RR (12-1107)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number. xy±;12,-000011'07
Property Address:
56845 MERION
APN:
762-023-033- - -
Application description:
RE -ROOF
Property Zoning:
LOW DENSITY RESIDENTIAL.
Application valuation:
1500
c&ty/ 4 4 Q"
Architect or Engineer:
PIP
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 ,n I License No.: 774482 ------- -
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):
(_) 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
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.l.
(_) 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. , B.&P.C. for this reason
1
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 9226
Contractor:
WILLIAMS ROOFING
P.O. BOX 391841
ANZA, CA 92539
(760)399-9394
Lic. No.: 774482
VOICE (760)N-
INSPECTIONS
FAX (760) 7 (760) 777-7153
Date: 9/24/12
e D
D
OCT OB 2012
CIN 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 ecome subject to th `workers' compensation provisions of Section
3700 of the Labor e, shall for hwith tom lyl with rose provisions.
I
/��� A Iic.nt:
WARNING: FAILURI�ECURE 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 nd state laws relating to building construction, and hereby au tl ize rep esentatives
pf this county to en er up the above-mentioned property ti in ection pur oses.
/)per
Dat V i ature (Applicant or Agently� `�'
Application Number . . . . . 12-00001107
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
oA
0�\X
P.O. Box 391841, Anza, Ca. 92539 951-763-0769
50-855 Washington St. ac, # 130, La Ouinta, Ca. 42253 760-399-9394
Contract #5037
For: Monarch Management Trust, 39-755 Berkey Suite A, Palm Desert, Ca. 92260
Attn: JoAnne Rose Date: July 15, 2012
Job Addresses: 56-845 Merion, La Quinta, Ca. 92253
Schedule of extras if aonlicable:
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 1x8 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 i" 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 ioo square feet.
Remainder of roof system to receive 3 gallons per every ioo 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
81122012 8:13:22 AM Page 1 of 1
Prescriptive Certificate of Comp(lance: Residential Reroof CF-IR-ALT-ReRoc
Project Address:�/_
m6p�n�
Product Weight
Climate Zone
Permit 0
ROOFING PRODUCTS (COOL ROOFS) §151(1)12
When the area of exterior roof surface to be replaced exceeds 50% of the existing root area, or 1,000 W, whichever!s less, the net
rooting area must meet the roofing product "Cool Roof" requirements of 5152(b)1H1, 152(b)1Hll, or 152(b)1Hlll.
Check applicable alternative or exception below if the roof alteration is exempt from the roofing product "Cool Root" requirements::
❑ Cool roofs flo required in Climates Zones 1-12,14, and 16 with a low sloped roof pitch (less or 2:12 pitch).
❑ Cool roofs DA required in Climates Zones 1-9, and 16 with a steep -sloped roofs (greater pitch than 2:12) and product weightless than SAW
Alternatives to §152(b)1HI and §152(b)Hll, Steep -slope roof (pitch > 2:12)
❑ Insulation with a thermal resistance of at least 0.85 hr•ft2-°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(f)10; or
❑ In climate zones 10, 12 and 13, with 11`12 of free ventilation area of attic ventilation for every 1501`112 of attic floor area, and
where at least 30 percent of the free ventilation area is within 2 feet vertical distance of the root ridge; or
❑ Building has at least R-30 ceiling Insulation; or
❑ Building has radiant barrier in the attic meeting the requirements of §151(1`)2; or
❑ Building has no ducts in the aft; or
❑ In climate zones 10, 11, 13 and 14, R-3 or greater roof 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
❑ Roofing area la covered by building Integrated; photovoltaic panels and solar thermal panels are exempt from the Cod Roof criteria.
❑ Roof constructions that have thermal mass over the root membrane with at least 26 Ib/ft2 are exempt from the Cool Roof criteria.
NOTE: If any one of the altematives 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.
