12-0955 (RR)P.O. BOX 1504 -
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: C-12-00000955
Property Address: 56080 RIVIERA
APN: 762-021-005- - -.
Application description: RE -ROOF
Property Zoning: LOW DENSITY. RESIDENTIAL
A liratjnn ;raji lStinn; Ir -00
..rr-..-
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
PGA WEST RES. II.
C/O MONARCH GROUP
43875 WASHINGTON STREET STE C
PALM DESERT,CA 92211
f II
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/23/12
Contractor: I IAUG .9 p grail
Applicant: Architect or Engineer:
WILLIAMS ROOFING J
�i
P.O. BOX 391841
ANZA, CA 92539 CITY OF LAQUINTA
(760) 399-9394 FINANCE DEPT.
Y�
Lic. No.: 774482
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LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION ,
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
_ 'I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
Lic nse Class: C3 9. License : 7714 2
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
-
issued.
Date ontractor:
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 workerscompensation
t? OWNER -BUILDER DECLARATION
insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
Carrier STATE FUND Policy Number 1890178-2011
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to
_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
person in any manner so as to become subject to the workers' compensation laws of California,
' permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
and agree that, if I should become subject to the workers' c pensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
3700 of the Labor Co comply with t r7ons.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
Khwith
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
Datr� • 1 lican • -
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
WARNING: FAILLAE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
" and who does the work himself or herself through his or her own employees, provided that the
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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.)
APPLICANT ACKNOWLEDGEMENT
(_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
conditions and restrictions set forth on this application. -
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
1. Each person upon whose behalf this application is made, each person at whose request and for
pursuant to the Contractors' State License Law.)•
whose benefit work is performed under or pursuant to any permit issued as a result of this application, ,
(_ 1 I am exempt under Sec. , BAP.C. for this reason
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.
Date: Owner:
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
CONSTRUCTION LENDING AGENCY
permit to cancellation.
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
I certify that I have read this application and state that the above information is correct. I
Comply withallwork
for which this permit is issued (Sec. 3097, Civ. C.)•
city and county ordinances and state laws relating to buildi construction, and hereby aut re entames
ag�rto
oft ' county to enter u on the above-mentioned propertyaction pu oses.
Lender's Name:
•
ai8e' gnature (Applicant or Agent):.
Lender's Address: '
LQPERMIT
LQPERMIT
Application Number . . . . . 12-00000955
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. 2Q10 CODES.
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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
P.O. Box 39184i, Anza, Ca. 92539 951-763-0769
_So�85S Washington St. Zc, #iso, La�,uinta, Ca. 922 � 760-399-9392
Contract #4493
For: Monarch Management Trust, 39-755 Berkey Suite A, Palm Desert, Ca. 9226o
Attn: JoAnne Rose Date: July 15, 2012
Job Addresses: 56-o8o Riviera, La Quinta, Ca. 92253
Schedule of extras if aDnlicable:
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 s8i.00 per hour labor and 1x6 or ix8 materials at $ 2.50 per foot. Any
damaged rafter ends will be replaced for an additional charge based on $ ioq.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.o 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/
Prescriptive Certificate of Compliance: Residential Reroof CFA R-ALT-ReRqc
Protect Address:_.: _ _ _ _ i7 t I I Climate Zon-s I Permit 0
ROOFING PRODUCTS (COOL ROOFS) §151(012
IWhen the area of exterior root surface to be replaced exceeds 50% of the existing root area, or 1,000 ft`, whichever is leas, the ne%
roofing area must meet the roofing product "Cool Roof 'requirements of §152(b)1H1, 152(b)1Hll, or, 152(b)1H/11.
or exception below it the roof alteration Is exempt from the roofing product "Cool Roof' requirements:,
❑ Cool rodfs not required In Climates Zones 1-12,14, and 16 with a low sloped roof pitch (less or 2:12 pitch).
O Cod roofs >I required in Climates Zones 1-9, and 16 with a steep -sloped roofs (greater pitch than 2:12' and product weight less than 5/Ib/t
Alternatives to §152(b)1Hl and §152(b)Hil. 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(910; or
❑ In climate zones 10, 12 and 13, with 1 it2 of free ventilation area of attic ventilation for every 150 ft2 of atk: 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(92; 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 S 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.
❑ Root constructions that have thermal mass over the roof membrane with at least 25 Ib/it2 are exempt from the Cool Roof criteria.
NOTE: If any one of the alternatives or exception is checked the Aged Solar Reflectance and Thermal Emiltance requirements for roofing
products in § 118(1) are not applicable. Do not fill table below.
y=. 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
Name:
CRRC Product ID Number
5 2:12 > 2:12
< 5lb/ft2 z 516/ft2
T e2
RefleCtance3.4
Emitta ce
SRI
Q(0rW':1QMq HfueT
13
13
13❑4
-'i3
_'19—
Cl
(3
[3
[14
Note. If no CRRC-1 label Is available, this compliance method cannot be used, use the Performance Appioach to show compliance,
1. The CRRC Product ID Number can be obtained from the Cool Roof Rating Council's Rat Product Directory at wmrcookwls.g=roducts/search.nho
2. Indicate the type of product is being used for the roof top, 1. 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 hthD1Affww.enerov.ca.00v/title241 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 coven
recommended by the coatings manufacturer and meet minimum performance requirements listed in §118(IJ4. Select the applicable coating:
❑ Aluminum -Pigmented Asphalt Roof Coating ❑ Cement -Based Roof Coating ❑ Other.
y=. 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.
• I certify that the energy features and performance. specifications ideriiified on this Certificate of Compliance conform to the requirements of Title 24, Part!
1 ancLO of the Callfomla.Code of R ulations.
Name:
Signature:
�go*
.Company: S
Address.
License: P1 r1 9/ (tM
City/State)
- ZRIA. 02.
Phone: /-t W-3 3— q3 q y
For assistance or questions regarding the Energy Standards, contact the Energy Hotline st: 1-800.772-3300.
aln ;sr
City of La Quinta
• Building et Safety Division
Permit # ACj P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777.7012
Building Permit Application and Tracking Sheet
Je Project Address
Ener's Name:
A. P. Number: .t.. .
Total Permit Fees
`- — ---
Contractor:
t
City, ST, Zip:
elephone:
jC
Address:
Project Description:
Construction Type: Occupancy:
City, ST, Zip:
Telephone:��-,3�..:..........::..;:::.:..:.::;;.:
State Lic. # :
City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
:.
State Lic. #:
Project type (circle one): NewAdd'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.:
#Stories:
#Units:
Telephone # of Contact Person:
Estimated Value of Project: '
N
Submittal
Plan Sets
Req'd
APPLICANT:
Recd
DO NOT WRITE BELOW THIS LINE
TRACKING
Plan Check submitted
PERMIT FEES
Item
Amount
Structural CaleS.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check glance
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.
II.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
3" Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
School Fees
Date of permit issue
Total Permit Fees