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12-0964 (RR)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: r 12-00000964. Property Address: 56200 RIVIERA APN: 762 -021 -010 - Application description: RE -ROOF Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 1500 Applicant: Architect or Engineer: I ------------------ LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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, ry my License is in full force and effect. LicennseeClass: C39 License 74482 DasA�-.2ni 12_ontracIor 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, 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 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.). . (_) 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 Owner: PGA WEST RES. II C/O MONARCH -GROUP 43875 WASHINGTON PALM DESERT, CA 9 Contractor: WILLIAMS.ROOFING P.O. SOX 391841 ANZA, CA 92539 (760)399-9394 Lic. No.: 774482 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Dater 8/23/12 ' WORKER'S COMPENSATION DECLARATION Thereby 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. 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 , I s all forthwith comply with a provi 'ons. ate plicant: WARNING: FAILLZE 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 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 auth i e epresentatives of this ounty to enter upon a above-mentioned pro!:�Mon puses. at2� ignature (Applicant or AgentI. LQPERMIT Application•Number . . . 12-00000964 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.O. Box 391841, Anza, Ca. 92539 951-763-0769 So -8855 Washington St. ac, # 130, La Ouinta, Ca. 82253760-399-93 4 Contract # 002 For: Monarch Management Trust, 39-755 Berkey Suite A, Palm Desert, Ca. 9226o Attn: JoAnne Rose Date: July 15, 2012 ` Job Addresses: 56-2oo Riviera, La Quinta, Ca. 92253 Schedule of extras if aDDlicable: 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 ai $ 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 i" 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 J& Prescriptive Certificate of Comp(lance: Residential Reroof CF -1 R-ALT-ReRoc Project Address: %am Pivi-ekA Product Weight Climate Zone Permit 5 ROOFING PRODUCTS (COOL ROOFS) §151(012 When the area of exterior roof surface to be replaced exceeds 50% of the existing roof area, or 1,000 fr, whichever /s less, the net roofing area must meet the rooting product "Cool Roor,requirement* of §152(b)1H1, 152(b)1H/1, or 152(b)1H1I1. Check applicable alternative or exception below if the roof alteration is exempt from the roofing product "Cool Roof' requirements:: ❑ Cool roofs no required in Climates Zones 1-12,14, and 16 with a low sloped roof pitch (less or 2:12 pitch), ❑ Cool roofslg required in Climates Zones 1-9, and 16 with a steep -sloped roofs (greater pitch than 2:12) and product weightless than 5/Ibit Alternatives to §152(b)1 HI and §152(b)HII, Steep -slope roof (pitch > 2:12) ❑ Insulation with a thermal resistance of at least 0.85 hr•te.'F/Stu 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 ft2 of free ventilation area of attic ventilation for every 150 tt2 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 §151(1)2; 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 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. ❑ Roof constrictions that have thermal mass over the roof membrane with at least 25 Ib/tt2 are exempt from the Cool Roof criteria. tyyrc: it any one or me alternatives or exception is cnec►cev 1116 Ageo sotar rfefiecrance ana 1 normal tmmrrance requirements ror roofing products in § 118(1) are not applicable. Do not fill table below. OT When a Cool Root Is required, the installing contractor shall complete and submit the CF -OR -ENV -01 for final inspection. Declaration Statement Roof Slope Product Weight Product Aged Solar Thermal City/Stat � Phone: . 67 3941 "71,6739"3941 CRRC Product ID Number' 5 2:12 > 2:12 < 51b/le a 5lb/ftp Tvpe2 Reflectance3.4 Emitta ce SRI NOW 9`111 ❑ ❑ ❑ ❑4 . 13 ❑ ❑ ❑ ❑ ❑4 Note: if no CRRC-1 label Is available, this compliance method cannot be used, use the Performance Approach to show compliance, 1. no CRRC Product ID Number can be'obtained from the Cool Roof Rating Councils Rat Product Directory at www. coolrools.ordnroducts/search.vhc 2. Indicate the type of product is being used for the roof top, I.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„„ - 0.2) to obtain a calculated aged value. Where p is the Initial Solar Reflectance. 4. Check box if the Aged Reflectance ✓s a calculated value using the equation above. S. Calculate the SRI value by using the SRI- Worksheet at httnJAvww.eneray.ca.aov/Ntle24/and enter the resulting value in the SRI Column above and attach acopy 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 most minimum performance requirements listed in §118(1)4. Select the applicable coating: ❑ Aluminum -Pigmented Asphalt Roof Coating ❑ Cement -Based Roof Coating ❑ Other OT When a Cool Root Is required, the installing contractor shall complete and submit the CF -OR -ENV -01 for final inspection. Declaration Statement 1 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 ideriiified on this Certificate of Compliance conform to the requirements of Title 24, Part! 1 and 6 of the California Codo of Regulations. 10 Name:S 4 Signal Compal Date: Addres - license:. ]qq ga City/Stat � Phone: . 67 3941 "71,6739"3941 For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800.77-3300. atn rs Permit # \n Jt' Project Address. Number: # Submittal Plan 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 ►ty of La Quinta Building 8T Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777.7012 Building Permit APPlication and Tracking Sheet Y,6 wner's Name: I ;. l Lic. #: . ST, Zip: Description: Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. (=t.: # Stories: #Units: r Estimated Value of Projec APPLICANT: DO NOT WRITE BELOW THIS LINE Recd TRACKING Plan Check submitted Reviewed, ready for corrections Called Contact Person Plans picked up Plans resubmitted 2"' Review, ready for correctionslissue Called Contact Person Plans picked up ------------------ Plans resubmitted 'N Review, ready for corrections/issue Called Contact Person Date of permit issue PERMIT FEES Item Plan Check Deposit Plan Check Balance Construction Mechanical Electrical Plumbing S.M.I. Grading Developer Impact Fee A.I.P.P. Total Permit Fees Amount 'W NMW 7 L1 Telephone:IbL r.l �C State Lic. # Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: �r T Telephone # of Contact Person: # Submittal Plan 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 ►ty of La Quinta Building 8T Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777.7012 Building Permit APPlication and Tracking Sheet Y,6 wner's Name: I ;. l Lic. #: . ST, Zip: Description: Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. (=t.: # Stories: #Units: r Estimated Value of Projec APPLICANT: DO NOT WRITE BELOW THIS LINE Recd TRACKING Plan Check submitted Reviewed, ready for corrections Called Contact Person Plans picked up Plans resubmitted 2"' Review, ready for correctionslissue Called Contact Person Plans picked up ------------------ Plans resubmitted 'N Review, ready for corrections/issue Called Contact Person Date of permit issue PERMIT FEES Item Plan Check Deposit Plan Check Balance Construction Mechanical Electrical Plumbing S.M.I. Grading Developer Impact Fee A.I.P.P. Total Permit Fees Amount