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