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RR (12-1105)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 12-00001105 Property Address: 56765 MERION APN: 762 -023 -029 - Application description: RE -ROOF Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 1500 Titvl 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: PGA WEST RES II 39755 BERKEY STE. A PALM DESERT, CA 92260 VOICE (760) 777 - FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/24/12 Contractor: Applicant: Architect or Engineer: WILLIAMS ROOFING [rte P.O. BOX 391841 ANZA, CA 92539 OCT 05 2012 (760)399-9394 pJ/) LiC. No.: 774482 CITY OF LA QUINTA /` FINANCE DEPT. / ------------- -------------------------- -------------- ----------------------------------------- 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 LiEense No.: R 74482 Z��tractor: W 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.). (_) 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 _ 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 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. 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 provision Section 3700 of the Labor e, shall forth h comply with those provis' Oat!' pplicant: WAR SUBJECT FAECURE 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 autho ' a representatives oMunty� e t upon the above-mentioned propertl r in ction purposes. i lure IApplicant or Agent): Application Number . . . . . 12-00001105 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. ---------------------------------------------------------------------------- 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 ProJeat Address: Climate Zona Permit e ROOFING PRODUCTS (COOL ROOFS) §151(1)12 when the area of exterior root surface to be replaced exceeds 50% of the existing roof area, or 1, 000 ff , whichever is less, the nei rooting eros mint meet the rooting product "Cool Roof" requirements of §152(b)1H1, 152(b)1Hll, or 152(b)1HIIl. applicable alternative or exception below it the roof alteration is exempt from the requirements:, ❑ Coot roofs ag required In Climates Zones 1-12,14, and 16 with a low sloped roof pitch (less or 2:12 pitch). ❑ Cod roofs M required In Climates Zones 1-9, and 16 with a steep -sloped roofs (greater pitch than 2:12) and product weightless than 5A13/I Alternatives to §152(b)1 HI and 1152(b)HII, Stsep-slope roof (pitch > 2:12) ❑ Insulation with a thermal resistance of at least 0.85 heft-OF/Btu 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(1)10; 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(02; or ❑ Building has no ducts in the attic; or ❑ In climate zones 10, 11, 13 and 14, R-3 or greater rod 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 Cod Roof criteria. ❑ Roof constrictions that have thermal mass over the root membrane with at toast 26 lbitt2 are exempt from the Cod Roof criteria. NOTM, N any one of the alternatives or exception is checked the Aged Solar Reflectance and Thermal Emittance requirements for rooting products in § 118(1) are not applicable. Do not fill table below. NQTL=: When a Cool Roof is required, the installing contractor shag complete and submit the CF -6R -ENV -01 for final inspection. Declaration Statement Roof Slope Product Weight Product Aged Soar Thermal Comps CRRC Product ID Number~ s 2:12 > 2:12 < 5lb/ft2 2 5161W T 2 Reffectance''4 Emitta ce SRI 13 13 110 ❑4 13 ❑ ❑ ❑ ❑ ❑4 Note: It no CRRC-f 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 RatingCouncillsRated Product Dtnsctory at 2. Indicate the type of product is being used for the roof top, i.e. single -ply roof, asphalt root, metal root; etc. 3. If the Aged Reflectance is not available in the Cool Roof Rating Council's Rated Product Directory then use the Initial Reltectance value from the same directory and use the equation (0.2+0.7(p. ,■, - 0.2) to obtain a calculated aged value. More 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 htfDJ enerw.ca.00v/dt/e24/ and enter the resulting value in the SRI Column above and attach acopy of the SRI- Worksheet to the CF- f 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)4. Select the applicable coating: Aluminum -Pigmented Asphalt Roof Coating ❑ Cement -Based Roof Coating ❑ Other NQTL=: When a Cool Roof is required, the installing contractor shag 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 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 8 of the Califomla COde of Regulations. Name: hams - Signature: Comps 12 DAW q- Addr license: City/ t i . L­�j -1 N 14 . --f Phone{ For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300. \o0 - - 4fto 'W'' ft- 0A 0P.0. Box 391841, Anza, Ca. 92539 951-763-0769 5o-855 Washington St. 2c, # 13o, La Quinta, Ca. 92253 760-399-9314 Contract #5035 For: Monarch Management Trust, 39-755 Berkey Suite A, Palm Desert, Ca. 9226o Attn: JoAnne Rose Date: July 15, 2012 job Addresses: 56-765 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 $81.00 per hour labor and 1x6 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 $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 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 f City of La Quinta Building 8T Safety Division Permit # P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777.7012 Building Permit Application and Tracking Sheet