RR (12-1106)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 12-00001106
Property Address: 56805 MERION
APN: 762 -023 -031 -
Application description: RE -ROOF
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 1500
Tiht 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
PGA WEST RES
39755 BERKEY
PALM DESERT,
VOICE (760) 7 7-
FAX (760) 7 -7
INSPECTIONS (760) 777-
Date: 9/24/12
II
STE. A
CA 92260
Contractor: U
Applicant: Architect or Engineer: WILLIAMS ROOFING OCT 05 Z�/?
P.O. BOX 391841
ANZA, CA 92539 C1TY
(760) 399-9394 F/N0
tiAQ(11NTA
LiC. No.: 774482 C��EPT.
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 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
License Class: C39 License No.: 774482 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
/ � issued.
ontractor: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
OWNER -BUILDER DECLARATION insurance carrier and policy number are:
I hereby affirm under penalty of perjury that 1 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 rovi
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Co I s II forthwith comply with t ons.
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).: licant: -
(_) 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.). APPLICANT ACKNOWLEDGEMENT
(_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application.
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1. Each person upon whose behalf this application is made, each person at whose request and for
pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application,
1 _ 1 I am exempt under Sec. , BAP.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
I h k
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
of La Quinta, its officers, agents and employees for any act or omission re ate d to t e wor 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 nd state laws relating to building co truction, and hereby author' a epre tatives
01' j�i�oupty to,ent r up the above-mentioned grope ori ection pur ses.
D8(/te: S ignature (Applicant or Agar
Application Number
. . . . . 12-00001106
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
Project Address:M t
5&K05 MO
Climate Zone
Permit 4- I
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
rooRng &roe must meet the rooting product "Cool Roof' requirements of §152(b)1H1, 152(b)1H/1, or 152(b)1Hlll.
Check applicable alternative or exception below if the roof alteration is exempt from the roofing product "Cool Roof" requirements:
❑ Cod roofs M required in Climates Zones 1-12,14, and 16 with a low sloped roof pitch (less or 2:12 pitch).
❑ Cod roofs agi required In Climates Zones 1-9, and 18 with a steep -sloped roofs (greater pitch than 2:12) and product weightless than 5/lb/I
Alternatives to §152(b)l HI and 1152(b)HiI, Steep -slope roof (pitch > 2:12)
❑ Insulation with a thermal resistance of at least 0.85 hr-te.'F/Btu or at least a 3(4 inch air -space Is added to the roof deck over an alt, or
❑ Existing ducts in the attic are insulated and sealed according to §151(910; or
❑ In climate zones 10, 12 and 13, with 1 it2 of free ventilation area of attic ventilation for every 150 it2 of attic floor area, and
where at least 30 percent of the free ventilation area is within 2 feet vertical distance of the rod 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
O Building has no ducts in the aft. or
❑ In climate zones 10, 11, 13 and 14, R-3 or greater root deck Insulation above vented attic.
Exception to §152(b)1Hill, low -slops root ( pitch S 2:12)
❑ Building has no ducts in the atdc.
Other Exceptions
❑ Roofing 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 Ibift2 are exempt from the Cod Roof criteria.
MM 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.
M. When a Cool Root is required, the installing contractor shall complete and submit the CF -6R -ENV -01 for final inspection.
Declaration Statement
Roof Slope
Product Weight
Product
Aged Solar
Thermal
Signature:
CRRC Product 10 Number'
s 2:12 > 2:12
< 51b/te t 516/ftp
T e2
Reflectance''4
Emittaince
SRIS
Hfup NO
13
❑
13C14
'T3
O
❑
❑
❑
❑4
Nots: if no CRRC-t 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 at www.coolroofs.ola62mM&tslsearch.ohn
2. Indicate the type of product is being used for the roof top, i.e. single -ply roof, asphalt root, metal roof, etc.
7. 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 hMaYylyenenw.ca.00v/tltie24/ and enter the resuffing 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
ecommended 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
M. When a Cool Root is required, the installing contractor shall complete and submit the CF -6R -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 IsAccurate and complete.
• I certify that the energy features and performance specifications identified on thls Certificate of Compliance conform to the requirements of Title 24, Part!
1 and 9 of the Califomla Cmole of Regulations.
Name:
Signature:
Compa
11 NW1.1\_ ,p
Addr License:
City/ t i . Phone, 13 R
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.
as rw 0- ft
00,��
INWININEYMP.O. Box 391841, Anza, Ca. 92539 951-763-0769
So -85,5 Washington St. 2c, # 130, La Quinta, Ca. 92253 760-399939� f
Contract #5036
For: Monarch Management Trust, 39-755 Berkey Suite A, Palm Desert, Ca. 92260
Attn: JoAnne Rose Date: July 15, 2012
Job Addresses: 56-805 Merion, 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 $81.00 per hour labor and ix6 or vc8 materials at $ 2.50 per foot. Any
damaged rafter ends will be replaced for an additional charge based on s 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
Permit Al
Je
Project Address:
A. P. Number:
Legal Descri-ti n: ,
Contractor:
4f
Address:
F
Cit\', ST, Zip:
Telephone: 7'..39 1
�C
State Lic. # :
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:
ATelephone
is of Contact Person:
9 Submittal
Plan Sets
Structural Calcs.
Truss Calcs.
Title 24 Calcs.
Flood plain plan
Grading plan
Subcontactor List
Grant Deed
II.O.A. Approval
IN' HOUSE: -
Planning Approval
tPub. Wks. App
S,h,-IFe,s
City Of La Quinta
Building 8t Safety Division
P -O. Box 1504, 78-49S Calle Tampico
La Quints, CA 92253 - (760) 777.7012
Building Permit APPlication and Tracking Sheet
wner's Name: pie': 1
j; 1 �1 11 .i♦ �. 1 �
♦ 1ect Description:
City Lic. #:
Construction Type: Occupant}
Project type (circle one): New Add'n Alter Repair Demo
JSq. Ft.: # Stories: #Units:
V Estimated Value of Projec*•Cwcl
APPLICANT: DO NOT WRITE BELOW THIS LINE
'd Rec'd TRACKING
Plan Check submitted
Reviewed, ready for corrections
Called Contact Person
Pians picked up
Plans resubmitted
2*' Review. ready for corrections/issue
Called Contact Person
Plans picked up
Plans resubmitted
3- Reviee, 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