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RR (12-1098)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: t 12-00001098 Property Address: 56705 MERION APN: 762 -023 -026 - Application description: RE -ROOF Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 1500 Applicant: T,iht 4 4 Q" Architect or Engineer: AIV BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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. License Class: C39 Lice.: 774482 at��ntractor: 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, 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.). (_) 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 39755 BERKEY STE. A PALM DESERT, CA 92260 Contractor: WILLIAMS ROOFING P.O. BOX 391841 ANZA, CA 92539 (760)399-9394 LiC. No.: 774482 VOICE (760) FAX (760) 7 INSPECTIONS (760) 777-7153 Date: 9/24/12 I CCT O5 2012 L CITY OF LA 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' compe tion provisions of Section - 3700ofthe Labor C111 shall orthwith co y ith those pro/i9fons. Dat�� ( scant• 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 ($100,000). 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 authorize re senta ' s of�this /county to enter upon the above-mentioned prop orN/�p�e�ction purpos DDate(o5l ignature (Applicant or Agent): �� — Application Number . . . . . 12-00001098 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 ------------------------------------------------------- Special Notes and Comments -------------------- RE -ROOF REAR PATIO FLAT DECK WITH URETHANE FOAM ROOF SYSTEM. 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 Prescriptive Certificate of Compliance: Residential Reroof CF -1 R-ALT-ReRoc Project Address:0C5 . J� Climate Zone 1 11 Permit*_6_ ROOFING PRODUCTS (COOL ROOFS) §151(012 When the area of exterior root surface to be replaced exceeds 509E of the existing root area, or 1,000 ft', whichever is less, the net, rooflng ares must meet the roofing product "Cool Roof" requirements of §152(b)1H1, 152(b)1H11, or 152(b)1H111. Check applicable alternative or exception below if the roof alteration Is exempt from the roofing product "Cool Roof" requirements:: ❑ Coot roofs 00 required in Climates Zones 1-12,14, and 16 with a low sloped roof pitch (lessor 2:12 pitch). ❑ Coot roofs flM required In Climates Zones 1-9, and 18 with a steep -sloped roofs (greater pitch than 2:12) and product weightless than 5/Ibll Alternatives to §152(b)1 HI and 1152(b)Hii, Steep -slope roof (pitch > 2:12) ❑ Insulation with a thermal resistance of at least 0.85 heft-OF/Btu or at least a 314 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(11)10; or ❑ In climate zones 10, 12 and 13, with 111112 of free ventilation area of attic ventilation for every 150 IQ 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 §15102; or O 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)1 Hill, Low -slope roof ( pitch 5 2:12) ❑ Building has no ducts In the attic. Other Exceptions ❑ Rooting area is covered by building Integrated; photovoltaic panels and solar thermal panels are exempt from the Cod Roof criteria. ❑ Root constructions that have thermal mass over the root membrane with at least 25 Ib/11:2 are exempt from the Cod 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(1) are not applicable. Do not fill table below. Nora: When a Cool Root is required, the installing contractor shall complete and submit the CF -BR -ENV -01 for final inspection. Declaration Statement Roof Slope Product Weight Product Aged Solar Thermal Addr pr)KV CRRC Product ID Numbers S 2:12 > 2:12 5lb/fe a 51bite Typ92 Reflectance3, Emitta ce SRIg Hnjp D D o D� .13 !1[33 d D D D D4 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 Council's RatedProductDirectory at www.coolroofs. oro/nroducts/search. 2. Indicate the type of product Is being used for the rooftop, i.e. single -ply roof, asphalt root, metal roof, etc. 3. 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+0.7Ip,,.w - 0.2) to obtain a calculated aged value. Where pis 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 hffoYAy vw.eneray.ca.aov/dNe24/ and enter the resulting value in the SRI Column above and attach atopy of the SRI- Wotfrsheet to the CF- iR. 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(1)4. Select the applicable coating: 0 Aluminum -Pigmented Asphalt Roof Coating D Cement -Based Roof Coating D Other Nora: When a Cool Root is required, the installing contractor shall complete and submit the CF -BR -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 identified on this Certificate of Compliance conform to the requirements of Title 24, Part! 1 and a of the California CWe of Regulations. Name: Signature: Compa D14. _ _ Addr pr)KV License: 77 77 qq� CitylS t i . � Phone��r� For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800.772-3300. \ti P.O. Box 3918411, Anza, Ca. 92539 951-763-0769 50-855 Washington St. 2c, # ]3o, La Quinta, Ca. 42253 760-344-4394 Contract #5o2 For: Monarch Management Trust, 39-755 Berkey Suite A, Palm Desert, Ca. 9226o Attn: JoAnne Rose Date: July 115, 2012 Job Addresses: 56-705 Merion, La Quinta, Ca. 92253 Schedule of extras if aoolicable: 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 vc6 or ix8 materials at $ z.50 per foot. Any damaged rafter ends will be replaced for an additional charge based on $ iog.00 each and fascia board at s n.00 per lin. Ft. Any CDX/OSB plywood to be replaced at an additional charge based on s z.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 112" on perimeter and to receive 4 gallons per every loo square feet. Remainder of roof system to receive 3 gallons per every 11oo 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 am rr City of La Quinta Building 8L Safety Division Permit # QQ P.O. Box 1504, 78-49S Calie Tampico 12- 10V 0 La Quinta, CA 92253 - (760) 777.7012 MOVE A Building Permit Application and Trarkinn ShAQr JC Project Addre! A. P. Number: Address: City. ST, Zip: Telephone: State Lic. #: Name of Contact Person: Telephone # of Contact Person: City Lic. #t: APPLICANT: DO NOT V # Contractor: Req'd Address: •1•R, Cite. ST, Zip: Plan Sets Telephone: 1616.-3 jC State Lic. # Arch., Engr., Designer: Address: City. ST, Zip: Telephone: State Lic. #: Name of Contact Person: Telephone # of Contact Person: City Lic. #t: APPLICANT: DO NOT V # Submittal Req'd Recd •1•R, 12Z Plan Sets �-5 Project Description: Plan Check submitted Structural Calcs. Reviewed, ready for cot Occupancy: Truss Calcs. Sq. Ft.: # Stories: # Units: Called Contact Person /RITE BELOW THIS LINE Title 24 Calcs. PERMIT FEES Plans picked up rections Flood plain plan Plan Check Deposit Plans resubmitted Grading plan Plan Check Balance 2"' Review, ready for co Subcontactor List Construction Called Contact Person Grant Deed Mechanical Plans picked up rections/issue ILO.A. Approval Electrical Plans resubmitted 1\ HOUSE:- Plumbing ''' Reviee, ready for cot Planning Approval S.M.I. Called Contact Person Pub. Wks. Appr Grading Date of permit issue rections/issue School Fees Developer Impact Fee wner's Name: Address:3 1 City, ST, Zip: 12Z elephone: �-5 Project Description: Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: # Units: Estimated Value of Project: /RITE BELOW THIS LINE LCKING PERMIT FEES Item Amount rections Plan Check Deposit Plan Check Balance Construction Mechanical rections/issue Electrical Plumbing S.M.I. Grading rections/issue Developer Impact Fee A.I.P.P. Total Permit Fees J