fir' Project Address: O tvner's Name•. A. P. Number: Total Permit Fees Cit}, ST, Zip: IVA ( a 1� f Contractor: ' elephone: 1W Address: ` Project Description: � City, ST, Zip: Telephone:1--J� , ...:.:.........:....... . . �C State Lic. # : Lj-City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: Construction Type: Occupancy State Lic. #: Project type (circle one): Nc%V Add'n Alter Repair Demo Name of Contact Person: S Sq. Ft.: �r T Telephone # of Contact Person: — # Stories: # Units: Estimated Value of Project: I APPLICANT: DO NOT WRITE BELOW THIS LINE a Submittal Req'd Recd TRACKING Plan Sets PERMIT FEES Plan Check eubmittcd Item Structural Calcs. Reviewed, ready for corrections Amount • Plan Check Deposit Truss Calcs. Called Contact Person Title 24 Calcs. Plans picked up Flood plain plan Construction MElectricai Plans resubmitted Grading plan 2"' Review, ready for corrections/issue Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up 111-O.A. Approval Plans resubmitted Grading IN 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 Building Address 56-765 Mer ion Owner Sunrise Canna T 0 0 4&f 4 4Qw P.O. BOX 1504 78-105 CALLE ESTADO LA QUINTA, CALIFORNIA 92253 maning Address 42-600 Cook Street Suite 200 City Zip Tel. Palm Desert 32260 568-2828 Contractor Iationa.l .Mortgage & Land l= State Lic. City & Classif. M130 Lic. # Arch:, Engr., Designer Address Tel. City( Zip ( State I Lic. # 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 Business and Professions Code, and my license is in full force and effect. SIGNATURE DATE OWNEWBUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Law for the following reason: (Sec. 7031.5,Business and Professions Code: Any city or county which requires a permit to construct, after, improve, demolish, or repair any structure, prior to its issuance also requires the applicant for such permit to Ne a signed statement that he is licensed pursuant to the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) or Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis for the affeged 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). ❑ 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, 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 corrWietion, the owner -builder will have the burden of proving that he did not build or improve for the purpose or 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 (ibis 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 anyperson in any manner so as to become subject to the Workers' Compensation Laws of California Date Owner NOTICE TO APPLICANT: ff, after making this Certificate of Exemption you should become subject to the Workers' Compensation provisions of the tabor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. CONSTRUCTION LENDING AGENCY I hereby 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 certity 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 ateMailing Address City, State, zip q7 No. 07241 JILDING: TYPE CONST. OCC: GRP.: P. Number PGA Description Description Tract 24801 Phase 4H - Flan 838 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 2/28/90 Permit Validated by: Validation: Sq. Ft. 2893 Size No. Stories No. Dw. Units New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑ Estimated Valuation $214.323 PERMIT AMOUNT Plan Chk. Dep. Plan Chk. Bal. 4 638,. bi Const. M?. UU Mech. 131011 Electrical 132.71 Plumbing 168.50 S.M.I. 15.05 Grading Driveway Enc. Infrastructure $4M. Less (.re z t— 441/.89 Infra Due $2,417.83 TOTAL s . 3 REMARKS .,Au T. G , .'9 R'aA_...R'T .;, )..G4F} 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 2/28/90 Permit Validated by: Validation: CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. FT. ® $ UNITS LAB GRADEY�,44 ROUGH PLUMB. BONDING YARD SPKLR SYSTEM 2ND FL. SQ. FT. FORMS ER OR&SANy�e ROUGH WIRING. MOBILEHOME SVC. BAR SINK POR. SQ. FT. ® AS (ROUGE J`l'AY METER LOOP GAR. SO. FT. ® POWER OUTLET ROOF DRAINS GAS (FINAL) TEMP. POLE DRAINAGE PIPING CAR P. SQ. FT. ® GROUT WATER HEATER WALL SQ. FT. FINAL INSP. DRINKING FOUNTAIN. SQ FT ® WATER SYSTEM URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation �F AL INSP. �s FLOOR DRAIN MECHANICAL FEES WATER SOFTENER VENT SYSTEM FAN EVAP.000L HOOD SIGN WASHER(AUTO)(DISH) APPLIANCE DRYER GARBAGE DISPOSAL FURNACE UNIT WALL FLOOR SUSPENDED VENTILATION LAUNDRYTRAY AIR HANDLING UNIT CFM FIRE ZONE ROOFING ' KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET' COMPRESSOR HP POLE, TEM/PERM LAVATORY HEATING SYSTEM FORCED GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. SQ. FT. ® c BATH TUB THING SQ. FT. ®c I WATER HEATER MAX. HEATER OUTPUT, B.T.U. SQ. FT. RESID ® 11/4 c SEWAGE DISPOSAL SO.FT.GAR ® 3/ac HOUSE SEWER 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- OUND PLUMB UNDERGROUND A.C. UNIT COLL. AREA LAB GRADEY�,44 ROUGH PLUMB. BONDING HEATING (ROUGH) STORAGE TANK FORMS ER OR&SANy�e ROUGH WIRING. DUCT WORK ROCK STORAGE FOUND. REINF. AS (ROUGE J`l'AY 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. �F AL INSP. �s VIF ,FRAMING FINAL INSP. CAO A OFING � �- A—,)-7/ �� _( &,0 �/(� REMARKS: VENTILATION FIRE ZONE ROOFING ' FIREPLACE SPARK ARRESTOR GAR. FIREWALL THING MESH L INSULATIONISOUND&O,Z FINISH GRADING FINAL INSPECTION CERT. OCC. FENCE FINAL INSPECTOR'S SIGNATURES/INITIALS � GARDEN WALL FINAL '