12-0958 (RR)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
PGA WEST -RES. II
C/O MONARCH GROUP
43875 WASHINGTON STREET STE'C
PALM DESERT, CA 92211
VOICE _(760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/23/12
• 'Contractor:
Applicant: Architect or Engineer: WILLIAMS ROO
P.O. BOX 391 `
ANZA, CA 925 t2011
(760)399-939 AN 2�
)^ Lic. No.: 77 48
t/�C CI'iYOF t.� 0UNYA
FINANCE DEi.
---------------------------------------------------
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 Professionals Code, and my License is in full force and effect.
Lice se Class: C39 License 774482
Oq
Ll
Dat ntractor:
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 1 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
pLa6uant to the Centraatora' Ctom Lioonog Lc M
(_) I am exempt under Sec. , BAP.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: NIK
LQPERMIT
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.
J -I have and will maintain workers' compensation insurance, as required by Section 3700 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 FUND Policy Number 1890178-2011
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
L 3700 of t Labor Co , I shy II forthwith omply with se pr visions.
/a '?4 plicant: � ��
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION 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 Director of Building and Safety 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
wh45Q DanWit Werk 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 h816 hei'Mless ine l,lty
of La Quinta, its officers, agents and employees for anyactor 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. 1 agree to comply with all
city and county ordinances and state laws relating to building construction, and hereby author' representatives
of thJs county to enter upo a above-mentioned property r ink etitPrY'jSUrposes.
[ ignature (Applicant or Agentl:1.9
Application Number:
[12-00000958 i
Property Address:
56005 RIVIERA
APN:
762 -021 -012 -
Application description:
RE -ROOF
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
1500
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
PGA WEST -RES. II
C/O MONARCH GROUP
43875 WASHINGTON STREET STE'C
PALM DESERT, CA 92211
VOICE _(760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/23/12
• 'Contractor:
Applicant: Architect or Engineer: WILLIAMS ROO
P.O. BOX 391 `
ANZA, CA 925 t2011
(760)399-939 AN 2�
)^ Lic. No.: 77 48
t/�C CI'iYOF t.� 0UNYA
FINANCE DEi.
---------------------------------------------------
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 Professionals Code, and my License is in full force and effect.
Lice se Class: C39 License 774482
Oq
Ll
Dat ntractor:
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 1 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
pLa6uant to the Centraatora' Ctom Lioonog Lc M
(_) I am exempt under Sec. , BAP.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: NIK
LQPERMIT
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.
J -I have and will maintain workers' compensation insurance, as required by Section 3700 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 FUND Policy Number 1890178-2011
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
L 3700 of t Labor Co , I shy II forthwith omply with se pr visions.
/a '?4 plicant: � ��
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION 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 Director of Building and Safety 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
wh45Q DanWit Werk 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 h816 hei'Mless ine l,lty
of La Quinta, its officers, agents and employees for anyactor 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. 1 agree to comply with all
city and county ordinances and state laws relating to building construction, and hereby author' representatives
of thJs county to enter upo a above-mentioned property r ink etitPrY'jSUrposes.
[ ignature (Applicant or Agentl:1.9
LQPERMIT
Application Number
. . . . . 12-00000958
Permit . .
. RE -ROOF
Additional desc .
Permit Fee . . .
. 30.00 Plan Check Fee
.00
Issue Date . . .
. Valuation
0
Expiration Date
2/19/13
Qty Unit Charge
Per
Extension
BASE FEE
30.00
Special Notes and
Comments
RE -ROOF OVER EXISTING
WITH URETHANE
FOAM. 2010 CODES.
-----------------------------------------"-------------------
Other Fees . . .
