RR (12-1125)4 P.O. BOX •1504 ^' VOICE (760-
78-495 CALLE TAMPICO FAX (760) -
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 9/24/12
Application Number: t-'_12-_00001125 - Owner:
Property Address: 57061 MERION PGA WEST RES II
APN: 762-031-008- - - 39755 BERKEY STE. A
Application description: RE -ROOF PALM DESERT, CA 92260
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 1500 _
Contractor: D
Applicant: Architect or Engineer: WILLIAMS ROOFING
P.O. BOX 391841 OCT 5 2011
ANZA, 92539
(760)399-9394 -9394 CITY OF LAQUINTA
�1 1 ✓1 Lic. No.: 774482 FINANCE DEPT..
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 fullforceand effect._ I have and will maintain acertificate of consent to self -insure for workers' compensation, as provided
License Class: C39 icense No.: 774482 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
`/ /� issued.
/ua j- •�/ .� Contractor: 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 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 sub-4ct to the wo I ers' 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 Labor Code, 1 shall forth ith comp i those provisions.
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)•: ate pplicant: '
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, 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.).
I—) 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: X
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 ri0k 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
cityend county ordinance's and state laws relating to building construction, and hereby aut rize representatives
of, is �s county to enter up n the above-mentioned, prope o spectiorposes. A /
D ignature (Applicant or Agent): �� /�✓
' � r
LQPERMIT - .
Application Number
. . 12-00001125
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
-----------------------------------------------------------------------------
t 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
'21 nn. nn nn
nn
' � r
LQPERMIT - .
Prescriptive Certificate of Compliance: Residential Reroof CF-IR-ALT-ReRoc
Project Address:
5qoht M21'6� 1
Climate Zone
1'
Permit 0
ROOFING PRODUCTS (COOL ROOFS) §151(f)12 `
When the area of exterior root surface to be replaced exceeds 509E of the exist/ng roof arra, or 1,000 le, whichever Is less, the net
roofing area must meet the roofing product "Cool Roof" requirements of §152(b)1N1, 152(b)1NIl, or 152(b)1MI11,
Check applicable alternative or exception below it the roof alteration Is exempt from the roofing product "Cool Roof" requirements:
❑ Cod roofs M required in Climates Zones 1-12, 14, and 18 with a low stoped roof pitch (lessor 2:12 pitch).
❑ Cod roofs Ug 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 9152(b)1Hi and §t52(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 aft are insulated and sealed according to §151(f)10; or
❑ In climate zones 10, 12 and 13, with 1 ft2 of free ventilation area of attic ventilation for every 150 f12 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 aft; or
❑ In climate zones 10, 11, 13 and 14, R-3 or greater roof deck Insulation above vented attic:.
Exception to §152(b)t Hill, Low -slope roof ( pitch 5 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.
❑ Root conztructionz that have thermal maze over the coat membrane with at least 26 IMM are exempt from the Coot Root criteria.
HM If any one of the altematives or exception is checked the Aged Solar Reflectance and Thermal Emiliance requirements for roofing
products in § 118(1) are not applicable. Do not fill table below.
NOTE: When a Cod 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
CRRC Product ID Number'
s 2:12 > 2:12
< 51blte Z 51bile
T W
Reflectance''4
Emitta ce
S
SRI
0(Q,V -aAq Hfk R
Z
❑
❑
❑
13
❑
❑
❑
❑
❑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 Cod Roof Rating Counctl'e Rat Product Directory at
2. indicate the type of product is being used for rhe root top, i.e. singwpry root; 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 Reflectance value from the some
directory and use the equation (0.2+0.7(p..,,,, - o.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 Me equation above.
5. Calculate the Sill value by using the SRI- Worksheet at httyYAmy.eneray.ca.and enter the resulting value in the SRI Column above and attach
atopy of the SRI- Worksheet to the CF -1 R.
To apply Liquid Field Applied Coatings, the coating must be applied across the entire root surface and meet the dry mil thickness or covert
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 Root Coating ❑ Other
NOTE: When a Cod Roof 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 is accurate and complete.
• 1 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 California Cbde of Regulations,
Name:Signature:
vw 1A11
1
Compa
D _ I a
License:l
FCityAddr
t i .
Phone
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.
.� P.O. Box 391841, A><iza, Ca. 92539 951-763-0769 a°
So -855 Washington St. 2C,# 13o, La Ouinta, Ca. 92253 760-399-9394
Contract #So47
For: Monarch Management Trust, 391-755 Berkey Suite A, Palm Desert, Ca. 9226o
Attn: JoAnne Rose Date: July 15, 2012
Job Addresses: 57-o6i. Merion, La Quinta, Ca. 92253 -
Schedule of extras if anolicable:
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 $ ioq.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 i2" 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: $ 1600.00
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 #
le
Project Address:
Item
Amount
A. P. Number:
orrections
Legal Descri'ti n:
14
Contractor:
Plan Check Balance
Address:
(Construction
City. ST. Zip:
Mechanical
Telephone: t� 1
K
State Lic. # : t
Electrical
Arch., Engr., Designer:
Address:
Plumbing
City, ST, Zip:
Tcicphonc:
S.M.I.
State Lic.
Name of Contact Person:
Grading
Telephone is of Contact Person:
Submittal
Plan Sets
Structural Cafes.
Truss Calcs.
Title 24 Calcs.
Flood plain plan
Grading plan
Subcontactor List
Grant Dccd
II.O.A. Approval
IN HOUSE: -
Planning Approval
Pub. Wks. Appr
School Fees
City Of La Quinta
Building at Safety Divislon
P -O. Box 1504, 78-495 Calle Tampico
La Quints, CA 72253 - (760) 777.7012
Building Permit Application and Tracking Sheet
® wner's Name:
Address: 397 5
�SUi
City, ST, Zip:
elephone: �-5 �+
Project Description:
Citv Lic. #:
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: # Stories: /1 Units:
Estimated Value of Project: 10
APPLICANT: DO NOT WRITE BELOW THIS LINE
Recd T
Plan Check submittc
Reviewed, ready for c
Called Contact Perso
Pians picked up
Plans resubmitted
P' Review, ready for
Called Contact Person
Plans picked up
Plans resubmitted
"' Reviea, ready for i
Called COnfact Penoi
Date of permit issue
RACKING
d
PERMIT FEES
Item
Amount
orrections
Plan Check Deposit
"
Plan Check Balance
(Construction
Mechanical
corrections/issue
Electrical
Plumbing
S.M.I.
Grading
orrections/issue
Developer Impact Fee
A.I.P.P.
Total Permit Fees