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BRER2016-010578-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BRER2016-0105 Property Address: 55694 RIVIERA APN: 775242015 Application Description: PGA WEST HAD/ POLYURETHANE O Property Zoning: Application Valuation: $2,140.00 Applicant: B R S ROOFING INC 777 SOUTH LUGO AVE SAN BERNARDINO, CA 92408 VOICE.(760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/9/2016 F Owner: PGA WEST RESIDENTIAL ASSOCIATION 54320 SOUTHERN HILLS LA QUINTA, CA 92253 NOV 10 2016 ntractor: R S ROOFING INC CITY OF LA QUINTA 777 SOUTH LUGOAVE DESIGN AND DEVELOPMENT DEPARTMENTAN BERNARDINc, CA 92408 (909)884-8505 LIc. 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 frD�te: 3 Contract / 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).: . (_) 1, 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.). (T) 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 WORKER'S COMPENSAT-ON DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consint to self -insure for workers' compensation, as provided for by Section 370C 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 Sectio 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 FLND Polity Number: 9141962 I certify that in the performance of ::he 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 3.700 of the Labor Code, I shall forthwith comply with those p ovisions. D to e? ApplicaJERCO,2SATION e ri0 WARNING: FAILURE TO SECURE WOR 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 FOF 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 thi: application. 1. Each person upon whose behalf this appli:ation 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 .ssuance 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 ordi lances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon t above-mentioned property for inspection purposes. Date: rG Q Signature (Applicanbor Agent): Application Number: BRER2016-010S. Property Address: 55694 RIVIERA APN: 775242015 Application Description: PGA WEST HAO/ POLYURETHANE FOAM ROOF 'Property Zoning: (909)884-8505 Application Valuation: $2,140.00 Date: ' 11/9/2016 Owner: PGA WEST RESIDENTIAL ASSOCIATION 54320 SOUTHERN HILLS LA QUINTA, CA 92253 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 FINANCIALINFORMATIOW.? ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION IBSA: $1.00 DESCRIPTION ACCOUNT QTY AMOUNT RE -ROOF - FIRST 2,000 SF 101-0000-42404 0 _ $51.68 DESCRIPTION. ACCOUNT QTY AMOUNT RE -ROOF -FIRST 2,000 SF PC 101-0000-42600 0 $103.36 Total Paid for RE-RJOF: $155.04 1 Bin # pity of La Quinta Buifding 8t Safety Division 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-701,2 Building Permit Application and Tracking Sheet Owrier's Name: Permit # Project Address: A. P. Number: 'n 1e� / ` o Address: tg r Legal Description: City, ST, Zip: ontr C act or. dor-cle. Tele h0 ne: P Address: Project Description: Q City, ST, Zip: 9'1 C'�/1 fd/ Telephone: State Lic. # : t% 6 City Lic. #; Arch.,'Engr., Designer: Address: City, ST, Zip: Telephone: ne: Constructiontraction Type: Occupancy: Lic. #. 0Sfate "(circle Alter Repair-air Project type ne • N w Add'n Demo Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: , APPLICANT: DO NOT WRITE BELOW THIS LINE i/ Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit Truss Calcs._ Called Contact Person Plan Check Balance • Title 24 Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan god Review, ready for corrections/issue Electrical Subcontaetor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. II.O.A. Approval Plans resubmitted Grading IN HOUSE- '"! Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks_ Appr Dale of permit issue School Fees, Total Permit Fees 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 1 of 4) Project Name: -l/a/.