NOTE: When a Cool Roof 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 ID Number'
S 2:12 > 2:12
< 51b/ft2 Z 516/ft2
T e2
Reflectance3'4
Emitta ce
g
SRI
❑
❑
❑
3,10
❑4
'13
❑
❑
❑
❑
❑4
Note: If 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 Cool Roof Rating Council's Rated Product Directory at www coolroofs,oWZgWducta/search.nho
2. Indicate the type of product is being used /or the rooftop, i.e. single -ply roof, asphalt roof, 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(pw - 0.2) to obtain a calculated aged value. Where pis the Initial Solar Reflectance.
4. Check box it the Aged Reflectance is a calculated value using the equation above.
5. Calculate the SRi value by using the SRi- Worksheet at hffDYAmwweWca.oov/title24/ and enter the resulting value in the SRI Column above and attach
atopy 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 coven
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
NOTE: When a Cool Roof is required, the installing contractor shall 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 thiaCertikate of Compliance conform to the requirements of Title 24, Part!
1 and 6 of the California rc.Weof Regulations.
Name:
Signature.
Comps'
D .
q- q- 1,3
Addr
License:
City/1
ity/ t / . C4 - 9 Z5 Phone 11A6`3 L
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772.3300.
am n
Permit Al
JC Project Address:
A. P. Number:
# Submittal Req'd
Plan Sets
Structural Calcs.
Truss Calcs.
Title 24 Calcs.
Flood plain plan
Grading plan
Subcontactor List
Grant Deed
It-O.A. Approval
IN HOUSE: -
Planning Approval
Pub. Wks. Appr
School Fees
City Of La Quinta
Building 8t Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777.7012
Building Permit APPlication and Tracking Sheet
0 wner's Name: it �-.c'T C
ST, Zip:—
phone:
ect Description:
City Lic. #:
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
t Sq. Ft.: # Stories: #
Units:
Estimated Value of projec
APPLICANT: DO NOT WRITE BELOW THIS LINE
Recd TRACKING
Plan Check submitted
Reviewed, ready for corrections
Called Contact Person
Plans picked up
Plans resubmitted
2" Review, ready for corrections/issue
Called Contact Person
Pians picked up
Plans resubmitted
3" Review, ready for corrections/issue
Called Contact Person
Date of permit issue
PERMIT FEES
Item
Plan Check Deposit
Plan Check Balance
Construction
Slechanical
Electrical
Plumbing
S.Ai.I.
Grading
Developer Impact Fee
A.I.P.P.
Total Permit Fees
Amount
Contractor:
Address:
City. ST, Zip:
�
Telephone: ��.r-3� �1
�C
State Lic. # :
Arch., Engr., Designer:
Address:
Cit)'. ST, Zip:
Tcicphonc:
State Lic. #:
Name of Contact Person:
Telephone # of Contact Person:
# Submittal Req'd
Plan Sets
Structural Calcs.
Truss Calcs.
Title 24 Calcs.
Flood plain plan
Grading plan
Subcontactor List
Grant Deed
It-O.A. Approval
IN HOUSE: -
Planning Approval
Pub. Wks. Appr
School Fees
City Of La Quinta
Building 8t Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777.7012
Building Permit APPlication and Tracking Sheet
0 wner's Name: it �-.c'T C
ST, Zip:—
phone:
ect Description:
City Lic. #:
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
t Sq. Ft.: # Stories: #
Units:
Estimated Value of projec
APPLICANT: DO NOT WRITE BELOW THIS LINE
Recd TRACKING
Plan Check submitted
Reviewed, ready for corrections
Called Contact Person
Plans picked up
Plans resubmitted
2" Review, ready for corrections/issue
Called Contact Person
Pians picked up
Plans resubmitted
3" Review, ready for corrections/issue
Called Contact Person
Date of permit issue
PERMIT FEES
Item
Plan Check Deposit
Plan Check Balance
Construction
Slechanical
Electrical
Plumbing
S.Ai.I.
