RR (12-1102)., _ CZ.
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T_&f
"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7:
FAX (760) 777-70
INSPECTIONS (760) 777-7153
Date: 9/24/12
Application Number: 12-00001102 Owner:
Property Address: 56710 MERION PGA WEST RES II
APN: 762-032-004- - - 39755 BERKEY STE. A
Application description: RE -ROOF PALM DESERT, CA 92260
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 1500
"CITFINANCE
Contractor:
Applicant: Architect or Engineer: WILLIAMS ROOFING
P.O. BOX 391841ANZA, CA 92539 (760)399-9394
LiC. No.: 774482
-------------------------------------------------------------------------------------------------
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 EftsinessZandPfessionals 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
L� lass: C39 License No.: 774482 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
/ �( issued.
6�v ontractor: V"'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 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' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the LaborMIallhwitomply with those provisions.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by^'1any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: atjes , it cant:/l
1 _ 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: 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 _ 1 1, 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
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
cityFadounty ordinances and state laws relating to build' construction, and hereby authorize resentatives
un y to ter on the above-mentioned grope r spection pu oses.
e: ignature (Applicant or Agent l:
Application Number
. . . . 12-00001102
Permit . . . RE -ROOF
Additional desc . .
Permit Fee . . . . 30.00
Issue Date . . . .
Expiration Date . . 3/23/13
Plan Check Fee . . :00
Valuation . . . . 0
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.
-------------------------------------------------------------------=--------
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:f1gsidential Reroof CF -1 R-ALT-ReRac
Project Address: 50 L `) --- - IVI Moo
Climate Zone
Permit 0 ,
ROOFING PRODUCTS (COOL ROOFS) §151012
When the area of exterior root surface to be replaced exceeds 509E of the existing root area, or 1,000 fe, whichever is lose, the net
roofing area must meet the roofing product "Cool Roof" requirements of s152(b)1H1, 152(b)1H11, or 152(b) M111.
Check applicable alternative or exception below it the roof alteration Is exempt from the roofing product "Cool Roof" requirements::
❑ Cool roofs ao required in Climates Zones 1-12,14, and 16 with a low sloped roof pitch (less or 2:12 pitch).
❑ Cool roofs agi required in Climates Zones 1-9, and 16 with a steep -sloped roofs (greater pitch than 2:12) and product weightless than 5/lbll
Alternatives to §152(b)1H1 and §152(b)Hii, Steep -slope roof (pitch> 2:12)
❑ Insulation with a thermal resistance of at least 0.85 heft-°F/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(910; or
❑ In climate zones 10, 12 and 13, with 111112 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, 113 and 14, R-3 or greater roof deck insulation above vented attic.
Exception to §152(b)1Hi11, Low -slope roof ( pitch 5 2:12)
❑ Building has no ducts in the aft.
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 least 26 Iblft2 are exempt from the Cool Root 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.
bf: When a Cool Roof is required, the Mnsfalfing contractor shag complete and submit the CF -BR -ENV -01 for final inspection.
Declaration Statement
Roof Slope
Product Weight
Product
Aged Solar
Thermal
p
110
CRRC Product iD Number'
s 2:12 > 2:12
< 51b/11:2 Z 5lb/fe
TVpe2
Reflectance ,4
Emittarice
SRI
13
13
13
134A3
❑
❑
❑
❑
❑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 Council's Rated Product Directory atwww.coolroots.orgk02M&ts/sgaroh.nhv
2. Indicate the type of product Is being used for the rooftop, 1. e, single -ply root, asphalt root, 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 hifyiAi ww.eng .ca.oOy/hYle24/ 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 most the dry mil thickness or coven
by the coatings manufacturer and meet minimum performance requirements listed in §118(1)4. Select the applicable coating:
❑ Aluminum -Pigmented Asphalt Roof Coating ❑ Cement -Based Roof Coating ❑ Other
IL
bf: When a Cool Roof is required, the Mnsfalfing contractor shag 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 6 of the Califomla Cmole of Regulations.
Name: lAh
hm"'c'—
Signature: -' ,f
Compa
p
110
AddrLicense:
FA)
city/ lwh.
Phone%6`3
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800.772-3300.
Dov
1IMP.O. Box 391841, Anza, Ca. 92539 951-763-o769
So-855 Washington St. 2C,# Bo, La Quinta, Ca. 92253 760-399-939
Contract #Sop
For: Monarch Management Trust, 39-755 Berkey Suite A, Palm Desert, Ca. 9226o
Attn: JoAnne Rose Date: July 15, 2012
Job Addresses: 56-710 Merion, 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 ix6 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 $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 "' 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
Total Permit Fees
City Of La Quinta
Building 8t Safety Divislon
Permit #
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777.7012
Building Permit Application and Tracking Sheet
JC
Project Address:
«•per's Name:
A. P. Number:
Address:3 q 5 - �u�
Legal Descri'ti n:
Cit}•. ST, Zip: /'^ q
Contractor:
' ( I
elephone:
��
40
Address:
`
Project Description:
Cite, ST, Zip:
p
Telephone:1--31 —
�j
1
jC
State Lic. #:-1
City Lic. #:
Arch., Engr., Designer:
Address:
City. ST, Zip:
Telephone:
Construction Type: Occupancy;
State Lic. #:
Name of Contact Person:
Project type (circle one): New Add'n Alter Repair Demo
�y
T
Telephone # of Contact Person:
Sq. Ft.: # Stories: # Units:
— —
Estimated Value of Project: w
APPLICANT: DO NOT WRITE BELOW THIS LINE
ft Submittal Rcq'd
Recd TRACKING
Plan Sets
PERMIT FEES
Plan Check submitted
Item
Structural Calcs.