%/-1,Cl //-/',17 iia Date Prepared: A. GENERAL INFORMATION Ol 1 02 01 Project Name: _ e 02 Date Prepared: 03 05 _- F���y bri C.. Project Location: J t CA City:r C/ q �d J 1107 , 04 06 Building Front .C+r`ien ationY(deg or cardinal): Number of AIYe ed Dwelling Units: F Frame Type - Zip Code: 08 Fuel Type: 09 Climate Zone: 10 T,otal;Conifitioned Floor_4ArGa (ft2):1' it Building Type ar 12 1 Sla ,area(h2) tklfiil� 1%, 13 Project Scope: CRR,C,Produtt ID ( — lk w B. BUILDING INSULATION DETAILS (Section 150.2(b)1) '4'` Ol 1 02 03 04 05 06 a 'x`07 08-4,? X09 10 11 Tag/ID Assembly Type Frame Type Frame Depth (inches) Frame Spacing (inches) F Pro osed too w Required Comments Cavity R -value ~ � _ EContinuous `Insulation R -value 001,Ufactor }w ppendix 1A4 Reference 1 U -Factor Table Cell Method of Roof CRR,C,Produtt ID Deck• Compliance . Pitch Exception „ Number , �t�oductType . ; fns a,Uon Reflectance Reflectance Emittance (Optional) Reflectance Emittance (Optional) r N �;, •. _a `�.i a �l .A F C. ROOF REPLACEMENT (Prescriptive Alteration, Sect i'o�n 50.2(b)1H)k -V 01 02 03 04 . k4 Rf" 0S' ,, r 06 fK +07vO 08 09 10 11 1 12 1 13 R -value 17V' Proposed Minimum Required i nitial Solar Aged Solar Thermal SRI Aged Solar Thermal SRI Method of Roof CRR,C,Produtt ID Deck• Compliance . Pitch Exception „ Number , �t�oductType . ; fns a,Uon Reflectance Reflectance Emittance (Optional) Reflectance Emittance (Optional) r N �;, •. _a `�.i a �l .A F NOTES • Roof area covered by, build�nygJntegrated ph'btoNvv Itaic a' nels and solar thermal panels are exempt from the above Cool Roof requirements. • Liquid field applie4coatings must comply witWiristallation 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 NIA EN CERTIFICATE OF COMPLIANCE CF1R-ALT-01-E Prescriptive Residential Alterations (P ge 4 of 4) Project Name: 7 � (I /a Date Prepared: / 'z 1?1,6 DOCUMENTATION AUTHOR'S DECLARATION STATEMENT „h► 1. 1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: Company: Signature Date: v`�Irin 144' Address: '5 7/"'/�V/V o a CEA/ HERS Certification IdQeAlftc4lori V pplicable):7-7 i `,V fA City/State/zip: o Phone:������ A&W ,may /�✓ RESPONSIBL PERSON'S DECLARATION STATEMENT I certify the following under penalty of perjury, under the laws of the State of California: g 1. The information provided on this Certificate of Compliance is true and correct. , 2. I am eligible under Division 3 of the Business and Professions Code to accept responsibity�forthe building des�ig�ln�or system design identified on this Certificate of Compliance (responsible designer). 3. That the energy features and performance specifications, materials, compond'R and manufactur(V vi 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 ti the California Code of'degulai ions. 4. The building design features or system design features identified on tFi[s Certificate of Compliance are consistent:wltlaytlie information provided on other applicable compliance documents, forcement ding worksheets, calculations, plans and specifications submitted to the a agency"for.�approval with h bu permit application. S. I will ensure that a registered copy of this Certificate of Compllannceishall be made.aveiil ole - 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 copyofthis Certificatf Compliance is required to be included with the documentation the builder provides to the building owner at occupancy. $, w tt Responsible Designer am/e�:Responsible i De signer Signature: t fA Cv SCJY l Q o -y ,4 i Company :i 'd �. )i Date Signed: O .s¢��¢`Q� Address: `4t> 7.17 S license: r STM.. P, City/State/Zip: `'; l Phone: l�f Jr i - For assistance orquestions 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 r �e PROPOSAL/AGREEMENT Rag 8/23/16 �.. ALL YOUR ROOFING NEEDS ATTENTION:, PROPOSAL FOR: PROJECT CONTACT: PGA West Residential PGA West Wilfiorn Aceves Association Inc. Various Buildings La Quints CA ROOF SCOPE OF WdRK TO BE PERFORl: ED 1. Perforin work per the specifications of the 2016 Roof, Packets provided by the PGA West Residentiaa Association. This proposal and.pricing hos been carefully' considered. Each budding has been inspected and evoluoted for special details Inc_ and requirements: !NEEDS Investment Breakdown �J 54-463/54-447 Riviera - $17,120.0 Acceptance-fnBtot 55.196,55-204/55-212 8,155-220 RIVIefflf- $8,560.011- 55-694; 8,560:0055-694; 55-706, 55-718 &.55-730 Rivieratf$8,560.00 Acceptencetdlld 55-729, 55-747, 55-765 & 55-783 Oak Hill - $3,745.00 Acceptance Irtflal j. TOTAL INVESTMENT - $37,985.00 Acceptance Mat APPROVED BY: DATE_ BRS ROOFING: v�---� 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 (9510 323.9252 — BRS ROOFING: INC. ! 777 S. LUGO AVE. I SAN BERNARD:NO. CA 92408 1 7:855.51M. 1277 F: 9Q9.884.4845 I SRSROG-ING.COM -- PGA WEST Residential Association, Inc. 18 of 19 i a] Initials 2016 Foam Roofing Contract