
Subcontact'or List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
II.O.A. Approval
Plans resubmitted
Grading
IN HOUSE.:-
''d Review, ready for corrections/issue'
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. \\'ks. Appr.
Date of permit issue
School Fees,
l
Total Permit Fees
STATE OF CALIFORNIA,
RESIDENTIAL ALTERATIONS
CEC-CF1 R -ALT -01-E Revised 06/14 CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E
Prescriptive.Residential Alterations (Page 1 of 4)
Project Name: r--7 /a / Cli- �� /�� , �� Date Prepared: // Yl--X0/l /L
A. GENERAL INFORMATION,
01
02
01 Project Name: e77
03 Project Location: 1�Q ; -: -
05 CA City:J.1 v1
02
04
06
Date Prepared:ti
Building Front. dijeritatl'on'(deg or cardinal):
Number of Altered' Dwelling Units:
07 Zip Code:
08
Fuel Type: s ,
09 Climate Zone:
10
Total,Co'pAitlo ed Floor AI`'db (ft2):
11 Building T pe
12
Slab 4rea�(ft2)
13 Project Scope:
I Comments
S'';A " "
B. BUILDING INSULATION DETAILS (Section 150.2(b)1) a.A e
01
02
03
04
05
06 n �.-J4. X07 08,x?' X09
10
11
Tag ID
Assembly Type
Frame
Type
Frame
Depth
(inches)
Frame1.
Spacing
(inches)
Pr, po ed �t+
Required
I Comments
Continuous
Cavity Insulation ,
R-valuAX R -value 4, U;factor
)Appendix 1A4
Reference
I LI -Factor
Table I Cell
CRRC�P,roduct ID
'�
�!,
Deck
a
Compliance
Pitch
Exception
•
Insulation
Reflectance Reflectance Emittance (Optional)
Reflectance Emittance (Optional)
a Ar 7A V Vr =l IV 4.%� ss
C. ROOF REPLACEMENT (Prescriptive Alteration, Secti�ort'-f!50.2(b)1H)�
01
02
03
04 A, f?J0551, N
#"' 06
4 `0zO 08 09 10
11 12 13
1 M
�
R -value '1°,
ii Proposed
Minimum Required
"`Initial Solar Aged Solar Thermal SRI
Aged Solar Thermal SRI
Method of
Roof
CRRC�P,roduct ID
'�
�!,
Deck
a
Compliance
Pitch
Exception
f� number , ,ProtluctType
Insulation
Reflectance Reflectance Emittance (Optional)
Reflectance Emittance (Optional)
'
. Y .F•
i'
NOTES
•. Roof area covered by build! 11niegrated photovOlt airpanels and solar thermal panels are exempt from the above Cool Roof requirements.
n allation
Liquid field applied coatings)must comply with, criteria from section 110.8(i)4.
Registration Number: Registration Date/Time: HERS Provider:
CA Building Energy Efficiency Standards - 2013 Residential Compliance June 2014
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
CEC-CFIR-ALT-01-E Revised 06/14)CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE CF111-ALT-011E
Prescriptive Residential Alterations, (Page 4 of 4)
Project Name: `�/C-7 // /_4 fir qt I Date Prepared: ////)7 10t-) IG 1
at%
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Compliance documentation is accurate and complete. 0A• i t
Documentation Author Name:
Documentation Author Signature:r) 4 ° ." a"
rve,
r
Company: k7 f
On
Signature Date:y* ( °r R� ////�/
4( Vz 6
Address:
CEA/ HERS Certification Ide tlftcatlo&(if pplicable):
ter
City/State/Zip: /� /f !
�/ %
Phone:
1 `
ink+ �tif* .h►� V l�
RESPONSIBL PERSON'S DECLARATION STATEMENT
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. lam eligible under Division 3 of the Business and Professions Code to accept responsib�fo�tebiildingnesiggy9n� or system design identified on this Certificate of Compliance (responsible
designer). es
3. That the energy features and performance specifications, materials, comporidn� d�nd manufactt �d i?,v or the bui ding design or system design identified on this Certificate of
Compliance f`allfornia
conform to the requirements of Title 24, Part 1 and Part 6 o. the Code of g�ilafions. �
4. The building design features or system design features identified on t Certificate of Com liiaance�are cons'Iwstent 4yit tFie information provided on other applicable compliance documents,
worksheets, calculations, plans and specifications submitted to the enforcement egenc�y�to, pproval with ding permit application.
5. 1 will ensure that a registered copy of this Certificate of Compliannceeshall be made,ava'Iilablt with the build g permit(s) issued for the building, and made available to the enforcement agency
for all applicable inspections. I understand that a registered,f Cecopy of this Certificat is,requlred be included the
ompliance to with the documentation builder provides to the building
owner at occupancy.
Responsible Desig�JCNCame: ReSpoosibleDesigner Signature:
AP
,r(y
Company:I"x jf jp * p
Date Signed:
Address: +." a
License-
City/State/Zip:,
Phone:
a
,� v i
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 June 2014
ERS�e PROPOSAL/AGREEMENT
J
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 TO 6E PERFORMED
1. Perform work per the specifications of the 2016 Root Packets provided by the PGA West Residential Association.
This proposal and pricing hos been carefully considered. Each building has been inspected and evoluoted for special details t]T� ,eGn
and,rOvirements. I NEEDS
Investment Breakdown �J
54-46354-447 Riviera $17,120.t1�accepmncemlxm
'55-196,55-20455-212 55-220 Rivierd $8,560:00 T AcceptanceInmat
`�. 55-694, 55-706,.55-718 &.55-730 Riviera $81560.00 A«aptancelnlllaf Z.
55-729, 55-747, 55-765 & 55-783 Oak Hili- $3,745.00 AcceplancelNtlal
TOTAL NVESTMENT - $37,985.00 Acceptancehwa1
APPROVED BY: DATE
BR S ROOFING:u p �Cr 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
—`8RS POOPING. INC. 777 S. LUGO AVE. I SAN BERNARDINNO_CA 92:08_1 T: 855.500.1277 F: 9Q?.884.4845 IBP-ROO iNG.COtA
PGA WEST Residential Association, Inc. 18 of 19 i al Initials
2016 Foam Roofing Contract