Amount
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 2i Calcs.
Plans picked up
Flood plain plan
Construction
Plans resubmitted
Mechanical
Grading plan
2"Review. ready for corrections/issue Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
SAM.
II.O.A. Approval
Plans resubmitted
Grading
1N' HOUSE:-
'" Review, ready for corrections/issue Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
T4hf 4 4 Q"
Address ss 56-n0 prion
Address
Owner
$i1Tl1" i se Cmany
mauing
Address 42-6W CWk Street, SUit.e 200
City lZip ITel.
P.O. BOX 1504
78-105 CALLE ESTADO
LA QUINTA, CALIFORNIA 92253
ContractorNatiod& Lind I NoT tgage
Address
ty jZip I Tel.
State Lic. City
& Classif. 2M130 Lic. # 3280
Arch., Engr.,
Designer
Address Tel.
CityI Zip I State I
Lic. #
11 LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section
7000) of Division 3 of the Businessend Professions Code, and my license/is in full force and
effe�,
_SIGNATURE
l OWNER -BUILDER DECLARATION
I hereby affirm that l am exempt from the Contrao(or s License Law for the following
reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to file a signed statement that he is licensed pursuant to
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) of
Division 3 of the Business and Professions Code, or that. he 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 (8500).
❑ 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, Buisness and
Professions Code: The Contractor's License Law does not apply to an owner of property who
builds or improves thereon and who does such work himself or through his own employees,
provided that such 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 did not build or improve for the purpose of sale.)
O I, as owner of the property, am exclusively contracting with licensed contractors to con-
struct the project. (Sec. 7044, Business and Professions Code: The Contractor's License Law
does not apply to an owner of property who builds or improves thereon, and who contracts for
such projects with a contractor(s) licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec. B. & P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.)
Policy No. Company
❑ Copy is filed with the city. ❑ Certified copy is hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed if the permit is for one hundred dollars ($100) valuation
or less.)
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.
Date Owner
NOTICE TO APPLICANT: If, after making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions of the Labor Code, you must forthwith
comply with such provisions or this permit shall be deemed revoked.
CONSTRUCTION LENDING AGENCY
Ihereby affirm that there is a construction lending agency for the performance of the
work for which this permit is issued. (Sec. 3097, Civil Code.)
Lender's Name
Lender's Address
This is a building permit when properly filled out, signed and validated, and is subject to
expiration if work thereunder is suspended for 180 days.
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 representatives of this city to enter the above-
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
No. 47634
14 --7t1
BUILDING: TYPE CONST. OCC. GRP.
A.P. Number
Legal Description Treet 2%99-'x
Project Description Phase 614 Flan HIM
Sq. Ft. 2353 No. No. Dw.
Size Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
Estimated Valuation $170,470
PERMIT
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
0,04
Const.
8M.00
Mech.
70.50
Electrical
113.47
Plumbing
50
S.M.I.
It 97
Grading
Driveway Enc.
Infrastructure
60 atom
Infro Due*917.50
TOTAL
3,$78, -mac'' -79 , �? O
REMARKS n _� x re n .r�-�c,_A r S iJ
lo.. W I 7314 1 � 15U M ed
ZONE: BY:
Minimum Setback Distances:
Front Setback from Center Line
Rear Setback from Rear Prop. Line
Side Street Setback from Center Line
Side Setback from Property Line
FINAL DATE INSPECTOR
Issued by: Date 4/23/90Permit
Validated
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. @ $
2ND FL. SO. FT.
POR. SQ. FT. @
GAR. SO, FT, @
CAR P. SQ. FT. @
WALL SQ. FT. @
SQ FT @
ESTIMATED CONSTRUCTION VALUATION $
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN.
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
BONDING
FLOOR DRAIN
MECHANICAL FEES
FORMS
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
AS (ROUGH) - _
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
OTHER APPJEQUIP.
LAUNDRYTRAY
AIR HANDLING UNIT CFM
I
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR HP
POLE,TEMIPERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER. B.T.U.
SQ. FT. @ c
BATH TUB
FINAL INSP. l
SQ. FT. @ c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID @ 11/. c
SEWAGE DISPOSAL
SQ.FT.GAR @ V4c
HOUSE SEWER
VENTILATION
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
AROUND PLUMBI
UNDERGROUND
A.C. UNIT
COLL. AREA
SLAB GRADE
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
FORMS
E R OR SP fE
ROUGH WIRING.
DUCT WORK
ROCK STORAGE
OUND. REINF. S �Y / 1
JJJ
AS (ROUGH) - _
METER LOOP
HEATING (FINAL)
OTHER APPJEQUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
GRADING
cu. yd.
$ plus x$
_$
LUMBER GR.
FINAL INSP. l
FRAMING •
FINAL INSP.
fj-1
ROOFING :7-1 '
^'
/[
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
LATHING t7 —'
MESH
1SULATIONISOUN -.6
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
'
INSPECTOR'S SIGNATURES/INITIALS
GARDEN WALL FINAL