BER2016-0099,aw
78-495 4 CALLE TAMPICO VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
DESIGN &DEVELOPMENT DEPARTMENT FAX
(760) 7774153
BUILDING PERMIT
Date: 11/9/2016
Application Number:
BRER2016-0099
Owner:.
Property Address:
55220 RIVIERA
ESIDENTIAL ASSOCIATION
APN:
Application Description:
775153061
PGA WEST HOA /POLYURETHANE FOA
UTHERN HILLS
®A, CA 92253
Property Zoning:
/!4 -
L✓
Application Valuation:
$2,140.00
.
9Cactor:
NOv 1 p 2016
Applicant:.
B R S ROOFING INC
777 SOUTH LUGO AVEC��
QujNTA B R S ROOFING INC
OFL1W LUGO AVE
SAN BERNARDINO, CA 92408 pESIGN
AND pEVE�QPMENI p�sAN BERNARDINo, CA 92408
(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 70001 of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: C39 License No.: 907600
Date 110 Contractor: Q
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:
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.
I00 have and will maintain workers' compensation insurance, as required Jby
ction 37of 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.
i ^
Date: Applicant: / 0
WARNING: FAILURE TO SECURE WOR ERS' OM F�E SATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO MINAL 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.
CONSTRUCTION LENDING AGENCY I certify that I have 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 tob ilding
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 e
above -men 'oned property for inspection purposes.
Lender's Name: 1 ,
Date: Signature (Applicant or Agent):
Lender's Address:
Date: 11/9/2016
Application Number:
BRER2016-0099
Owner:.
Property Address:
55220 RIVIERA
PGA RESIDENTIAL ASSOCIATION
APN:
775153061
54320SOUTHERN 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 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
Total Paid for REL -ROOF:
$51.68
TOTALS:
Bin #
Permit ,9
-------------------
Project Address:
-
..City of La..Quinta
Building a Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760)'777-701,2
Building Permit Application and Tracking Sheet
�! "
'Owner's Namc:no
A. P. Number:
C
Address:
Legal Description:-
A
City, ST,.Zip:
Contractor: 77 C -f
/,/)67
,hn:
Te ,
le o e
P
Address: 6.
Project Description:
City, ST, Zip:
6ea
a!m V00f.,
Telephone:
y
..
State Lic. # :
_
City Lie" #;
t
Arch.,'Gngr., Designer:
Address:
"City, ST, Zip:
Telephone:
n ti n T e: ccu anc
Co strut o YP P Y
R_ - O
'State t to Lic. #
New Add'n Alter
Project type(circle ne • Repair.air Demo
0
Name of Contact Person:
° ,
Sq. Ft.: - 8
#Stories: •'
# Units:
Telephone #.of Contact Person:
Rstimated Value of Project:
~
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rcc'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item"
Amount
Structural Cates.
Reviewed, ready for corrections
Plan Cbeck Deposit
Truss Calcs.
t-
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 correclionsrissue
Electrical
SubcontactorList-
Called Contact Person'
Plumbing
Grant Deed
Plans picked up
S.M.I.
II.O.A. Approval
o
Plans resubmitted
Grading
IN HOUSE.-
'"! Review, ready for correctionsrssue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I•P.P.
Pub. 1Vks. Appr
Date of permit issue.
School Fees,
t
Total Permit Tees
A
f
STATE OF CALIFORNIA
RESIDENTIAL ALTERATIONS
art. -%,r IM-hu-vl-� J Kewsea vonv CALIFORNIA ENERGY COMMISSION T3Qwi9
CERTIFICATE OF COMPLIANCE
CF1R-ALT-01-E
Prescriptive Residential Alterations (Page 1 of 4)
Project Name: y/a / %/�,� r-,(/ /'/I If-,, 0,5,1 Date Prepared: 1/1Y7--X1-')17-1Z
A. GENERAL INFORMATION
01
*%
01
03
05
Project Name: J ' e
Project Location:/ r Q
CA City:
02
04
06
Date Prepared:
Building Front Orieritation (deg or cardinal):
Number of Alter'ed�Dwelling Units:s'
07.
Zip Code:
08
Fuel Type; � „Oqk
09
Climate Zone:
10
Total,Conditioned Floor�Af
11
Building Type
12
SIab,Area ih2)
13
Project Scope:'t4
R -value z
M H
B: BUILDING INSULATION DETAILS (Section 150.2(b)1)
01
02
03
04
05
06 _ "r ' 07 08* 1lllC 09
10
11
Tag/ID
Assembly Type
Frame
Type
Frame
Depth
I (inches)
Frame
Spacing
1 (inches)
PTT. po ed ,r
Required
Comments
FC�ontinuous
Cavity ��:pirsulation
R -value, �E R -value ,rift
c iia ppendixJA4
Reference
, U factor Table Cell
I Ll -Factor I
R -value z
Proposed
Minimum Required
'jnitial Solar Aged Solar Thermal SRI
Aged Solar Thermal SRI'
Method of
Compliance
Roof
CRRC Prod"u'ct ID
tVN
Deck
.
