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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