12-0959 (RR)r -
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
C
Application Number: 412-00000959
Property Address: 56025 -RIVIERA
APN: 762 -021 -013 -
Application description: RE -ROOF
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation; 1600
Tiht 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Applicant: Architect or Engineer:
-----------------------------------------------------
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.
Licensee Class: C39 License o.: 74482
/atbG —Z�r tractor
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 o 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 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.).
1 _ 1 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:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/23/12
Owner:
PGA WEST RES. II
C/O MONARCH GROUP
43875 WASHINGTON STRNWY)F
PALM DESERT, CA 9221
292012
Contractor:
WILLIAMS ROOFINGP.O. BOX 391841
ANZA,_CA 92539
(760)399-9394
Lic. No.: 774482
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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.
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
3700 of the Labor Co 1 sh I forthwith comply it ose provisions.
/te�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 ($100,0001. 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
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 building construction, and hereby authorize esentatives
of thi county to enter upon the above-mentioned property �inection purposes.. /00,
n,'�JSi ure (Applicant or Agent): v v
LQPERMIT
Application -Number
. . . . . 12-00000959
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
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Special Notes and
Comments
----------------
.RE -ROOF OVER EXISTING
WITH URETHANE
FOAM. 2010 CODES.
7 -----------------------------------------------------------------------
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
LQPERMIT
,a
P.O. Box 391841, Anza, Ca. 92539 951-763-0769
So -855 Washington St. 2c, # 13o, La Quinta, Ca 92.253 760-399-9394
Contract #4997
For: Monarch Management Trust, 39-755 Berkey Suite A, Palm Desert, Ca. 9226o
Attn: JoAnne Rose Date: July 15, 2012
Job Addresses: 56-025 Riviera, La Quinta, Ca. 92253
Schedule of extras if anDlicable:
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 $8i.00 per hour labor and 1x6 or ix8 materials at $ 2.5•:) per foot. Any
damaged rafter ends will be replaced for an additional charge based on s iog.00 each and fascia board a- s u.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 12" 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 Compliance: Residential Reroof CF -1 R-ALT-ReRoc
Project Address: f
Climate Zone
Permit A
ROOFING PRODUCTS (COOL ROOFS) §151(012
When the area of exterior root surface to be replaced exceeds 50% of the existing root area, or 1,000 It", whichever Is less, the net
rooNna area must meet the roof na Product "Cool Roof"reaulnements of 41521WHI, 1521b)1H/1, or 1521b)1H111. r
or exception below if the roof alteration is exempt
❑ Cool roofs not required in Climates Zones 1-12,14, and 16 with a low sloped roof pitch (less or 2:12 pitch),
❑ Cool roofs Ogj required In Climates Zones 1-9, and 16 with a steep -sloped roofs (greater pitch than 2:12) and product weightless than 5/Ib/l
Alternatives to §152(b)1 HI and 1152(b)Hil, Steep -slope roof (pitch > 2:12)
❑ Insulation with a thermal resistance of at least 0.85 hr-te °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 tt2 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 barrier in the attic meeting the requirements of §151(772; 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)1 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 Cool 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(f) are not applicable. Do not fill table below.
NOTE: 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
Aw_"�
Date:
�?—Ra-ia
CRRC Product ID Number'
s 2:12 > 2:12
< 5lb/ft2 Z 516/ft2
Tvpe2
Reflectance14
Emitta ce
SRIS
❑
❑
❑
❑°
.'13
Wr
❑
❑
❑
❑
❑°
1
Note. I/ no CRRC-1 label is available, this compliance method cannot be used, use the Performance Approach to show compliance,
1. The CRRC Product ID Number can be obtained from the Cool Roof Rating Council's Rat Product Directory at www.cootroofs.ora/oroducts✓search.aha
2. Indicate the type of product is being used for the roof top, 1. a. single ply roof, asphalt roof, metal root, 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 htlDYAm en ray.ca.aov/titte24V and enter the resulting value In the SRI Column above and attach
atopy of the SRI- Worksheet to the CF- i R.
To apply Liquid Field Applied Coatings, the coating must be applied across the entire roof surface and meet the dry mil thickness or covere
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
NOTE: 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 Werilifted on this Certificate of Compliance conforrri to the requirements of Title 24, Part!
1 and 6 of the California Code of Regulations.
Name:
Company:J [
I
Signature:
1224
k,
Aw_"�
Date:
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Address:
2
License: ]'
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City/S&a
tate Zi
C1 <J 1
Phone:
G
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For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800.772-3300.
Total Permit Fees
nm rt
'
City of La Quinta
n
Building & Safety Division
Permit # yq
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit APPlication and Tracking Sheet
}C
Project Address: -
wner's Name:
A. P. Number:
Address:
Legal Descri'ti n:
�
Cit}'. ST, Zip:
Contractor:
elephone:
Address:
Project Description:
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Cin', Sr, zip: N
Telephone: lb&3 l
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State Lic. # :CA;JCity
Lic. #:
Arch., Engr., Designer:
Address:
City. ST, Zip:
Telephone:
Construction Type: P Occupancy:
State Lic. #:
Project type (circle one): Ne%-.• Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project: '
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
Pian Sets
PERMIT FEES
Plan Check submitted
Item
Structural Calcs.
Reviewed, ready for corrections
Amount
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.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
v
Date of permit issue
School Fees
Total Permit Fees