Grading
Developer Impact Fee
A.I.P.P.
Total Permit Fees
Amount
P.O. BOX 1504
Building 78-105 CALLE ESTADO
Address 56-845 Kerion LA QUINTA, CALIFORNIA 92253
Sunrise Company
Mailing
Address 42-600 Cook Street Suite 200
City Zip Tel.
Pain desert 92260 52828
Contractor Contractor
Sade
Address
Tela
State Lic. City
& ClassifM8130 I Lic. #398
Designer
Address Tel.
city IZip I State
Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm that 1 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
OWNER -BUILDER DECLARATION
1 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 rile 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 ($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 completion, the owner -builder will have the burden
of proving that he did not build or improve for the purpose of sale.)
❑ 1, 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. O 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: ff. alter 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.
1 certify that 1 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
S7 L-1 t�
No. 07224
BUILDING: TYPE CONST. OCC. GRP.
A.P. Number PGA
Legal Description Tract 248€31
Description Phase 4H - Plan H1A
Sq. Ft. 2353 No. No. Dw.
Size - Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition ❑
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 2/28/903 Permit
Validated by:
Validation:
Estimated Valuation
$170,470
PERMIT
AMOUNT
Plan Chk. Dep.
_
Plan Chk. Bal.
% 0.0;
Const.
0W.00
Mech.
70.50
Electrical
113. y
Plumbing
19 . ru
S.M.I.
Grading
Driveway Enc.
Infrastructure _
'.1
1,917 l►
Intra Due
�
TOTAL
REMARKS�i1f411s,�•..r1,41
'•^fdrf3'--P2—tsi:t[
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 2/28/903 Permit
Validated by:
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING FEES
1ST FL. SQ. FT. ® $
UNITS ^
qXSLAB GRADE3��yyG24 1 G61
`
ROUGH PLUMB.
BONDING
YARD SPKLR SYSTEM
2ND FL SQ. FT.
ER 04EP�TAIRJ
ROUGH WIRING
MOBILEHOME SVC.
BAR SINK
POR. SQ. FT. ®
(ROUGH),f.,20 .efj
METER LOOP
GAR. SO. FT. ®
POWER OUTLET
ROOF DRAINS
GAS (FINAL)
TEMP. POLE
DRAINAGE PIPING
CAR P. I SQ. FT.
GROUT
WATER HEATER
WALL SQ. FT.
FINAL INSP.
DRINKING FOUNTAIN.
FT ®
WATER SYSTEM
URINAL
ESTIMATED CONSTRUCTION VALUATION $
=$
WATER PIPING
NOTE: Not to be used as property tax valuation
Gt
FINAL INSP. %�'J?��U �� �-
FLOOR DRAIN
MECHANICAL FEES
WATER SOFTENER
VENT SYSTEM FAN EVAP.COOL HOOD
SIGN
WASHER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
VENTILATION
LAUNDRY TRAY
AIR HANDLING UNIT CFM
FIRE ZONE ROOFING
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
W-LATHING7 /0
SQ. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SQ. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
SQ.FT.GAR @ 3/ic
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
ROUND PLUM It -?;e
UNDERGROUND
A.C. UNIT
COLL. AREA
qXSLAB GRADE3��yyG24 1 G61
`
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
ER 04EP�TAIRJ
ROUGH WIRING
DUCT WORK
ROCK STORAGE
,, //FORMS
/C hOUND. REINF.3 . � -S
(ROUGH),f.,20 .efj
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.
Gt
FINAL INSP. %�'J?��U �� �-
RAMING Gj-_Ld
FINAL INSP.
XVROOFING 6-13 �1J
l
//) -1 u ,.�v
[(J
�(,(�
G
REMARKS:
VENTILATION
FIRE ZONE ROOFING
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
W-LATHING7 /0
MESH
SULATIONISOUND4p-0 ,/I- /
//////"'''������ Vv
FINISH GRADING
FINAL INSPECTION
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL
1