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12-1090 (RR)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T -&t °f XP Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/24/12 Application Number: 12-00001090 Owner: Property Address: 56445 RIVIERA PGA WEST RES II APN: 762-022-007- - - 39755 BERKEY STE. A Application description: RE -ROOF PALM DESERT, CA 92260 Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 1500 e Contractor: D Applicant: Architect or Engineer: WILLIAMS ROOFING OCT O P.O. BOX 391841 4 1 ANZA, CA 92539 _ �1 (760) 399-9394 CITY OF LP►QUINY'k PIPLiC. No.: 774482 FMINgNCEDEP. ---------------=-----------------------------'--------------=--------------=---------------------- 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 m icense is in full force and effect._ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided Lice a Class: C3 9 Li ense No:: 448 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is .11 issued. Date o actor: Y-1 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 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 FOND 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 beco a subject to the workers' compens ion ovisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor C e', sh j orthwith com with =those n 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).:/t�plicant: I _) 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 WARNING: FAILURE 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.). (_ 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. , 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 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 authori Zentativas of this county to enter upon the above-mentioned property for nspection purp ses. t �;L gr nature (Applicant or Agent): Application Number . . . . . 12-00001090 Permit . . . RE -ROOF Additional desc . . Permit Fee . . . . 30.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 3/23/13 Qty Unit Charge Per Extension BASE FEE 30.00 ----------------------------------------------7----------------------------- Special Notes and Comments RE -ROOF REAR PATIO FLAT DECK WITH URETHANE FOAM ROOF SYSTEM. 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 LQPERMIT Prescri tive Certificate of Compliance: Residential Reroof CF-IR-ALT-ReRoc Project Addres / Climate Zone 2 PermitIb 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 fe, whichever is less, the net, rooting ares must meet the fooling product "Cool Roor requirements of §152(b)1H1, 152(b)1H/l, or 152(b)1H/N. Check applicable alternative or exception below it the roof alteration is exempt from the roofing product "Cool Roof' requirements:: ❑ Cool roofs no required in Climates Zones 1-12,14, and 18 with a low sloped roof pitch (less or 2:12 pitch). ❑ Cod roofs MgI required in Climates Zones 1.9, and 18 with a steep -sloped roofs (greater pitch than 2:12) and product weight less than 511b/I Alternatives to §162(0)1 HI and §152(b)HII, Steep -slope roof (pitch > 2:12) 13- Insulation with a thermal resistance of at least 0.85 heft-OF/Btu or at least a 3/4 inch airspace 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 ft2 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(92; or ❑ Building has no ducts in the attic; or ❑ In climate zones 10, 11, 13 and 14, R-3 or greater root deck Insulation above vented attic. - Exception to §152(b)l Hill, Low -slope root ( 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 root membrane with at toast 28 tbM2 are exempt from the Cool Root criteria. NOTE: If any one of the alternatives dr 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 Root is required, the Mnsfalling contractor shall complete and submit the CF-MENV-01 for final inspection. Declaration Statement Roof Slope Product Weight Product Aged Solar Thermal - D CRRC Product ID Number' S 2:12 > 2:12 < 5lb/ft2 z 51b/fe T ez Refiectance3'4 Emitta ce SRIs ❑ ❑ ❑4 .'13 ❑ I❑ ❑ ❑ ❑ ❑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 Cod Roof Rating Councills RatedProduct0rectory at www.coobnoib otg62o2ducts/seamh.nha 2. Indicate the type of product is being used for the roof top, i.e. single -ply roof, asphalt root, metal root, etc. . . If the Aged Reflectance is not available in the Cool Root 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 hM2YAvww.enMca.ggy/title241 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 covers recommended by the coatings manufacturer and meet minimum performance requirements listed in §118(1)4. Select the applicable coating: 0 Aluminum -Pigmented Asphalt Roof Coating ❑ Cement -Based Roof Coating ❑ Other NOTE: When a Cool Root is required, the Mnsfalling contractor shall complete and submit the CF-MENV-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. • t certify that the energy features and performance specifications identified on this- Certificate of Compliance conform to the requirements of Title 24, Part! 1 and a of the Califomla Qbde of Regulations. Name: 10 hm,<� Signature: Compa - D Addr License: t / 5iPhone y City/S#0 For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300. MUNOP.O. Box 39184i, Anza, Ca. 9z539 951-763-0769 _So 855 Washington St. 2C,# 130, La Quinta, Ca. 92253 760-399-93c�4 Contract #5021 For: Monarch Management Trust, 39-755 Berkey Suite A, Palm Desert, Ca. 9226o Attn: JoAnne Rose Date: July 15, 2012 Job Addresses: 56-445 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 $8i.00 per hour labor and 1x6 or 1x8 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 $ ia.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. BM I City Of La Quinta Building 8t Safefy Division Permit #0 P.O. Box 1504, 78-495 Calle Tampico '2 La Ouinta, CA 92253 - (760) 777.7012 Building Permit Application and Tracking Sh o nr JlC Project Address A. P. Number: a Submittal i Plan Sets Structural Calcs. Truss Calcs. Title 24 Calcs. Flood plain plan Grading plan Subcontactor List Grant Deed KI.O.A. Approval IN' HOUSE: - Planning Approval Pub. ��'ks. Appr School Fees U Cily Lic. #: APPLICANT: DO N Recd Place Check subm Reviewed, ready 1 Called Contact Pe Plans picked up Plans resubmitted 2"' Review. ready Called Contact Pe. Plans picked up Plans resubmitted 3"' Review, ready f Called Contact Pa Date of permit issu Contractor: Address: Address: 3 (� r 5 Sul City, ST, Zip: City, ST, Zip: Telephone: W-3,91-1 jC State Lic. # : I Arch., Engr., Designer: Project Description: Address: City. ST, Zip: Tcicphonc: Occupancy: State Lic. #: Sq. Ft.: Name of Contact Person: T Telephone # of Contact Person: a Submittal i Plan Sets Structural Calcs. Truss Calcs. Title 24 Calcs. Flood plain plan Grading plan Subcontactor List Grant Deed KI.O.A. Approval IN' HOUSE: - Planning Approval Pub. ��'ks. Appr School Fees U Cily Lic. #: APPLICANT: DO N Recd Place Check subm Reviewed, ready 1 Called Contact Pe Plans picked up Plans resubmitted 2"' Review. ready Called Contact Pe. Plans picked up Plans resubmitted 3"' Review, ready f Called Contact Pa Date of permit issu w•ner's Name: Address: 3 (� r 5 Sul City, ST, Zip: elephone: Project Description: Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: #Units: Estimated Value of Project: DT WRITE BELOW THIS LINE TRACKING PERMIT FEES ttcd item Amount )r corrections Plan Check Deposit rson Plan Check Balance Construction Mechanical or corrections/issue Electrical son Plumbing S.At.I. Grading it corrections/issue Developer Impact Fee son A.I.P.P. Total Permit Fees