Pitch
Exception
>-( Number ,
P%oductType�i
Insulation
C. ROOF REPLACEMENT (Prescriptive Alteration, Seectiion'0'U.2(b)11-11)
d"Vw-
^` s
�
01
02
03
04 y
05)., t
� 06
tf '07.uo° 08 09 10
11 12 13
«,
'k�'
R -value z
Proposed
Minimum Required
'jnitial Solar Aged Solar Thermal SRI
Aged Solar Thermal SRI'
Method of
Compliance
Roof
CRRC Prod"u'ct ID
tVN
Deck
.
Pitch
Exception
>-( Number ,
P%oductType�i
Insulation
Reflectance Reflectance Emittance (Optional)
Reflectance Emittan a (Optional)
-71
NOTES � tit
• Roof by, buildlintegrated
area covered ph ttpvollttalc panels and solar thermal panels are exempt
• Liquid field applied
from the above Cool Roof requirements.
coatings must comply withjinstallation 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 CF1R-ALT-01-E
Prescriptive Residential Alterations (Page 4 of 4)
Project Name: 7 17 1121e.�f Date Prepared: ////)V 1,11 1/
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. 1 certify that this Certificate of Compliance documentation is accurate and complete. „ W "
Documentation Author Name:
Documentation Author Signature: "" a'
Company:
ys}VII)nGI n ,
Signature Date: �%AM&
Address:
CEA/ HERS Certification I t tc,,.rr`(if pp l cable): uta r t!
City/State/Zip: >�f
Phone:
RESPONSIBLY PERSON'S DECLARATION STATEMENT "ipf
I certify the following under penalty of perjury, underthe laws of the State of California:
1. The information provided on this Certificate of Compliance is true and correct. C
2. lam eligible under Division 3 of the Business and Professions Code to design
accept responsi6ili�ty9fo�te�uilclin;deslgq esor system identified on this Certificate of Compliance (responsible
designer).
3. That the energy features and performance specifications, materials, components, ;nd manufacture`d�evic, s for the building design or system design identified on this Certificate of
Compliance to Title 24, Part fornia
conform the requirements of 1 and Part 6 q»f�the Ga Code of43eguula-dons Q
4. The building design features or system design features identified on this Certificate of Co'mpliance•are consistenk ith the information provided on other applicable compliance documents,
worksheets, calculations, and specifications to the ding
plans submitted enforcement agency^for approval with thb permit application.
I
S. will ensure that a registered copy of this Certificate of Com lia� shall be made ava li able with the build g permits) issued for the building, and made available to the enforcement agency
for all applicable inspections. I understand that a registered copy of this Certificat of Compliance is required to be included documentation
with the the builder provides to the building
owner at occupancy.
Responsible Designer
am%e�:
��
.Responsible Designer Signature:
company: ys i1 `' �y
Date Signed:
Address:—/�}// '/may// {p w
7 S
Ucense: 77
City/State/Zip: w' '�"�-
ffz
Phone:ZA
L®
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
•
ALL YOUR ROOFING NEEDS
ATTENTION: PROPOSAL FOR:
PGA West Residential PGA West
Association Inc. Various Buildings
La Quinto CA
PROPOSAL/AGREEMENT
8/23/16
ROOF SCOPE OF WORK TO BE PERFORMED
PROJECT CONTACT:
William Aceves •
1. Perform work per the specifications of the 2016 Roof Packets provided by the PGA West Residentiol Associolion.
This proposof and pricing hos been carefully considered. Each building has been inspected and evofuoted for special defoifs
and requirement5.
investment Breakdown
AM(b
54-46354 447 Riviera - $17,12010 f Acceptance Mot
�y 55-196,55-204/55-212&f 55-220Rivier6P $8,560:00 Aeeeptaneelnlflal /
`u. 55-694, 55-706, 55-71811:.55-730 Riviera $8,560.00 Acceptance InMat
55-729, 55-747,55-765 & 55-783 Oak Hill.- $3,745.00 Acceptancelnfticl
TOTAL INVESTMENT- $37,985.00 Acceptancekwaf
APPROVED BY- DATE -
BRS ROOFING: o DATE
WE WOULD LIKE TO THANK YOU FOR GIVING BRS ROOFING INC. THE OPPORTUNITY TO 80 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
---- 8R5 P.00^!NG INC.: 717 S. LUGO AVE. 1_SA' BERNARDINO. CA 92408 F T: 655.5W.1277 F:909.884.4845 1 8RSROO iNG.COM --
,,� PGA WEST Residential Association, Inc.
. -2016 Foam Roofing Contract 18 Of 19
*ia Initials
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