-
. . . . . . BLDG STDS ADMIN (SB1473)
---------------
1.00
Fee summary
-----------------
Charged Paid Credited
----------------------------------------
Due
Permit Fee Total
30.00 .00 .00
30.00
Plan Check Total
.00 .00 .00
.00
Other Fee Total
1.00 .00 .00
1.00
Grand Total
31.00 .00 .00
31.00
p .v
a
P.O. Box 3918411, Anza, Ca. 92539 951-763-0769
50-855 Washington St. 2C,# 113o,La Quinta, Ca.92253 253 76o-3999-93.94
Contract #44n6
For: Monarch Management Trust, 39-755 Berkey Suite A, Palm Desert, Ca. 9226o
Attn: JoAnne Rose Date: July 115, 2012
Job Addresses: 56-005 Riviera, La Quinta, Ca -'92253
Schedule of extras if annlicable:
During the repair process, if any asbestos is discovered, the removal and disposal cost would be borne by owner. Any dry rot
'will be replaced for an additional charge based on $81.00 per hour labor and ix6 or ix8 materials at $ 2.50 per foot. Any
damaged rafter ends will be replaced for an additional charge based on s iog.00 each and fascia board at $12.00 per lin. Ft. Any
CDX/OSB plywood to be replaced at an additional charge based on $ 2.00 per sq. foot, labor included. '
Scope of Work as follows; Urethane foam roof system as follows on the above
rear patio flat deck only: Clean and prep roof decks to accept new materials.
Install new edge metals as needed. Wipe down and prime edge metals.
Install 1" 3.0 SPF Poly Urethane foam roof system as per manufactures
specifications. Install Acrylic roof coating as per manufactures specifications
@ a rate of 112" on perimeter and to receive 4�gallons per every loo square feet.
Remainder of roof system to receive 3 gallons per every loo square feet as per
manufactures specifications. (This roof system is Title 24 Compliant)
Contract Price: $ 1,500.00
Payment to be made as follows: To be paid upon regular billing cycle. (As completed)
Williams Roofing to leave jobsite clean and free of debris.
**Ten year workmanship warranty on all work performed by Williams Roofing only**
Owner/Agent Contractor
Prescriptive Certificate of Com liance: Residential Reroof CF -1 R-ALT-ReRoc
Project Address:
SO IMA
Climate Zone
Permit M
I
I ROOFING PRODUCTS (COOL ROOFS) §151012
When the area of exterior root surface to be replaced exceeds 50% of the existing roof area, or 1,000 fr, whichever is less, the net
roofing area must meet the roofing product "Cool Roof"requirements of 5152(b)1H1, 152(b)iN/1, or 152(b)1H111. '
or exception below it the roof alteration Is exempt from the roofing product "Cool Roor requirements::
❑ Cod roofs not required In Climates Zones 1-12,14, and 16 with a low sloped roof pitch (lessor 2:12 pitch).
❑ Cod roofs VgJ required in Climates Zones 1-9, and 16 with a steep -sloped roofs (greater pitch than 2:12) and product weightless than 5/Ibli
Alternatives to §152(b)l HI and 1152(b)HII, Steep -slope roof (pitch > 2:12)
❑ Insulation with a thermal resistance of at least 0.85 hr-ft2-°F/Btu or at least a 3/4 inch air -space Is added to the roof deck over an attic; or
❑ Existing ducts in the attic are insulated and sealed according to §151(})10; or
❑ In climate zones 10, 12 and 13, with 1 ft2 of free ventilation area of attic ventilation for every 150 1`1:2 of attic floor area, and
where at least 30 percent of the free ventilation area is within 2 feet vertical distance of the roof ridge; or
❑ Building has at least R-30 ceiling Insulation; or
❑ Building has radiant barter in the attic meeting the requirements of §151(Q2; or
❑ Building has no ducts in the attic; or
❑ In climate zones 10, 11, 13 and 14, R-3 or greater roof deck insulation above vented attic,
Exception to §152(b)l Hill, Low -slope roof ( pitch 5 2:12)
❑ Building has no ducts in the attic.
Other Exceptions
❑ Roofing area is covered by building integrated; photovoltaic panels and solar thermal panels are exempt from the Cod Roof criteria.
❑ Roof constructions that have thermal mass over the roof membrane with at least 25 Ib/ft2 are exempt from the Cool Roof criteria.
NOTE: If any one of the alternatives or exception is checked the Aged Solar Reflectance and Thermal Emittance requirements for roofing
products in § 118(1) are not applicable. Do not fill table below.
Y TE: When a Cool Roof is required, the installing contractor shall complete and submit the CF -6R -ENV -01 for final inspection.
