12-0961 (RR)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: t 12-00000961 )
T4'!� 4 XP Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT .
Property Address:
56125 RIVIERA
APN:
762-021-018- - -
Application description:
RE -ROOF
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
1500
Applicant: A)
Architect or Engineer:
alp
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.
OWNER -BUILDER DECLARATION
Fhereby 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 700011 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 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 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.).
( 1 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 Name:
Lender's Address:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
8/23/12
Owner: IPFAUG
PGA WEST RES.'II
C/O MONARCH GROUP
43875 WASHINGTON STREET STE C f 2 n 20`2
PALM DESERT, CA 92211 c7
CIN OF L� Q INT,gUrAlT,qu
LIMA n�..� _
Contractor:
WILLIAMS ROOFING
P.O.'BOX 391841
ANZA, CA 92539
(760)399-9394
Lic. No.: 774482
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 Cof 1 s 11 forthwithFomply wit os e ovisions.
Dat plicant:
WARNING: FAIL RE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 1$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 buildin construction, and hereby auto ize representatives
of this county to enter upon the above-mentioned propert in ection pur ses.
nature (Applicant or Agent):
Application Number . . . . . 12-00000961
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 . . I . . . 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 391841, Anza, Ca. 92539 951-763-o'769
5o-855 Washington St. 2C,# 130. La Quinta, Ca. X53 760-399- c�a
Contract #4449.
For: Monarch Management Trust, 39-755 Berkey Suite A, Palm Desert, Ca. 9226o
Attn: JoAnne Rose Date: July 15, 2012
Job Addresses: 56-125 Riviera, La Quinta, Ca. 92253
Schedule of extras if applicable: t
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 ix6 or ix8 materials at $ 2.50 per foot. Any
damaged rafter ends will be replaced for an additional charge based on $ iog.00 each and fascia board at s ii.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:Liviegn
Climate Zona
Permit It f
i)
I ROOFING PRODUCTS (COOL ROOFS) §151(1)12
When the area of exterior roof surface to be replaced exceeds 50% of the existing roof area, or 1,OA0 ft', whichever /s less, the net
roofing area must meet the roofing product "Cool Roof 'requirements of §152(b)1H1, 152(b)MY, or 152(b)1H1/1.
Check applicable alternative or exception below if the roof alteration is exempt from the roofing product "Cool Roof" requirements::
❑ Cool rodfs to required in Climates Zones 1-12,14, and 16 with a tow sloped roof pitch (less or 2:12 pitctd.
❑ Cool roofs Lgi required In Climates Zones 1-9, and 16 with a steep -sloped roofs (greater pitch than 2:12) and product weightless than 5/Ibii
Alternatives to §152(b)1 HI and §152(b)Hil, Steep -slope roof (pitch s 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 tc the roof deck over an attic:; or
❑ Existing ducts In the attic are insulated and sealed according to §151(1)10; or
❑ In climate zones 10, 12 and 13, with 10:2 of free ventilation area of attic ventilation for every 150 N2 of aft. 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 §15102; 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)1Hill, 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 251b/ft2 are exempt from the Cool Roof criteria.
NO N 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.
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
CRRC Product ID Number'
s 2:12 > 2:12
< 5lb/ft2 a 51b/tt2
T e2
Reflectance"'
Emitta ce
S
SRI
City/Stat
63m
Phone:
2S3 i6Gr� �y
13
13
13
❑4
1,3
❑
❑
❑
❑
❑4
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 ID Number can be obtained from the Cool Roof Rating Councils Rat Product Directory at www.cookwts.ordproducts✓search.vho
2. Indicate the type of product is being used for the roof top, Le. single -ply roof, asphalt roof, metal roof, etc.
. If the Aged Reflectance is not available in the Cool Roof Rating Council's Rated Product Directory then use the Initial Mflectance 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 Rellisctance.
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 hffDYAMM eneray.ca. aov/tltle24/ and enter the resulting value bt the SRI Column above and attach
acopy of the SRI- Worksheet to the CF- t 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)41 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 Califomia, the information provided on this form is.accurate and complete.
• I certify that the energy features and performance specifications identified on thisCertificate of Compliance confonri to the requirements of Title 24, Part!
1 and 8 of the Californlaic of R ulatlons.
Name*
Signature:
Compo
� S
� Date:
Address ' Q e-3 ('l
t.icensa^n . J
, I 6 -1 qga
City/Stat
63m
Phone:
2S3 i6Gr� �y
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at. 1-80t -772-3300.
tsrn rr '
Permit rd P
l
JC Project Address.
A. P. Number:
# Submittal
Pian Sets
Structural Calcs.
Truss Calcs.
Title 24 Calcs.
Flood plain plan
Grading plan
Subcontactor List
Grant Deed
H.O.A. Approval
IN HOUSE: -
Planning Approval
Pub. Wks. Appr
School Fees
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 Tracking Sheet
C//'C, wner's Name: PKE I ii C
ST, Zip:
ect Description:
Lic. #:
ContVZip:
1W
Addr
City,
New Add'n Alter Repair Demo
Telephone: 2+E3l ,I
jC
State Lic. # ;
# Units:
Arch., Engr., Designer:
Estimated Value of Project:
Address:
City. ST, Zip:
TRACKING
Telephone:
State Lic. #:
HERMIT FEES
Contact Person:
�rFNameof
Tone
# of Contact Person:
# Submittal
Pian Sets
Structural Calcs.
Truss Calcs.
Title 24 Calcs.
Flood plain plan
Grading plan
Subcontactor List
Grant Deed
H.O.A. Approval
IN HOUSE: -
Planning Approval
Pub. Wks. Appr
School Fees
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 Tracking Sheet
C//'C, wner's Name: PKE I ii C
ST, Zip:
ect Description:
Lic. #:
Total Permit Fees
Construction Type:
Occupancy:
Project type (circle one):
New Add'n Alter Repair Demo
Sq. Ft.:
# Stories:
# Units:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
Recd
TRACKING
HERMIT FEES
Plan Check submitted
Item
Amount
Reviewed, ready for corrections
Plan Check Deposit
Called Contact Person
Plan Check Bance
Plans picked up
Construction
Plans resubmitted
Mechanical
2" Review, ready for corrections/issue
Electrical
Called Contact Person
Plumbing
Plans picked up
S.M.I.
Plans resubmitted
Grading
Review, ready for corrections/issue
Developer Impact Fee
Called Contact Person
A.I.P.P.
Date of permit issue
Total Permit Fees