Declaration Statement
Roof Slope
Product Weight
Product
Aged Solar
Thermal
CRRC Product ID Number'
S 2:12 > 2:12
< 5lb/fe Z 5lb/ft2
Type2
Reflectance3,4
Emitta ce
SRIS
,I 7%:36M%❑
❑
❑
j34
113
❑
❑
❑
❑
c34
Note: if no CRRC-1 label Is available, this compliance method cannot be used, use the Performance Approach to show compliance,
1. The CRRC Product 10 Number can be'obtained from the Cool Roof Rating Council's Rat Product Directory at www.coolroob ordoroducts/search.nho
2. indicate the type of product is being used for the roof top, l.e. single -ply roof, asphalt roof, metal roof, etc.
3. If the Aged Reflectance is not available in the Cool Roof Rating Council's Rated Product Directory then use the Initial Reflectance value from the same
directory and use the equation (0.2+0.7(p, w - 0.2) to obtain a calculated aged value. Where p is the Initial Solar Reflectance.
4. Check box if the Aged Reflectance Is a calculated value using the equation above.
5. Calculate the SRI value by using the SRI- Worksheet at hUDYAm w.enerov.ca.aov/tit1e24V and enter the resulting value In the SRI Column above and attach
acopy of the SRI- Worksheet to the CF -1 R.
To apply Liquid Field Applied Coatings, the coating must be applied across the entire roof surface and meet the dry mil thickness or cover.
recommended by the coatings manufacturer and meet minimum performance requirements listed in §118(1)4. Select the applicable coating:
❑ Aluminum -Pigmented Asphalt Roof Coating ❑ Cement -Based Roof Coating ❑ Other
Y TE: When a Cool Roof is required, the installing contractor shall complete and submit the CF -6R -ENV -01 for final inspection.
Declaration Statement
• I certify under penalty of perjury, under the laws of the State of California, the information provided on this form is.accurate and complete.
• 1 certify that the energy features and performance specifications ideriiiffed
on thisCertificate of Compliance conform to the requirements of Title 24, Part!
1 and 8 of 149 California Code of Sequiatlons.
Name:
Signature:
"_. i"_ ftWf
Compare 5�ADate:
Address: �/�
F L)'"�
Licensgn, fq
`y ®(
, ^ 3
City/State2ip:753
Phones
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at. 1-800-772-3300.
0M ff
Permit g qhs
14),.-
J( IProject Address:
A. P. Number:
M
P (,.,4
City Of La Quinta
Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777.7012
Building Permit APPlication and Trackinp, %Ppr
Contractt–"-
I
T Address:City, ST,
Telephone:1�-3 l ..
jC State Lic. # : City Lic. #:
Arch., Engr., Designer:
Address:
Cit)'. ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:
Telephone # of Contact Person:
w•rier's Name:
Welt
Address:
APPLICANT:
DO NOT 1
#
Submittal
Req'd
Recd
TR
Plan Sets
Plan Check submitted
------------
Oacupanc)
Structural CBIOS.
Neu• Add'n Alter Repair Demo
Sq. Ft.: # Stories: 7—T# Units:
Reviewed, ready for co
VRIT%CKIE BELOW THIS LINE
Truss Calcs.
4CIUiVG
PERMIT FEES
Called Contact Person
Item Amount
Title 24 Calcs.
Plan Check Dieposit
Plans picked up
Plan Check fB8lance
Flood plain plan
Plans resubmitted
Grading plan
Mechanical
2" Review, ready for cc
rrections/issue
Subcontactor List
Electrical
Called Contact Person
Grant Deed
Plans picked up
S.M.I.
II.O.A. Approval
Plans resubmitted
IN HOUSE:-
Developer Impact Fee
3" Review, ready for cot
Planning Approval
A.I.P.P.
Called Contact Person
Pub. Wks. Appr
Date of permit issue
School Fees
w•rier's Name:
Welt
Address:
City, ST, Zip:
elephone:
P110Project Description:
Construction Type:
Oacupanc)
Project type (circle one):
Neu• Add'n Alter Repair Demo
Sq. Ft.: # Stories: 7—T# Units:
Estimated Value of Project: i
VRIT%CKIE BELOW THIS LINE
4CIUiVG
PERMIT FEES
Item Amount
rections
Plan Check Dieposit
Plan Check fB8lance
Construction
Mechanical
rrections/issue
Electrical
Plumbing
S.M.I.
Grading
rections/issue
Developer Impact Fee
A.I.P.P.
Total Permit Fees